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Patient Care Quality Assurance

Location:
Downers Grove, IL
Salary:
100,000-135,000
Posted:
October 17, 2024

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Resume:

ROCHELLE MILLER NIXON

DIRECTOR OF NURSING

CONTACT

630-***-****

*********@*****.***

Woodridge, Illinois 60517

SKILLS

Healthcare Management

Regulatory Compliance

Quality Assurance

Problem Resolution

Multidisciplinary Team Collaboration

Staff Training & Leadership

Treatment Planning

Case Management

Patient Education

Relationship Building

Project Management

PROFESSIONAL SUMMARY

Dynamic individual with proven track record of success in managing multi-disciplinary teams, developing innovative initiatives to improve patient care and increase operational efficiencies. Skilled in implementing evidence-based practices and managing complex projects to ensure compliance with regulatory standards. Adept in fostering a positive work environment and providing compassionate patient care.

EXPERIENCE

April 2017 - Present

Nurse Manager of Referral Services

Aunt Martha's Health and Wellness, Olympia Fields

Reporting to the Executive Vice President of Health Services, the RN Manager of Referral Services provides direct supervision, guidance and support to all 23- health center for referral processing and completion

Support referral staff to ensure that referrals from each clinic is completed in a manner which provides excellent quality care, positive customer services

Coordinated recruitment, training, scheduling, and evaluation of nursing personnel.

Conducted regular meetings with nursing staff to discuss challenges and identify solutions.

Established clinical direction for nursing care delivery, providing clinical supervision, and maintaining quality outcomes.

Responsible for the maintenance of an efficient health center and demonstrating superior relationship building and customer service skills

Functioning in a multiple priority environment, while maintaining accuracy and attention to details

Assessing the appropriateness of the various physician orders, completion of all required paperwork for insurance pre-certifications, benefit verifications, and appeals by coordinating with the Physicians and Medicaid insurance providers

Performing ongoing surveillance, reporting, and data collection through regular audits

Maintaining patient confidentiality

Assisting in establishment and implementation of all policies and procedures

Ensure the completion of all assigned administrative budgeting duties

August 2016 - February 2017

Clinical Learning Lab Specialists

Chamberlin University, Addison

Reporting to the Manager of the SIMCARE Center, supported all clinical learning lab and simulated patient care learning experiences for campus and web-based students by assisting deans, assistant deans, program/course coordinators, faculty, and students with appropriate resources to successfully complete evidence-based learning opportunities in simulated patient care environment

Supported faculty and College leadership with initiatives involving clinical simulation research and effective teaching strategies in a simulated patient care environment

Educated students in proper treatment protocol and wellness needs

Contributed to development and continuous improvement of national Standard Operating Procedures through best practice sharing and regular communication with other campus Lab Coordinators and leadership

Supported the mission and philosophy of the College and represented the college to clinical agencies, students, and the community through lab and simulation scheduling and collaborative efforts.

June 2015 - February 2017

RN Case Manager

DuPage Health Specialist Medical Group, Lisle

Developed and implemented full health and case management with an intense focus on raising standards of operations, risk management, patient services, and education

Upheld strict confidentiality for all patients and staff members

Educated patients and their families in proper treatment protocol and wellness needs

Executed telephone triage, performed testing, and made referrals for specialists

Performed extensive assessments, developed treatment plans, and devised interventions as needed.

Provided emotional support during difficult conversations with family members regarding end-of-life decisions or other delicate topics.

Utilized critical thinking skills when making decisions concerning patient care needs while adhering to established standards of practice.

October 2012 - Present

Labor & Delivery Nurse (Contractor)

Fastaff Travel Nursing, Greenwood Village

Executed the highest quality of care to Labor and Delivery patients

Upheld confidentiality, regulatory compliance, and quality control while demonstrating sensitivity to patient's cultural beliefs during treatment protocols

Key Accomplishments: Developed and implemented detailed procedural processes that reduce redundancy and improve quality of care.

May 2012 - October 2012

Labor & Delivery NURSE (Contractor)

Total Nurses Network, Oak Park

Provided Labor & Delivery support, collaborating with Physicians to ensure safe, individualized care for all patients

Key Accomplishments: Identify abnormalities and implement preventative treatment

Teach proper postnatal care

Effectively communicated with appropriate staff to report, record, and observe activities objectively.

October 2005 - April 2012

Staff Nurse Obstetrics/Gynecology, Labor & Delivery Nurse

Adventist Hinsdale Hospital, Hinsdale

Provided comprehensive care for low-risk, newborns, non-surgical, and acute-care patients, and high-risk patients in a 277-bed teaching hospital

Served as Charge Nurse and assisted with preoperative and emergency trauma cases

Key Accomplishments: Monitored vital signs, and performed pre and post-labor assessments and administered medications

Assisted attending physicians and acted as circulating and scrub nurse for gynecological surgeries.

October 2004 - October 2005

Director of Nursing

International Village, Chicago

Developed policies and procedures, ensuring efficient operations and compliance with all regulatory compliance

Supervised nurses and support staff in this 218-bed acute long-term care nursing home

Key Accomplishments: Administrated medical records, reviewing notes and auditing nursing charts

Formulated progressive programs designed to meet changing needs of the patient population

Analyzed studies; evaluated nursing services, programs and activities

Performed recruitment, training, and evaluations, establishing personnel qualifications and salaries.

April 2003 - October 2004

Director of Nursing

Sacred Heart, Chicago

Managed a diverse range of clinical and administrative functions, governing all services, programs, and activities from admission to discharge in a 172-bed long-term care psychiatric facility

Key Accomplishments: Collaborated with physicians and support services in the development and implementation of a comprehensive staff development training program

Executed fiscal management support, establishing, monitoring, and evaluating budget

Slashed expenses by $10,000 annually by eliminating redundant administrative procedures.

May 2002 - May 2003

Director of Nursing

Awakened Alternatives, Olympia Fields

Directed 120-nurses, 60-Certified Nursing Assistants, and caseworkers in providing improved quality of life through home health care, intermittent, and private duty nursing services

Key Accomplishments: Identified program deficiencies through conducting needs-assessment survey, devised and implemented solutions

Collaborated with Illinois Division of Special Needs Children, initiated program plans enabling permanently disabled children the ability to stay at home

Set goals, arranged for equipment, medications, and supplies, determined logistics and trained caregivers

Restructured medical records system, integrating a new software and training, cutting costs and streamlining record keeping, booking, and ordering processes.

EDUCATION

September 2020-Present

Doctoral Study- Leadership Management

Grand Cannon University, Az

January 2001

Master's Degree in Public Health

Saint Xavier University, IL

January 2001

Master's Degree in Business Administration

Saint Xavier University, IL

January 2001

Bachelor's Degree in Nursing

Grand View College, IA

LICENSURE

Registered Nurse, 041.308231, Illinois, 05/31/2026

CERTIFICATIONS

Registered Nurse, 041.308231, Illinois, 05/31/2026

CNA instructor and evaluator for state of Illinois, Illinois

Managed Care Program, Certification

Joint Commission Certification in Home Care, Completed OB Certification Class

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