Physician Peer Review utilizing Greeley Model; research and preparation of case summaries for monthly Professional practice committee that reports to Medical Executive Committee. High level case reviews of both inpatient and outpatients; reporting data to Administration and Legal team.Investigate and formulate response to queries regarding patient care concerns from Insurance and Regulatory agencies.
Quality-research, monitor and maintain patient adverse event reporting data base-RL solutions. Prepare and conduct root cause analysis and subsequent action plans and follow up-per Joint commission guidelines. Reporter of equipment or product issues to Med Sun-FDA.
Support Quality improvement initiatives through team participation, data collection, process change implementation. Review of patient adverse events, investigate and conduct Root cause analysis, implement action items in collaboration with Legal, Risk and Administrative Team.
Hospital Case manager/Utilization management- assess, monitor clinically high risk and complex patients; collaborate with patient care team including insurance provider to coordinate discharge plans. Home Health care- provide direct patient care, infusion services; manage and direct staff to diverse ethnic population. Ortho and Neurosurgery charge nurse-provide direct patient care to high acuity surgical patients. Preceptor for new grads, and nurses new to the department.
Staff nurse on busy general surgical unit, providing direct patient care. Regional hospital serving tri-state area.
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