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Registered Nurse Quality Assurance

Location:
Englewood, CO
Posted:
December 05, 2012

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Resume:

Therese Ryan

Email: *********@********.***

Address: **** *. ******** **.

City: Centennial

State: CO

Zip: 80112

Country: USA

Phone: 303-***-****

Skill Level: Management

Salary Range: $65,000

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

THERESE RYAN, RN

7883 E Hinsdale Drive

Centennial, Colorado 80112

*********@********.*** * 303-***-****

CERTIFIED LEGAL NURSE CONSULTANT

Case Management / Risk Mitigation

Seasoned Registered Nurse and Legal Nurse Consultant offering deep clinical expertise honed throughout 20+ years in healthcare; experience includes case management, quality assurance, and nursing roles. Highly analytical and detail-focused. Deftly cull medical records and supporting documentation from multiple sources, organizing, reviewing, and analyzing diagnoses and treatments to identify causation issues and liability. Prepare and present investigative reports, leveraging combined medical and legal expertise to provide detailed recommendations relevant to standards of care and hospital policies.

Collaborative with solid communication acumen, serving as trusted resource throughout trial preparation process, providing strategic guidance for securing expert witnesses and coaching attorneys on critical questions to elicit key evidence for depositions and trial.

** Chart / Utilization Review

** HIPAA / Medicare / Medicaid

** Evidence Collection & Analysis

** Medical / Legal Research

** Documentation & Investigative Reporting

** Clinical Experience

KEYWORD SUMMARY

analysis, case management, case preparation, case research, Certified Legal Nurse Consultant, client communication, compliance, counsel, depositions, detailed reporting, documentation, due diligence, expert witness interviewing, investigation, legal research, medical records analysis, medical research, patient chart assessment, Registered Nurse, regulatory compliance, reporting, risk management, standards of care, trial preparation

PROFESSIONAL EXPERIENCE

INDEPENDENT CONTRACTS, Centennial, Colorado

-- Legal Nurse Consultant, 2012-Present

Conduct in-depth analysis and interpretation of medical records, contracts, policies, and various relevant documentation, investigating deviations from standards of care and hospital policy to determine legitimacy of legal action. Extract relevant data and compile into concise reports. Identify, contact, and secure key expert witnesses; guide attorneys through lines of questioning and educate on medical terminology, supporting collection of critical evidence for depositions and testimonies. Attend legal proceedings.

** Perform in-depth research of existing medical, surgical, nursing, and legal issues and advise legal team to drive effective case resolution.

SWEDISH MEDICAL CENTER / HCA, Denver, Colorado

-- Charge RN - OR, 2010-2012

Coordinated OR patient care, scheduling surgeries and procedures with associates from all departments. Delegated cases to nursing staff. Managed PACU, anesthesia, central supply, central sterilization and materials management departments. Communicated with colleagues, patients, and family members, promoting swift resolution of issues / concerns to drive optimal patient outcomes.

** Play essential role in continuous quality improvement and peer review projects, demonstrating solid commitment to expanding knowledge in OR / ER and trauma medicine developments.

** Leveraged nursing expertise to excel in oversight of OR functions in busy Level 1 Trauma Center, ensuring continuous efficiency of entire OR and all staff members.

** Instrumental in enhancing productivity within OR by networking with nursing team and physicians to facilitate continuous partnership and focus on patient care excellence and safety.

MULTIPLE HOSPITALS, Colorado & California

-- Cardiovascular OR Nurse, 1996-2010

Held consecutive roles at Exempla St. Joseph Hospital in Denver, Across America Medical Staffing in Pasadena, Tri-city Medical Center in San Diego, and VA Medical Center in Palo Alto, serving as integral member of cardiovascular care team and assisting with cardiovascular, thoracic, and vascular surgeries. Provided preceptorship and mentoring to nursing staff, ensuring nursing care plans aligned with patients needs and complied with hospital regulations.

** Hired for position on self-governing heart program at Exempla St. Joseph Hospital.

** Offered vital insights as participant on OR's Utilization Review and Quality Improvement Team and on hospital-wide QA Committee during employment with Exempla.

** Provided outstanding care to patients at Stanford University Hospital, Kaiser Heart, Tri-City Medical Center, and Scripps Medical Center during time with Across America.

KAISER PERMANENTE, Redwood City & South San Francisco, California

-- Registered Nurse / Quality Assurance & Utilization Review / Case Management, 1988-1996

Held multiple consecutive roles during 8-year tenure. Provided nursing care as a Staff RN, Neurosurgical Lead RN, and Charge RN. Completed daily reviews of all patient cases in Quality Assurance / Utilization Review and Case Management roles; identified special care issues and tracked outcomes to ensure timely attention and resolution. Maintained comprehensive, up-to-date understanding of Medicare and various health insurance plans

** Collaborated with physicians to develop QA program to considerably improve department efficiency and compliance results.

** Summarized and presented conclusions and recommendations from reviews to hospital utilization review, QA, and risk management departments.

EDUCATION AND CREDENTIALS

Postgraduate Nursing Studies; OR / Perioperative Nursing

COLLEGE OF SAN MATEO - San Mateo, California

Nursing Diploma

UNIVERSITY OF ALBUQUERQUE - Albuquerque, New Mexico

Certifications

Legal Nurse Consultant; Certified Nurse Operating Room; ACLS; BLS

Memberships

American Association of Legal Nurse Consultants; Association of OR Nurses

Technical proficiencies

Windows; Microsoft Word, Excel, Outlook



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