Interim Director of Quality & Risk | BSN, RN, CPHRM, CPSO Last Updated: July 12, 2018 (5 days ago)
Interim Director of Quality & Risk | BSN, RN, CPHRM, CPSO
Immediately
Leadership & Acute Care Experienced

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 proven collaborator who believes in fostering positive relationships and celebrating the accomplishments of the team, while promoting the mission, vision, and values of the organization.

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
• Interim Quality Manager | 25 Bed Critical Access Hospital
• 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:

Immediately

Summary:

Leadership & Acute Care Experienced

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 proven collaborator who believes in fostering positive relationships and celebrating the accomplishments of the team, while promoting the mission, vision, and values of the organization.

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:

• Interim Quality Manager | 25 Bed Critical Access Hospital
• 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

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