Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Nicole Pena

Temecula,CA

Summary

Dynamic Optimization Consultant with Permanente Medical Group, skilled in workflow optimization and change management. Proven track record in developing policies that enhance operational efficiency and improve clinical outcomes. Adept at data analysis and performance assessment, fostering collaboration among cross-functional teams to drive sustainable improvements in healthcare delivery.

Overview

16
16
years of professional experience
1
1
Certification

Work History

Optimization Consultant

Permanente Medical Group
Fontana, CA
09.2022 - Current

• Design, develop and implement medical center and regional policies and procedures to establish compliant workflows for a wide variety of complex topics.
• Lead multiple cross functional groups to optimize the integration of the KP HealthConnect product into Operations to drive improved outcomes.
• Assess performance regarding skills and workflow gaps and develop remediation/sustainability plan for front line staff.
• Train the Front Line Manager on how to monitor staff performance and trouble shoot non-performance.
• Utilize change management techniques and existing resources to support sustainability.
• Provide clinical leadership and expertise for the Regional Workflow Consultants.
• Partner with the owners of regional and local initiatives to connect multiple stakeholders into a unified approach at the module and medical center level.
• Map best practices including key drivers to support clinical outcomes and advise executive leadership.
• Analyze and utilize reports to identify gaps in performance to develop action plans for leadership.

Call Center QA/QI Specialist

Permanente Medical Group
San Diego
08.2021 - 09.2022

• Developed collaborative relationship with training and supervisors.
• Acted as a consultant to Operations in evaluating quality issues.
• Assisted with quality management studies through data collection, data input.
• Provided objective assessment of important aspects of patient care through ongoing chart review with preestablished criteria.
• Reported all occurrences which may lead to KP Oncall liability to QI Manager and others as established by policy and procedure, and follow up as necessary.
• Assisted in orientation and training of peers.
• Provided assistance with all call monitoring of staff both RN's and CSS's.
• Performed special projects as assigned.
• Assisted the Manager of Quality Improvement in achieving and maintaining departmental goals and objectives.
• Maintained the integrity and confidentiality of quality information and databases.

Telemedicine Specialist-RN

Kaiser Permanente
San Diego, CA
11.2020 - 08.2021
  • Handled continuous inbound telephone volume.
  • Assessed and triaged patients via telephone, following up.
  • Used nursing protocols, identified patient needs, and appropriately advised the physician of unusual circumstances or abnormal conditions.
  • Collected data related to health history, using interviewing, questioning, and listening skills, and utilized a computer system to identify pertinent information.
  • Implemented care and/or initiated action in response to data indicating potential or actual risk to patients' health based on age-specific development.
  • Effectively used computers and other technology systems to record pertinent provider data, interactions, interventions, and outcomes.
  • Acted as a patient advocate; promotes patient self-efficacy through preventative and health promotion information.
  • Demonstrated an awareness of and sensitivity to patient and family rights.

Urgent Care Level III Registered Nurse

Kaiser Permanente
San Marcos
11.2014 - 11.2020

• Worked in a high acuity urgent care setting providing urgent and emergency nursing care.
• Worked as a charge nurse at San Marcos Urgent Care leading a team to deliver efficient and quality care to our members at Kaiser Permanente.

Emergency Room Registered Nurse

Loma Linda Medical Center
Murrieta
05.2011 - 11.2014
  • Provided emergency nursing care to patients of all ages, ranging in medical acuity, including acutely ill pediatric patients
  • Assisted with pediatric and adult procedural sedations in the emergency department
  • Worked as a team member with other healthcare providers to initiate policies and procedures to be used in the opening of a new emergency department
  • Provided initial assessment of patients checking into the emergency department and managed the order of patient care and the needs of a busy waiting room
  • Collaborated with other healthcare providers and hospital departments to provide excellent care to patients of all medical acuity in the emergency department
  • Applied clinical knowledge of human growth and development to provide exceptional care for patients of all ages
  • Utilized compassion, multitasking skills and nursing judgment to carry out a plan of care and evaluate the advancement towards desired outcomes for an assigned group of patients with emergency needs
  • Worked in an office setting running culture reports, making follow-up phone calls to patients seen in the emergency department, and collaborated with radiologists and emergency physicians to help ensure patients received proper follow-up care after emergency visits and were taking appropriate medications

Emergency Room Registered Nurse

Pomerado Hosptial
Poway
07.2009 - 05.2011
  • Provided emergency nursing care to an assigned group of patients, ranging in medical acuity and age, including acutely ill pediatric patients.
  • Assisted with pediatric and adult procedural sedations in the emergency department.
  • Employed nursing judgment and clinical knowledge to rapidly assess a large number of patients, and triage those patients according to medical necessity to be seen and evaluated.
  • Collaborated with other healthcare providers to provide excellent and compassionate care to patients of all ages and acuity.

Education

Bachelor of Science - Nursing

University of California, Irvine
Irvine, CA
05-2009

Skills

  • Workflow optimization
  • Change management
  • Data analysis
  • Policy development
  • Performance assessment
  • Quality assurance

Certification

  • Ambulatory Care Nursing Certification (AMB-BC)

Timeline

Optimization Consultant

Permanente Medical Group
09.2022 - Current

Call Center QA/QI Specialist

Permanente Medical Group
08.2021 - 09.2022

Telemedicine Specialist-RN

Kaiser Permanente
11.2020 - 08.2021

Urgent Care Level III Registered Nurse

Kaiser Permanente
11.2014 - 11.2020

Emergency Room Registered Nurse

Loma Linda Medical Center
05.2011 - 11.2014

Emergency Room Registered Nurse

Pomerado Hosptial
07.2009 - 05.2011

Bachelor of Science - Nursing

University of California, Irvine
Nicole Pena