Interim Compliance Director| BSN, MSN, RN


Last Updated: February 11, 2020 (12 months ago)

Interim Compliance Director| BSN, MSN, RN
Immediately
Leadership & Acute Care Experienced

Our candidate is an innovative, progressive, results-driven healthcare leader with extensive experience working with academic medical centers, hospitals, physician/provider practices, ambulatory centers/urgent care, payers, members of the C-suite, legal counsel, and medical staff leadership. A high-performing professional who takes the initiative to stay current with information and skills to support clients/organizations while fostering an atmosphere of trust, motivation and diverse views resulting in the delivery of exceptional client services, products, and outcomes. A change agent driven to succeed in new and challenging situations that organizations and providers are confronted with in this rapidly changing healthcare industry.

References & Reviews

• “She is an excellent teacher, mentor, and someone understands the challenges hospitals face.”
• “She is an excellent resource; She knows all the regulatory policies which is VERY helpful.”
• “She is very knowledgeable and really enjoys Quality and Compliance.”
• “She has a realistic approach to problems and is very practical.”

• TJC/CMS
• HIPAA
• False Claims Act/Stark
• Risk Assessments
• Healthcare Compliance and Auditing
• Investigations and Disclosures

Resume Content

Title:

Interim Compliance Director| BSN, MSN, RN

Date Available:

Currently Available

Summary:

Leadership & Acute Care Experienced

Our candidate is an innovative, progressive, results-driven healthcare leader with extensive experience working with academic medical centers, hospitals, physician/provider practices, ambulatory centers/urgent care, payers, members of the C-suite, legal counsel, and medical staff leadership. A high-performing professional who takes the initiative to stay current with information and skills to support clients/organizations while fostering an atmosphere of trust, motivation and diverse views resulting in the delivery of exceptional client services, products, and outcomes. A change agent driven to succeed in new and challenging situations that organizations and providers are confronted with in this rapidly changing healthcare industry.

References & Reviews

• “She is an excellent teacher, mentor, and someone understands the challenges hospitals face.”
• “She is an excellent resource; She knows all the regulatory policies which is VERY helpful.”
• “She is very knowledgeable and really enjoys Quality and Compliance.”
• “She has a realistic approach to problems and is very practical.”

Qualifications & Achievements:

• Manages both hospital/facility and professional fee compliance activities to ensure compliance with CMS, OIG, OCR, and payer regulations
• Coordinated compliance audits and investigations across the Health Enterprise
• Developed a proactive approach to investigations of alleged fraud, waste, and abuse
• Completed process redesign to develop systems to mitigate risks and increase staff awareness
• Led and successfully developed remediation plans for internal and external investigations
• Managed investigations related to allegations of Identity Theft involving payer insurance
• Coordinated the CMS Target, Probe, and Audit (TPE) process to ensure compliance with regulations
• Oversaw internal, prospective, and external investigations conducted on high-cost drugs
• Managed development of new service lines to support organizational strategic goals for leadership, general compliance, auditing, monitoring, quality, and implementation of internal controls
• Strong leader with significant experience building successful and efficient departments, while developing motivated teams
• Expertise in regulatory issues, TJC, CMS, HIPAA, Office of Inspector General (OIG), State and Federal standards, False Claims Act, and Stark
• Extensive experience in monitoring, auditing, investigating and reporting, and resolving compliance issues
• Provides immediate feedback to teams, develops and implements actionable strategies to improve compliance
• Focused problem solver with an ability to interact successfully with senior leadership, physicians, clinical teams, and department managers

Expertise:

• TJC/CMS
• HIPAA
• False Claims Act/Stark
• Risk Assessments
• Healthcare Compliance and Auditing
• Investigations and Disclosures

Experience:

• Chief Compliance Officer | Two Acute Care Hospitals Totaling 900+ Beds
• Director of Compliance Services | 1000+ Bed, 4 Facility Health Network
• Interim Director of Quality & Regulatory Affairs | 125+ Bed, Acute Care Hospital
• Administrator, Professional Practice Evaluation | 975+ Bed, Acute Care Hospital

Education:

• Bachelor of Science in Nursing (BSN)
• Master of Science in Nursing Administration (MSN)
• Registered Nurse (RN)

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Testimonials

"She has been perfect for us particularly since we are in our Joint Commission survey window for both our Disease Specific Care certification reviews and our triennial accreditation.  I also believe she is the one that’s helped us identify the root cause of some of our SSI’s.

Thank you for connecting us with [her]."

"[She] is an excellent addition to our team. She was able to hit the ground running, and I am very excited to be working with her. I believe with her positive attitude, we are really going to be able to turn our little home health ship around, and get it running well."

"[She] walked into a very challenging position - technically, politically, and operationally. She inherited a disorganized and unreliable credentialing history, records, and dysfunctional staff. She has a terrific work ethic, very pleasant interpersonal and leadership style, and great fund of knowledge. She has been incredibly reliable, dedicated, focused, and industrious. Thank you for sending her to us."

"[The Galileo Interim] was well received by our hospital staff members. She built relationships and was always in an "appreciative inquiry" mode. She quickly came up to speed on the transition of the retiring Quality Manager, and effectively transferred the necessary information to the new Quality Manager.

Many among our team have said they would like her to stay? We would like to have her come back for specific projects as needed."

"[He] spent an extended time at our hospital and lay the foundation of a strong infection prevention program. He assisted with program development (including training a new IP) and with policy development. He was well-received by everybody. Very adaptable to different audiences, always professional, and approached circumstances with a goal of providing support and guidance. In my experience, he was one of the strongest infection prevention professionals I've worked with, and he has my strongest recommendation."