A Quality Assurance Nurse takes responsibility for providing comprehensive support for the quality resident care and ensures the staff has the needed training and tools to improve the quality of care. A well-drafted Quality Assurance Nurse Resume mentions the following core duties and responsibilities – promoting the team effort and maintaining the highest quality of resident service, supporting the entire nursing staff with patient care, making environmental rounds to observe and identify actual and potential risks; conducting monthly quality assurance audits on topics of identified needs, conducting chart audits, and participating in on-going training processes.
Those seeking to make a career in this line should denote the resume the following skills – knowledge of state and federal regulations relating to long term care, exceptional project management skills, strong assessment skills, multitasking abilities; proficiency in using relevant software; and current RN or LPN licensure. A Nursing degree is a commonplace among job applicants.
Objective : Seeking a Quality Assurance Nurse position with an outstanding career opportunity that will offer a rewarding work environment along with a winning team that will fully utilize management skills.
Skills : Electronic Medical Records, Educator, Patient Education, Auditing.
Description :
Audited all charting from the nurses, residential assistants, and service coordinators to maintain accuracy and continuity.
Tracked and maintained records of client events and illnesses.
Received the laboratory billing statements, audit, and make corrections.
Reviewed the doctor's orders, check for accuracy, and proper billing codes.
Discharged chart review, enter all applicable diagnoses and billing codes.
Worked with acutely psychotic or severely depressed individuals(often with dual diagnosis) toward the short term goal of stabilization through crisis intervention and medication management.
Prepared reports to the Medical Director for use in adjudicating disputed medical claims.
Experience
2-5 Years
Level
Executive
Education
Vocational In Nursing
Quality Assurance Nurse Resume
Objective : Quality Assurance Nurse is responsible for providing support and guidance to the Quality Assurance team. This includes coordinating with other departments as needed, providing feedback to the quality assurance team, and troubleshooting software issues.
Skills : Excellent patient/family communication , Excellent Customer Service , Excellent Organizational .
Description :
Provided crisis intervention in two facilities with regulatory issues and staffing issues over a period of four months.
Responsible for the quality of care in the facilities at an operations level.
Provided DON orientation, training, and evaluation.
Assigned to update and write new Policies & Procedures to meet NCQA standards for the Accreditation process.
Performed random audits in all departments, performing check off for new hires for CNAs and LPNs on peri care, wound care, med pass, etc.
Responsible for assuring Medicare compliance within the nursing department Maintained employee health records Provided.
Assisted with, fill in for, and rotate on-call for scheduling, for nursing and nurse's aides for shift clients and also hourly clients.
Experience
2-5 Years
Level
Executive
Education
GED
Quality Assurance Nurse Resume
Objective : As a Quality Assurance Nurse, responsible for conducting clinical, waiver, and compliance auditing to assure company standards are maintained and reporting are compliant with applicable federal, state and local regulations, etc,.
Skills : Basic Nursing Skills, Communication Skills, Multitasking.
Description :
Assisted in the maintenance of tracking logs, incidents, and accidents, medication errors, etc.
Assisted in the investigation of incidents, injuries, sentinel events, abuse, and misappropriation of resident property.
Summarized findings and file reports to appropriate staff and agencies.
Assisted in the development and delivery of educational programs revolving around all components of Quality Assurance, including orientation for new employees and programs to address the Quality Assurance process and Regulatory guidelines.
Participated and assisted in departmental studies and projects as assigned.
Attended and participated in workshops, seminars, etc., to keep abreast of current changes in the health care field, as well as quality-related topics.
Assisted with and fill in for Intake Nurse during high volume admissions or in the absence of the Intake Coordinator.
Experience
2-5 Years
Level
Executive
Education
GED
Quality Assurance Nurse Resume
Objective : Record of reliability and responsibility. Strong analytical skills, capable of evaluating conditions; recognizing impending doom. Resourceful problem solver. Possess a special sensitivity to meeting the diverse needs of our abundant population. Strong leader and team player.
Skills : Quality Assurance And Improvement, Policy And Procedure Development, Nursing Skills.
Description :
Reviewed patient treatment plans for accuracy and need for follow up if changes or additions need to be made.
Completed additional requests of documents as needed.
Reviewed governmental regulations to ensure compliance with appropriate documentation and provider reimbursement.
Completed Record Audits Review as needed.
Collaborated with billing and 485 tracking staff in appropriate follow-up and pursuit of MD orders.
Performed patient visits as needed. Performed laboratory tests as needed.
Scheduled and conducted periodic in-services for field staff.
Experience
2-5 Years
Level
Executive
Education
BS In Nursing
Quality Assurance Nurse Resume
Objective : Compassionate and dedicated Nurse seeking to contribute nursing experience and passion towards a career in the development and growth of long term care, home health but most importantly teaching and prevention in any setting. Well regarded skills in providing optimum care, professional and bilingual communication skills with a commitment to professional training.
Skills : Monitoring Skills, Patient Care, Communication Skills.
Description :
Managed care for children and infants with a variety of diagnoses requiring nursing care.
Managed scheduling of nursing staff, therapists, and various educational requirements.
Supported a positive work environment in line with mission and vision.
Ensured that quality patient care was provided as ordered by MD by auditing of documentation provided by nursing personnel.
Assisted in developing a cohesive nursing team by leading, motivating, and supporting staff.
Assisted in recruiting and selection of nursing services personnel.
Assisted in implementing, coordinating, and supervising compliance with policy and procedures.
Experience
2-5 Years
Level
Executive
Education
Vocational In Nursing
Quality Assurance Nurse Resume
Objective : To obtain a health-care related position that enables me to use my strong organizational skills, past work experience and passion with helping others.
Responsible for the quality assurance of nursing care delivered in a 92-bed Skilled Nursing Facility.
Tracked and identified trends with psychotropic medication and infections, including AIMS test compliance, behavior monitoring, GDR dose reductions, and all documentation.
Analyzed medical records upon admission to ensure accuracy, including doctor's orders, facility protocol regarding vaccines and skin, and all other pertinent orders relating to continuity of patient care.
Audited monthly Physician Order sheets to ensure accuracy.
Assisted with the admission and orientation of new patients to the unit.
Assisted the Director of Nursing with in-service training for staff.
Completed and updated all quarterly care plans for long term residents residing in skilled nursing facilities.
Experience
2-5 Years
Level
Executive
Education
BS In Nursing
Quality Assurance Nurse Resume
Objective : Currently a Quality Assurance Nurse with twenty years experience as a Registered Nurse in healthcare. Skilled in providing quality medical chart audits and improving process performance and clinical documentation per Medicare guidelines. My current role is Home Health chart documentation review, Oasis C1 Review, ICD-9 and ICD-10 dual Coding, and POC creation.
Skills : Microsoft Office, Nursing Skills, Coordinating Skills.
Description :
Audited patient charts and ensure the medical history and physicals complete Ensure accurately and up to date care plan on patient charts Conduct off-site audits and train staff to conduct audit Coding, billing Utilization review Staffing Coordinator direct education/coaching of health behavior Coach disease prevention and health promotion.
Able to multi-task in a fast pace environment and prioritize appropriately.
Verified and ensure completeness, the specificity of diagnosis codes based on all services that were rendered.
Maintained open communication with co-workers and provides detailed and thorough policies and procedures.
Attended monthly Quality Assurance Performance Improvement (QAPI) meetings, reviewing and planning Performance Improvement Plans for the facility.
Provided care for children and infants when necessary with a wide variety of diagnoses such as diabetes and cerebral palsy.
Reported patients' status changes directly to the physician and DON.
Experience
2-5 Years
Level
Executive
Education
BA In Nursing
Quality Assurance Nurse Resume
Objective : Quality Assurance Nurse with 2+ years of experience in assisting in the provision of all Personal Care Aides, Home Health Aides, and Home Care Support Services level training including initial training, transitions, upgrades, in-services and annual competency evaluations, etc,.
Skills : Microsoft Office, Leadership, Patient Care, Patient Education, Power point Medical, Administrative Skills.
Description :
Audited patient charts and ensure the medical history and physicals complete Ensure accurate and up to date care plan on patient charts Conduct off-site.
Managed quality assurance and performance improvement team Clinical record reviews Directed staff orientation and continuing education programs.
Developed audit forms and spreadsheets for the Quality Assurance Department Established a system for consistent review of resident's records.
Developed Plans of Correction and compliance thereafter.
Monitored weight gain or loss and other health conditions of participants.
Monitored the consumer's use of medications through Medication Administration logs.
Ensured MAR's are being followed through regular reviews and unannounced checks Submit reports for medication errors or other medical concerns with assistance from Managers.
Experience
2-5 Years
Level
Executive
Education
GED
Quality Assurance Nurse Resume
Summary : Over 16 years experience as a Quality Assurance Nurse with focus on Med/Tele Step-down and Med Surg units. Organized and detail-oriented with high standards for performance and maintenance protocols. Patient-focused and compassionate caregiver.
Skills : Home Care Home Base Software System, Communication Skills, Healthcare.
Description :
Ensured the facility complies with various regulatory requirements.
Reviewed patient and staff safety issues as well as develop and implement policies to ensure safety within the facility.
Developed and implemented programs to increase the quality of care, and measure the outcomes of these programs over time.
Oversaw staff to provide patient care.
Provided leadership in clinical problem-solving.
Reviewed all documentation of medical records for completion and accuracy Staff education, training Incident/accident investigation, intervention and follow up care.
Compiled data used for mandated review and qualitative scoring of physicians' performance.
Experience
10+ Years
Level
Senior
Education
Associate In Nursing
Quality Assurance Nurse Resume
Objective : Dedicated Quality Assurance Nurse with experience in community health and quality assurance, seeking to expand my nursing skills to other challenging roles in the current health care environment. Detailed oriented, reliable, ethical healthcare provider with ability to stay calm during crises. Proven ability to build positive relationships with patients, patient family members, physicians and other medical professionals. Rural Health Professional of the Year from the Illinois Rural Health Association.
Skills : Assessments, IV Starts and Administration, Medication Administration, Discharge Coordination.
Description :
Responsible for training physicians and staff on quality clinical indicators pertaining to their practice.
Educated staff on different aspects of medical home quality improvement including outreach, general coding/billing, and quality tools identified by Healthcare and Family Services of Illinois.
Updated physicians on any changes related to the Illinois Health Connect program.
Assisted offices with any questions or needs regarding the program and their clinical quality improvement.
Provided education involved office visits, follow up communications, and webinar education.
Monitored physicians to ensure compliance with office and patient-care practice standards.
Reviewed documentation for accuracy and compliance to quality standards and safety precautions Encore Drug and Medical Clinic.
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