HEDIS Abstractor-Nurse Resume Example

Performed medical records review and abstraction in support of annual HEDIS project.  Applied structured auditing criteria to determine compliance standards.  Reviewed and abstracted paper and electronic medical records and completed audits to determine if the quality of care measures, as defined by NCQA for that years HEDIS audit had been met.  Entered findings into data base.

• Developed patient care plans, including assessments, evaluations and nursing diagnoses.
• Documented patient information obtained from interviews.
• Ensured efficacy of treatments through monitoring of treatment regimens.
• Provided ongoing education to patient and family

• Supervised Chronic patient care, adeptly handling all aspects of treatment from medication to wound care to monitoring for all patients per shift.
• Oversaw and managed clinical and support staff in patient care activities while maintaining a high level of staff morale and professionalism.
• Completed staff performance evaluations
• Effectively supervised RN's, LPNs, CNA's and non-clinical staff. Recruited, hired and improved annual employee retention rate.
• Self-directed with astute judgment skills. High level of personal accountability​.
• Processed monthly reports for department performance.
• Closely monitored acute conditions.
• Demonstrated ability to lead and motivate outstanding healthcare teams.
• Participated in unit-based Quality Assurance Program.
• Developed and implemented nursing care plans.
• Developed patient care plans, including assessments, evaluations and nursing diagnoses.
• Delegated staff nurse duties.
• Established staff schedules and assignments based on facility needs for three 49 chronic care units and a 79 bed Alzheimer's unit.
  

•  Supervised Chronic patient care, adeptly handling all aspects of treatment from medication to wound care to monitoring for all patients per shift

• Oversaw and managed clinical and support staff in patient care activities while maintaining a high level of staff morale and professionalism.

• Completed staff performance evaluations.

• Supervised RN's, LPNs, CNA's and non-clinical staff.

• Recruited, hired and improved annual employee retention rate.

• Self-directed with astute judgment skills. High level of personal accountability​.

• Processed monthly reports for department performance.

• Demonstrated ability to lead and motivate outstanding healthcare teams.

• Participated in unit-based Quality Assurance Program.

• Developed patient care plans, including assessments, evaluations and nursing diagnoses.

• Delegated staff nurse duties.

• Established staff schedules and assignments based on facility needs.
  

• Supervised Chronic patient care, adeptly handling all aspects of treatment from medication to wound care to monitoring for all patients per shift.   
• Oversaw and managed clinical and support staff in patient care activities while maintaining a high level of staff morale and professionalism.   
• Completed staff performance evaluations.   
• Effectively supervised RN's, LPNs, CNA's.   
• Closely monitored acute conditions.   
• Delegated staff nurse duties.   
• Established staff schedules and assignments based on facility needs.    Processed monthly reports for department performance.   
• Closely monitored acute conditions.   
• Demonstrated ability to lead and motivate outstanding healthcare teams.    Participated in unit-based Quality Assurance Program.   
• Developed and implemented nursing care plans.   
• Developed patient care plans, including assessments, evaluations and nursing diagnoses.   
• Delegated staff nurse duties.
  

• Chronic patient care in med-surg unit, adeptly handling all aspects of treatment from medication to wound care to monitoring for 16 patients per shift.
• Assessed need for, ordered, obtained and interpreted appropriate lab tests.
• Self-directed with astute judgment skills. High level of personal accountability.
• Managed care for post-operative patients through discharge.
• Liaised between patients and physicians to ensure patient comprehension of treatment plans.
• Closely monitored acute conditions.
• Diagnosed and treated patients with chronic and acute health problems such as MI, arrhythmias, asthma, COPD and pneumonia.
• Participated in unit-based Quality Assurance Program.
• Ensured efficacy of treatments through monitoring of treatment regimens.
• Followed infection control procedures.
• Monitored fluid intake and output levels.
• Measured urine and delivered specimens to lab.
• Assisted residents with bathing, dressing, feeding, lifting and transferring.
  

• Chronic patient care in chronic care unit,  adeptly handling all aspects of treatment from medication to wound care to monitoring for patients 
• Oversaw and managed clinical and support staff in patient care activities while maintaining a high level of staff morale and professionalism.
• Liaised between patients and physicians to ensure patient comprehension of treatment plans.
• Closely monitored acute conditions.
• Monitored patient reactions to drugs and carefully documented progress of individuals participating in clinical trials.
• Ensured HIPAA compliance.
• Diagnosed and treated patients with chronic and acute health problems such as MI, arrhythmias, asthma, COPD and pneumonia.
• Participated in unit-based Quality Assurance Program.
• Developed and implemented nursing care plans.
• Followed infection control procedures.
• Assisted patients with daily functions.
• Monitored fluid intake and output levels.
• Assisted residents with bathing, dressing, feeding, lifting and transferring.
  

• Assessed need for, ordered, obtained and interpreted appropriate lab tests.
• Chronic patient care in med-surg unit, adeptly handling all aspects of treatment from medication to wound care to monitoring for 10 patients per shift.
• Self-directed with astute judgment skills. High level of personal accountability.
• Effective counseling in health maintenance and disease management.
• Managed care for post-operative patients through discharge.
• Liaised between patients and physicians to ensure patient comprehension of treatment plans.
• Instructed patients and family members on proper discharge care.
• Developed and implemented nursing care plans.
• Delegated staff nurse duties.
• Ensured efficacy of treatments through monitoring of treatment regimens.
• Assisted patients with daily functions.
• Followed infection control procedures.
  

• Assisted patients with daily functions.
• Monitored fluid intake and output levels.
• Closely monitored acute conditions.
• Monitored patient reactions to drugs and carefully documented effectiveness.
• Ensured HIPAA compliance.
• Documented patient information obtained from interviews.
• Delegated staff nurse duties.
• Ensured efficacy of treatments through monitoring of treatment regimens.
• Followed infection control procedures.
• Provided all daily living tasks to enhance quality of life for elderly patients.
• Assisted residents with bathing, dressing, feeding, lifting and transferring.