RN Quality Resume Samples

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S Nolan

Sadie

Nolan

831 Quigley Prairie

Philadelphia

+1 (555) 568 7574

831 Quigley Prairie

Philadelphia

Phone

p +1 (555) 568 7574

Experience Experience

Boston, MA

RN Quality Auditor

Boston, MA

Block Group

Boston, MA

RN Quality Auditor

Working knowledge of Microsoft Word, Excel, SharePoint and Lync
Perform weekly, monthly and/or quarterly quality reviews as directed to support each function within the end to end process, at each program level
Performs staff quality audits to ensure execution in clinical outcomes
Collaborates with Quality Manager, Operational Supervisors and matrix partners
Supports compliance with all corporate policies as well as all departmental and national quality/certification initiatives (URAC, NCQA) and state regulatory bodies
Provide timely and constructive feedback on audits to drive quality improvement
Provide effective communication to engage and develop cross functional staff in a virtual environment

Chicago, IL

Rn-quality / Risk Coordinator

Chicago, IL

Hills-Mayer

Chicago, IL

Rn-quality / Risk Coordinator

Coordinates data reporting and analysis regarding CORE Measures and facilitates quality improvement activities concerning these measures
Serves as facilitator for Quality Improvement activities within the corporation
Performs data analysis and logging of all occurrence reports within the hospital and prepares reports concerning risk for various groups
Teaching staff at various levels including Physicians concerning a variety of quality, regulatory and accreditation topics
Participate in processes for continual survey readiness
Prepares various internal reports concerning Core Measures and Meaningful Use
Coordinates risk programs with all hospital departments,

present

Houston, TX

RN Quality Lead Hedis

Houston, TX

Schamberger-Bergstrom

present

Houston, TX

RN Quality Lead Hedis

present

Conducts Quality training and education programs for providers, clinic staff, and administrative departments, as assigned
Provide training on HEDIS / Star Measures, preventive health topics
Provide training to the clinical team to research and design educational materials for use in practitioner offices; serves as liaison with key vendors supporting HEDIS / Star Measures; consults with vendors to design and implement initiatives to innovate and then improve HEDIS / Star Measure rates
Follows plan for professional development and actively seeks out opportunities to increase expertise in health care education and quality training programs
Work with instructional design staff to ensure all new initiatives, policies and procedures, guidelines, or other necessary updates are incorporated into orientation / training programs
Identify innovative training strategies for learners, including distance learners
Leverages creativity and utilizes a wide variety of methods to present education and training programs

Education Education

Bachelor’s Degree in Nursing

Georgia State University

Bachelor’s Degree in Nursing

Skills Skills

Knowledge of Performance Improvement methodology and Outcomes Management
Demonstrative ability to work without supervision towards a desired outcome
Ability to maintain confidentiality
Ability to adapt to multiple and changing priorities
Knowledge of licensure regulations, Joint Commission on Accreditation of Healthcare Organization and state/federal standards
Ability to organize, formulate, educate and facilitate problem solving teams
Effective communication skills, both verbal and written
Demonstrated problem solving, data assembly and action planning ability leading to the development of actions plans that will prove helpful in achieving measurable objectives
Statistical analysis skills
Effective interpersonal skills

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RN / Quality Assessment Resume Examples & Samples

Manages, plans, and organizes the monitoring and evaluation of national, corporate and facility quality and accreditation data
Aggregates, analyzes, interprets, and displays data for the important aspects of care and related performance improvement activities
Designs and implements data collection tools and provides reports for all monitoring and evaluation activities
Provides teaching and consultation concerning monitoring and evaluation activites
Assists with the coordination of multidisciplinary reviews with other departments
Maintains current knowledgte of nursing trends, evidence based practice, performance improvement, Joint Commission standards
Works closely with Nursing, Medical Records, Medical Staff Quality, Accreditation, Risk Management and other departments as necessary to coordinate monitoring and evaluate activities
Maintains data base of activities, data collection, etc. to produce meaningful reports in understandable terms
Assists in the development of policies, procedures, and standards
Promotes evidenced based practice through performance improvement activities
Works closely with nursing leadership to implement data collection and improvement activities supportive of national, corporate, and facility goals

RN / Quality Assessment Resume Examples & Samples

Assists the department and facility leadership in the planning of a systematic, organization wide approach to performance improvement
Assists with the preparation and coordination of the annual Leadership Conference, resulting in the review, analysis, and development of the Performance Improvement Plan
Assists with the preparation and assessment of the quarterly Quality Care and Comfort Committee reports
Coordinates the Performance Improvement Committee meetings, trends performance measures, identifies opportunities for improvement, develops action plans, and creates the minutes for each meeting
Assists process improvement teams, interdisciplinary task forces, or departments in the development of performance measures consistent with the performance improvement plan for the facility
Serves as a resource for process improvement teams through the following phases design, analysis, implementation, and measurement
Serves as a team facilitator and/or coach for process improvement teams as assigned
Assists with the coordination of JCAHO preparation activities
Serves as member of and coordinates information to the facility's Quality Steering Council
Serves as a team facilitator and resource for teams to investigate Sentinel Events
Performs chart review utilizing knowledge of anatomy/physiology and disease process; performs data abstraction for trending medical staff and nursing occurrences and audits
Aggregates, analyzes, interprets, and displays data for the important aspects of care and related Medical Staff and Nursing performance improvement activities

Rn-quality Resume Examples & Samples

Active collaboration with nursing and physicians in monitoring and evaluation of CORE Measure compliance, quality of care and outcomes related to evidence based standards of care as well as hospital protocols/procedures of patient care and safety
Demonstrate ability to lead and facilitate a PI team as opportunities for improvement are identified, in collaboration with staff and management
Support the management team and staff in utilizing PI tools, such as PDCA. Assist in maintaining PI documentation in patient care areas
Make recommendations to changes in policies, procedures and clinical guidelines to improve clinical outcomes based on recommendations from clinical service areas
Collaborate with nursing and physicians to collect and utilize clinical criteria related evidence based guidelines
Conduct surveillance, chart reviews, documentation audits, and education activities for patient safety and performance improvement
Serve as a clinical resource for continuous performance improvement in clinical initiatives, such as TJC, CMS, NQF, State QIO and others as identified

RN Quality Data Analyst Resume Examples & Samples

Applies quantitative techniques to unstructured problems
Provides statistical and data analysis training and consultation to team members and committees
Functions across teams as a global resource for Quality and Compliance, by using data-driven recommendations to meet established goals and objectives
Assumes responsibility for setting, managing, and meeting deadlines
Strong analytical skills with the ability to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy
Inquisitive nature and drive to uncover hidden insights within data
Working knowledge of the health care industry including Quality Management strategies and applications, clinical workflow issues, regulatory compliance, and federal mandates
Demonstrated oral, written, and technical communication skills
Ability to communicate and facilitate topics clearly and effectively across department lines
Flexibility and adaptability to handle a varied set of work assignments and priorities
Technical aptitude to learn and adapt to new industry applications and tools

RN Quality Coordinator Resume Examples & Samples

RN licensure in the state of Louisiana
Bachelor degree in nursing preferred; relevant experience may be substituted for a degree
Proficiency with analysis, facilitation and evaluation
Knowledgeable of CMS and Joint Commission Core measure standards and regulations

RN Quality Abstractor PRN Resume Examples & Samples

Performs accurate & timely data abstraction for core measures and enters data into the corporate data aggregation program (COMET)
Serves as an education resource to the organization to assist the departments with meeting current and emerging staff development needs related to quality issues
Produces thorough, accurate, well designed and appropriate documents
Assures documentation requirements are met in accordance with certification standards and regulatory requirements
Evaluates and uses budgetary discretion when reviewing educational media and participates in identifying the budget needs for the department
Notifies appropriate persons when core elements failed. Provides related education as necessary
Rounds in departments to converse with staff to identify quality issues and education opportunities
Assists with providing statistical data and reports for Medical Staff Committees as requested
Assists with minutes for designated Medical Staff and/or hospital committees
Monitors quality/quantity indicators as needed (mortality report, procedure trending, etc.)
Participates in CQI teams as requested, as team member or as facilitator/leader
AS degree in Nursing
3-5 years clinical experience

Rn Quality Analyst Days Resume Examples & Samples

Provides assistance with analyzing performance data and trends to achieve hospital-wide goals
Must have the ability to accurately interpret data definitions and communicate both verbally and in writing the core measure variances to key leaders to facilitate organizational improvement opportunities
This individual will also perform quality assurance tasks such as inter rater reliability and validity
This individual would assist with the coordination and facilitation of an effective Medical Staff Peer Review process that supports the credentialing and re-credentialing process

RN, Quality Resume Examples & Samples

Relates JCAHO regulatory requirements for medical staff necessary for MBO compliance
Coordinate Peer Review
Coordinate Quality Review activity including data abstraction
Four years(4) of progressively responsible recent related work experience

Rn-quality Program Manager Resume Examples & Samples

Manages and evaluates the services of the assigned facility to ensure that all activities are conducted in a timely and cost-effective manner, and in accordance with organizational values, professional standards, internal policies and procedures and applicable legal/regulatory requirements
Serves on teams engaged in the development and updating of policies, procedures, workflows, tools and action plans. Recommends, implements and evaluates standards, policies, procedures, guidelines, training materials and general communications in support of assigned facility to ensure consistency with the values of the organization and compliance with applicable regulatory and accreditation requirements
Monitors and assesses current processes to identify opportunities and provide recommendations for performance and process improvement initiatives. Implements approved changes, and ensures that staff receive the necessary training and consultation to enhance their understanding of quality and performance improvement initiatives
Researches, analyzes and evaluates the effectiveness of current quality process improvement strategies, initiatives and programs in meeting business needs and regulatory requirements. Ensures that data management and performance improvement activities are conducted in the most accurate, valid, reliable, timely and thorough manner. Reviews baseline, incoming and outgoing data to ensure consistency with internal standards for integrity and that issues are addressed fully and precisely
Develops, organizes and implements quality programs to facilitate achievement of established organizational goals. Develops and executes methodologies for measuring impact, return on investment and effectiveness in meeting overall objectives, and achieving expected results
Supports compliance with applicable legal and regulatory agreements, standards and requirements. Serves as the primary quality contact for the facility for regulatory site-visits (i.e. TJC)
Provides professional expertise and manages performance improvement teams convened to address and develop solutions to clinical or operational challenges and objectives. Collaborates with team members to identify issues and the requirements for ongoing team support. Coordinates the production and analysis of data. Monitors ongoing progress on key objectives, and ensures that goals are accomplished and adequate resources are available to support the team. Serves as a facilitator or team leader as required
Bachelor’s degree in healthcare administration, nursing or other healthcare-related field, and five years of progressively responsible related work experience that would demonstrate attainment of the requisite job knowledge
A minimum of three years in a lead or management role is strongly preferred
Master’s degree in a healthcare discipline and a valid Washington state RN license is strongly preferred

RN Quality PRN Resume Examples & Samples

Registered Nurse with an active license to practice in New Hampshire
Bachelor of Science in Nursing or other health care related field preferred
Certified Professional in Healthcare Quality preferred
Working knowledge of Performance Improvement Tools and data abstraction, analysis and reporting
Proficiency with Joint Commission/CMS quality measure definitions

RN Quality Analyst Resume Examples & Samples

Abstracts clinical data and develops data collection tools for population specific or focused review while maintaining clinical knowledge in practice guidelines and standards
Maintains data integrity through knowledge of department, facility wide and regulatory indicators, system initiatives, benchmarking standards, review of data for problem identification and significance and follow up as appropriate
Analyzes patient care and practice patterns within nursing, ancillary and medical staff and identifies issues with opportunities for improvement. Identifies patient safety issues, events, trends and deviations from standard of care
Utilizes electronic data systems both clinical and financial, develops/modifies queries, and assists with creating reports needed for improvement activities and reappointment of medical staff. Assists and supports peer review activities, when appropriate
Maintains expertise and acts as a resource in clinical data base requirements such as: CMS core measures, JCAHO ORYX, STS, ACC and other facility or system clinical databases
Acts as a resource for data entry staff and new personnel

RN Quality Lead Hedis Resume Examples & Samples

Implements staff development and clinical staff competency programs incorporating appropriate adult learning principles
Conducts Quality training and education programs for providers, clinic staff, and administrative departments, as assigned
Provide training on HEDIS / Star Measures, preventive health topics
Provide training to the clinical team to research and design educational materials for use in practitioner offices; serves as liaison with key vendors supporting HEDIS / Star Measures; consults with vendors to design and implement initiatives to innovate and then improve HEDIS / Star Measure rates
Follows plan for professional development and actively seeks out opportunities to increase expertise in health care education and quality training programs
Work with instructional design staff to ensure all new initiatives, policies and procedures, guidelines, or other necessary updates are incorporated into orientation / training programs
Identify innovative training strategies for learners, including distance learners
Leverages creativity and utilizes a wide variety of methods to present education and training programs
Designs practice level quality transformation through targeted clinical education and approved materials related to HEDIS / State Specific quality measures for provider and staff education during field visits
Educate the staff on proper clinical documentation, coding, and billing practices, state - mandated quality metrics specifications, provider profiling and pay for performance
Evaluate the results of post - program surveys and processes to obtain participant feedback
Conduct competency skill evaluations at least yearly to ensure ongoing monitoring of skills and performance
Educate the staff on how to Investigates gaps in clinical documentation where system variation has impact on rate calculation, and how to provide effective feedback to providers and appropriate departments
Provides job role training to learners for specific behavior and skill development utilizing effective feedback and motivational support techniques
Collaborate with learner's manager and the instructional design team to identify and provide training needs for staff
Provide learner specific feedback and recommendations to learner's manager
Follows plan for professional development and actively seeks out opportunities to increase expertise in nursing education and adult training programs
Provides excellent customer service, monitors quality service and customer service delivery by nursing staff
Serves on corporate committees, task forces, and / or work groups
Bachelor of Science in Nursing, Healthcare Administration, Education or a related field required (4 additional years of comparable work experience beyond the required years of experience may be substituted in lieu of a bachelor's degree)
Current Registered Nurse (RN) license in the state of residence
3+ years of experience in managed care and / or disease management
3+ more years of experience in a clinical setting, hospital or physician office practice
Problem - solving and decision - making skills
Knowledge of the managed care, disease management and complex care case management, basic principles and practices of clinical nursing, adult learning principals
Experience with an electronic medical record documentation
Previous training experience

RN Quality Resume Examples & Samples

Completes or reviews all client medical records regarding OASIS
Performs all SOC, Recert, ROC, and DC OASIS reviews on a timely basis
Assures compliance with OASIS time frames as required by law
Assist with orientation of new home care clinicians regarding OASIS process
Performs discharge summaries / OASIS activities as appropriate in conjunction with field staff
Completes Quarterly record review audits and OBQM chart audits as assigned
Able to take patient visits when agency need dictates
Takes agency phones for after hours and weekends Administrative On-Call as scheduled
Supports the agency’s mission statement, philosophies and objectives promoting quality care and safe delivery of home health care services
Willing to travel when needed. Position supports statewide quality initiatives in areas such as Kalamazoo, Saginaw, Tawas and Cliinton Township
One (1) year experience in home health care
QA experience in home health care preferred
Prior experience with electronic medical records preferred
Knowledge or Medicare Guidelines in home health care
Knowledge of home health care Oasis

RN Quality Clinical Leader Resume Examples & Samples

Design strategy to support implementation of quality clinical goals
Collaborate the management and delivery of reporting analysis on profitability and quality performance for internal and external entities on Provider groups
Make recommendations to market leadership through detailed analysis/consideration of financial, quality and documentation implication with Market and the Provider groups
Participate in community calendar and attend all JOC meetings as assigned
Build long lasting partnerships enabled by clinical infrastructure, including process development and implementation
Develop methods to ensure providers are aware and engaged in member program participation or how Humana enables the group’s programs and/or UM delegation
Monitor and manage status of internal Service Level Agreements (SLA) including sharing relevant clinical metrics, strategy and tactics among various areas/teams who impact the provider experience for coordination and collaboration
Support Groups and clinics with added infrastructure (example: have a "screening bus" at a location to support a community drive)
Partner with provider groups and the community to manage unique population health challenges in support of achieving enterprise goals
Active RN license in TX
Experience in population health
Executive presence and communication, written and verbal

RN Quality Coordinator Resume Examples & Samples

Minimum of two years’ experience in quality management with current knowledge of regulatory and accreditation standards
Minimum of five years acute care clinical nursing experience preferred
Must have the ability to design and develop performance measures, experience in data analysis and statistical processes, experience in providing education and presentations as well as policy and procedure development
Should have experience in facilitating performance improvement teams and clinical experience that provides necessary knowledge and skill to develop clinically focused quality initiatives for product line development

RN Quality Clinical Coordinator Resume Examples & Samples

Position will interact in a professional manner with clinical team, regulatory partners, members and providers as needed to prepare each case
The individual will have responsibility for the Medical Management committee functions (HQUM, Provider Relations, etc.)
Preparation and submission of medical management documentation to the State, such as UR licensing, as well as research, data analysis and submission for NCQA, Article 44/49 audits and other reports as required by the State of New York
Current and unrestricted RN license in the state of New York
Minimum of 3-5 years of years clinical experience with at least 3-5 years experience in a managed care setting
Strong computer skills in Microsoft Word, Excel and PowerPoint
Ability to build and maintain relationships with provider community will be essential
Medicaid managed care experience
Quality, Fair Hearing, or Audit Management experience
A managerial background
Case management certification and/or 2 years case management experience

RN Quality Letter Reviewer Resume Examples & Samples

Coordinates internal reviews on denial letters to determine compliance with contractual and regulatory requirements of the State and Federal programs, while reviewing for efficiencies and effectiveness of procedures
Performs internal Quality Control reviews on processes and activities while developing recommendations for improvement
Assists with the coordination of external audits and reviews conducted by our clients or contracting organizations
Proficient in interpreting benefits, contracts, and medical policy
Review denial notice issued by the National Letter team to ensure accuracy and compliance, as well as providing recommendations for improvement, as needed
Interact effectively with other departments
Maintain knowledge of State rules, contracts and Federal legislation/regulations as well as UHG guidelines
Establish and maintain good working relationships throughout the company to support goals and objectives
Demonstrate flexibility, availability and dependability to conform to position responsibilities
Fully bilingual (Spanish) - reading, writing, speaking
Demonstrated excellent written and verbal communication skills
Knowledge of State and Federal Regulations
Excellent computer skills with direct experience in Microsoft Office, Word and Excel
Managed care experience or experience with a regulatory or accredited body strongly preferred

RN Quality Analyst Resume Examples & Samples

Ensures compliance with CMS/The Joint Commission and other regulatory bodies data abstraction specifications and submission requirements
Acts as a resource for updates and changes in the data abstraction process
Will input clinical data or information into electronic data bases, or registries, or other abstraction software

RN, Quality Review Coordinator Resume Examples & Samples

Analysis:Ability to perform computerized analyses and use data management, word processing, and presentation software as required
Understanding: Familiar with the healthcare environment and hospital administration
Attention to Detail: Able to accurately document and communicate issues related to quality: peer review, regulatory compliance, patient safety, policies, bylaws, etc
Work Independently: Performs functions of the position with minimal or no direction
Confidentiality: Assures confidentiality of issues and documentation in compliance with state and federal laws as well as medical staff bylaws and policies and procedures
Communication (strong written and verbal skills): Communicates with a variety of audiences; able to facilitate open and effective communication between staff, providers and administration

RN Quality Coordinator Resume Examples & Samples

Measure, analyzes, generates and presents reports on healthcare processes and patient outcomes to identify and prioritize areas for improvemen
Coordinates performance improvement activities focused on specific patient service lines or nursing/medical and/or organizational quality initiatives through the use of specific benchmarks and evidence-based practices
Participates in the evaluation of the impact of improvement activities
Facilitates sentinel event investigations and root cause analysis activities to reduce risk and increase patient safety. Facilitates the peer review process as indicated
Coordinates the review of, and collaborates with Risk Management on, correspondence related to quality of care issues from outside the organization
Participates in efforts to establish and maintain organizational readiness to meet regulatory requirements based on service line specialty
Educates staff and physicians regarding performance improvement processes/initiatives and patient safety
Must have a minimum of 2 years Transplant or Critical Care related RN experience with progressive levels of responsibility
Two years of previous experience as a quality data abstractor, in any related specialty
Must have excellent computer skills to include: data input, Excel, Outlook, Medi-Tech/Epic, and other required software
Must have excellent written, verbal and interpersonal communication skills

RN Quality Analyst Resume Examples & Samples

Bachelor of Science Degree in Nursing preferred, plus three years of recent experience in a related capacity
Currently licensed as a Registered Nurse in the State of Georgia
Familiar with nursing theory of practice, educational theory, continuous quality improvement principles, and information management including data collection, and analysis, use of graphs and statistical process control
Plans and coordinates the performance improvement activities and assists in creating and supporting an environment which fosters team work, emphasizes quality, recognizes the customer and promotes learning
Acts as a facilitator/quality advisor for the performance improvement teams/groups responsible for improving processes within SummitRidge Hospital
Coordinates and provides guidance with the development and selection of indicators in the aggregation and the analysis of data and turning this data into information to assist in improving the effectiveness and efficiency of our care and services
Maintains current knowledge and provides consultation and other services within the hospital in the areas of regulatory accreditation and organizational compliance in quality and performance improvement activities
Provides continuous quality improvement and performance improvement training and education
Acts as a change agent and is effective in the change process to include participating in the identification of opportunities to improve, the resolution of problems and the evaluation of the effectiveness of change
Communicates performance improvement findings and activities in a systematic fashion via written words, staff meetings, in-service programs, etc

RN Quality Auditor Resume Examples & Samples

Prioritizes audits that support the Health Services business objectives
Performs staff quality audits to ensure execution in clinical outcomes
Supports compliance with all corporate policies as well as all departmental and national quality/certification initiatives (URAC, NCQA) and state regulatory bodies
Perform specific quality reviews for specific requests as needed, ad hoc
Perform weekly, monthly and/or quarterly quality reviews as directed to support each function within the end to end process, at each program level
Ensure outcomes of any and all quality reviews are being tracked and logged properly into the quality review tools
Provide timely and constructive feedback on audits to drive quality improvement
Provide effective communication to engage and develop cross functional staff in a virtual environment
Collaborates with Quality Manager, Operational Supervisors and matrix partners
Delivers communications positively and is supportive of organizational goals and objectives
Improves customer experience by enhancing accuracy and quality of the clinical process
Attends team huddles and regular 1:1 discussions
Collaborates with matrix partners in Compliance, Claims, National Quality, and Networks to ensure objectives and standards are met, policies and procedures are followed, gaps identified and closed, communications are clear
Demonstrated excellence in decision making skills
Exhibits strong leaderships skills for driving change and process improvement
Demonstrated ability to initiate, research, plan, coordinate and organize
Awareness of applicable state and federal statutes and regulations
Ability to use multiple computer applications
Minimum of 3 years of clinical practice experience
Strong knowledge of Clinical Coverage and Quality Policy & Procedures
Strong knowledge of Health Services organization and related systems
Strong working knowledge of operational processes
Detail oriented, with proven time management and organization skills (including the ability to engage in multiple tasks and meet deadlines/standards)
Comfortable with raising questions, issues, ideas or suggestions to co-workers of all levels across all organizations
Be a positive role model and have the ability to work independently and in conjunction with co-workers of all levels
Excellent communication skills - verbal and written
Working knowledge of Microsoft Word, Excel, SharePoint and Lync

RN Quality Coordinator Resume Examples & Samples

Accurately abstracts and analyzes data for the Core Measures, FMQAI project and any other assigned patient care outcome initiative
Coordinates Performance Improvement Committees/Teams, which includes meeting preparation, setting agendas, writing minutes, drafting applicable letters for committee chairpersons and ensuring all follow-up has been completed
Prepares physician reappointment quality profiles and other physician-related performance improvement project as assigned
Facilitates assigned process improvement initiatives by using problem-solving methodology, root cause analysis and/or Failure, Mode, Effects & Criticality Analysis (FMECA)
Maintains proactive and effective communication with all members of the departmental team; communicates any service concern to director immediately. Continuously evaluates administrative operational procedures and recommends changes as appropriate
Ensures patient communication and explanation of care is provided in a way that can be easily understood by patients and their families. "
Communicates effectively and works with physicians and/or other members of the interdisciplinary team in meeting patient needs. "
Actively contributes to and works toward hospital wide improvement in meeting core measures, patient safety and service excellence goals."
Continuously evaluates work process and design; understands role in ensuring quality/performance improvement, productivity, and service delivery to meet stakeholder needs
Performs duties in accordance with departmental policies and procedures, and recognized professional, quality, patient safety, environmental and infection control standards

RN Quality Supervisor Resume Examples & Samples

Current state of Oregon Registered Nurse (RN) licensure
3-5 years of direct patient care
1-3 years in a supervisory position
Clinical experience in triage principles of patient assessment
Experience in delegation of nursing responsibilities to licensed and unlicensed personnel
Bachelor's of Science in Nursing (BSN) -or- advanced degree in nursing or related field
3-5 years of direct patient care in an ambulatory setting
1-3 years in a supervisory position in an ambulatory setting
Experience in delegation of nursing responsibilities to licensed and unlicensed personnel within the ambulatory setting

Qrm-rn Quality Coordinator Resume Examples & Samples

Good judgment
Attention to detail and ability to prioritize
Ability to be a self-starter and manage time appropriately as necessary with minimal supervision
Must always ensure that the interests of the hospital are served while still maintaining the confidence, respect, and trust of the medical staff members in a close fiduciary relationship
Must exhibit a "team spirit" mentality in order to effectively interact with fellow associates, the medical staff and department staff

RN Quality Coordinator Resume Examples & Samples

Master's Degree in Healthcare related field
5 years of nursing experience in an acute care setting
Certification in specialty preferred (CPHQ)
Knowledge of licensure regulations, Joint Commission on Accreditation of Healthcare Organization and state/federal standards
Knowledge of Performance Improvement methodology and Outcomes Management
Demonstrated problem solving, data assembly and action planning ability leading to the development of actions plans that will prove helpful in achieving measurable objectives
Ability to organize, formulate, educate and facilitate problem solving teams
Demonstrative ability to work without supervision towards a desired outcome
Expertise in Excel, PowerPoint, Ms Word, Database management

RN Quality Clinical Coordinator Specialist Resume Examples & Samples

Reviews potential quality of care (QOC) cases including medical record reviews
Prepares summary of findings, assigns level to case, and prepares resolution letter to customer
Prepares and sends corrective action plans in collaboration with Medical Directors
Prepares case studies for presentation to Physician Advisory Committee (PAC)
Assists with preparation of and may present quarterly PQOC reports to Corporate Quality Improvement Committee (CQIC) and PAC
Defines and documents policies, procedures and processes related to QOC
Interacts with Grievance Administration Division on identification and resolution of issues related to QOC complaints
Identifies actions required to improve performance and work with regional and national teams to improve results
May assist in the preparation, management and presentation of other Quality activities and reports including submission of all compliance related documentation
Creates and maintains quality management files
Current LVN OR LPN required; current RN license is preferred
5+ years’ clinical work experience-hospital or clinical setting
3+ years of quality review and improvement experience preferred
Strong written and oral communication skills are a MUST
Experience with NCQA standards, HEDIS, CAHPS, HOS and quality management preferred
Knowledge/experience in the Medicare/Medicaid industry preferred
Candidates should have strong project management, research and analytical skills

RN Quality Managment Coordinator Resume Examples & Samples

Supports the implementation and maintenance of Hospital wide PI/Patient Safety Program
Demonstrates ability to use PI tools and techniques in an appropriate and effective manner
Assists in the development of indicators to assure ongoing monitoring and evaluation of existing processes
Analyzes processes and promotes change in a team environment
Assists in the development of corrective action plans that may include revisions to policies and procedures
Translates data into reports and information for presentation to appropriate committees
Conducts training to newly formed teams regarding PI tools and techniques
Supports compliance with JCAHO standards and other regulatory requirements
Designs reviews, custom formats, and reports in the QM information system
Accurately abstracts data from a variety of data sources
Assists in the maintenance of the QM software system
Assesses and determines needs for revision within the data systems to assure complete and accurate data abstraction
Compiles and maintains physician PI profiles
Demonstrates working knowledge of Quality Management/Performance improvement concepts
Maintains current knowledge and education in quality management and associated areas by attending educational conferences, reading educational materials, perusing ATLAS information, Internet sites and other pertinent information and research
Two years clinical experience in an acute care facility
Experience with Quality Management/Performance Improvement activities

RN Quality Accreditation Coordinator Resume Examples & Samples

Masters of Science in Nursing preferred
Experience in quality/performance improvement preferred
Career Development: (CPHON) OR (BMTCN) within 5 years of hire preferred
Ability to establish a positive working relationship and rapport with medical staff, other department heads, staff, and colleagues
Ability to prioritize, work independently, and evaluate workload in order to meet deadlines
Continuously improving professional growth and expertise through participation in relevant conferences, training, and educational activities
Ability to create reports using Microsoft Office
Ability to navigate the EMR
Ability to conduct quality review and develop action plans
Ability to maintain documentation for regulatory compliance
Reacts effectively to unplanned circumstances, demands, and challenges facing the hospital and in the particular assigned area (HEMOC) of responsibility

Rn-quality / Risk Coordinator Resume Examples & Samples

Data abstraction for CORE Measures and Meaningful Use and electronic filing of required reports
Prepares various internal reports concerning Core Measures and Meaningful Use
Coordinates data reporting and analysis regarding CORE Measures and facilitates quality improvement activities concerning these measures
Teaching staff at various levels including Physicians concerning a variety of quality, regulatory and accreditation topics
Participate in processes for continual survey readiness
Serves as facilitator for Quality Improvement activities within the corporation
Performs data analysis and logging of all occurrence reports within the hospital and prepares reports concerning risk for various groups
Coordinates risk programs with all hospital departments,
Remains current with Joint Commission standards, State Hospital Licensure Regulations and CMS requirements
Produces multiple periodic reports
Receives complaints/grievances and facilitates review and resolution
Is involved in all root cause analysis investigations as deemed necessary by the Director
Minimum of 3 years hospital experience preferred as an RN or other clinical /hospital specialty preferred
Experience with quality improvement teams and processes preferred
Experience with Core Measures preferred
Experience with Joint Commission or AOA standards, survey participation preferred
Computer proficiency required including but not limited to Microsoft Word/Excel/PowerPoint
Experience with data abstraction from medical records preferred
Experience with electronic medical records preferred
Experience with hospital Risk Management preferred
Must have strong interpersonal, oral and written communication and customer service skills
Must be able to function within an interdisciplinary framework and with customer groups that may include all levels of staff, physicians, patients, families and other contacts
Must possess the ability to effectively function in an environment with rapidly changing priorities and the need to manage multiple demands
Must be able to provide education to various levels of staff (hospital staff, physicians)
Must possess the ability to use the following equipment: Telephone / Overhead Paging System / Fax Machine / Calculator / Computer

RN Quality Assessment Resume Examples & Samples

Collaborates with multidisciplinary team on problem identification and resolution, cost containment issues, implementation of new services and systems/ performance measures
Researches, develops/acquires and implements improvement systems, methodologies and tools to improve operations
Collaborates with Leaders to develop and revise screening indicators
Provides on-site training and follow-up for performance improvement teams
Minimum of 2 years clinical nursing experience required

RN Quality Coordinator Resume Examples & Samples

Assures daily operations of the hospital are conducted in accordance with Accreditation, State and Federal regulations and hospital policies and procedures
Conducts tracers and makes recommendations to ensure continuous survey readiness
Compiles, edits, and reports complex issues or processes related to accreditation and regulatory compliance activities. Produces thorough, accurate, well designed and appropriate documents
Prepares policies and procedures for review as needed to support activities related to accreditation and regulation
Serves as an education resource to the organization to assist departments on regulatory requirements and follow through with compliance activities
Completes special projects in preparation for accreditation and/or regulatory visits
Participates in and/or leads accreditation and regulatory/certification surveys as needed
Participates in committees and activities as needed to maintain an awareness of the current and emerging accreditation and regulatory compliance standards