Tricia Cole, BSN, RN

**** ******* ** **, *****, OR 97305

Cell: 503-***-**** email: adm03e@r.postjobfree.com

Professional Summary

** ***** ** ******* ******* experience as an RN Peer Review Coordinator, a Physicians Leadership Institute clinical quality improvement project coach, an RN Care Manager/Utilization Manager, a bedside periprocedural endoscopy RN, and an acute inpatient primary bedside RN. I am continually looking for new challenges and opportunities that allow me to contribute my skills and expertise to help improve the quality of healthcare delivered to the community base I serve. I am excited to offer my expertise and contributions to a cohesive team comprised of diverse, innovative healthcare professionals that also provides opportunities for new learning and autonomous challenges.

Licenses and Certifications

Registered Nurse (1997-present) License number 096003134RN

CMCN (2012 to 2015)

CGRN (2006 to 2011)

ACLS (2003 to 2010)

BLS Instructor (2003 to 2006)

Skill Highlights

Experienced in utilization management/care management and the use of InterQual criteria to validate medical necessity of care and services

Excellent assessment skills through both bedside and clinical documentation review

Skilled in leading and participating in patient care quality improvement projects

Skilled in working collaboratively with a team as both a team member and a leader

Skilled at making the patient the center of focus and striving for positive outcomes

Wide experience base to draw from when assessing clinical documentation

Excellent clinical writing and investigative clinical documentation review skills

Excellent communication and customer service skills

Excellent critical thinking skills

Professional Experience

RN Peer Review Coordinator and Physician Leadership Institute Project Coach

December 2013-Present

Salem Hospital - Salem, OR

Duties focus on:

In the role as Peer Review Coordinator:

Review of patient care concerns reported to the Patient Safety Department through the RL system

Thorough retrospective chart review and investigation focused on identifying opportunities for improvement and education

Collaboration with specialty section chiefs to determine the need for formal peer review of each reported concern

Managing formal peer review cases to ensure completeness of case file information including obtaining pertinent information from the physician involved in the concern and outreach to other involved parties to gain input

Capture and paraphrase technical discussions during the specialty specific peer review committee meetings to develop meeting minutes to be reviewed by the Multidisciplinary Peer Review Committee (MPRC), which is comprised of multiple physicians from several specialties and the hospital’s executive leadership

Attend MPRC meetings offering context and clarification to any cases that prompt questions by the committee

Drafting the provider outcome letters detailing the MPRCs investigation findings with any pertinent educational points and/or commendations for excellence of care

In the role of Physicians Leadership Institute Coach:

Coaching a team of physicians, nurses, and operational staff through 4-month direct patient care improvement projects

The use of 4 step Lean methodology to identify gaps in patient care and work toward improving patient outcomes and experiences through small, incremental changes in delivered care and the involved processes

Developing metrics in collaboration with the team to most accurately measure and track and display project outcomes including baseline, process, and outcome data

Ensuring the team is adhering to project completion and presentation guidelines

Assist with spread of process implementation to broader areas when project outcomes are successful and can be applied to other areas and/or specialties

Assist in presenting project overviews, outcomes, and lessons learned to the Board of Trustees when requested

Transition Care Team (Case Manager) RN & Utilization Management RN

October 2009 to December 2013

WVP Health Authority - Salem, OR

Duties focused on:

In the role of Case Manager:

Discharge planning for members of a managed care plan that included Medicare, Medicaid, and Advantage plan members. This included daily review of clinical documentation submitted by the hospitals serving my client base combined with collaboration with the facility care management staff to develop a safe and appropriate discharge plan for our clients

Ensuring clinically indicated and evidence-based services, therapies, and equipment were in place for a successful transition out of the hospital aimed at optimizing client recovery and positive outcomes.

In the role of Utilization Manager

Review of clinical documentation coupled with the use of InterQual criteria for clinical indications for hospitalization and services providing a first level review to determine medical appropriateness for both inpatient and observation status hospital admissions while also filtering admissions that need to be elevated to the medical director for second level review

Through and detailed documentation of first level review findings that included subsequent approval of services if criteria were met or elevation the medical director if second level review was required

Registered Nurse-Endoscopy RN with Conscious Sedation Certification

January 2006 to October 2009

Salem Gastroenterology Consultants - Salem, OR

Duties focused on:

Providing care to clients through the continuum of the endoscopy suite from check in/admission through safe discharge

Provision of excellent, seamless care to multiple patients throughout quickly changing situations

Pre-procedural customer service, assessment and education of the pre-procedural client

Conscious sedation administration with ongoing assessment with active intervention in anticipation of possible critical care needs

Assisting the physician with collecting and labeling specimens during procedures

Sedation recovery care with ongoing assessment and intervention for the post-procedure/sedated client

Developing and maintaining colon polyp retrieval rates for each physician individually and as a group

Developing and maintaining the schedule for RN staffing of the Salem Gastroenterology Consultants

Registered Nurse-Endoscopy RN with Conscious Sedation Certification

January 2003 to December 2005

Salem Hospital - Salem, Oregon

Duties focused on:

Assisting in the care of clients through the continuum of the endoscopy suite

Functioning as a member of a cohesive team to provide excellent, seamless care to multiple patients through changing situations throughout the procedural care provided at Salem Hospital. This care was provided to inpatient clients needing urgent/emergent care in the hospital as well as providing ambulatory procedural services

Pre-procedural customer service, assessment, IV therapy services, and education of the pre-procedural client

Conscious sedation administration with ongoing assessment of the sedated client with ACLS intervention as necessary

Assisting the physician with collecting and labeling specimens during procedures

Sedation recovery care with ongoing assessment and intervention for the post-procedure/sedated client

Registered Nurse-Neurology/Neurosurgery Unit

September 1997 to January 2003

Salem Hospital - Salem, Oregon

Duties focused on

Assessment, evaluation, intervention and re-assessment of the neurological, post-neurosurgical, and trauma client

Development of nursing care plan with nursing diagnoses, interventions and expected outcomes

Management of a team that included delegation to LPNs and CNAs with subsequent follow up and evaluation

Regularly accepting nursing student precepting assignments from the Chemeketa Community College ADN program to provide hands-on, bedside instruction and mentoring in the last term of the nursing program

Filling the role of shift Charge RN

Running mock code blue for the Neurosurgery/Neuro Trauma unit as a BLS instructor for the organization

Education

Bachelor of Science in Nursing, 2015

Grand Canyon University – Phoenix, AZ, United States

Associate of Science -Nursing, 1997

Chemeketa Community College - Salem, OR, United States

Associate of Arts - Oregon Transfer, 1997

Chemeketa Community College - Salem, OR, United States

Associate of Arts: General Studies, 1997

Chemeketa Community College - Salem, OR, United States

References

Available upon request

Contact this candidate