Mia Rydelek
Lockport
Summary
Dedicated RN seeking a Quality Assurance Nurse Specialist role to leverage expertise in compliance audits and process improvement to enhance patient care standards.
Registered Nurse with 15+ years of experience in clinical care and quality assurance. Proven track record of reducing compliance errors by 20%, leading cross-functional teams, and implementing process improvements that enhanced patient outcomes.
Overview
16
16
years of professional experience
Work History
Quality Assurance Nurse Specialist
Maximus, Inc.
05.2024 - Current
- Conduct daily, weekly, and monthly audits of care plans, medical charts, and appeals
evaluations for the Children & Youth Evaluation Service under the New York State
Department of Health, which helps qualifying families access vital home and
community-based medical/psychological services - Review upwards of 250+ documents per week while consistently achieving 99% accuracy
percentage and adhering to the DOH guidelines - Collaborated with interdisciplinary teams to identify areas for process improvement and implement corrective actions.
- Assist with staff training by highlighting knowledge gaps and providing corrections
- Analyzed data trends to evaluate care outcomes and drive continuous improvement initiatives across departments.
- Mentored junior nurses in quality assessment methodologies to foster professional development and expertise.
- Streamlined reporting processes for quality metrics, increasing efficiency in documentation and analysis workflows.
- Enhanced compliance with regulatory standards through diligent monitoring of nursing procedures and protocols.
- Monitored patient complaints and grievances, using data-driven insights to develop targeted interventions for improving service delivery.
Regional Nurse Manager
Maximus, Inc.
09.2023 - 05.2024
- Supervised a team of 15 nurse evaluators, achieving a 98% compliance rate in evaluations.
- Increased team productivity by 20% through optimized caseload distribution.
- Led monthly training sessions that improved staff competency scores by 25%.
Quality Assurance Nurse Specialist
Maximus, Inc.
07.2021 - 09.2023
- Conduct daily, weekly, and monthly audits of care plans, medical charts, and appeals evaluations for the Children & Youth Evaluation Service under the New York Department of Health, which helps qualifying families access vital home and community-based medical/psychological services
- Review upwards of 250+ documents per week while consistently achieving 99% accuracy percentage and adhering to the DOH guidelines
- Collaborated with interdisciplinary teams to identify areas for process improvement and implement corrective actions.
- Assist with staff training by highlighting knowledge gaps and providing corrections
- Analyzed data trends to evaluate care outcomes and drive continuous improvement initiatives across departments.
- Mentored junior nurses in quality assessment methodologies to foster professional development and expertise.
- Streamlined reporting processes for quality metrics, increasing efficiency in documentation and analysis workflows.
- Enhanced compliance with regulatory standards through diligent monitoring of nursing procedures and protocols.
- Monitored patient complaints and grievances, using data-driven insights to develop targeted interventions for improving service delivery.
Nurse Evaluator
Maximus, Inc.
06.2019 - 07.2021
- Completed 100+ comprehensive evaluations per year, ensuring accurate care planning.
- Increased family satisfaction scores by 15% through improved communication strategies.
- Reduced evaluation turnaround time by 25% via workflow enhancements.
RN Intake Specialist
Fidelis Care
06.2017 - 06.2019
- Performed 500+ UAS assessments annually, maintaining a 99% accuracy rate.
- Coordinated care plans that improved member health outcomes by 10%.
- Streamlined intake process, reducing delays by 20%.
Care Manager
Kaleida Health
07.2016 - 06.2017
- Managed caseload of 20 members, achieving a 95% compliance rate for enrollment.
- Implemented care strategies that reduced hospital readmissions by 12%.
- Enhanced member engagement, increasing program participation by 15%.
Assistant Director of Client Care Services
Briarwood Manor
12.2011 - 07.2016
- 25+ staff members supervised, improving performance metrics by 30%.
- Conducted monthly evaluations, reducing care deficiencies by 25%.
- Developed training programs that boosted staff retention by 15%.
Staff Nurse
Eastern Niagara Hospital
07.2010 - 07.2012
- Delivered acute care to 7 patients daily, maintaining a 99% medication accuracy rate.
- Assisted in reducing patient falls by 10% through safety initiatives.
- Supported interdisciplinary teams to improve discharge efficiency by 15%.
Education
Associate of Applied Science Degree - Nursing
Niagara County Community College
Sanborn, NY05-2010
Bachelor of Science Degree - Finance
Canisius College
Buffalo, NYSkills
- Quality improvement
- Problem-solving
- Attention to detail
- Excellent communication
- Clinical documentation
- Patient care assessment
Languages
English
Native or Bilingual
Timeline
Quality Assurance Nurse Specialist
Maximus, Inc.
05.2024 - Current
Regional Nurse Manager
Maximus, Inc.
09.2023 - 05.2024
Quality Assurance Nurse Specialist
Maximus, Inc.
07.2021 - 09.2023
Nurse Evaluator
Maximus, Inc.
06.2019 - 07.2021
RN Intake Specialist
Fidelis Care
06.2017 - 06.2019
Care Manager
Kaleida Health
07.2016 - 06.2017
Assistant Director of Client Care Services
Briarwood Manor
12.2011 - 07.2016
Staff Nurse
Eastern Niagara Hospital
07.2010 - 07.2012
Associate of Applied Science Degree - Nursing
Niagara County Community College
Bachelor of Science Degree - Finance
Canisius College