Camille Edwards
Bronx
Summary
Healthcare professional nurse with extensive experience in clinical quality management and cross-functional collaboration. Expertise in HEDIS data analysis and regulatory compliance. Skilled in implementing quality improvement strategies that achieve measurable outcomes.
Overview
30
30
years of professional experience
Work History
RN Clinical Quality Manager
VillageCareMax
New York
2022.09 - Current
- Collaborated with clinical teams to enhance accuracy of quality metrics reporting.
- Abstracted and analyzed HEDIS data to identify opportunities for quality improvement.
- Reviewed medical records to validate compliance with HEDIS specifications.
- Communicated regularly with physicians regarding best practices in documentation and patient care coordination.
- Developed comprehensive tracking system to monitor data collection activities for HEDIS measures.
- Conducted chart reviews for quality assurance purposes, ensuring compliance with HEDIS standards.
- Collaborated with management in multiple departments to drive clinical process change initiatives.
- Developed educational materials for staff members on topics related to quality improvement initiatives.
RN Clinical Quality Manager
Medix Staffing
New York
2022.03 - 2022.09
- Conducted comprehensive HEDIS reviews and assessments to drive quality improvement initiatives.
- Performed HEDIS data collection and abstraction from medical records for the health plan.
- Conducted chart reviews in accordance with NCQA guidelines and standards.
- Collaborated with healthcare teams to enhance accuracy of data collection and reporting.
- Educated staff on HEDIS measures and best practices for data accuracy.
- Utilized electronic health records systems for efficient documentation and analysis.
- Facilitated meetings to review findings and develop strategies for quality enhancement.
- Maintained up-to-date knowledge of regulatory changes impacting HEDIS measures.
Site Manager
Mobile Health Management
The Bronx
2020.03 - 2021.05
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service. Engaged with customers to effectively have employment screenings completed to support their staffing needs throughout the pandemic.
- Proposed innovative ideas and solutions that strengthened team performance and improved outcomes.
- Addressed customer requests and answered questions, fostering enhanced satisfaction.
- Provided support and guidance to colleagues to maintain a collaborative work environment.
- Implemented nursing protocols to enhance patient safety and compliance.
- Led nursing staff by assigning tasks, managing workflow, and offering support to ensure effective operations.
Assistant Nurse Manager
Institute for Family Health
The Bronx
2017.04 - 2019.02
- Supervised nursing staff, ensuring adherence to healthcare standards and enhancing patient care quality.
- Implemented quality improvement initiatives to enhance patient services.
- Proposed and implemented innovative strategies to improve team dynamics and patient outcomes.
- Implemented Epic Ambulatory workflows for improved patient care delivery.
- Incorporated evidence-based nursing into practice environment.
- Assisted in training users on how to utilize the Epic Ambulatory system efficiently and effectively.
- Monitored provider performance in relation to established HEDIS benchmarks, identifying areas for improvement.
- Reviewed medical records to identify and gather necessary data for HEDIS measures.
Head Nurse
Albert Einstein College of Medicine
The Bronx
1996.03 - 2001.05
- Led quality improvement initiatives aimed at enhancing patient outcomes.
- Collaborated with multidisciplinary teams to create and implement comprehensive patient care strategies.
- Educated patients and families on health conditions, treatments, and preventive care.
- Coordinated with service providers, including mental health professionals, medical personnel, and social workers, to ensure seamless continuity of care for clients.
- Facilitated support groups and provided counseling for individuals in recovery.
- Attended weekly staff meetings to discuss clinical cases, review best practices, and develop strategies for providing optimal care for clients.
- Developed relationships with community resources to refer clients for additional support services they may need.
- Trained staff on compliance protocols and regulatory requirements for operational practices.
Education
Master of Science - Health Services Administration
Iona University
New Rochelle, NYBachelor of Science - Nursing
Mercy University
Dobbs Ferry, NYAssociate of Science - Nursing
Borough of Manhattan Community College
New York, NYBachelor of Science - Biology
SUNY At Albany
Albany, NYLegal Nurse Consultant Certificate
SUNY, Stony Brook
Stony Brook, NYSkills
- Clinical quality management
- Data compliance
- Regulatory adherence
- Electronic health records
- HEDIS analysis
- Quality strategies
- Disease management
- Data analysis and reporting
- Chart compliance
- Patient engagement strategies
- Clinical training resources
- Stakeholder engagement
- Cross-functional collaboration
- Leadership initiative
- Staff development
- Analytical thinking
Accomplishments
- Schneps Media Healthcare Hero Honoree 2024
- Schneps Media Healthcare Hero Honoree 2025
Advisory Board Member
- Advisory Board member for Mildred Elley School-Department of Practical Nursing
- Management Advisory Board Member for Iona University
Timeline
RN Clinical Quality Manager
VillageCareMax
2022.09 - Current
RN Clinical Quality Manager
Medix Staffing
2022.03 - 2022.09
Site Manager
Mobile Health Management
2020.03 - 2021.05
Assistant Nurse Manager
Institute for Family Health
2017.04 - 2019.02
Head Nurse
Albert Einstein College of Medicine
1996.03 - 2001.05
Master of Science - Health Services Administration
Iona University
Bachelor of Science - Nursing
Mercy University
Associate of Science - Nursing
Borough of Manhattan Community College
Bachelor of Science - Biology
SUNY At Albany
Legal Nurse Consultant Certificate
SUNY, Stony Brook