Summary
Work History
Education
Skills
Timeline

Patricia Marcoccio, RN. BS.

Blue Cross Blue Shield of Rhode Island

Summary

Detail-oriented HEDIS Nurse Quality Analyst with a strong focus on data accuracy and compliance. Proven ability to enhance patient outcomes through effective clinical documentation and multidisciplinary collaboration.

Work History

HEDIS Nurse Quality Analyst

Blue Cross Blue Shield of Rhode Island | 2021 - 2026
  • Analyzed HEDIS measures for compliance with quality standards, contributing to enhanced patient care outcomes.
  • Conducted audits of medical records to validate data accuracy, ensuring reliable reporting.
  • Performed data abstraction and review of medical records for accuracy.

HEDIS Nurse Quality Analyst

Neighborhood Health Plan of Rhode Island | 2011 - 2014

Abstracted medical records to support HEDIS audit accuracy.

Transportation Nurse

Providence School Department | 2010 - 2014

Coordinated safe transportation for medically fragile students to and from school.

Director of Pediatrics

Cranston Arc | 2005 - 2010

Started as staff nurse at school for severely disabled children, later became Director of Pediatrics.

Visiting Nurse

Northwest Visiting Nurses | 1992 - 2005
  • Administered patient care plans based on individual health assessments and needs.
  • Educated patients and families on disease management, medication adherence, and preventive measures.
  • Coordinated with multidisciplinary teams to ensure comprehensive patient support and continuity of care.
  • Monitored vital signs and documented changes in patient conditions to inform treatment adjustments.

Head Nurse Coordinator

Miriam Hospital | 1975 - 1992

Began my nursing career as a staff nurse, progressing to Head Nurse Coordinator, Nurse for the Cardiology Department, then Research Nurse for the National Institute of Health for Cardiac Studies: Study of Left Ventricular Dysfunction (SOLVD) and Cardiac Arrhythmia Suppression Trial (CAST).

Education

Bachelor of Science - Nursing

Rhode Island College | Providence, RI

Skills

HEDIS review expertise (9 years)
High rate of accuracy while abstracting records
Clinical documentation review
Diverse medical experience
Quality improvement
Clinical documentation review
Overreader and abstractor

Timeline

HEDIS Nurse Quality Analyst

Blue Cross Blue Shield of Rhode Island
2021 - 2026Read More

HEDIS Nurse Quality Analyst

Neighborhood Health Plan of Rhode Island
2011 - 2014Read More

Transportation Nurse

Providence School Department
2010 - 2014Read More

Director of Pediatrics

Cranston Arc
2005 - 2010Read More

Visiting Nurse

Northwest Visiting Nurses
1992 - 2005Read More

Head Nurse Coordinator

Miriam Hospital
1975 - 1992Read More

Rhode Island College

Bachelor of Science from Nursing
Read More
Patricia Marcoccio, RN. BS.