Quality Assurance Nurse Practitioner
Resume:
Colleen M. James, MSN, MBA, RN, PHN.
*** ******** ****, **** ***** 55014
***********@*****.***
Professional Summary:
Results-driven healthcare professional with over 17 years of experience in quality assurance, clinical services, Infection control and healthcare management. Proven track record in implementing quality improvement initiatives, managing clinical operations, and ensuring compliance with regulatory standards. Strong leadership skills with a focus on patient-centered care, infection control and organizational excellence.
Education:
University of Mary, North Dakota
March 2024-present –Doctor of Nursing Practice
Purdue University, Global, Indiana
April 2021-August 2023- Master of Science/ Family Nurse Practitioner
Advanced Practice Registered Nurse.
Colorado Technical University, Colorado Springs, CO
July 2019 -February 2021- Bachelor of Nursing
July 20017-2019- Masters Business Administration
May 2015 – June 2017: Bachelor of Science Healthcare Management
Care Providers of Minnesota
November 2011-2012 Leaders4Life Fellow Certification
Effective Core Leadership Course –Park Nicollet Health Services
Centennial College, Toronto, Ontario
Critical Care certification- 1998- 2000
1992-1996 Nursing Diploma
George Brown College, Toronto
Registered Practical Nurse Certificate -1996
Summary of Qualities:
•Extensive knowledge of finance and budget creation related to the nursing department.
•Sound understanding of the laws and regulations for health care organizations Skilled in planning and implementing strategies.
•Exceptional health care management skills in promoting patient safety and developing policies to improve quality patient care. Sound clinical and supervisory skills
•Strong human relationship skills adept to establishing positive working relationships providing emotional support to individuals at all levels.
•Dependable, adaptable and tackle complex situations in an orderly and efficient manner, utilizing problem solving and critical thinking.
•Transform underperforming facilities from special focus to five stars rating.
Work Experience:
Director of Clinical Services:
Lakehouse Health and Rehabilitation, Minneapolis, MN.
August 2023-present.
Instrumental in the development, and implementation of policies and procedures to ensure evidence based clinical practices, and promote quality nursing care delivered to residents.
Collaboration with multidisciplinary to establish resident/patient goals.
Ongoing communication and ensuring compliance with local, state, and federal policies and regulations.
Responsible for recruiting, hiring and onboarding new nursing team members.
Conduct regular audits and assessments to identify areas for improvement and implement corrective action plans.
Develop and implement quality improvement initiatives, leading to a reduction in medication errors, community acquired pressure ulcers and fall reduction in patient safety incidents.
Spearhead training programs for clinical staff to enhance patient care and service delivery.
Adjunct Professor:
Rasmussen University, Bloomington campus, MN
December 2021-present
Develop course syllabus for classes teaching
Lecturing, leading class discussions and conducting other teaching activities during scheduled classes
Create, administering and grading various assessment methods
Answer questions and providing additional support for students
Calculate and submitting grades for all students
Collaborate with other professors to create coursework or support the department Follow established expectations and protocols for the department.
Clinical instructor for RN students in Skilled Nursing Facility and Hospital
Director of Nursing :
Ebenezer Care Center, Minneapolis, MN November 2018 – August, 2023.
1. Ensure the quality and clinical compliance of nursing care for residents.
Assists with the development of policies and procedures to ensure they reflect current clinical practices and promote quality nursing care delivered to residents.
Collaborates with Social Services to determine if potential residents needs can be met.,
Ensures the nursing opportunities for improvement are identified through ex; resident grievances, tracking forms, pharmacy audits, resident council, interviews, MDS, Roster.
Ensure that analytics data is discussed in the QAPI meetings per policies and procedures.
Ensures the resident preadmission assessment, admission, and discharge planning meets the triple aim ( Improving resident health /practicable well-being, lower costs, better care) ·
Perform the duties of Infection Control Practitioner in the absence of a designated IP nurse.
Oversees, and ensures nursing evaluations are completed per facility policy.
Supports Ebenezer Corporate standards and ensures implementation at site level
Collects data and audits systems /processes to ensure regulatory compliance and excellence ·
Ensures CMS regulations are implemented and followed throughout the facility
Monitor health care activity continuously and reports to Interdisciplinary Team any areas of opportunity from the data collected.
· Participates in the implementation of processes to maintain clinical excellence and programs
Collects, and analyzes health services data, identifies trends, institutes actions to resolve system problems promptly, evaluates effectiveness of these actions and ensure sustainably.
Oversees nursing site compliance not limited to; federal and state regulations, OSHA regulations, MN Board of Nursing, HIPAA ·
Report and participate in Vulnerable Adult investigations and ensures compliance of policy and procedure ·
2. Provide ongoing leadership, and oversite of the nursing department.
Perform the duties of facility supervisor when assigned and assumes administrative responsibilities.
Oversees delivery of services provided by nursing care providers
· Oversees nursing staff, health unit coordinator and Director of health records hiring, coaching, training, and compliance.
Coordinates work flow and positions for efficient and effective nursing care of residents.
· Develops expectations with nursing staff and holds them accountable to their job responsibilities ·
Provide on-going professional development of leadership team.
·
3. Adheres to Budgets ·
Developed and adhered to annual operating and capital expense budgets
Maintained monthly tracking of costs and Full Time Equivalent budgets
· Oversees the staffing department to ensure efficient and effective use of staffing resources ·
Monitored nursing overtime and collaborates with Administrator with patterns or excess use Math aptitude Attention to detail
4.
Created a culture of services excellence through role-modeling, training and coaching nursing staff in the principles and practices of customer service ·
. Support relationships between nursing and medical staff and consulting with medical director relative to resident care policies and concerns.
Director of Quality and Regulatory
Homecare More Care, Coon Rapids, MN February 2020-June 2022
•Responsible for establishing and implementing an effective quality improvement program essential to meet State, Federal and Department of Health accreditation requirements.
•Interfaces with a diverse range of clinical and administrative professionals, resolves complex policy and service issues and directs oversight of reporting activities required by regulatory agencies.
•Investigate regulations, standards, and laws, and make recommendations to ensure compliance.
•Direct and coordinate regulatory and accreditation functions, ensuring participation of appropriate staff and managers for agencies such as TJC, AHCA, CMS to develop responses to accreditation findings
Director of Nursing:
Benedictine Health Center, Innsbruck, and New Brighton January 2009- 2018
•Responsible for resident care and fiscal management of the nursing department.
•Used critical thinking and problem-solving techniques when managing responsibilities.
•Displayed a positive attitude and is supportive of peers and administration.
•Assigned directed, reviewed, and supervised the responsibilities of the case managers and resident care coordination.
•Accurately completes job performance appraisals for nursing management.
•Developed, revised, monitored, and implemented the nursing department budget to ensure appropriate utilization of resources, subject to administrative review.
•Participated in reporting/investigation of the vulnerable adult program and reporting process.
•Responsible for staffing levels to ensure residents' needs are met.
•Consulted with other departments in the admission process of residents with as required.
•Ensured employee evaluations have been completed.
•Recommended the hiring, firing, suspension, assignment, discipline, etc. of the employees in the nursing department.
Assisted in the management of Human Resources issues for the department.
•Directed the hiring process for nursing management personnel.
•Conducted interviews for nursing management personnel.
•Responsible for investigation and reporting of employee licensing issues to the Minnesota Board of Nursing.
•Served as facility liaison and educator between the facility and the community.
•Developed and maintained policies and procedures to ensure compliance with all state and federal long term care regulations and nursing standards.
•Ensured that Quality Assurance/Improvement Programs are implemented for accurate completion of resident assessments, care plans and delivery of care as defined by state and federal regulations and nursing practices.
•Communicated concerns to the Quality Council.
•Participated in facility quality improvement team meetings.
•Ensured communication for all levels of nursing.
•Cooperated with other county resources – Civil Service, Worker's Compensation, County Attorney, etc. with approval of the administrator.
•Ensured that an educational/training process for nursing staff is in place to meet regulatory requirements and staff needs.
•Ensured there is an educational program in place for residents, family and the community as needed.
•Supported and assist the staff development department with facility in-service education.
Interim Nurse Manager – Emergency Center Methodist Hospital, St. Louis Park, Minnesota 2005-2009
•Designs, leads, manage and evaluate the aspects of patient care outcomes.
•Staff leadership Resources, productivity improvement activities and interdisciplinary collaboration for p patient care areas of responsibility.
•Ensure that patient care and practice are consistent with internal and external policies, standards, contracts.
•Performance feedback and appraisals
•Budgeting and financial responsibilities Co-chair of several unit committees.
•Labor relationship including disciplinary actions
Nurse Educator- Emergency Center Methodist Hospital, St. Louis Park, Minnesota July 04-Nov 07
•Coordination, staff development, promotes awareness, consults and coordinates orientation for new employees.
Review PBDS assessments on all new hires and collaborates with Assistant Nurse Manager and Clinical Nurse Specialist to develop individual learning plan for each orientee.
•Coordinates and conducts an individualized competency-based orientation for new hires.
•Facilitates ongoing staff development.
•Collaborates with unit leadership and staff responsible for ongoing orientation and competency processes to determine education needs for the nursing staff.
Clinical Care Manger – General medicine and Intensive care unit Coordination, Discharge Planning, Education and Resource Utilization Mount Sinai Hospital, Toronto, Ontario Jan 00-2004
•Co-ordinated care and resources for patients across a care continuum.
•Identified and monitored continuity of care and intervenes at key point or when significant variances occur for individual patients.
•Identified and facilitated earliest discharge plan for individual patients.
•Participated in daily rounds and collaborates with various clinical teams.
•Conducted daily review of lengths of stay of identified patients.
•Participated in the development, implementation and evaluation of care plans, protocols, and clinical practice guidelines.
•Compared regular (monthly) utilization reviews with the RU liaisons and submits summary report to clinical team.
•Assisted in identifying future initiatives, opportunities and strategies etc. for future optimizing clinical utilization efficiency.
•Promoted concept of patient –focused care delivery.
Dec-1998-2000 - Mount Sinai Hospital, Toronto, Ontario Registered Nurse – Emergency Center and General Medicine
•Provided comprehensive nursing care to patients in the Emergency and Adult intensive care unit. Basic ECG interpretation and application.
•Provided assessments, veni-puncture, chest tube management, arrhythmia interpretations, defibrillation, hemo-dynamic monitoring of ventilated patients, drug administration, and epidural infusion.
•Acted as a team leader and mentor to new nurses and nursing students.
•Utilized primary nursing to provide comprehensive nursing care to patients with various simple and complex medical problems, such as CVA, COPD, CHF, MI, DM, renal failure and multi-system organ failure.
Licensure:
•RN Minnesota #1634886 - EXP 11/30/25
•Public Health Nursing # 30859-EXP 11/30/25
•RN Florida # 5957507 - EXP 4/30/25
RN North Carolina: 349184 - EXP 11/30/25
•RN South Dakota: R056757- EXP 11/06/25
•RN Ontario,Canada :9809609- EXP 12/31/2024
•RN, Wisconsin, EXP: 05/2023-05/2025
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