Behavioral Health Executive

TODD D. RITTMAN, RN, BA, MBA

**** ***** ***** ****** * Tukwila, Washington 98188

Cell Phone: 812-***-**** * Email: ************@*****.*** SUMMARY:

Directorships & Managerial Experiences: Director of Behavioral Health, Director of Nursing & Clinical Services within Inpatient/Outpatient Behavioral Healthcare and Substance Use Disorders Systems, Director of Performance Improvement, Director of Utilization Review, Director of Assessment & Referral, Served as Hospital Risk Manager, Patient Advocate, Facility's Ethics and Corporate Compliance Liaison, Served as Delegated Appointed Authority for state hospital hiring approvals and terminations. Experienced working within Collective Bargaining Agreements (Unionized Labor). Consultant Regulatory Compliance (CMS CoP/ A, B & N Tags, The Joint Commission (JCAHO) - Hospital Accreditation Program (HAP) Standards, Behavioral Health Care (BHC) Standards, Varied State Departments of Health Regulations, State Mental Health and Addictions’ Division Regulations, Psychiatric Residential Treatment Facilities

(PRTF) Standards. Patient Rights, Advocacy and Grievance Resolution. Clinical & Fiscal Operations: Developed Clinical Policy & Procedures, Departmental Budgets, and Financial Statements, Strategic Plans, Marketing Plans, Clinical Inpatient & Outpatient Programming, Human Resource Management, Staff Development Plans, Infection Prevention Coordination, and provision of direct patient care- managing Child, Adolescent, Adult and Geriatric acute care and residential units (PRTF, CCI, State Hospital). Provided community educational series related to mental health issues, accessing services, building inter and intra-departmental rapport with employees, local healthcare providers, regulatory entities, both community and business leaders, Board and Foundation Members. Licensed Registered Nurse in: New York, California, Washington, Colorado, Arizona, Georgia, and Indiana. HIGHLIGHT OF QUALIFICATIONS:

Executive, Administrative & Clinical

Operations Director and Consultant

Budget Development & Fiscal Oversight

Strategic Planning, Public Relations &

Marketing Plans

Safety & Risk Management Activities

Utilization of EHRs (Epic, Meditech, Allure,

Avatar)

Flexible approach, Task-Oriented, Listener

Director of Utilization Review, Intake,

Referrals (Level of Care & Disposition)

Director of Performance Improvement

Labor Management (union and non-union)

Staffing & Payroll Oversight (API/

Centricity, Smart Force, Kronos,

PeopleSoft, Lawson PayCom),

Healthstream

Experience working with Child, Adolescent,

Adult and Geriatric Populations

PROFESSIONAL EXPERIENCE:

WEST SPRINGS HOSPITAL, Grand Junction, CO

DIRECTOR OF NURSING (Chartis Consultant) November 2022 – May 2023

• Independent Contract Employee (Chartis Consulting) providing nursing administrative oversight to a 48-bed Adult Acute Behavioral Health Hospital (Adult/Adolescent/Child Units).

• Implemented actions and activities in support of Chartis Clinical Quality Solutions resolution of CDPHE and Colorado BHA regulatory citations (Immediate Jeopardy, CMS Conditional Level Findings).

• Selected, assessed, evaluated, developed, coached, and counseled Behavioral Health employees.

• Coordinated, development, and implemented plan focused on clinical excellence and financial performance.

• Motivated, and mentored high performance teams, supporting the Continuous Quality Improvement Plan.

• Provided timely, accurate and complete reports on the operations of the service line. MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER, Savannah, GA

BEHAVIORAL HEALTH EXECUTIVE DIRECTOR (Contract) June 2021 – September 2022

• Contract Employee (HealthTrust) providing administrative oversight to a 26-bed Adult Acute Behavioral Health Unit with Adult/Adolescent Outpatient Programming (PHP, IOP) within Level I Regional Medical Center.

• Selected, assessed, evaluated, developed, coached, and counseled Behavioral Health employees.

• Coordinated, development, and implemented plan focused on clinical excellence and financial performance.

• Motivated, and mentored high performance teams, supporting the Continuous Quality Improvement Plan.

• Provided timely, accurate and complete reports on the operations of the service line. MONTEFIORE NYACK HOSPITAL, Nyack, NY

NURSE MANAGER (Interim) February 2021 – April 2021

• Interim Employee (B.E. Smith) providing Nursing Care oversight of a 26-bed Adult Acute Behavioral Unit and 22-bed Substance Use Disorders Detoxification and Rehabilitation Unit within a Medical-Surgical hospital.

• Directed and Provided Nursing Services to Acute care Voluntary and Involuntary Patients and their Families.

• Assisted Hospital Administration in Obtaining Stated Objectives for Successful Interim Engagement,

• Oversaw Standards of Nursing Care, Hiring, Orientation of New Employees, and Operated Within the terms of collective bargaining agreements.

• Maintained Daily Staffing Ratios, Accurate Daily Payroll, and Completed Grievance Investigations TALAS GERIATRIC BEHAVIORAL HOSPITAL, Bullhead City, AZ

DIRECTOR OF NURSING (Contract) October 2020 – February 2021

• Contract Employee (Horizon Healthcare), providing continuous oversight of a 24-bed psychiatric hospital.

• Directed and Administered Nursing, Clinical & Administrative Services to Geriatric Hospital patients and staff.

• Assisted facility in Implementation and Oversight of Nursing Standards of Care, Hiring, Staffing, Payroll.

• Led smooth Succession of Operations to New Contract Management Company (Effective: 02/01/21). CASCADE BEHAVIORAL HOSPITAL, Tukwila, WA

CHIEF NURSING OFFICER March 2019 – August 2020

• Nursing Department Leader of a137-bed Acute Care Psychiatric Hospital (Adult, Geriatric patients)

• Directed Patient Care departments through WDOH (HSQA) full licensing survey with no clinical citations.

• Directed Patient Care departments through TJC HAP follow-up survey with no clinical citations.

• Directed Patient Care departments through WDOH (HSQA) Federal Complaint survey with no findings/citations.

St. ANTHONY'S REGIONAL HOSPITAL, Carroll, IA

DIRECTOR OF BEHAVIORAL MEDICINE UNIT (BMU) April 2017 – March 2019

• Director of Adult Mental Health services in a distinct part psychiatric unit within a Medical-Surgical hospital

• Decreased Inpatient Contract Labor by $166,400 within seven (7) months.

• Increased Inpatient Psychiatric Facility Quality Reporting (IPFQR) scores by 78% compliance.

• 100 % Compliance Scored during Iowa Division of Inspections and Accreditation (DIA) regulatory survey. NEUROPSYCHIATRIC HOSPITAL, Indianapolis, IN

DIRECTOR OF NURSING July 2016- February 2017

• Nursing Department Leader of a 42-bed, free-standing Medical-Psychiatric acute care hospital. Provided behavioral health services to Adult & Geriatric patients with severe Neurodegenerative illnesses, many with significant medical co-morbidities.

• Developed and implemented strategies to reduce risk ( i.e., decrease falls, improve skin integrity,reconcile medications across levels of care, and improved the consumer grievance/investigation process, etc..).

• Administrative Liaison with both Medical and Psychiatric practitioners (physicians and mid-level providers). OPTIONS BEHAVIORAL HEALTHCARE SYSTEM, Indianapolis, IN

DIRECTOR OF NURSING March 2015- July 2016

• Nursing Department Leader of an 84-bed Acute Care Hospital Adolescent (40 beds) Adult, Geriatric and Psychiatric Residential Treatment Facility (PRTF). Served as Acting Administrator during absence of CEO.

• Managed 126 FTE’s and an operating budget of $ 3.8 million, Met established fiscal goals for 2015, receiving

"key contributor" bonus for fiscal year.

• Administrative Liaison with Medical and Psychiatric practitioners (physicians and mid-level providers); Infection Prevention & Control oversight and coordination. RUSSELL COUNTY MEDICAL CENTER (Mountain States Health Alliance), Lebanon, VA

DIRECTOR OF NURSING December 2014-March 2015

Contract DON (Diamond Healthcare) of a distinct part 20-bed psychiatric unit within a medical-surgical hospital. LARUE D. CARTER HOSPITAL, Indianapolis, IN

DIRECTOR OF NURSING August 2007-June 2014

• Nursing Department Leader of a 159-bed, State of Indiana-Division of Mental Health & Addictions (DMHA) Hospital and Medical Clinic, affiliated with Indiana University School of Medicine.

• Oversaw 256 FTE’s: 4 Associate Directors of Nursing and 8 Unit Directors with an operating budget exceeding

$5.1 million annually; Restructured departments to improve efficiency, financial and clinical outcomes.

• Assisted in changing hospital culture from unionized work force to that of a cooperative, non-unionized work force. Utilized fair and consistent approach to listening and disciplinary issues, always being sensitive to both racial and cultural differences to build effective rapport and leadership.

CHARGE NURSE SUPERVISOR (CNS5) October 2005-August 2007

• Provided Direct Supervision to Nursing Personnel and the quality of care provided during assigned shifts.

• Provided Direct Administrative Oversight to facility operations during non-business hours, including staffing.

• Provided Direct Care to SED & CMI Patient ages: Children (12 beds), Adolescents (32 beds) and Adults.

UNIT CHARGE NURSE (Temporary Agency) July 2004-October 2005

• Provided Direct Nursing care to Severely Emotionally Disturbed (SED) Children (12 beds) and adolescents: Females (18 beds), Males (14 beds), and Chronically Mentally Ill (CMI) Adults.

• Direct oversight of patient care assignments, and quality of care provided by para-professional staff to patients during assigned shifts.

BHC COLUMBUS HOSPITAL, Columbus, IN

DIRECTOR OF NURSING October 2001-April 2004

• DON of 60-bed Acute Care Hospital (Child-8 beds, Adolescent- 24 beds) 56 FTE’s and an operating budget of

$1.8 million.

• Pharmacy Services, Medical Records Requirements and HIPAA, and Infection Control Responsibilities.

• Human resource efficiency through developing a Staffing Matrix; Personally Managed 24 hours x7 days a week.

DIRECTOR OF CLINICAL SERVICES October 2001-April 2004

• Devised and implemented Acute & Residential care programming for adults, adolescents and children.

• Created clinical competency measurement tools and Staff Development Plan for Clinical Services personnel.

• Served as Administrator on call for the hospital during the absence of Chief Executive Officer.

DIRECTOR OF PERFORMANCE IMPROVEMENT October 2001-April 2004

• Coordinated Operations of all Departments through participation in all Hospital Committees.

• Coordinated all facility Process Improvement and Risk Management activities, Committee Chairman.

• Facility Compliance Liaison, anticipated/managed legal/regulatory risk/threats to compliance program. BHC MEADOWS HOSPITAL, Bloomington, IN

DIRECTOR OF NURSING March 1998-October 2001

• DON of 70-bed acute care hospital (Child-12 beds, Adolescent- 32 beds), 96 FTE’s and operating budgets in excess of $3.1 million.

• Pharmacy Services, Maintained Medical Records Requirements and Dictation Services oversight/Auditing.

• Enhanced human resources efficiency through developing a Staffing Matrix, managed by Daily Oversight.

DIRECTOR OF CLINICAL SERVICES August 1999-October 2001

• Served as Patient Advocate and Facility Ethics Compliance Liaison.

• Devised and implemented Acute & Adolescent Residential care programming for all ages (MR/DD & Sexual Maladaptive).

• Organized treatment plans, ensuring Individualized Treatment that promoted Rapid Stabilization.

DIRECTOR OF UTILIZATION REVIEW March 1998-October 2001

• Re-engineered Treatment Planning to meet Regulatory Standards/Managed Care requirements.

• Educated staff Ensuring Documentation to Support Level of Care and Intensity of Service.

• Negotiated with Payers to adjust coverage for Services needed, meeting payor Clinical Requirements.

DIRECTOR OF PERFORMANCE IMPROVEMENT July 1999-October 2001

• Successfully guided Hospital through two (2) JCAHO Triennial HAP (94%) and BHC (95%) surveys, CMS surveys.

• Devised a comprehensive Quality Management Plan, meeting all Accreditation Standards and Requirements.

• All Process Improvement/Risk Management activities, serving on all Medical and Non-Medical Staff Committees.

CHARTER LAFAYETTE BEHAVIORAL HEALTH SYSTEM, Lafayette, IN

DIRECTOR OF NURSING SERVICES April 1996-January 1998

• DON of 78-bed acute care hospital, 69 FTE’s and an operating budget of $2.2 million.

• Redesigned Processes Improving the Utilization of Resources while Improving the Quality of Services provided.

• Decreased Direct Expenses by $36,495 monthly through managing Human Resource activities.

DIRECTOR OF CLINICAL SERVICES April 1996-January 1998

• Effectively managed Inpatient/Outpatient Operational Activities, Budgets, and Outcomes.

• Reorganized Inpatient and Outpatient Services for Operational Efficiency.

• Developed Program to meet county DFC need for temporary services for Wards of County.

DIRECTOR OF ASSESSMENT DEPARTMENT July 1996-January 1998

• Assessed Community/Market needs; Established/Maintained Business conditions that supported success.

• Worked closely with the Marketing Department providing Community Presentations based on consumer need.

• Decreased Revenue Deductions by $684,000 annually.

DIRECTOR OF UTILIZATION REVIEW June 1996-January 1998

• Re-engineered the Assessment and Utilization Review Departments, positively effecting EBDITA.

• Provided Documentation Education to Improve Documentation and support need for Services. EDUCATION:

INDIANA WESLEYAN UNIVERSITY, Master of Business Administration Marion, IN FRANKLIN COLLEGE, Bachelor of Arts (Psychology) Franklin, IN INDIANA UNIVERSITY, Associate of Science (Nursing) Indianapolis, IN WESTERN GOVONER’S UNIVERSITY, Bachelor of Science (Nursing) (Graduation 2023) Salt Lake City, UT

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