Chief Quality Assurance Risk Management Infection Control Nurse Resume Example

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(555) 432-1000,
, , 100 Montgomery St. 10th Floor
Professional Summary

High performing, Masters prepared, Registered Nurse possessing strengths in Risk Management, Patient Safety Culture, leadership, and Quality Assurance. Eight years experience with claims investigation, facilitation and litigation processes. In depth knowledge of State licensing and CMS regulations for acute hospitals.

Certifications and Licenses

Registered Nurse State of California

Certified Professional Healthcare Quality (CPHQ)

Certified Professional Healthcare Risk Management (CPHRM)

Certificate Patient Safety, ASHRM

Hospital Accreditation Certified Professional (HACP)

Skill Highlights
  • Thorough knowledge of CMS, NHSN & Title 22 requirements
  • Extensive experience in medical record review standards of care analysis.
  • Strong critical thinking and analytic skills
  • Claims coordination; Hospital liaison between Hospital Management, Staff, Legal Counsel and Defense Counsel. Proactively facilitate educational programs for all levels of staff on pertinent risk reduction. Communicate potential risk issues to Hospital Administration.
  • Strong communication and interview skills. Thorough knowledge and experience in patient safety concepts and their effective application, patient harm event investigation analysis, performance of RCA, Gap analysis.
  • Experience delivering Quality/Risk presentations to varying audiences including, healthcare conferences, Hospital Board of Directors, Hospital Leadership and staff, Medical Staff and Community groups.
  • Facilitate Physician Peer Review; Management of complex and sensitive issues related to risk reduction, quality improvement in medical practice; Ability to maintain confidentiality and remain objective.
  • Resource for Administration, Medical Staff and all staff in addressing Risk Management, Quality and regulatory issues.
  • Proficient with WORD, EXCEL, POWER POINT
Education and Training
Western Governors University Salt Lake City, UT Expected in 2016 Master of Science : Nursing Administration & Leadership - GPA : Honors Graduate
Western Governors University Salt Lake City, UT Expected in 2015 Bachelor of Science : Nursing Science - GPA :
Cuesta Junior College DeBackerSan Luis Obispo, CA Expected in 1990 Associate of Science : Registered Nursing - GPA :
  • Successfully implemented organization-wide risk management, patient safety programs including, TeamSTEPPS, Culture of Safety, Safe & Reliable SCORE survey & Just Culture 2012 to present.
  • Risk Management & Patient Safety programs drove $57K reduction in annual medical malpractice premiums 2020.
  • Guest presenter BETA Healthcare Group Patient Safety Conference 02/2020 Culture of Safety Process Improvement.
  • Successful implementation BETA HEART, evidence based, risk reduction strategies, early resolution of patient harm events avoiding litigation.
  • Developed successful Sepsis Committee. Sepsis outcomes sustained at better than State and National benchmarks.
  • Prepared teams and led successful Federal hospital accreditation and State Licensing surveys 2010 to present.
  • Developed and lead multidisciplinary COVID-19 Task Force since March 2020 to present.
  • Guest presenter CalHIIN webinar (2013) for sustained improvement hospital acquired pressure ulcer reduction program.
Professional Experience
Lompoc Valley Medical Center - Chief Quality Assurance/Risk Management/Infection Control Nurse
City, STATE, 03/2018 - Current

Provide risk mitigation guidance & support all levels of organization.

Conduct risk analysis of patient safety for mitigation of risk organization-wide.

Conduct RCAs, claims and related investigations

Provide regulatory guidance for CMS, NHSN and State licensing standards, education and support at all levels of the organization

Ensure State and Federal Quality measures trended & reported to key stakeholders

Preparation for State & Federal Surveys

Lompoc Valley Medical Center - Director Quality/Risk Management/Infection Control
City, STATE, 03/2013 - 03/2018
  • Implemented operational vision for data analytics and reporting, including identification of key requirements and continuous improvement opportunities.
  • Lead and executed risk management projects to identify deficiencies and possible corrective actions.
  • Analyzed risk management and incident reporting strategies and data to create educational programs.
  • Directed reporting automation to reduce errors and labor requirements.
  • Designed programs and protocols to ensure organization-wide compliance with State and Federal Guidelines to maintain hospital license and Medicare accreditation.
  • Established and managed tracking, training and safety coordination programs organization-wide.
  • Utilized graphic tools to present quality performance improvement projects.
  • Implemented CDC and OSHA driven infection prevention and control policies to guide hospital departments.
  • Developed educational programs for hospital personnel, patients and families to enhance knowledge of infection control.
Lompoc Valley Medical Center - Quality Analyst/Wound Care RN
City, STATE, 09/2009 - 04/2013

Interim Quality Department Director 09/2012-03/2013

Data abstraction for CMS Quality Measures

Medical record analysis

Wound Management program development and oversight


American Society for Healthcare Risk Management (ASHRM)

National Association of Healthcare Quality (NAHQ)

Sigma Theta Tau International Honor Society of Nursing

Honors graduate, Western Governor University

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Resume Overview

School Attended
  • Western Governors University
  • Western Governors University
  • Cuesta Junior College
Job Titles Held:
  • Chief Quality Assurance/Risk Management/Infection Control Nurse
  • Director Quality/Risk Management/Infection Control
  • Quality Analyst/Wound Care RN
  • Master of Science
  • Bachelor of Science
  • Associate of Science

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