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Director of Quality and Accreditation Resume Example

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DIRECTOR OF QUALITY AND ACCREDITATION
Professional Summary

Quality Management professional with a 7-year track record of experience leading cross-functional teams within the hospital, clinics and outpatient facility. A professional with successful career delivering efficiency and standardization as well as providing outstanding quality standards that are followed in the development, delivery and execution for improvement throughout the healthcare system. Coordinates efforts of employees and facilitate communication between management and Executives. Experience in reviewing and interpreting regulatory and programmatic guidance, implementation of corporate compliance, risk management and corrective action programs. Promote culture of continuous improvement to maintain adaptable and responsive organizations ready for changing market conditions and business demands. Talented in developing partnerships, overseeing personnel and developing tactical plans to meet strategic goals. Proven change-manager with significant background in healthcare to include cardiology.

Skills
  • Quality processes
  • Employee training
  • Budget Preparation
  • Operational improvements
  • Familiarity with quality standards
  • Problem-solving abilities
  • Employee supervision
  • Policy reinforcement
  • Data Analysis
  • Conflict resolution
Work History
Director of Quality and Accreditation , 12/2015 to 03/2020
Methodist Hospital For Surgery – Prosper , TX
  • During this time Physician Services and Risk.
  • Interfaced directly with high-level executives within hospitals and clinics.
  • Oversaw QA operational activities verifying compliance within the hospital, outpatient facility, and clinics.
  • Followed quality standards and procedures to minimize errors and maximize customer/patient satisfaction.
  • Devised specifications for processes.
  • Improved quality processes for increased efficiency and effectiveness.
  • Managed and archived quality documentation and participated in internal and external quality audits.
  • Developed and administered risk management programs.
  • Created and modified policies to comply with safety and industry practices.
  • Investigated any incidences of risk
  • Leads and directs all quality management activities for the hospital including patient care and relations, CMS compliance, performance improvement.
  • Generated annual budget forecasting information for executive and corporate reports.
Director of Education, 12/2012 to 12/2015
State Of North Carolina – Sanford , NC
  • Recruited, trained and mentored faculty and staff in best practices for instruction.
  • Oversaw development and implementation of quality educational programs.
  • Planned and implemented staff development and in-service training programs to enhance knowledge and skills.
  • Represented educational program at meetings and conferences to serve as subject matter liaison for array of services and activities assigned.
  • Implemented program-level departmental policies and procedures and managed budgets to support educational program and curriculum.
  • Directed new nursing employee orientation
  • Directed day-to-day operations of education program and supervised support staff to delegate assignments and evaluate performance.
  • During this time worked PRN in PACU, Endoscopy, and Tele/Med-Surg
Nursing Educator, 04/2010 to 12/2012
Hospital Sisters Health System - Corporate – Sheboygan , WI
  • Strived to continuously update course strategies and content based on current trends and technological advancements in healthcare.
  • Assessed staff knowledge levels and abilities with detailed assessments.
  • Directly cared for patients to maintain currency on clinical techniques.
  • Identified and assigned appropriate activities and projects to enhance staff learning, including activities and projects.
  • Liaised with medical and nursing personnel to evaluate and improve teaching and nursing practices.
  • Developed and maintained nursing orientation for Telemetry, Med-Surg, CCCU, Short-Stay, PACU, Endoscopy, etc.
Nursing Instructor, 01/2009 to 04/2010
Pima Medical Institute – Tucson , AZ
  • Supported student educational and vocational planning to help each optimize learning strategies and reap long-term career benefits.
  • Assessed student knowledge levels and abilities with detailed assessments.
  • Strived to continuously update course strategies and content based on current trends and technological advancements in healthcare.
  • Directly cared for patients to maintain currency on clinical techniques.
Education
Post Masters Certificate, Nursing Informatics: Informatics, 12/2020
Texas Tech University Health Sciences Center - City, State
Master of Science, Nursing: Nurse PractitionerWest Texas A&M University - City, State
Bachelor of Science: NursingLubbock Christian University - City, State
Diploma: NursingMethodist School Of Nursing - City
Accomplishments
  • Collaborated with team in the development of Comprehensive Care for Joint Replacement (CJR) Program.
  • Development of Cardiac-Electrophysiology (EP) Program.
  • Documented and resolved patient satisfaction which led to improved Press Ganey scores.
  • Consistently met company standard times and individual productivity goals.
  • Cerner-Team Lead for Super Users during Go-Live training.
  • Value-Based payments.
  • Medicare Fee-for-Service (FFS) System.
  • Development of Nursing Orientation.
  • Development of Credentialing process for Physicians and mid-levels.
Certifications
  • Licensed Registered Nurse
  • Certified ACLS
  • Certified BLS
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Resume Overview

School Attended

  • Texas Tech University Health Sciences Center
  • West Texas A&M University
  • Lubbock Christian University
  • Methodist School Of Nursing

Job Titles Held:

  • Director of Quality and Accreditation
  • Director of Education
  • Nursing Educator
  • Nursing Instructor

Degrees

  • Post Masters Certificate, Nursing Informatics : Informatics , 12/2020
    Master of Science, Nursing : Nurse Practitioner
    Bachelor of Science : Nursing
    Diploma : Nursing

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