Melissa Sutton
Peoria
Summary
Multi-skilled RN with strong experience in quality improvement. Providing high quality patient care through collaboration, environment Strengths include: Being very adaptive to everchanging environment Calm in chaotic situations Positive attitude Collaborative/team oriented Multi-system/software skills and EMR savvy Being a role model for peers Highly dependable Excellent at interpreting raw data rapidly
Highly skilled in quality control systems management with experience across various manufacturing sectors. Possess deep understanding of compliance standards, process optimization, and risk management strategies. Demonstrated ability to lead teams towards achieving consistent product quality and operational efficiency. Improved system processes and documentation, resulting in enhanced product reliability and customer satisfaction.
Overview
20
20
years of professional experience
Work History
Quality Improvement Coordinator
Arizona Complete Health Plan Centene
Tempe
02.2019 - Current
- Company Overview: Centene
- Quality Improvement
- Centene
- Evaluated healthcare operations in comparison to guidelines.
- Leveraged quality metrics data to assess positive and negative aspects of current operations.
- Created applicable procedures, training, and operating standards to implement quality improvement plans.
- Monitored product trends and suggested changes.
- Recommended changes based on findings from investigations or audits.
- Performed root cause analysis when necessary in order to identify systemic problems.
HEDIS Case Manager
United Healthcare Military & Veteran’s
01.2016 - 12.2018
- Company Overview: Quality Management
- Quality Management
- Provided direct service and support by handling referrals for advocacy issues or resolving complaints.
- Coordinated comprehensive care plans for clients to meet their individual needs.
- Collaborated with medical professionals to coordinate treatment plans for clients.
- Acted as consultant to community programs by interpreting regulations and policies.
Home Program Manager
Arizona Priority Care
Chandler
01.2013 - 12.2016
- Company Overview: Quality Management
- Quality Management
- Drafted reports for senior management highlighting key milestones achieved throughout the program lifecycle.
- Led the recruitment, training, and development of program staff, building high-performing teams committed to achieving program success.
- Implemented best practices in order to maximize efficiency of operations.
- Conducted regular meetings with team members to review progress and address any issues or concerns.
- Fostered a collaborative program environment, promoting teamwork and cross-functional cooperation.
- Reviewed customer feedbacks on a regular basis in order to identify potential areas of improvement in service delivery.
Infusion/PICC/Pain Nurse
Banner Health
Sun City
01.2011 - 12.2013
- Company Overview: Outpatient Services
- Outpatient Services
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Delivered compassionate care to increase comfort and psychological, social and spiritual well-being.
- Maintained thorough, accurate and confidential documentation in electronic medical records.
- Administered medications and treatments, monitoring patients for reactions and side effects.
- Participated in quality improvement initiatives in order to improve patient outcomes.
- Maintained a safe environment for both staff and patients through adherence to safety protocols.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Oversaw patient admission and discharge processes to coordinate related paperwork.
- Used sterile techniques to prepare patients for procedures.
- Responded quickly and effectively to changes in condition or response to treatment.
- Performed physical assessments to identify any changes in the patient's condition or needs.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Conducted specified laboratory tests to help detect conditions and determine diagnosis.
Float Pool Nurse
Banner Staffing
01.2008 - 12.2013
- Company Overview: Banner Health
- Banner Health
Medical/Surg Nurse
Banner University
Phoenix
01.2005 - 12.2008
- Company Overview: Banner Health
- Banner Health
- Ensured that all documentation was accurate and up-to-date according to established guidelines.
- Created, implemented and evaluated patient care plans with medical team.
- Educated patients, caregivers and families on diagnoses, treatment options and disease prevention.
- Managed multiple tasks simultaneously while prioritizing urgent requests from physicians or nurses.
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
- Administered medications, tracked dosages, and documented patient conditions.
- Adhered to infection control procedures to facilitate safe, clean patient environment.
- Advocated for patients by supporting and respecting basic rights, values, and beliefs.
Education
Bachelors of Science - Nursing
Chamberlain College of Nursing
Phoenix, AZAssociates - Nursing
Phoenix College
Phoenix, AZSkills
- Adaptive to everchanging environment
- Calm in chaotic situations
- Positive attitude
- Collaborative/team oriented
- Multi-system/software skills
- EMR savvy
- Role model for peers
- Highly dependable
- Excellent at interpreting raw data rapidly
- Data analysis
- Quality metrics
- Root cause analysis
- Process improvement
- Team leadership
- Problem solving
- Training development
- Continuous improvement methodologies
- Quality management systems
References
Available upon request
Timeline
Quality Improvement Coordinator
Arizona Complete Health Plan Centene
02.2019 - Current
HEDIS Case Manager
United Healthcare Military & Veteran’s
01.2016 - 12.2018
Home Program Manager
Arizona Priority Care
01.2013 - 12.2016
Infusion/PICC/Pain Nurse
Banner Health
01.2011 - 12.2013
Float Pool Nurse
Banner Staffing
01.2008 - 12.2013
Medical/Surg Nurse
Banner University
01.2005 - 12.2008
Bachelors of Science - Nursing
Chamberlain College of Nursing
Associates - Nursing
Phoenix College