Clinical Quality Specialist

• Jul 2011 - Present

Data abstraction for Hospital Quality Reporting and Inpatient Psychiatric Facility Quality Reporting, Medicare Beneficiary Quality Improvement Project, Merit Based Incentive Payment System/QPP program data validation, using concurrent and retrospective review of medical records.Coordinates the Medical Care Evaluation Committee meetings by assembling data reports, preparing the agenda, as well as assisting with writing follow-up letters for case reviews.Running monthly, quarterly, and YTD patient satisfaction data using Press Ganey Improvement Portal and excel to display data. Liaison to the organ and tissue recovery organization with focus on coordinating education and verifying of timely reporting and monitoring for compliance with CMS/JC standardsContributes data for OPPE/FPPEActive collaborator with Quality/Risk Manager in maintaining readiness for Joint Commission Surveys and other regulatory compliance. Served as back up for Risk Management and Infection Prevention.Additionally, I serve as a BLS instructor and a Customer Service University Instructor. Show less

House Supervisor

• Jan 1998 - May 2012

Weekend 12-hour shifts as house supervisor, responsible for approximately 25-30 people, covering 4 nursing units and 6 support units. Responsible for responding to all emergency codes, covering ICU and G/P RN lunch breaks, variable staffing for low census/covering sick calls, any customer concerns, calling in OR team for any emergency surgeries, etc.

RN: Med/Surg, Float

• Aug 2006 - Jul 2011

Provided support for the Med/Surg unit, ICU, ED, and Geri-psychiatry units.Filling roles as Med/Surg primary RN or night shift house supervisor in the event of vacations or sick calls.

Med-Surg RN

• Mar 1997 - Jan 1998

Provided primary nursing care to patients on the Med/Surg unit on pm shift

Utilization Review-Case Management

• Mar 1994 - Mar 1997

Conducted chart reviews and initiated contact with insurers for continued stay authorization for medical/surgical patients, and AODA rehabilitation patients.Responsible for obtaining prior authorization for elective surgeries.Led weekly care conferences and assisted detox patients with discharge planning after the rehabilitation unit closed.

Case Manager

• Apr 1993 - Jan 1994

Registered Nurse

• Sep 1991 - Apr 1993