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Manager Quality

Location:
Irvine, CA, 92618
Salary:
$90,000
Posted:
January 14, 2013

Contact this candidate

Resume:

Nancy Sharif RN. MBA. CPHQ.

Objective:

To secure a management position in the medical quality management field

that will utilize my vast experience, advanced education and expertise to

the fullest.

Contact Information:

Temporary Address: Extended Stay America Hotel, 30 Technology Drive,

Irvine, California, 92618

949-***-**** ( voice mail available)

Email Address: abnxz9@r.postjobfree.com

Education:

Master's Degree in Business Administration MBA- National University, San

Diego, California (April 1989)

Bachelor's Degree in Nursing- BSN, College of St. Teresa, Winona,

Minnesota, ( May 1975)

Psychology Major- University of Minnesota- Minneapolis, Minnesota, (1969-

1973)

Professional Registrations:

C.P.H.Q. (Certified Professional in Healthcare Quality since November 2004

)

R.N. California License Number 286873 since (1975)

CPR Instructor ( 2004)

Six Sigma Black Belt Certification ( In Process)

Overall Qualifications:

. 25 years as a RN working in acute care inpatient and outpatient

settings

. 7 years as a quality/risk manager working with patient safety, and

infection control

. 7 years' experience with The Joint Commission specializing in

international accreditation ( JCIA)

. 7 years working in the Middle East interfacing with a multi-cultural

milieu

. 7 years as a hospital case manager incorporating Medicare, Medi-cal

and insurance reviews

. 3 years of broad based experience in Managed Care dealing with HEDIS,

HIPPA, HCAHPS,

OPPE, FPPE

. 3 years' experience dealing with the Balanced Scorecard, patient and

data tracers

. 4 years' expertise creating and implementing hospital polices,

clinical practice guidelines, and procedures

that support accreditation compliance

. Knowledge of Federal, State and TJC regulations

. Outstanding problem solving skills with the ability to analyze issues

quickly, and develop relevant courses

of action

. Strong statistical and analytical skills with expertise in continuous

quality improvement concepts, implementation and outcomes' evaluation

. Ability to interact effectively and efficiently with physicians,

nurses, and senior hospital management

. Excellent interpersonal skills, tactful and diplomatic

. Exceptional oral, written, public speaking and presentation skills

. Proficient in computer programs: Microsoft Office- Word, Excel,

PowerPoint, Access database and Visio

. Languages; English- mother language, conversational in Arabic,

Spanish and German

Nancy Sharif RN. MBA. CPHQ. Page 2

Employment History:

Name of Employer: King Fahad Medical City Hospital, Riyadh, Saudi

Arabia

Dates of Employment: May 2010 to October 2012

Job Title: Senior Quality Specialist

Accomplishments:

. Supervised, and consulted seven hospitals and clinics on their Quality

Improvement projects

. Initiated six Patient Goals taskforces which encompassed creating

audit tools, checklists, monitoring trends

revising policies and clinical guidelines as they related to these

Patient Safety Goals

. Conducted classes to hospital-wide staff on quality topics such as:

International Patient Safety Goals, audit tools, Key Performance

Indicators, FOCUS-PDCA, and other quality tools

. Initiated a hospital-wide taskforce to include all invasive surgical

procedures on the "Time -Out" process and

the supporting documentation accompanying it which included,

checklists, audit tools, policies, and staff classes

. Was a contributory member of eight committees including: Mortality

and Morbidity, Length of Stay, JCIA

Preparation Steering, and the Quality Improvement Committee

. Participated in data and patient tracers as they related to the

accreditation preparation process

. Piloted the Root Cause Analysis projects for various departments

throughout the hospitals

Name of Employer: Quality Consultants Inc. Dubai, United Arab Emirates

Dates of Employment: October 2007 to April 2010

Job Title: Freelance Quality Consultant

Accomplishments:

. Consulted and trained companies on topics such as: International

Patient Safety Goals, audit tools, Key Performance Indicators, FOCUS-

PDCA, policies, and clinical practice guidelines in preparation for

Joint Commission International Accreditation ( JCIA)

. Educated companies on the core standards needed for JCIA

accreditation

. Performed Gap Analysis for clients as it related to the JCIA

preparation

. Conducted patient and data tracers for customers to assist them with

compliance to the JCIA standards.

Name of Employer: SAAD Specialist Hospital, AL-Khobar, Saudi

Arabia

Dates of Employment: May 2005 to September 2007

Job Title: Senior Performance Improvement Coordinator

Accomplishments:

. Assisted eight hospital departments on the statistical analysis and

trending of their clinical outcome indicators

. Taught ongoing weekly classes on FOCUS- PDCA to the hospital staff

. Initiated fourteen Performance Improvement projects with the various

departments on topics such as: Leave Against Medical Advice, Patient

Satisfaction Surveys, Leapfrog Criteria, and Turn Around Time for

STAT laboratory values

. Prepared monthly reports for the Quality Council on issues such as:

quality trends, hospital committees, patient satisfaction surveys, and

data/patient tracers

. Closely involved with committees for 3 hospital accreditation agencies

such as: America, Canada, and Australia

. Worked closely with the Infection Control and Risk Management

Departments in collaboration of their key indicators, quality

projects and root cause analysis

Nancy Sharif RN. MBA. CPHQ Page 3

Employment History Continued:

Name of Employer: Tower Health Care, Long Beach, California.

Dates of Employment: January 2000 to January 2003

Job Title: Manager of Grievances and Appeals/Quality Management

Department

Accomplishments:

. Managed on a monthly basis, fifty health plan companies, members and

providers' grievance complaints and appeals

. Disputed the members' claims, assisted with their grievance

resolutions, and communicated with members as to the resolution

process

. Supervised up to five staff in the department which included - new

employee orientations, employee evaluations and the mentoring and

professional development of the department staff

. Established new policies and implemented existing policies which

complied with the Department of Health Services, HEDIS and HIPAA

regulations

. Oversaw the Quality Management, and Public Policy departmental

meetings on a monthly basis

Name of Employer: Managed Care Resources, Los Angeles, California.

Dates of Employment: March 1995 to December 1999 and March 2002 to

April 2005

Job Title: Case Manager/Quality Manager/Utilization Review

Accomplishments:

. Performed telephonic on site utilization review for health plans'

criteria, for up to 20 adult, pediatric and psychiatric inpatients in

the hospital setting on a daily basis

. Coordinated discharge follow-up plans such as: home care, durable

medical equipment and physician appointments

. Interfaced with patient's families, physicians, nurses, social workers

and other hospital staff to ensure a seamless transition from the

hospital setting to the home environment for the patients and their

families

Hobbies and Interests:

. Scuba Diving

. Sky Diving

. Swimming

. Jogging

. Traveling

. Cooking

. Zip Lining

Personal and Professional References Available Upon Request:



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