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Candidate Information
Title Patient Care Quality Assurance
Target Location US-KY-Lexington
Email Available with paid plan
Phone Available with paid plan
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T A R A W A T S O NFlemingsburg, Kentucky PHONE NUMBER AVAILABLE EMAIL AVAILABLEPROFESSIONAL SUMMARYExperienced nurse auditor with a proven track record of ensuring compliance and accuracy in healthcare documentation and billing. Possessing in-depth knowledge of clinical nursing practices, healthcare regulations, and audit methodologies. Compassionate and dedicated nurse with several years of experience delivering high-quality patient care in fast-paced, high-pressure environments. Excellent communication and interpersonal skills, ensuring clear patient education and eective collaboration with healthcare professionals.NURSING BACKGROUNDNursing & Clinical Operations Sta Leadership Infection Control Quality Assurance Triage Nurse Auditor Education Case Manager Patient Advocate Emergency and Critical Care Safety HEDIS Review Remote Contract Adheres to Federal and State Guidelines LICENSED REGISTERED NURSEMulti-State Compact RN-1123065EDUCATIONFamily Nurse Practitioner, FNP, Chamberlain University, In Progress Master in Nursing Leadership and Management, MSN, Walden University 2020 Bachelor in Nursing, BSN, Walden University, 2019Associates Degree in Nursing, ADN, Morehead State University, 2009 Licensed Practical Nurse, Diploma, Maysville Community & Technical College, 2006 CERTIFICATIONS AND ACCOMPLISHMENTSACLS Advanced Cardiac Life SupportBLS Basic Life SupportSKILLS & QUALIFICATIONSMicrosoft Oce applications, including Word, Excel, Adobe, Teams, SharePoint, and PowerPoint. EPIC, CERNER, EMA, Allscripts, Zoom. Google docs/share/Gmail. Familiar with Medicare/Medicaid principles. Utilization management, case management, and discharge planning. Cultural Competence. Telehealth Prociency. Eective Communication. Strong Clinical Assessment Skills. Critical Thinking and Clinical Judgment. Adaptability and Flexibility. Time Management and Organization. Cultural Competence. Collaborative Teamwork. Regulatory Compliance. Continuing Education and Professional Development. Health Promotion. Data Management. Program Planning and Evaluation. Critical Thinking. Behavioral Health. Prior Authorization. Ethical Conduct. Remote Nursing/Telehealth. Private, locked, oce space located in-home that ensures HIPAA compliance and patient condentiality. PROFESSIONAL EXPERIENCENursing Coordinator RN-MSNUK-St. ClaireJuly - CurrentNursing Coordinator provides direction and supervision to the nursing staff by coordinating the delivery of patient care, maintaining quality assurance by ensuring the implementation of nursing policy and procedures, and working as a liaison between nursing staff, physicians, administration and others at UK St. Claire Center. By enhancing the patients educational experience by decreasing or eliminating health-related barriers and encouraging optimal wellness aiding the patient to make fact-based decisions about health-related issues, as well as helping the patient to be a directed and informed consumer of health care. Effective oral and written communication skills as well as excellent interpersonal skills are required. Organizational and management skills, specifically in directing the activities of nursing staff, are required. Charge Emergency Department NurseMeadowview Regional Medical CenterFebruary 2024 - May 2024Quickly assess and triage patients based on the severity of their condition using standardized protocols, ensuring those in critical condition receive immediate attention. Advocated for patients needs and ensured they received appropriate care and support, including pain management and emotional support during stressful situations. Exercised critical thinking skills to prioritize care, anticipate potential complications, and make rapid decisions in high-pressure situations. HEDIS Review NurseUnited Group, Remote, ContractJanuary 2022 - June 2022Gathered and reviewed medical records and claims data to assess compliance with HEDIS measures. Analyzed collected data to evaluate the performance of healthcare providers or organizations. Ensured that all data collection and reporting activities comply with HEDIS standards and other regulatory requirements. Focused on quality improvement by collecting, analyzing, and reporting data on clinical performance measures. Charge Intensive Care Registered NurseVeterans Hospital in Lexington, KentuckyAugust 2023  January 2024Continuously monitored and assessed patients vital signs, cardiac rhythms, and overall condition. Interpreted and responded to changes in patient status promptly, including recognizing signs of deterioration or improvement. Documented changes in patient condition, medication administration, and other critical information per hospital protocols. Charge Emergency Department NurseMeadowview Regional Medical CenterJuly 2022 - August 2023Adaptable, skilled in acute care, and capable of handling a wide variety of medical emergencies. Ability to remain calm, communicate eFloat Nurse PoolSt. Claire Regional Medical CenterFebruary 2021 - August 2021Versatile oat pool nurse providing exceptional patient care across various units and specialties. Dedicated to honing clinical skills through consistent work on the oor. Adapted quickly to diverse healthcare settings, including medical-surgical, ICU, emergency, and post-operative units. Committed to ongoing learning and professional development to ensure optimal patient outcomes. Charge Emergency Room NurseClark Regional Medical Center RNMay 2013 - February 2016Conducted ongoing assessments of patients health statuses, documenting observations and reporting any concerns to the supervising nurse or physician. Prepared to respond to medical emergencies, providing immediate care and assisting in resuscitation eorts as needed. Advocated for patients rights and preferences, ensuring their needs are met and their voices are heard in the healthcare decision-making process.Licensed Practical NurseSt. Claire Regional Medical CenterJanuary 2007 - May 2013Adhered to infection control protocols, patient safety guidelines, and regulatory requirements to maintain a safe and secure environment for patients and sta. Maintained accurate and timely documentation of patient care activities, including nursing assessments, interventions, and responses to treatment, in accordance with facility policies and procedures. Assisted with wound care and dressing changes, ensuring cleanliness and proper healing conditions. REFERENCES AVAILABLE UPON REQUEST

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