Rachel Ricchio
@rachelricchio
Experienced healthcare project manager focused on quality improvement.
What I'm looking for
I am a dedicated healthcare professional with extensive experience in quality improvement and project management. With an MBA and MSN, I have successfully led initiatives that secured over $30 million in federal funding through high performance in quality metrics. My role as Quality Incentive Project Manager at Palomar Health has allowed me to oversee critical performance metrics across various care categories, ensuring sustained high performance year over year.
Throughout my career, I have implemented Lean Six Sigma methodologies to enhance patient safety and quality of care. My leadership experience includes managing diverse teams, developing action plans to mitigate risks, and collaborating with healthcare executives to drive performance improvements. I am passionate about advancing healthcare delivery systems and improving patient outcomes through innovative strategies and effective communication.
Experience
Work history, roles, and key accomplishments
Quality Incentive Project Manager
Palomar Health
Aug 2020 - Present (4 years 11 months)
Presided over a Managed Care Designated Public Hospital Quality Incentive Program, securing over $30 million in federal funds due to high performance in meeting metric targets. Collaborated with key stakeholders and the executive team on strategies to increase federal funding and oversaw 18 performance metrics across four strategic categories.
Manager of Quality Improvement & Patient Safety
Sharp Healthcare
Aug 2020 - Oct 2022 (2 years 2 months)
Oversaw all publicly reported measures and implemented strategies using Lean Six Sigma methodologies for Leapfrog Hospital Safety Grade and CMS Star Rating. Managed the physician peer review process, coordinating an efficient adverse event reporting and risk reduction plan.
Public Hospital Redesign and Incentives in Medi-Cal (PRIME)| Project Manager
Palomar Health
Jul 2019 - Mar 2021 (1 year 8 months)
Presided over 7 projects including 26 performance-based metrics reported to the Department of Health Care Services, actualizing $17 million in federal funds. Directed program and staff while collaborating with other disciplines and community partners to meet performance-based metrics.
Public Hospital Redesign and Incentives in Medi-Cal (PRIME)| Project Leader
Palomar Health
May 2016 - Jul 2019 (3 years 2 months)
Met performance targets over 5 years, actualizing $15 million in federal funds by presiding over 3 projects including 15 performance-based metrics. Established or improved hospital infrastructure to manage high-cost populations through redesigning delivery systems.
COPD | Project Nurse Manager
Mayo Clinic Care Network
Jun 2016 - Mar 2017 (9 months)
Collaborated with Mayo Clinic to implement quality improvement interventions for COPD patients, reducing 30-day Medicare FFS COPD readmissions from 20.1% to 14.1%. Partnered with physicians and interdisciplinary staff to provide GOLD Stage appropriate therapy treatments.
Care Transitions Nurse Leader
Palomar Health
Jan 2016 - Apr 2020 (4 years 3 months)
Recruited, interviewed, hired, and trained new staff, refining department processes and procedures to adapt to changing needs. Served as a subject matter expert clinician with direct oversight of the Care Transitions Program and Palliative Care Programs.
Transition Nurse Specialist
Palomar Health
Apr 2013 - Jan 2016 (2 years 9 months)
Reduced 30-day readmissions of Medicare FFS patients by 20% through innovative patient outreach and comprehensive care planning. Collaborated with the interdisciplinary team to enhance quality of care and quality measurements.
Medical/Oncology Unit | Charge/Staff Nurse
Palomar Health
Sep 2011 - Apr 2013 (1 year 7 months)
Managed shifts on a 48-patient bed medical-oncology unit, directing admissions, discharges, and patient flow to improve throughput. Functioned as a preceptor for new hires and nursing externs, providing educational resources to staff.
Education
Degrees, certifications, and relevant coursework
Western Governors University
Master of Business Administration (MBA), Healthcare Administration
Completed a Master of Business Administration with a specialization in Healthcare Administration. Focused on developing leadership and management skills within the healthcare sector.
Western Governors University
Master of Science, Nursing Leadership & Management
Pursued a Master of Science in Nursing Leadership & Management. Gained expertise in leading and managing nursing teams and healthcare operations.
California State University San Marcos
Bachelor of Science, Nursing
Obtained a Bachelor of Science in Nursing. Developed foundational knowledge and practical skills essential for a career in nursing.
Brigham Young University
Bachelor of Science, Exercise Science
Completed a Bachelor of Science in Exercise Science. Focused on the scientific principles of human movement and physical activity.
Availability
Location
Authorized to work in
Job categories
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