30 years of extensive healthcare experience, including Performance Improvement, Risk and Utilization Management, Homecare, and direct patient care in the medical-surgical setting. Additional expertise includes management and staff supervision. Strengths include ability to work well with others, organizational skills, ability to prioritize multiple tasks, report writing, verbal presentations, detail oriented, highly dependable and energetic. Computer skills include Microsoft Office Word, Power Point, Outlook, Excel and Quality Data Management and Reporting Programs.
Registered Nurse State of Florida
Registered Nurse State of Massachuetts
Registered Nurse State of
Registered Nurse State of Massachusetts
Registered Nurse State of New Hampshire
Registered Nurse State of Florida
Certified Professional Healthcare Quality (CPHQ)/Healthcare Quality Certification Board
Management of hospital, corporate, state and national databases related to CMS and Joint Commission regulatory requirements for Core Measures and other Quality related issues
Directed departmental staff as related to Core Measure Data Collection, chart reviews, and education.
Analyzed data collected to design and modify goals established for patient care.
Worked with Nursing leaders to develop and implement action plans to improve performance
Facilitated data collection and disseminated results to all administrative and departmental leaders for review and follow-up
Provided professional assistance and support to all departments in conformance with established policies and regulatory requirements related to organizational performance. This included but was not limited to excellence in customer service, authoring policies, researching best practices, ongoing preparation for surveys, and implementing new processes to facilitate improvement in performance.
Directed Performance Improvement processes and Infection Control program for 250 bed hospital
Responsible for Medical Staff Peer Review and Physician Performance evaluations related to quality and medical outcomes
Coordinate ongoing Joint Commission preparedness activities and surveys
Abstract CMS Core Measure data, monitor compliance, and coordinate improvement plans and follow-up
Prepare quarterly reports to Board of Governors and Medical Executive Committee
Abstracted data from 350-400 charts quarterly for CMS/Joint Commission Core Measures
Compile data, identify trends, and follow-up with appropriate departments/committees to assure recommendations for improvement were amde and implemented
Provide assistance. education, and support to all departments for all performance improvement activities
Triage phone calls from physicians, patients and field staff
Perform annual employee PPD testing and follow-up
Enter patient referral information and physician orders into electronic medical record with appropriate ICD-9 Diagnosis and Procedure Codes
Coordinate new patient referrals with scheduling staff and clinical managers
The healthcare system was comprised of 2 acute care facilities totaling 650 beds.
Designed and directed physician peer review processes for all medical staff departments
Acted as the Quality Management representative, resource person and facilitator for all interdisciplinary teams and committees
Directed cooperative studies for performance improvement with the Florida QIO
Utilization Management responsibilities included performing retrospective reviews for insurance companies, utilization of ICD-9 and procedure codes, and investigating and responding to third party payers regarding quality of care concerns and payment denials
Risk Management responsibilities included staff education, monitoring and trending system wide occurrence report data, investigating and reporting Code 15 occurrences to the state.
Provided direct patient care and charge nurse duties on 52 bed medical -surgical unit
Provided direct patient care on a 36 bed Intermediate Respiratory Care Unit. Cared for long term ventilator patients, end stage COPD, and trauma patients.
Performed management duties that included coordination of unit staffing and performance evaluations and problem solving
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