Quality Compliance Client Care

Shelley Allegretto, RN

(Formerly Hertzog) ***** N. 41st Place, Phoenix, AZ 85032

License: RN173369 623-***-**** * **************@*****.***

SUMMARY OF QUALIFICATIONS

Dependable, enthusiastic, self-motivated

Blood draws, venipunctures, vaccine administration

Quality & Operational leadership experience: Blood Plasma Collection and Private Duty Home Care

PROFESSIONAL EXPERIENCE:

Arizona Complete Health/Centene 10/14 to Current

Prior Authorization Nurse

Clinical reviews of prior authorization requests.

Medical Management Auditor

Conduct audits of Case management and Utilization Review records, report results and provide recommendations for improvement to Leadership teams.

Transition of Care

Identification of member needs while inpatient, follow up after discharge, including warm transfer to assigned ongoing Care Manager.

Quality Management Nurse

Conduct Medical record audits of contracted provider patient medical records. (AHCCCS) Discuss results and offer recommendations to Providers and office staff.

Health Choice Quality Management Nurse 8/12 to 10/14

Perform Quality of Care investigations, focused reviews and Mortality reviews

Compliance audits of Delegated Credentialing Entities and Oversight of Provider Medical Record audits

Quality Committee agenda and presentation

ProPharma Group Sr. Compliance Associate 4/12 to 8/12

Working as a compliance consultant for ProPharma Group. Performed Quality/compliance investigations at Hospira Pharmaceutical in Rocky Mount North Carolina. Worked with plant leadership to develop CAPA’s. (This was a temporary consulting assignment)

Carrington College Nursing School 3/10-3/12

Octapharma Plasma, Inc. Director of Field Quality 12/08-12/09

Directs field quality activities and staff to ensure compliance with International, federal, state and local regulatory agencies.

Led a team of quality compliance auditors. Performed quality compliance audits of Plasmapheresis manufacturing locations to ensure adherence to company SOP’s, State and Federal regulations.

Talecris Plasma Resources Associate Director 12/06–12/08

Directs regional field operations and quality staff to obtain plasma collections at budgeted volume and cost.

Directs the implementation and management of strategies needed to support corporate objectives

Performs compliance audits of Plasmapheresis locations including detailed inspection, reporting, and

review of audit response and closure letters issued to facilities.

Bayada Nurses Center Director 11/05–11/06

Management of Private Duty Home Health Agency. Direction of office and field staff

Directs all client care ensuring compliance with JCAHO standards.

Responsibility for planning, budgeting and marketing

EDUCATION

Carrington College - Associate of Applied Science Degree in Nursing 3/2010-3-2012

University of Phoenix - Associate of Arts Degree in General Studies 08/05

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