Interim Director of Quality & Risk | BSN, RN, CPHRM, CPSO Last Updated: October 10, 2017 (2 months ago)
Interim Director of Quality & Risk | BSN, RN, CPHRM, CPSO
November
Leadership & Acute Care Experienced

Our candidate is a highly qualified healthcare leader with over 30 years of experience in achieving targeted outcomes in patient care operations, quality improvement, patient safety and risk. A consensus builder with a reputation for fairness and integrity, she is a proven collaborator and team player. She believes in fostering positive relationships and celebrating the accomplishments of the team, while promoting the mission, vision, and values of the organization. When you've had a chance to review the details below, please email or give me a call to discuss this outstanding interim professional.

References & Reviews
________________________________________
• “If you have an issue and aren't meeting standards, she is the person to come in and resolve the situation.”
• “She led the hospital to become a top performer with TJC and that relied mainly on her ability to engage the staff.”
• “She has a vast knowledge of regulatory requirements and quality.”
• “She brings solid experience and is very calm in situations involving risk and regulatory change.”
• “Possessing top notch knowledge, she knows how to get along well with physicians and other providers and how to deal with controversial, and touchy subjects.”
• “I would say that I could always count on her to handle difficult situations in the most professional way you could ever expect.”
• “She is the one professional who can stand her ground and get the results needed!”

• Conducted organizational gap assessment of performance and compliance with accreditation and regulatory agencies, to include revisions and/or development of action plan as indicated
• Serves as a Change Agent using quality tools, including RCA, to engage all levels of the organization to achieve the desired outcome
• Manages functions within the department, including Quality/ Risk / Infection Control / Medical Staff / MEC / Board of Trustees / Regulatory/Employee Health
• Facilitated redesign of Physician Peer Review and Core Privileging with Physician Champions
• Completes investigation and resolution of claims with timely entry, prioritization of events, and documenting final resolution / mitigation / action taken
• Establishes and maintains claim files for potential / actual claims including discovery documents
• Investigates and prepares responses for all complaints and grievances, including state and regulatory investigations
• Developed a risk assessment tool that was implemented System – wide
• Provides education to staff, medical staff, and Board of Trustees on regulatory and quality policies, standard, and initiatives
• Collaborates with senior leadership to identify and set organizational goals, communication of risks, quality, compliance issues, and strategies for setting/meeting goals
• Policy Development & Implementation
• Strategic Planning
• Fostering Teamwork / Employee Engagement
• Quality Improvement
• Compliance
• Core Measures
• Risk Management
• Accreditation
• Patient Safety
• Performance Improvement
• TJC, CMS, & State Regulatory Compliance
• Consultant, Quality and Regulatory Associate | Large multi-site healthcare system
• Chief Quality Officer / Risk Manager | 125+ bed acute care hospital
• Manager of Care Management: Quality/Risk/Compliance/Infection Control / Case Management / Interim CNO | 50+ bed acute care hospital
• Bachelor of Science in Nursing (BSN)
• Registered Nurse (RN)
• Certified Professional in Healthcare Risk Management (CPHRM)
• Certified Patient Safety Officer (CPSO)

Resume Content

Title:

Interim Director of Quality & Risk | BSN, RN, CPHRM, CPSO

Date Available:

November

Summary:

Leadership & Acute Care Experienced

Our candidate is a highly qualified healthcare leader with over 30 years of experience in achieving targeted outcomes in patient care operations, quality improvement, patient safety and risk. A consensus builder with a reputation for fairness and integrity, she is a proven collaborator and team player. She believes in fostering positive relationships and celebrating the accomplishments of the team, while promoting the mission, vision, and values of the organization. When you've had a chance to review the details below, please email or give me a call to discuss this outstanding interim professional.

References & Reviews
________________________________________
• “If you have an issue and aren't meeting standards, she is the person to come in and resolve the situation.”
• “She led the hospital to become a top performer with TJC and that relied mainly on her ability to engage the staff.”
• “She has a vast knowledge of regulatory requirements and quality.”
• “She brings solid experience and is very calm in situations involving risk and regulatory change.”
• “Possessing top notch knowledge, she knows how to get along well with physicians and other providers and how to deal with controversial, and touchy subjects.”
• “I would say that I could always count on her to handle difficult situations in the most professional way you could ever expect.”
• “She is the one professional who can stand her ground and get the results needed!”

Qualifications & Achievements:

• Conducted organizational gap assessment of performance and compliance with accreditation and regulatory agencies, to include revisions and/or development of action plan as indicated
• Serves as a Change Agent using quality tools, including RCA, to engage all levels of the organization to achieve the desired outcome
• Manages functions within the department, including Quality/ Risk / Infection Control / Medical Staff / MEC / Board of Trustees / Regulatory/Employee Health
• Facilitated redesign of Physician Peer Review and Core Privileging with Physician Champions
• Completes investigation and resolution of claims with timely entry, prioritization of events, and documenting final resolution / mitigation / action taken
• Establishes and maintains claim files for potential / actual claims including discovery documents
• Investigates and prepares responses for all complaints and grievances, including state and regulatory investigations
• Developed a risk assessment tool that was implemented System – wide
• Provides education to staff, medical staff, and Board of Trustees on regulatory and quality policies, standard, and initiatives
• Collaborates with senior leadership to identify and set organizational goals, communication of risks, quality, compliance issues, and strategies for setting/meeting goals

Expertise:

• Policy Development & Implementation
• Strategic Planning
• Fostering Teamwork / Employee Engagement
• Quality Improvement
• Compliance
• Core Measures
• Risk Management
• Accreditation
• Patient Safety
• Performance Improvement
• TJC, CMS, & State Regulatory Compliance

Experience:

• Consultant, Quality and Regulatory Associate | Large multi-site healthcare system
• Chief Quality Officer / Risk Manager | 125+ bed acute care hospital
• Manager of Care Management: Quality/Risk/Compliance/Infection Control / Case Management / Interim CNO | 50+ bed acute care hospital

Education:

• Bachelor of Science in Nursing (BSN)
• Registered Nurse (RN)
• Certified Professional in Healthcare Risk Management (CPHRM)
• Certified Patient Safety Officer (CPSO)

Contact Candidate

  • Featured Candidate Information Request Form