ERICA SIMONSEN
Fayetteville,NC
Summary
Efficient Quality Improvement Coordinator with a track record of success as Registered Nurse. Compassionate and driven professional with exceptional record, clinical skills and understanding of utilization review. Strong communicator with analytical and meticulous approach.
Overview
12
12
years of professional experience
Work History
Director, Quality Improvement and Compliance
LIFE St. Joseph Of The Pines
Fayetteville, NC
12.2019 - Current
- Initiates develops and guides implementation of annual Quality Assurance Performance Improvement Plan
- Schedules and coordinates PACE Quality Management Committee in collaboration with Medical Director
- Analyze risk management data and quality data in order to identify and control loss
- Ensure compliance with CMS regulations
- Coordinate and maintain activities pertaining to complaints, service delivery requests, grievances and appeals
- Assures regulatory compliance with incident reporting including trend analysis
- Manage preparation for CMS site visits and Inspections and all subsequent follow up activities
Health Care Coordinator
LIFE St. Joseph Of The Pines
Fayetteville, NC
12.2015 - 12.2019
- Assists in program development for LIFE St Joseph of the Pines
- Effectively completes in person health assessments for all participants entering LIFE program
- Assists in resolving and satisfying participant requests and internal operational issues
- Directly supervises Day Center Clinical staff
- Implements infection control plan to ensure safe environment
- Monitors Day Center clinical staff to assure practice and physical areas of practice are in compliance OSHA regulations and agency policies and procedures.
Wellness Coordinator
LIFE St. Joseph Of The Pines
Fayetteville, North Carolina
06.2014 - 12.2015
- Ensured completion of documentation of clinical service in participant's medical records including initial assessments, reassessments, change of status, home and nursing home visits and other significant events according to LIFE St Joseph of the Pines requirements
- Creatively and effectively provided medical care to diverse patient population
- Implemented and managed contracted home care services
- Provided education to participants and caregiver's in regards to plan of care, nursing treatments and medications
- Assisted in developing a comprehensive plan of care for each LIFE participant.
In Home Services Liaison
LIFE St. Joseph Of The Pines
Fayetteville, NC
04.2013 - 06.2014
- Performed initial assessments of participants in their home environment to determine their individual needs
- Coordinated with Interdisciplinary team to develop plan of care for each participant
- Served as liaison between LIFE St. Joseph of the Pines and contracted Home Health Agencies and Personal Care Agencies
- Instructed and educated contracted personnel regarding care plans of each participant
- Reconciled and approved documentation and billing of contracted services
- Provided health counseling to participants and their families on an individual or group basis as needed.
Registered Nurse / Cape
Fear Valley Health System
Fayetteville, NC
07.2010 - 04.2013
- Planned and implemented professional nursing care for patients in accordance with hospital policies
- Assumed charge nurse responsibilities as assigned
- Provided nursing care to diverse patient population within stepdown/progressive care setting, often status post intensive care
- Managed patients with wide variety of chronic to acute illnesses to include: congestive heart failure, dysrhythmia, chest pain, COPD, pneumonia, stroke, respiratory failure, sepsis, acute pulmonary embolus, diabetic ketoacidosis, acute myocardial infarction status post stents
- Managed critical drips
- Executed multidisciplinary planning with patient, their family, primary care physician, other healthcare providers, and community to maximize healthcare response and quality.
Education
Bachelor of Science - Nursing
Fayetteville State University
2010
Skills
- Practices standards and techniques of a Registered Nurse
- Experienced Quality Improvement Manager with experience in PDSA model and risk management
- Ability to foster collaborative working relationships
- Creative, detail-oriented and organized
- Effective leader and Motivator
- Excellent written and verbal communication skills with Specific ability to maintain accurate records
- Skilled in establishing and maintaining effective working relationships with participants, co-workers, medical staff and public
- Skilled in identifying and Recommending problem resolution
- Ability to facilitate effective meetings
- Excellent customer service
Timeline
Director, Quality Improvement and Compliance
LIFE St. Joseph Of The Pines
12.2019 - Current
Health Care Coordinator
LIFE St. Joseph Of The Pines
12.2015 - 12.2019
Wellness Coordinator
LIFE St. Joseph Of The Pines
06.2014 - 12.2015
In Home Services Liaison
LIFE St. Joseph Of The Pines
04.2013 - 06.2014
Registered Nurse / Cape
Fear Valley Health System
07.2010 - 04.2013
Bachelor of Science - Nursing
Fayetteville State University
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