Heather Kage

• Coordinated hospital-wide activities to assess and improve compliance to the CMS Conditions of Participation and Joint Commission Standards to support patient, staff and visitor safety and ensuring ongoing readiness.
• Led on-site survey activities from accreditation and licensing bodies.
• Maintained Chapter Scoring software to guide leaders through the scoring process, evaluation and action plan development.
• Coordinated accreditation timelines, deadlines, and stakeholder communications across internal departments.
• Led accreditation documentation reviews to ensure alignment with current standards and submission requirements.
• Maintained accreditation tracer program by populating data, submitting and monitoring tasked items, and generating reports.
• Assisted in the development of policies and procedures to support best practices for accreditation processes. Served as site Policy Administrator.
• Interpreted accreditation criteria and guided teams through required process changes.

I held a Nurse Educator position during my time as a House Supervisor, Nurse Manager and Accreditation Resource RN. My hours were formally divided in 2020 to accommodate the needs of this role.

• Promoted professional growth among nursing staff through continuous education opportunities, conferences, and skills-day events.
• Supported the Nurse Managers in developing and assessing competencies for each nursing unit.
• Coordinated continuing education activities, maintaining compliance with licensure and competency expectations.
• Updated policies and procedures to reflect evidence-based practices and current nursing guidelines.

• Supervised nursing and support staff, resolving staffing gaps and operational issues promptly.
• Coordinated patient flow, bed assignments, and admissions to support efficient hospital throughput.
• Monitored unit activity, escalating clinical concerns and service disruptions to appropriate leadership.
• Enforced hospital policies, regulatory standards, and infection control practices across departments.

During my position as a House Supervisor, I managed the Emergency Department for approximately months in an interim position. I also co-managed the Medical Surgical unit for approximately 3 years.

Medical Surgical staff nurse for approximately 5 years before moving to the Intensive Care unit for approximately 4 years.

• Summa Cum Laude