Regional Director/Senior Director/Director Healthcare Operations

Summary

Master's level proficiency in both Heath Information Management and IT Leadership, with 20 years in upper management in healthcare; RHIA Certified. Will bring excellent history of research and analysis, absolute compliance to State and Federal governing bodies, cost-effective project and staff management, creation and implementation of policies for increased efficiency and attainment of your organizational goals.

Employment History

Regional Clinical Operations Director-Full Time

SANFORD HEALTH • Fargo, ND

03/2020 - 11/2022

Implement medical and health services and programs of the ambulatory services department that provide clinical services to patients while ensuring high standards and quality of services are met. Knowledge of principles and processes for providing customer and patient satisfaction. Provide leadership and direction for clinical and business operations of multiple clinic areas and programs to ensure delivery of quality patient care, high patient satisfaction, financial stewardship, and the development of services according to the mission, vision, and strategic goals of Sanford Clinic. Maintain communication between governing boards, medical staff, and department heads using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards.

Review and analyze facility activities and data to aid planning and cash and risk management to improve service utilization.

Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources. Estimating sizes, distances, and quantities; determining time, costs, resources, or materials needed to perform a work activity.

Assist and administer fiscal operations, including accounting, planning budgets, authorizing expenditures, and coordinating financial reporting.

Prepare activity reports to inform management of the status and implementation plans of programs, services, and quality initiatives.

Providing guidance and direction to subordinates, including setting performance standards and monitoring performance.

Recruitment, hiring, and training of personnel. Motivating, developing, and directing people as they work. Establish work schedules and assignments for staff according to workload, space, and equipment availability. Develop and maintain professional relationships with Medical Directors, Lead APPs, staff clinicians, and other contacts.

Identify and maintain relationships with key stake holders. Assist with preparation and presentation of monthly and quarterly business reviews. Provide effective and timely communication throughout the organization with clinicians and hospital partners to ensure all required reporting is completed timely and accurately; act as central point of contact for operational issues impacting clients within the assigned region. Ensure compliance with each hospital’s service agreements, incentives and subsidies. Support hospital partners in meeting requirements related to quality and other site initiatives. Facilitate weekly regional operations meeting (recruiting, credentialing, scheduling) to ensure seamless operations as well as clinician satisfaction.

Coordinate site training and onboarding for clinicians. Participates in monthly meetings as assigned by Senior Management (service line meetings, quarterly business reviews, operations meetings etc.).

Serve as subject matter expert on operational performance to ensure processes, people and analytics are in place to drive efficiency and productivity. Participate in contract implementations and integrations to support optimum staff performance and successful project management.

Manage Key Performance Indicators (KPI’s) of client and report results, identify performance trends and facilitate activities to improve performance in coordination with supervisors. Monitor site documentation, incomplete medical records, and assists with information management between the clinic and business office.

Director of Compliance-Temporary Full Time

SIMPLY CONNECT • Minnetonka, Minnesota

07/2019 - 10/2019

Responsible for Medicaid Provider Enrollments for Durable Medical Equipment and Personal Emergency Response Systems across all states throughout the US. Charged to lead the HITRUST certification process for Simply Connect, LLC. Implementation of HIPAA Compliance training for all employees. Creation and execution of policies and procedures in regard to different processes throughout the company.

Corporate Compliance and Privacy Officer-Full Time DMS HEALTH TECHNOLOGIES • Fargo, North Dakota

12/2014 - 02/2019

Performed OIG Vetting of Physicians/3rd Party Vendors/Contractors. Improved performance by auditing Patient Verification, Open Payment for CMS Reporting, Physicist Files for Compliance, and Contracts/BAAs.

Achieved continued accreditation with JCAHO by spearheading Policy Review Committee in Creation and Implementation, Compliance Meetings, Staff Education, Training, and Verification of Credentialing, and HIPAA Breach Investigations and Risk Assessments. Secured appropriate licensure/re-licensure of all MRI, PET/CT, Injector Systems, Coils, and other equipment for international use, compliance to all emission laws with proper registration/licensure in place for appropriate State agencies, and Importation/Exportation of medical equipment. Ensured compliance with State and Federal Governing Bodies due to fluency in Joint Commission Certification process.

Director of Billing & Contract Services-Full Time

DMS HEALTH TECHNOLOGIES • Fargo, North Dakota

03/2014 - 12/2014

Effectively created, managed, and supervised the creation of new and revised contracts and billing in the Billing and Contract Services Department for the mobile imaging and service divisions of the company in an efficient manner through staff motivation/appropriate resource management. Directed the Customer Service Center which provided reception, patient pre-authorizations, scheduling, and pharmaceutical dose ordering for PET/CT and Nuclear Medicine services, and service call dispatch for service engineers. Achieved departmental goals by simultaneously preparing, implementing and administering operational plans/budget. Marketed and managed outsource services, securing third party vendors. Effected compliance by guiding the Compliance Program and serving as the organization’s Compliance Director.

Clinic Manager-Full Time

PLANNED PARENTHOOD • Moorhead, Minnesota

01/2012 - 10/2013

Accomplished creation of a budget that ensured proper usage of grant monies according to State & Federal regulations, harmonious work flow by mindful selection/management of clinic staff (Clinic Assistants, LPNs, RNs, & APNs), initiatives and engagement in PI committees, charge-capturing activities, and strategic planning. Improved efficiency of clinic patient flow by creating APN templates for patient/staff scheduling; resolved negotiations relating to patient complaints/concerns. Ensured quality based on oversight of lab functions and processes/patient follow up/registration processes/inventory, compliance in all clinic areas with PPFA, State, & Federal regulation, and facility and grounds management/equipment maintenance/ vendor relationships.

HIM Director/Compliance and Privacy Officer-Full Time

PRAIRIE-ST. JOHN’S • Fargo, North Dakota

11/2007 - 01/2012

Produced process improvement by implementation of PI initiatives and regulatory compliance. Enforced a leadership role through input as a member of the Safety Committee, Special Projects Committee, JCAHO Committee, CAP Audit Committee, Medical Records and Treatment Team Committee. Increased employee competency, education and training, recruitment and retention, by providing oversight and leadership of department operations and organizational goals, with fiscal and budget responsibilities.

Assist. Director of Medical Records-Full Time

RIVERVIEW HOSPITAL • Crookston, Minnesota

05/2003 - 11/2007

Supervision of all the department entailed, i.e. coding, file maintenance, vital statistics, daily census of in/outpatient, ancillary and drug rehab services, record and healthcare directive reviews, release of information, creating forms for HIPAA/Updates compliance, physician delinquency documentation/follow-up and physician and radiologist credentialing. Created simplified processes via computer technology, instrumental in providing cost-cutting improvements, improved work flow and data transmission, graphed statistical data showing progress on documentation/chart completion for PI/JCAHO, and implementation of electronic signatures. Ensured accurate cost coverage/charges applied during Medicare appeals; that facility remained current with Medicare/Medicaid rules of governance.

Professional Skills

Project Management, Quality Assurance, Community Outreach, Customer Service, Personnel Management, Registered Health Information Administrator (RHIA), Communications, Computer Skills, Solution Oriented, Leadership Experience

Education

Masters of Health Information Management

College of St. Scholastica • Duluth, MN

12/2013

Health Informatics Certificate 2013

Health Information Management and Exchange Specialist Training 2012

(ONC Program of Assistance for University Based Training)

Health Information Management and Exchange Certificate 2011 UPHI Scholar (University Partnership for Health Informatics) 2011

Masters of IT Leadership

College of St. Scholastica • Duluth, MN

12/2013

Bachelor of Science of Health Management

University of MN, Crookston • Crookston, MN

05/2003

Bachelor of Science of Applied Health

University of MN, Crookston • Crookston, MN

05/2003

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