Quality In Real Time

Description

Address: 15 Verbena Ave #210, Floral Park, NY 11001 Hours: Closed ⋅ Opens 9AM Monday9AM–5PMTuesday9AM–5PMWednesday9AM–5PMThursday9AM–5PMFriday9AM–5PMSaturdayClosedSundayClosedSuggest an edit Unable to add this file. Please check that it is a valid photo. Phone: (855) 485-7478Website: : : : Place name: : Category: : : Website: http://www.qirt.com/ Category: Home health care service Suggest an editUnable to add this file. Please check that it is a valid photo. Unable to add this file. Please check that it is a valid photo. Questions & answers Ask a questionBe the first to ask a question

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Quality In Real Time Employees

Employee
Years
Job
Industry
Gwyn Groce Gwyn Groce Chattanooga, Tennessee Area Details
Gwyn Groce's Quality In Real Time Experience October 2013 - Present
Job RN, BS, COSC, HCSD at Quality In Real Time
Industry Hospital & Health Care
Experience
Quality In Real Time   October 2013 - Present
Home Health Care  March 2006 - October 2013
Continue Care Health Services   June 1992 - March 2006

Skills
Medical record audit..., Nursing, Healthcare, Hospitals, Home Care, Healthcare Management, Patient Safety, Nursing Education, BLS, Acute Care, Critical Care, Patient Education, Wound Care, EMR, Managed Care

Education
Covenant College   1998 — 1999
Bachelor's degree, Business Administration and Management, General

Chattanooga State Community College   1990 — 1992
Associate of Science (A.S.), Registered Nursing/Registered Nurse

Laurie Erickson, RN, MSN Laurie Erickson, RN, MSN Springfield, Massachusetts Area Details
Laurie Erickson, RN, MSN's Quality In Real Time Experience May 2014 - Present
Job Assistant Quality Team Leader at Quality In Real Time
Industry Hospital & Health Care
Experience
Quality In Real Time   May 2014 - Present
BAYADA Home Health Care  June 2013 - May 2014
Baystate Visiting Nurse and Hospice (BVNAH)   May 2012 - June 2013
Baystate Visiting Nurse and Hospice (BVNAH), Springfield, MA   October 2009 - May 2012
Quaboag Valley VNA & Hospice, UMass Memorial Health System   2000 - 2009
Quaboag Valley VNA/Hospice, Palmer, MA   1992 - 2000

Skills
Home Care, Quality Improvement, OASIS, ICD-9, Medicare, Case Managment, Medicaid, Mental Health, Nursing, Healthcare Management, EMR, Performance Improvement, Hospitals, Wound Care, Medical/Surgical, Disease Management, EHR, HIPAA, Inpatient, Medical Coding, Nursing Education, Medical-Surgical

Education
University of Phoenix   2003 — 2006
MSN, Nursing

College of Our Lady of the Elms   1982 — 1986
BSN, Nursing

Hahnemann Hospital School of Nursing   1979 — 1981
Diploma, Nursing

Robert Wulff Robert Wulff Mineola, New York Details
Robert Wulff's Quality In Real Time Experience August 2011 - February 2014
Job HCSD, HCSO, COSC, BCHHC
Industry Hospital & Health Care
Experience
Corridor Group   August 2014 - Present
Transitions Health and Wellness   February 2014 - May 2015
Quality In Real Time   August 2011 - February 2014
Metropolitan Diagnostic Imaging   2007 - 2009
DOAR Litigation Consulting  2005 - 2007
Estee Lauder  2001 - 2005

Skills
Home Care Coding..., Home Care Clinical..., Home Care, Medical Coding, ICD-9, Strategic Planning, Process Improvement, Project Planning, Medical Records, Operations Management, CPT, Nonprofits, HIPAA, Medical Terminology, Healthcare Industry, Inpatient, Elder Care, Case Management, Medical Billing, Critical Care, Healthcare, Healthcare Management

Education
University of Phoenix   2005 — 2007
Associate's degree, Business

Suburban Technical School

Sasha Perusse Sasha Perusse United States Details
Sasha Perusse's Quality In Real Time Experience September 2013 - Present
Job Assistant Quality Team Leader at Quality In Real Time
Industry
Experience
Quality In Real Time   September 2013 - Present
Fazzi Associates  August 2010 - September 2013

Education
Springfield Technical Community College   2008 — 2009
Associate's degree, Medical Billing and Coding

Maureen Laimann Maureen Laimann Greater New York City Area Details
Maureen Laimann's Quality In Real Time Experience January 2012 - April 2014
Job Clinical Consulting Manager at BlackTree Healthcare Consulting
Industry Hospital & Health Care
Experience
BlackTree Healthcare Consulting  December 2014 - June 2015
BlackTree Healthcare Consulting  May 2014 - December 2014
Quality In Real Time   January 2012 - April 2014
Maureen Laimann Consulting, LLC   January 2011 - January 2012
Visiting Nurse Association of Central Jersey  March 1992 - March 2011

Skills
Home Care, Nursing, Healthcare, Hospitals, Healthcare Management, EMR, Informatics, Healthcare Information..., Medicare, Case Managment, Patient Advocacy, Utilization Management, Medical/Surgical, Program Development, Medical Coding, Managed Care, Pediatrics, Nursing Education, Cpr Certified, Disease Management, Inpatient, Quality Improvement, Medicaid, Wound Care, ICD-9, Medical Records

Education
Thomas Edison State College   2009 — 2013
RN to MSN, Nursing

Charles E. Gregory School of Nursing   1985 — 1988
diploma, nursing

Becky Cortis Becky Cortis Springfield, Massachusetts Area Details
Becky Cortis's Quality In Real Time Experience September 2013 - Present
Job Assistant Quality Team Lead at Quality In Real Time
Industry Hospital & Health Care
Experience
Quality In Real Time   September 2013 - Present

Skills
Healthcare, Microsoft Office, Excel, Customer Service

Education
Springfield Technical Community College

Tracey Marti, BCHH-C, HCS-D, HCS-O Tracey Marti, BCHH-C, HCS-D, HCS-O Orlando, Florida Area Details
Tracey Marti, BCHH-C, HCS-D, HCS-O's Quality In Real Time Experience October 2012 - Present
Job AQTL at Quality In Real Time
Industry Hospital & Health Care
Experience
Quality In Real Time   October 2012 - Present
Quality In Real Time   October 2012 - Present
Advanced Nursing Concepts   July 2007 - July 2012
People Systems  2004 - 2007

Skills
Medical Coding, HCS-D, HCS-O, BCHH-O, Healthcare, Medical Terminology, EMR, HIPAA, Hospitals, Medical Billing, ICD-9, Healthcare Information..., Medical Records, Medicare, Home Care, Medicine

Education
Belhaven College   2002 — 2004
Bachelor's degree, Business Administration

Valencia Community College
Associate's degree, Paralegal Studies

Elizabeth DiMeo Elizabeth DiMeo Floral Park, New York Details
Elizabeth DiMeo's Quality In Real Time Experience March 2013 - Present
Job Human Resources Operations Specialist at Quality In Real Time
Industry Hospital & Health Care
Experience
Quality In Real Time   March 2013 - Present
Quality In Real Time (QIRT)   March 2013 - Present
Donovan's of Bayside   May 2010 - March 2013
Dr. Christian Zimmer, DDS   May 2006 - May 2010

Skills
Healthcare Information..., Home Care, Medicare, Medical Records, Management, Customer Service, HIPAA, Medical Coding

Education
Queens College   2000 — 2004
Bachelor's degree, Sociology

Nassau Community College   1996 — 2000
Associate's degree, Restaurant/Food Services Management

Thomas Cannon Thomas Cannon Greater New York City Area Details
Thomas Cannon's Quality In Real Time Experience July 2009 - Present
Job Chief Operating Officer at Quality In Real Time
Industry Hospital & Health Care
Experience
Quality In Real Time   July 2009 - Present
Quality In Real Time   June 2008 - July 2009
Cowen and Company  June 1998 - April 2009

Skills
Operations Management, Medicare, IT Operations, Medicare/Medicaid..., Marketing Strategy, Operational Efficiency, Systems Analysis, Database Design, Healthcare Information..., Process Improvement, Strategic Planning, Business Process, Marketing, Quality Improvement, Project Planning, Business Analysis, Management, Clinical Research, Elder Care, Leadership, Medicare/Medicaid..., Team Building, Healthcare, HIPAA, Healthcare Management

Education
St. John's University, The Peter J. Tobin College of Business   2009 — 2011
MBA, Computer Information Systems

University of Delaware   1994 — 1998
BSBA, Finance, Economics

Nicole DePace Nicole DePace Greater Boston Area Details
Nicole DePace's Quality In Real Time Experience 2007 - 2010
Job Palliative Care Nurse Practitioner
Industry Health, Wellness and Fitness
Experience
NVNA and Hospice  2014 - Present
Beacon Palliative Care, an Amedisys Company   September 2011 - December 2013
Beacon Palliative Care Service, Inc.   June 2008 - September 2011
Quality In Real Time   2007 - 2010
Continuum Hospice   2007 - 2008
Mt. Sinai Hospital  July 2005 - June 2007

Skills
Nursing, Palliative Care, Home Care, Healthcare, Healthcare Management, Hospitals, Compassion, Clinical Research, Case Managment, End of Life, Medical/Surgical, Mental Health, Social Services, Geriatric Nursing, Patient Advocacy, Medicaid, Medicare, Case Management, Disease Management, Medical-Surgical

Education
Boston College   2008 — 2010
MS, Geriatric NP, Palliative Care NP

University of Colorado at Colorado Springs
Bachelor of Science (BS), Nursing Science

Elizabeth Curry Elizabeth Curry Greater Detroit Area Details
Elizabeth Curry's Quality In Real Time Experience June 2013 - Present
Job Quality Team Leader at Quality In Real Time
Industry Health, Wellness and Fitness
Experience
Quality In Real Time   June 2013 - Present
My PT Solutions   February 2012 - Present
Civil Air Patrol  July 2000 - Present
Advanced Medical  September 2013 - November 2013
Med Travelers  January 2012 - February 2012
Reflectx Services  March 2011 - December 2011
Mercy Homecare and Hospice   April 2007 - October 2010
Cadillac Area YMCA   November 2007 - September 2010
Max Well Physical Therapy   February 2009 - August 2010

Skills
Sports, Physical Therapy, Pediatrics, Swedish, Myofascial Release, Dance, Boot Camp, Step, Hip-Hop, Zumba, Gymnastics, Jazz, Public Speaking, Healthcare, Teaching, Customer Service, Event Planning, Coaching, Microsoft Office, Research, Emergency Management, Emergency Services, Homeland Security, Military, Disaster Response, Leadership, Incident Command, Project Planning, Training, Organizational..., Program Management, Exercises, Human Resources, Policy, Command, Cpr Certified, Search & Rescue, Government, Organizational..., Leadership Development, Preparedness, DoD, Staff Development, Marketing, Time Management, Supervisory Skills, Nonprofits, Hospitals, Volunteer Management, CPR Certified

Education
Baker College Business and Corporate Services   2013 — 2013
Bachelor's Degree, Health/Health Care Administration/Management

Baker College Business and Corporate Services   2009 — 2010
Associate of Arts and Sciences (AAS), Physical Therapist Assistant

Baker College Business and Corporate Services   2005 — 2008
AAS, Therapeutic Massage

Stacy Barber, RN, COS-C, HCS-D Dual Certified Stacy Barber, RN, COS-C, HCS-D Dual Certified Chantilly, Virginia Details
Stacy Barber, RN, COS-C, HCS-D Dual Certified's Quality In Real Time Experience February 2014 - Present
Job Quality Team Leader at Quality In Real Time
Industry Hospital & Health Care
Experience
Quality In Real Time   February 2014 - Present
Five Star Home Health Care  March 2013 - December 2013
The Medical Team, Inc.   May 2009 - March 2013
Reston Hospital Center  2006 - 2007
Haymarket Pediatrics   2004 - 2006
South Riding Pediatrics   2000 - 2002
Virginia Women's Health Associates   1999 - 2000

Skills
Nursing, Home Care, Medicare, EMR, OASIS, Disease Management, Healthcare, Pediatric Nursing, Patient Education, Utilization Management, Medicaid, Nursing Documentation, Chronic Care Management, Telehealth, Physicians, Medicine, Wound Care, Healthcare Management, Patient Advocacy, Nursing Education, ICD-9, Medical Coding, Obstetric Nursing, Acute Care

Education
George Mason University   1989 — 1993
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse

Osbourn Park

Maria Lucas, RN, HCS-D, BCHH-C Maria Lucas, RN, HCS-D, BCHH-C Greater Philadelphia Area Details
Maria Lucas, RN, HCS-D, BCHH-C's Quality In Real Time Experience June 2012 - July 2015
Job RN Case Manager
Industry Hospital & Health Care
Experience
Kennedy Health  August 2015 - Present
Kennedy Health  February 2015 - August 2015
Quality In Real Time   June 2012 - July 2015
Moorestown VNA and Hospice  June 2008 - April 2013
Kennedy Home Health   April 2000 - June 2008
Underwood Memorial Hospital  June 1998 - April 2000
VNA of Southern New Jersey   September 1994 - June 1998
Inspira Health Network  September 1994 - February 1996
Inspira Health Network  January 1993 - September 1994

Skills
Oasis Certified, Home Health Coding..., Nursing, Healthcare, Home Care, Managed Care, Healthcare Management, Hospitals, Utilization Management, Medical Records, Case Managment, Health Education, Inpatient, Clinical Research, Medicare, ICD-9, Cerner, BLS, ACLS, Medical Coding, Medicaid, Allscripts, Patient Advocacy, ICU, Nursing Education, Patient Safety, Healthcare Information..., Physical Therapy, Orthopedic, EMR, IV, Medication..., Quality Improvement, Critical Care, Medical/Surgical, Acute Care, Home Health Agencies, Disease Management, Patient Education, JCAHO, Pediatrics, Wound Care, Meditech, Home Infusion, Physicians, Rehabilitation, HIPAA, Palliative Care, Elder Care, Healthcare Consulting

Education
Helene Fuld School of Nursing   1989 — 1992
Nursing Certificate

Camden County College   1988 — 1992
Associate degree, Science

Nancy White HCS-D Nancy White HCS-D Springfield, Massachusetts Area Details
Nancy White HCS-D's Quality In Real Time Experience October 2013 - Present
Job Assistant Quality Team Leader at Quality In Real Time
Industry Management Consulting
Experience
Quality In Real Time   October 2013 - Present
Fazzi Associates  July 2010 - October 2013
New England Business Associates  July 1993 - February 2009

Skills
Medical Coding, Healthcare Information..., Healthcare, Medicare, Healthcare Management, Performance Improvement, HIPAA, Microsoft Office

Education
Springfield Technical Community College   2009 — 2010
Certificate, Medical Coding/Health Insurance Specialist

Adrianna Trotter, RN, COS-C, HCS-D ICD-10 Adrianna Trotter, RN, COS-C, HCS-D ICD-10 Hot Springs National Park, Arkansas Details
Adrianna Trotter, RN, COS-C, HCS-D ICD-10's Quality In Real Time Experience July 2013 - September 2013
Job OASIS Auditor/Coding Specialist (Independent Nurse Consultant)
Industry Management Consulting
Experience
Home Health Solutions, LLC   September 2013 - Present
Healthcare First   September 2013 - Present
Fazzi Associates  July 2013 - September 2013
Quality in Real Time   July 2013 - September 2013
Care IV Home Health  May 2009 - July 2013
University of Arkansas for Medical Sciences  October 2008 - June 2011
OnAssignment   March 2008 - October 2008
Gentiva Health Services  January 2006 - February 2008

Skills
Acute Care, Long-term Care, home health, Case Managment, insurance utilization, Nursing Management, Nursing Education, Nursing Care, Managerial Finance, Financial Analysis, Quality Management, Quality Auditing, Employee Training, Employee Relations, Employee Management, Market Research, Marketing, Marketing Communications, Recruiting, Customer Retention, Staff Retention, Retention Programs, Payroll, Human Resources, Staff Development, Staff Supervision, Peer Mentoring, Peer Leadership, Customer Service, Computer Proficiency, Home Care, Quality Improvement, Case Management, Disease Management, Healthcare, Hospitals, Physicians, Utilization Management, Healthcare Management, Training, Inpatient, Critical Care, Physician Relations, Patient Advocacy, Patient Safety, Medicaid, BLS, Wound Care, IV, Medical Coding

Education
University of Arkansas at Monticello   2000 — 2003
Associate of Arts and Sciences (A.A.S.), Registered Nursing/Registered Nurse

Great Rivers Vocational Institute   1999 — 2000
Licensure Certification, LPN

Andrea Yeiser Andrea Yeiser Hohenwald, Tennessee Details
Andrea Yeiser's Quality In Real Time Experience November 2014 - Present
Job Assistant Quality Team Leader at Quality In Real Time
Industry Hospital & Health Care
Experience
Quality In Real Time   November 2014 - Present
Maury Regional Hospital  January 2002 - October 2014
NHC  January 1998 - January 2002
Community home health  January 1995 - January 1998
Abc home care   January 1992 - January 1995

Skills
Healthcare, Healthcare Management, Home Care, Nursing, Hospitals, Case Management, Acute Care, Patient Safety, Utilization Management, Nutrition, Medicaid, Healthcare Information..., Medicare, EMR, Fitness, Clinical Research, Medical Coding, Medicare/Medicaid..., OASIS, Auditing, BLS, Case Managment, Staff Development, Hcs-d, COS-C, ICD-9-CM, ICD-10-CM

Education
Excelsior College   1993 — 1995
Associate's degree, Registered Nursing/Registered Nurse

Columbia State Community College   1989 — 1991
Pre-Nursing Studies

Nicole Musgrove, RN, HCS-D, HCS-O Nicole Musgrove, RN, HCS-D, HCS-O Detroit, Texas Details
Nicole Musgrove, RN, HCS-D, HCS-O's Quality In Real Time Experience January 2014 - Present
Job Director of Project Implementation at Quality in Real Time
Industry Hospital & Health Care
Experience
Quality In Real Time   January 2014 - Present
Quality In Real Time   July 2011 - December 2013
Jordan Health Service  June 2007 - June 2011
Paris Regional Medical Center  May 2003 - June 2007

Skills
OASIS, Home Health Coding, ICD-9, Nursing, Chart Audits, Postpartum, Home Health, Medical Coding, Utilization Management, Home Care, Healthcare, Nursing Management, Wound Care, EMR, HIPAA, Healthcare Management, Medical Records, Quality Improvement, Medicare, Managed Care, Disease Management

Education
Paris Junior College   2001 — 2003
Associate's Degree in Nursing (RN), Registered Nursing/Registered Nurse

Paris Junior College   2000 — 2003
Associate's Degree, Registered Nursing/Registered Nurse

Laura Page-Greifinger Laura Page-Greifinger Greater New York City Area Details
Laura Page-Greifinger's Quality In Real Time Experience January 2008 - Present
Job Principal and CEO at LPG & Associates & President/CEO of Quality In Real Time
Industry Hospital & Health Care
Experience
Quality In Real Time   January 2008 - Present
LPG & Associates   2000 - Present

Skills
Due Diligence, Audit, Healthcare, Executive Management, Non-profits, Program Development, Process Improvement, Performance Improvement, HIPAA, Healthcare Management, Social Services, Medicaid, Medicare, Policy, JCAHO, Auditing, Community Outreach, Utilization Management, Hospitals, Home Care, Nursing, Strategic Planning, Nonprofits, System Administration, Managed Care, Medical Records, Disease Management, Revenue Cycle, Medical Coding, Quality Improvement, EMR, ICD-9, Clinical Research, Case Managment, Physician Relations, Healthcare Consulting, Inpatient, Healthcare Industry, Physicians, Wound Care, Healthcare Information..., Critical Care, Elder Care, EHR, Informatics, Medical Terminology, Patient Safety, Home Health Agencies, Acute Care, Patient Advocacy

Education
City University of New York-Baruch College   1984 — 1986
MPA (Executive Program), Public Administration

Hunter College   1965 — 1969
BSN, Nursing

Philip Keating Philip Keating Greater New York City Area Details
Philip Keating's Quality In Real Time Experience January 2009 - Present
Job Chief Clinical Officer at Quality in Real Time
Industry Hospital & Health Care
Experience
Quality In Real Time   January 2009 - Present
Visiting Nurse Association of Hudson Valley  January 1999 - June 2010
Visiting Nurse Service of New York  April 2004 - August 2009
Beth Abraham Family of Health Services  January 1999 - April 2005

Skills
Home Care, Orthopedic, Vestibular Rehab, Healthcare Management, Geriatric Rehabilitation, Outpatient Orthopedics, Vestibular..., Inpatient, Fall Prevention, Treatment, Aquatic Therapy, Hospitals, Rehabilitation, Lymphedema, Manual Therapy, Acute Care, Clinical Research, Wound Care, Healthcare

Education
Misericordia University   1992 — 1997
Masters, Physical Therapy

Alison Pham Alison Pham Springfield, Illinois Details
Alison Pham's Quality In Real Time Experience July 2012 - Present
Job Assistant QTL at Quality In Real Time
Industry Hospital & Health Care
Experience
Quality In Real Time   July 2012 - Present
Andres Medical Billing  June 2011 - April 2012

Skills
HCS-O and HCS-D...

Education
Lincoln Land Community College   2008 — 2010

Theresa Morris, RHIT, HCS-D and HCS-O Theresa Morris, RHIT, HCS-D and HCS-O Lexington, Oklahoma Details
Theresa Morris, RHIT, HCS-D and HCS-O's Quality In Real Time Experience January 2011 - March 2014
Job Tead Lead Coder/Auditor at Select Data, Inc.
Industry Hospital & Health Care
Experience
Select Data, Inc.   March 2014 - Present
Quality In Real Time   January 2011 - March 2014
Mercy Home Health and Hospice   October 2009 - October 2011
Kforce  June 2008 - October 2009
Lester E. Cox Hospital   February 2003 - May 2008

Skills
ICD-9, CPT, Medical Coding, Medicare, Medical Records, EMR, Healthcare, Hospitals, Home Care, HIPAA, Medicaid, Healthcare Management, Medical Terminology, Healthcare Information..., Healthcare Consulting

Education
Rose State College   2000 — 2002
Associates In Health Information Technology, RHIT, Major

Rose State College Midwest City, Oklahoma   2000 — 2002
Associate's degree Health Information Technology, Health Information/Medical Records Technology/Technician

Daniele Weisberg Daniele Weisberg New York, New York Details
Daniele Weisberg's Quality In Real Time Experience 2012 - 2012
Job Administrative Assistant at Eastside Floor Supplies
Industry Accounting
Experience
Eastside Floor Supplies   October 2014 - Present
University of Rochester  September 2011 - January 2012
Quality In Real Time   2012 - 2012
University of Rochester  September 2010 - May 2011

Skills
Psychology, Graphic Design, Computer Proficiency, Social Media

Education
University of Rochester   2009 — 2013
Bachelor’s Degree, Psychology

Bronx High School of Science   2005 — 2009

Margaret Vento Margaret Vento Staten Island, New York Details
Margaret Vento's Quality In Real Time Experience October 2014 - Present
Job Home Health Care Administrator
Industry Hospital & Health Care
Experience
Quality In Real Time   October 2014 - Present
Simione Healthcare Consultants, LLC  2013 - August 2015
Premier Home Health Care Services, Inc  March 2014 - August 2014
Reliable Community Care, Inc.   April 2013 - March 2014
Family Care Certified Services, Inc.   July 2009 - July 2012
Richmond Home Need Services/UNICARE   March 2003 - May 2009

Skills
Healthcare, EMR, Hospitals, Nursing, Medicaid, Home Care, Medicare, Patient Advocacy, Managed Care, Disease Management, Healthcare Management, Utilization Management, Case Management, Elder Care, Physician Relations

Education
Central Michigan University   1989 — 1991
Master of Science in Administration, Healthcare Administration

State University of New York Downstate Medical Center College of Nursing   1982 — 1984
Bachelor's Degree, Registered Nursing/Registered Nurse

Betty Dumont Betty Dumont Cadillac, Michigan Details
Betty Dumont's Quality In Real Time Experience July 2013 - Present
Job QA Chart Audits and ICD Coding at Quality In Real Time, QA Specialist at Trinity Home Health Care
Industry Hospital & Health Care
Experience
Quality In Real Time   July 2013 - Present
Trinity Home Health Care  June 2004 - July 2015
Mercy Hospice  May 2001 - May 2003
Mercy Memorial Hospital System  September 1990 - May 2001
Annapolis Hospital  June 1981 - June 1990

Skills
Medicare, Medical Coding, Quality Assurance, Healthcare, Healthcare Management, ICD-9, Nursing, Home Care, Quality Improvement

Education
American Sentinel University
BSN, Registered Nursing/Registered Nurse, 4.0