registered nursern senior analyst health care resume example with 20+ years of experience
JessicaClaire
, , 609 Johnson Ave., 49204, Tulsa, OK100 Montgomery St. 10th Floor
H: (555) 432-1000
C:
resumesample@example.com
Date of Birth:
India:
:
single:
:
Summary
Newly graduated Registered Nurse (RN) with a passion for delivering patient-centered care. Eager to leverage recent education and field experience to pursue opportunities as a registered nurse dedicated to providing exceptional and compassionate healthcare. Committed to delivering high-quality patient care through evidence-based practices and fostering positive patient outcomes. I am seeking to join a dynamic healthcare team where I can contribute my skills, knowledge, and enthusiasm for improving the lives of those in need.
Education
Associate of Science Degree in Nursing: Nursing, Expected in 09/2022 - Galen College of Nursing - Petersburg, FL , GPA: Status -
Licenses & Certifications
Registered Nurse (RN)
Florida License| Upon Request
CPR |BLS
American Heart Association| Expiration date 01-24
Experience
Registered Nurse(RN), Senior Analyst, Health Care , 08/2022 - Current Mclaren Health Care – Dewitt, MI,
Improved Medicare Stars performance measures for the provider groups under my management by implementing targeted quality improvement initiatives and monitoring progress through monthly scorecards.
Increased provider compliance with Medicare Stars performance measures through proactive communication, education, and collaboration with healthcare teams, ensuring alignment with quality standards and regulatory requirements.
Utilized advanced analytical skills to assess healthcare data, identify trends, and contribute to evidence-based practice. Applied data analysis expertise to monitor patient outcomes, identify areas for improvement, and drive quality initiatives within the provider practice.
Implemented a comprehensive monthly scorecard system to track and report on Medicare Stars performance measures, providing transparent insights and enabling data-driven decision-making for continuous quality improvement.
Successfully reduced medication non-adherence rates among the managed provider groups, using monthly medication adherence reports to identify opportunities for intervention and enhance patient outcomes.
Led quality improvement initiatives, ensuring compliance with regulatory standards, and driving continuous improvement in patient care. Implemented evidence-based practices to enhance healthcare quality and patient safety.
Conducted in-depth medical record reviews, identifying gaps in care and ensuring accurate and complete documentation practices. Utilized medical record review expertise to support comprehensive patient assessments and care planning.
Worked collaboratively with interdisciplinary teams, physicians, and administrators to drive quality improvement initiatives and enhance patient care. Effectively communicated patient information and contributed to multidisciplinary care plans.
Applied strong problem-solving and critical thinking skills to make clinical judgments, prioritize patient care needs, and address complex healthcare challenges in a fast-paced hospital environment.
Advocated for patients, ensuring their needs were met and promoting patient safety and satisfaction. Championed patient-centered care and acted as a liaison between patients and the healthcare team.
Licensed Practical Nurse (LPN), HC QM Consultant, 09/2012 - Current Sholom Community Alliance – Saint Paul, MN,
Enhanced performance on assigned measures through a thorough medical record review, leveraging analytical skills and research to identify best practices and drive process improvements.
Identified and addressed gaps in customer care, focusing on COL, BSC, diabetes care measures, and medication adherence measures.
Improved Medicare Stars performance measures for the provider groups under my management by implementing targeted quality improvement initiatives and monitoring progress through monthly scorecards.
Increased provider compliance with Medicare Stars performance measures through proactive communication, education, and collaboration with healthcare teams, ensuring alignment with quality standards and regulatory requirements.
Implemented a comprehensive monthly scorecard system to track and report on Medicare Stars performance measures, providing transparent insights and enabling data-driven decision-making for continuous quality improvement.
Successfully reduced medication non-adherence rates among the managed provider groups, using monthly medication adherence reports to identify opportunities for intervention and enhance patient outcomes.
Student Nurse, 02/2022 - 05/2022 Sholom Community Alliance – Saint Louis Park, MN,
Proficient in accurately administering medications, including oral, intravenous, and intramuscular routes. Successfully administered medications to patients in a clinical setting, ensuring proper dosage and verification of medication orders.
Skilled in providing patient education on various healthcare topics, including medication instructions, self-care techniques, and disease management.
Educated patients on proper wound care techniques, ensuring they understood the importance of regular dressing changes and signs of infection.
Ability to collaborate effectively with interdisciplinary healthcare teams, including physicians, nurses, and allied healthcare professionals, to ensure coordinated and comprehensive patient care.
Participated in multidisciplinary rounds, actively contributing to patient care discussions and sharing pertinent information for a collaborative treatment approach.
Proficient in accurately documenting patient assessments, interventions, and outcomes using electronic health record systems, adhering to legal and ethical standards.
Maintained thorough and accurate documentation of patient interactions and interventions, ensuring continuity of care and compliance with healthcare regulations.
Knowledgeable in implementing infection control practices and maintaining a clean and safe environment to prevent healthcare-associated infections.
Demonstrates the ability to think critically, assess situations, and make informed decisions to provide optimal patient care. Example: Responded promptly to an emergency situation, assessing the patient's condition, initiating appropriate interventions, and notifying the healthcare team for further assistance.
Licensed Practical Nurse, 02/2012 - 11/2021 St. Catherine Of Siena – Melville, NY,
Conducted comprehensive assessments of patients in their homes, including vital signs, physical examinations, and a review of medical history, to identify their healthcare needs and develop appropriate care plans.
Administered medications to patients according to prescribed dosages and schedules, ensuring proper documentation and adherence to medication safety protocols.
Provided skilled wound care, including cleaning, dressing changes, and monitoring of wounds to promote healing and prevent infections. Monitor and assess the wound's progress over time.
Educated patients and their families about their health conditions, treatment plans, medications, and self-care techniques. Provide instructions on managing chronic conditions, promoting healthy lifestyles, and recognizing signs of complications.
Collaborated with interdisciplinary healthcare teams, including physicians, physical therapists, and social workers, to ensure coordinated and holistic care for patients. Communicated regularly with other healthcare providers to update patient progress and adjust care plans as needed.
Maintained accurate and timely documentation of patient assessments, care provided, and communication with healthcare team members. Reported any changes in the patient's condition or concerns to the appropriate healthcare professionals.
Provided emotional support to patients and their families, addressing their concerns and offering empathy during challenging times. Foster a compassionate and supportive environment to enhance patient comfort and well-being.
Ensured the safety of patients by implementing appropriate infection control measures, following proper hygiene protocols, and identifying potential safety risks in the home environment.
Participated in the development and evaluation of individualized care plans for patients, considering their unique needs and goals. Monitor patient progress, make adjustments to the care plan as necessary, and document outcomes.
Effectively manage time and prioritize tasks to ensure timely and efficient delivery of care to multiple patients in different locations. Maintained organized patient records and paperwork.
Conducted comprehensive health assessments, including reviewing medical histories, measuring vital signs, and performing basic physical examinations to evaluate individuals' overall health and wellness.
Administered various health screenings, such as cholesterol checks, glucose tests, blood pressure monitoring, and body composition analysis, to identify potential health risks or abnormalities.
Collaborated with employers and organizations to develop and implement wellness programs that promote healthy lifestyles and disease prevention. Educate individuals on nutrition, exercise, stress management, and other wellness-related topics.
Provided individualized health coaching sessions, offering guidance and support to individuals seeking to improve their well-being. Assist in setting goals, creating action plans, and tracking progress towards achieving optimal health outcomes.
Empowered individuals with the knowledge and tools to make informed decisions about their health.
Collected and recorded health-related data, ensuring accurate documentation of assessments, screenings, and interventions. Generate reports summarizing individuals' health outcomes and program effectiveness.
Adhered to regulatory guidelines and quality assurance protocols to ensure accuracy, safety, and privacy in all wellness-related activities. Maintain compliance with applicable laws and regulations, such as HIPAA.
Provided exceptional customer service, responding to inquiries, addressing concerns, and maintaining a positive and supportive environment for individuals participating in wellness programs.
Stayed updated with current research, trends, and best practices in wellness and preventive care. Engaged in continuous learning and professional development opportunities to enhance knowledge and skills in the field.
Licensed Practical Nurse, HEDIS Nurse Chart, 05/2010 - 09/2012 Reviewer, Med Assurant, Innovalon – City, STATE,
Abstracted clinical data from medical records
Performed ongoing analysis of charts for the appropriate review compliance and researches and resolves assigned abstraction projects to drive other teams work on provider education on behalf of the insurance plan
Performed the basic functions of the abstraction position including ongoing analysis of medical record charts for the appropriate NCQA compliance
Followed and monitored regulatory changes as they pertain to HEDIS reviews and NCQA guidelines
Assessed vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom or other measure set standards
Reviewed medical records and abstract data for HEDIS and other measure sets in compliance with standards
Tracked and report on issues and outcomes related to abstractions and over-reads
Communicated outcomes of abstraction and over-sight activities with health plans and vendors when required
Performed other quality initiatives as necessary
Licensed Practical Nurse, Disease Case Manager, 07/2011 - 02/2012 Freedom Health Plans – City, STATE,
Performed Health Risk Assessments (HRA) on special needs patients referred to case management by healthcare provider
Identify and address customer gaps in care, provide clinical assessments, health education as needed on chronic illnesses to include diabetes Type I and II, Chronic high blood pressure, COPD, CHF and Asthma
Coordinates the integration of social services/case management functions into the patient care, discharge and home planning processes with other hospital departments, external service organizations, agencies and healthcare facilities
Collaborates with clinical staff in the development and execution of the plan of care and achievement of goals
Conducts concurrent medical record review using specific quality indicators and clinical decision support criteria as approved by the medical staff, TJC, CMS and other regulatory agencies and document findings
Document patient case management plans and Identify insurance coverage and sources of payment for treatment and care
Medical Office Assistant, 12/1993 - 12/2003 Medicine, Regional Medical Health System – City, STATE,
Greeted patients, determined purpose of visit and directed to appropriate staff.
Scheduled tests, lab work or x-rays for patients based on physician orders.
Collaborated with multi-disciplinary staff to improve overall patient care and response times.
Assisted with referrals and prepared medical records for patients.
Scheduled and confirmed patient appointments and consultations.
Routed laboratory or diagnostic results to appropriate staff.
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