Maureen

MBA, RN, CPHQ, PCMH CCE

Maureen has over 25 years of experience in quality, compliance, accreditation and licensing leadership roles. She has held corporate positions in national health systems where she implemented an NCQA review process that fostered collaboration, sharing, and successful NCQA surveys. She has held leadership and consulting positions in large medical centers and small regional hospitals, ambulatory care facilities and managed care organizations. Her leadership has resulted in efficient operations and positive outcomes.

Maureen has been an Administrative Surveyor for the National Committee of Quality Assurance (NCQA) since 1996. In this role she has surveyed national and regional healthplans for commercial, Medicare, Medicaid, and Marketplace product lines. She has also reviewed Managed Behavioral Health, Credentialing Organizations, Disease Management, Multicultural Health Care, Wellness Programs, Physician Organizations, and Patient Centered Medical Homes. She has provided consulting services for the above organizations.

Prior to her managed care positions, she held clinical leadership roles, supervising multiple departments in national health systems. She has led medical centers in the achievement of successful reviews by The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS) and Department of Managed Health Care (DMHC).

Maureen holds a Bachelors of Science in Nursing (BSN) and a Masters in Business Administration (MBA) with a focus on healthcare operations. She holds an active license as a Registered Nurse in the state of California. She is certified as a professional in healthcare quality (CPHQ) and patient centered medical homes (PCMH CCE). She has received specialized training from the Institute of Healthcare Quality (IHI) which led her to introducing the collaborative model to hospitals across the state of California. She has served on committees for the National Association for Healthcare Quality (NAHQ) and on the board for the California Association for Healthcare Quality.

She has a proven track record of Excellence and is enthusiastic and committed to the success of the organizations that she serves.

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