Hi, I’m
Claudia Benz
Remote Quality Improvement Specialist
Syosset,NY
“Act as if everything depended on you; trust as if everything depended on God.”
Saint Ignatius of Loyola
Summary
Experienced Quality Improvement Coordinator offering fourteen years of RN experience. Successfully creating and implementing improvement plans for policies, plans and guidelines in Performance Improvement. Highly accurate, productive and goal driven with excellent skills decision making, resource coordination, data analysis to measure performance outcomes, and gaps for quality and safety standards purposes. Extensive experience working remote as telehealth nursing, case management, and medical insurance billing appeals. Well verse extracting and reviewing data with EMRs and various software such as Epic, Midas, DOH, CDI, DRG, PASS, CTP, LStop Audits. My mission is to collaborate with other healthcare professionals and regulatory agencies with a common goal of focusing on how to improve patient care and safety.
Overview
15
years of professional experience
5
years of post-secondary education
3
Certifications
1
Language
Work History
Catherine’s of Siena Medical CenterSmithtown, New York
Performance Quality Improvement Specialist Nurse
04.2017 - 01.2023
Job overview
- Collaborated with various medical units and departments within the hospital to coordinate and perform peer reviews
- Responsible to identify areas of improvements and ongoing measurement of performance indicators /outcomes as part of the investigating process of incident reports
- Consistently worked in conjunction with other regulatory agencies, tracer rounds to assess compliance with requirements and standards to help remediate gaps in improving performance of care and quality safety measures
- Established extensive knowledge of data extracting and reporting procedures by TJC, IPRO, DOH and NDNQI
- Documented and reported issues with compliance, standards of care and quality assurance requirements.
- Developed quality improvement plans, policies and operational guidelines.
- Checked patient conditions and records to evaluate care.
- Evaluated competency of clinical staff, documenting performance and recommending improvements.
- Reviewed production processes and identified potential quality issues.
- Conducted data review and followed standard practices to find solutions.
- Collected and analyzed data to measure effectiveness of quality control processes.
- Monitored testing procedures and verified performance of tests according to established item specifications and protocol.
- Documented and executed detailed test plans and test cases and summarized and logged audit findings for reporting purposes.
- Conducted investigations into questionable test results.
- Recorded and organized test data for report generation and analysis.
- Reported problems and concerns to management.
New York State Insurance FundMelville, NY
Hybrid Medical Care Representative /H Medical Care Representative /Site Medical Care Representative /RN Case Manager
01.2013 - 03.2017
Job overview
- Proficient and detailed oriented while reviewing EMR remotely and on site in various software platforms containing ICD/DRG/PAS/CPT coding
- Monitored claimants’ medication and surgical records to determine compliance with medical guidelines to specific diagnosis by performing medication records audits
- In charge of projects long and short-term goals; made the recommendations for continuing care and/or suggested alternative treatment plans by reviewing initial health care and vocational assessments for progression of care
- Developed and cultivated a mindful rapport with claimants to determine baseline and best outcomes on claimant’s cases and responsible to communicate upon review of claims
- Responsible to coordinated initiation of care, monitoring compliance, communicating with nursing personnel, Case Managers, Rehab Facilities Directors, and Social Workers to ensure appropriate care is provided based on claimant’s diagnosis.
- Responded to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims.
- Developed and maintained positive customer relations and coordinated with team members to properly handle requests and questions.
- Understood each target customer's business model, mapped out organization, and identified unique technology needs.
- Generated reports and provided feedback to management on tradeshow turnouts to inform decision-making on future involvement in events.
- Learned and utilized upselling techniques to encourage customers to make additional purchases and increase sales.
- Built relationships with industry stakeholders to stay informed on industry trends and developments.
- Coordinated and managed vendor relations to secure access to resources and services needed to promote business at events.
- Developed and updated tracking spreadsheets for process monitoring and reporting.
- Collected, arranged, and input information into database system.
- Optimized customer experience by delivering superior services and effectively troubleshooting issues.
- Created and managed project plans, timelines and budgets.
- Managed inventory to provide customers with access to products in high demand.
- Conducted company performance evaluations after events to assess interest level shown for products and services and discover opportunities for growth.
- Cultivated positive relationships with vendors to deliver timely and cost-effective supply of services and materials.
- Developed effective improvement plans in alignment with goals and specifications.
Catholic Home Health SystemFarmingdale, NY
Remote Telehealth Nurse
01.2012 - 02.2017
Job overview
- Vast experience working remotely coordinating patient care along with the Telehealth Home Care Team
- Robust knowledge on patient education and expert in summarizing and simplifying the medication education according to individual needs
- Ability to educate patients on their dose administration, potential side effects along with safety precautions remotely
- Expert Instructing and addressing questions and concerns with empathy and compassion with exceptional sense on building trust by providing emotional and empathetic care for patients
- Seasoned critical, thinking to assess and identify potential medication’s related issues and intervene appropriately
- Able to recognize potential injuries rest risk and communicate them immediately with the home care team
- Responsible to schedule and coordinating emergency home visits from the visiting nurse, and communicate with physical therapy, doctors, any changes needed
- Extensive proficiency utilizing remote livestream documentation, Epic, Tiger Text and efficiently managed my workload deadlines
- Responsible for filing, recordkeeping, and use of office management skills along with time management prioritizing skills to provide quality care while patients were home
- Proficient in communicating remotely with patients, case managers doctors and visiting nurses to promote patient health and daily recovery.
- Obtained case history and gathered triage information to determine appropriate avenue for care.
- Performed additional clinic and non-triage nurse duties such as instructing patients in general and specific medical care and health issues and administering or dispensing medication and injections.
- Scheduled appointments for patients not requiring emergency services but needing examination from provider and consulting directly with provider.
- Relayed triage information and facilitated communication between provider and patient concerning patient disposition.
- Suggested appropriate disposition to acting physicians based on assessment.
- Advised patients on pre- and post-operative instructions, medication administration and symptoms indicating emergency care.
- Counseled patients via telephone according to established guidelines and protocols, advising on provider-established plans of care.
- Verified, updated and communicated patient history prior to clinic appointments and procedures with providers.
- Monitored compliance and evaluated effectiveness of home treatment instructions.
- Assisted in management of patient utilization of health care system and provided patient education relative to health care needs, use of community resources and responsibilities of membership in managed care.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
Brookhaven HospitalBrookhaven, NY
ED Registered Nurse
12.2010 - 01.2012
Job overview
- Responsible to triage and provide direct care for 6 to 7 patients triage level 2, 3,4, step down, pediatrics, ICU from 7 AM to 7:30 PM
- Proficient with Pyxis medication distribution and computerized charting
- Experience with insertion and management of peripheral lines, NG tubes, foley catheters, and shoulder ports
- Certified ACLS, CPR, NRP, PRI and SCREEN training
- Attended wound care workshop and triage
- Robust clinical skills ie, cardiac monitor, IV pushes, IV insertion, IV drips
- Educated and assisted orientating and training new personnel
- Delegated patient care to subordinate staff based on competencies and patient care needs
- Participated in daily rounds, coordinated with social workers, discharge planners and nurse manager about patient daily care maps and outcomes.
- Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds, and thoracic trauma.
- Communicated openly and collaboratively with all healthcare staff to organize successful patient care.
- Educated patients and answered questions about health condition, prognosis, and treatment.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Answered codes quickly and orchestrated efficient, skilled medical care.
- Educated family members and caregivers on patient care instructions.
- Kept optimal supply levels in treatment rooms, triage, and other areas to meet typical patient loads.
- Remained calm and productive during life-threatening situations to maximise positive outcomes.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
Brookhaven HospitalNew York
01.2011
Southside HospitalBayshore, NY
Registered Nurse
06.2008 - 11.2010
Job overview
- Responsible for care, admissions, discharges, and transfers of six to nine patients during 7AM to 7PM shift on a Medical Surgical/ Infectious Disease floor
- Performed patient assessments, personal care, monitored vital signs, blood glucose monitoring, and administered PO, SQ, IM, IV, GT and PCA pump medications as prescribed, administered and monitored blood transfusions, IVs, Foleys, wound vacs and responsible for patient skin management and wound care
- Observed, recorded, and reported symptoms, reactions, abnormal lab work and test results, problems and/or progress of patients to doctors
- Prepared assigned patients for various tests and surgical procedures
- Reacted to patient rapid response and codes and assisted with lifesaving treatments
- Monitored PICC Lines, Central Lines, Perma- catheters, AV fistulas, Shunts and replaced dressings as needed.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Managed quality care for patients with heart failure, end-stage renal disease and coronary artery disease.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Managed care from admission to discharge.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Provided didactic and clinical instructions to orient new nurses and potential student nurses to achieve training outcomes.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Oversaw delivery of care for patients on medical-surgical unit, providing direct care, delegating nursing assignments and supervising team comprised of nurses, LPNs, technicians, and unit clerks.
Education
Sacred Heart UniversityFairfield, CT
Doctorate Nurse Practitioner Program from DNP
11.2021 - Current
University of Texas
Bachelor of Science from Nursing
09.2013 - 05.2017
Helene Fuld College of Nursing
University Overview
Rotations in Bellevue Hospital, the Hospital for Joint Disease, North General and Lenox Hill Hospital
Skills
Microsoft Office (Word, PowerPoint, Excel, One Note)undefined
Additional Information
- Technical Skills, Certifications & Licenses , New York State Licensed Registered Nurse License Florida State Licensed Registered Nurse License
Certification
Marguerite d'Youville FertilityCare PRACTITIONER Program Accredited by the American Academy of FertilityCare Professionals [Timeframe]
Certified on Physician’s Practical Guide to Culturally Competent Care
As a healthcare worker, I understand the importance of providing culturally competent care to whatever diverse population comes through our doors. That's why I took the necessary steps to become certified on the Physician's Practical Guide to Culturally Competent Care. Through this certification, I gained invaluable knowledge on the importance of understanding and respecting various cultures, beliefs, and practices when providing care. By being culturally sensitive, we not only improve patient outcomes but also build trust and establish strong relationships with our patients. I am proud to be part of a healthcare system that values diversity and inclusion in care, and I hope to continue to empower my colleagues and patients with this knowledge.
Availability
See my work availability
Not Available
Available
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
swipe to browse
Timeline
Sacred Heart University
Doctorate Nurse Practitioner Program from DNP
11.2021 - Current
Marguerite d'Youville FertilityCare PRACTITIONER Program Accredited by the American Academy of FertilityCare Professionals [Timeframe]
03-2021
Certified on Physician’s Practical Guide to Culturally Competent Care
02-2021
Performance Quality Improvement Specialist Nurse
Catherine’s of Siena Medical Center
04.2017 - 01.2023
University of Texas
Bachelor of Science from Nursing
09.2013 - 05.2017
Hybrid Medical Care Representative /H Medical Care Representative /Site Medical Care Representative /RN Case Manager
New York State Insurance Fund
01.2013 - 03.2017
Remote Telehealth Nurse
Catholic Home Health System
01.2012 - 02.2017
Brookhaven Hospital
01.2011
ED Registered Nurse
Brookhaven Hospital
12.2010 - 01.2012
Registered Nurse
Southside Hospital
06.2008 - 11.2010
New York State Licensed Registered Nurse License e]
06-2008
Helene Fuld College of Nursing
05.2008
Similar Profiles
Lisa VanVechten-Flynn MA PTLisa VanVechten-Flynn MA PT
Physical Therapist at St. Catherine of Siena Medical CenterPhysical Therapist at St. Catherine of Siena Medical Center
Nora GuidoNora Guido
Registered Nurse, Coronary Care Unit at St Catherine Of Siena Medical CenterRegistered Nurse, Coronary Care Unit at St Catherine Of Siena Medical Center
Amanda NollAmanda Noll
Performance Improvement Specialist- RN at St. Catherine Of Siena Medical CenterPerformance Improvement Specialist- RN at St. Catherine Of Siena Medical Center
Max AdlerMax Adler
Catering Associate, Bakery Clerk, Cashier at Iavarone BrothersCatering Associate, Bakery Clerk, Cashier at Iavarone Brothers
Rachel BahrenburgRachel Bahrenburg
Front Desk Associate at UW Madison ATP DepartmentFront Desk Associate at UW Madison ATP Department