Sasha Ridgeway, BSN, RN

Experience

• 

  Beaumont Health

  Oct 2018 - Feb 2022

  Ensured proper documentation intra-operativelyData collection and analysis to perform patient careComplied with all established procedural standardsCollaborated with interdisciplinary healthcare team to plan and implement effective treatment plans Detailed patient care documentationDelivered information regarding care and medications to patients and care teamData collection and analysis to perform patient careCollaborated with interdisciplinary healthcare team to plan and implement effective treatment plans

  • Registered Nurse

    Sept 2019 - Feb 2022

  • Registered Nurse

    Oct 2018 - Sept 2019
• 

  Lakes Surgery Center

  Feb 2022 - Dec 2022

  Registered Nurse

  Ensured proper documentation intra-operativelyData collection and analysis to perform patient careComplied with all established procedural standardsCollaborated with interdisciplinary healthcare team to plan and implement effective treatment plans

• 

  AmeriHealth Caritas

  Jan 2023 - Sept 2023

  Case Management Nurse

  Reviewed, organized, and analyzed medical data to provide member careReviewed cases, summarized the facts of each case, and assessed for issuesCompleted required forms and detailed documentation regarding member interactions Maintained assigned work list, meeting all deadlinesContributed as an active member of an interdisciplinary team to assess, plan, organize, review, and evaluate the care needs of members requiring health care services

• 

  Blue Cross Blue Shield of Michigan

  Apr 2024 - now

  Clinical Project Improvement Coordinator

  •Responsible for maintaining NCQA accreditation for the Enterprise, focusing primarily on ensuring compliance and demonstrating our commitment to delivering high-quality care for all members•Create, manage and monitor NCQA documentation•Develop, coordinate, monitor and maintain documented evidence of NCQA compliance•Responsible for educating staff across the organization on NCQA standards and requirements•Responsible for evaluating current practices and identifying gaps in compliance and for identifying opportunities for improvement and taking necessary action•Identify potential problems that may have an adverse impact on accreditation and escalate to leadership to mitigate and resolve•Responsible for leading weekly meetings to create, review, update, or provide recommendations for supporting documents•Manage and continually monitor assigned NCQA standards/elements/factors simultaneously•Conduct file reviews to evaluate the compliance with defined criteria, which includes the selection of files using systematic sampling, conducting file reviews based on specified criteria, identifying compliance gaps, developing report cards to communicate gaps, recommending solutions to close gaps, working collaboratively with operational areas to implement corrective action plans as necessary and monitor the corrective action plan progress•Responsible for conducting data analysis and reporting, this includes literature searches, defining and submitting data requirements, collecting data, conducting quantitative and qualitative analysis, interpreting the data, identifying trends, identifying barriers, formulating recommendations, identifying key stakeholders to coordinate activities based on recommendations, implementing and monitoring interventions to mitigate barriers, developing reports, papers and/or other materials in a clear and concise manner•Responsible for communicating monthly policy updates and process changes to the appropriate operational areas Show less