Andrea May
Youngsville,PA
Summary
Dynamic leader with expertise in program management and quality assurance. Proven track record of enhancing performance and promoting collaboration among diverse teams to achieve operational objectives and surpass patient care standards. Work Experience in Utilization Review and Education implementation.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Program Director
RestorixHealth
Warren, Pennsylvania
03.2023 - Current
- Led development of innovative strategies that aligned with program objectives and enhanced service delivery.
- Managed staff and healthcare providers to enhance service delivery.
- Directed implementation of patient care initiatives and health services programs.
- Monitored progress against budgets and performance metrics to ensure program accountability.
- Ensured adherence to regulatory standards and internal policies across all program activities.
- Collaborated with multidisciplinary teams to streamline processes and enhance operational efficiency.
- Met monetary goals, patients per day and quality measures every quarter since the start of employment.
- Conducted billing and chart reviews in compliance with state regulations.
- Performed insurance audits and reviews to ensure accuracy.
- Oversaw patient care and staff management in a behavioral health setting.
Risk Manager/Compliance Officer
Rouse Home
Youngsville, Pennsylvania
08.2018 - 03.2023
- Collaborated with departments to implement effective risk mitigation plans.
- Monitored compliance with regulatory standards and internal policies.
- Facilitated training sessions on risk awareness for staff members.
- Analyzed incident reports to improve safety protocols and procedures.
- Reviewed contracts for potential risks and liability issues.
- Prepared comprehensive reports on risk management activities and findings.
- Collaborated with stakeholders across departments to identify areas of risk exposure.
- Documented findings from audits and investigations into the organization's risk profile accurately and comprehensively.
- Performed statistical analyses to identify trends, variations, patterns and insights.
- Developed and updated policy manuals to align with industry standards and regulations.
- Provided training sessions for staff on compliance procedures and best practices.
- Maintained and revised policy procedures for general operation of the compliance program.
- Established working relationships with regulatory agencies.
- Followed proper protocols for reporting suspected violations to internal personnel or outside governing agencies.
- Work collaboratively with team on patient admissions and discharges.
OR Nurse/Staff Nurse
Warren General Hospital
Warren , Pa
06.2005 - 08.2019
- Collaborated with surgeons and anesthesiologists to execute complex surgical interventions.
- Prepared operating room by ensuring all necessary instruments and supplies were sterile.
- Assisted in the placement of surgical drapes and positioning of patients for procedures.
- Educated patients and families about post-operative care and recovery protocols.
- Maintained accurate documentation of patient records and surgical outcomes in the system.
- Educated and mentored new nursing staff on operating room protocols and best practices, promoting a culture of safety.
- Responded quickly to emergencies, providing critical care and support to surgical teams.
- Contributed to quality improvement initiatives that enhanced clinical outcomes for patients in the OR suite.
- Documented pertinent information in medical records according to established standards.
- Fostered strong relationships with pre- and post-surgical patients, ensuring compassionate support throughout their care journey.
- Assisted with nursing duties in short-staffed areas.
- Utilized electronic health records to document patient care accurately and comprehensively.
- Implemented infection control protocols to prevent post-operative infections.
- Conducted patient education on medical treatments and procedures.
- Worked effectively in all surgical areas: OR, PACU, Endoscopy, and ODS.
- Served as Team Leader.
- Functioned as a Medical/Surgical RN, delivering comprehensive patient care and support.
Education
Associate of Applied Science - Nursing
Jamestown Community College
Jamestown06-2005
Skills
- Program management
- Budget oversight
- Regulatory compliance
- Risk assessment
- Quality assurance
- Quality improvement
- Documentation and reporting
- Policy implementation
- Develop policies
- Recruitment and hiring
- Training and development
- Performance evaluation
Certification
- CPR
Timeline
Program Director
RestorixHealth
03.2023 - Current
Risk Manager/Compliance Officer
Rouse Home
08.2018 - 03.2023
OR Nurse/Staff Nurse
Warren General Hospital
06.2005 - 08.2019
Associate of Applied Science - Nursing
Jamestown Community College