KATHY P. GRIFFIN

An Experienced, Accomplished Nursing and Compliance Professional

***** ***** ******* ****, ***** Blanc, Michigan 48439 adzwc0@r.postjobfree.com

714-***-****

OBJECTIVE

To obtain a position in using my compliance expertise and be an integral part of the Clinical team to assist an organization’s continuing pursuit of effective and efficient patient care. HIGHLIGHTS OF SKILLS

● 20 Years of direct patient care experience

● Detail Oriented and able to manage multiple tasks and deadlines

● Exceptional Patient Advocate.

● A consistent role model of the Compliance and Ethics Program to foster trust critical to the foundation of the organization as well as fostering relationships with patients and families.

● Clinical experience includes, but not limited to, CVICU, ED, Trauma, Hospice, Home Heath (ventilator case management), skilled nursing/subacute units in both staffing and management. PROFESSIONAL EXPERIENCE

McLaren Health Care Grand Blanc, Michigan

Regional Compliance Director February 2021-2023

Regional Compliance Director for the Central Region of McLaren Health Care.

Assisted in the development of contract templates and managing contract process for assigned subsidiaries

Member of the Contract Subcommittee, External Access Subcommittee

Selected to be a member of the Institutional Review Board

Investigate and document compliance concerns.

Maintain McLaren’s Corporate Compliance objectives and work plan and completed the work plan every year.

Monitor compliance hotline and actively respond to inquiries

Responsible for all compliance and HIPAA investigations and remediation of identified non-compliant areas

Assist with policy and procedure review and development

Chair all subsidiary Corporate Compliance Committees

Actively participate in UR/UM, 340B and other committees

Reviewed clinical documentation frequently to address compliance concerns and/or ensure compliance with Medicare/Medicaid/Medicare Advantage billing rules/regulations. REDLANDS COMMUNITY HOSPITAL, Redlands, California

Compliance Director November 2017 to February 2021 Responsible for the development, implementation, and maintenance of a robust compliance program for a 229-bed acute care hospital.

Established, implemented, and maintained a Contract Management System

Responsible for managing over 800 contracts and the contracts management system

Established a new Integrity Line System

Established conflicts of interest reporting with 99% compliance for physicians

Established conflicts of interest reporting for employees and volunteers

Implemented a new web-based policy and procedure management system

Assisted in the creation of a newly established workplace violence protection program

Improved the recall management system to ensure recalled items are quickly logged in a central data base

Established a more robust auditing and monitoring program

Established investigation processes

Reviewed, revised, and established policies and procedures for the Compliance Program

Coordinated the reconfiguration of the Institutional Review Board to bring the Board into compliance

Reviewed clinical documentation for appeals and compliance with billing.

Responsible for all compliance and HIPAA investigations and remediation of identified non-compliant areas

Worked as an ED RN during height of COVID pandemic at the hospital to assist with staffing shortages. HEALTH QUALITY MANAGEMENT GROUP, INC., Encino, California General Counsel /Director of Legal & Regulatory Affairs / Compliance Officer (2010-2016) – Contract services July 2016 to July 2017.

A post-acute care healthcare management company, managing over 700 beds.

Handled all typical duties of General Counsel and worked extensively with outside counsel in drafting and responding to pleadings to contain costs

Managed all administrative law issues including OSHA compliance, handling administrative and Medicare appeals

Managed outside claims and litigation resulting in lower deductibles and lower amounts paid per claim because of risk and compliance programs established

Handles IDR, CRC, and ALJ administrative appeals, and successfully took to trial Double-A Citations.

Reduced overall litigation costs and payouts resulting in lower GL/PL and workers compensation premiums resulting from risk management and compliance programs

Assist with insurance appeals including Medicare and Medi-cal

Established risk management program and risk safety teams

Acted as the company Privacy officer and HIPAA/HITECH consultant

Created company’s corporate compliance program, meeting all program requirements and all company goals

Revised entire Medicare documentation system and corresponding nursing documentation to comply with Medicare guidelines for reimbursement

Improved survey outcomes resulting from compliance and risk management systems

Reduced worker compensation claims in total numbers and amounts paid resulting in lower insurance premiums

Managed company’s human resources as it relates to compliance with labor laws

Analyzed and interpreted state and federal regulations to maintain facility compliance

Responsible for interpreting, educating, training and compliance of all state and regulations

Worked Hospice/Home Health on the weekends as an RN to maintain RN skills. CLARK HILL (FORMERLY MORRIS, POLICH & PURDY), Los Angeles, California (2014-2017) Of counsel representing/consulting with post acute care providers on regulatory, compliance and privacy issues. Represented clients with adverse licensing actions. TSW MANAGEMENT GROUP, INC., Anaheim, California

General Counsel / Director of Health Care Operations / Compliance (2003-2010) Performed a variety of legal and consulting functions for seven post-acute care facilities comprising of more than 850 beds. Responsible for managing all healthcare operations.

Handled all typical duties of General Counsel and worked extensively with outside counsel in drafting and responding to pleadings to contain costs

Managed all administrative law (ALJ and MAC) issues including OSHA compliance, handling administrative and Medicare appeals

Managed outside claims and litigation resulting in lower deductibles and lower amounts paid per claim and lowered the total number of claims for all seven entities combined to two (2) or fewer per year

Responsible for the oversight of contract management, drafted contracts

Overhauled documentation system, greatly increasing nursing efficiency, while meeting all regulatory needs

Implemented clinical competency programs, resulting in decreased litigation and improved patient outcomes

Created company’s corporate compliance program, meeting all program requirements and all company goals

Established company risk management program

Policy and Procedure development and implementation for the organization

Responsible for interpreting, educating, training and compliance of all state and regulations

Worked weekends in Hospice and Home Health. Assisted in staffing as supervisor/charge nurse in times of staffing concerns.

HURST CONSULTING GROUP, Chino, California

Owner/Chief Regulatory Consultant (2000-2021)

Provided consulting services for long-term care providers within the region. Was responsible for managing daily company operations, consulting with clients, developing and implementing customized client risk management and compliance programs, monitoring program performance, developing plans of correction, providing in-services and other educational programs, providing forensic services for law firms, expert witness testimony, and client relations. Acted as Compliance Officer and Privacy Officer for three independent facilities. Assisted clients in regulatory compliance, educational programs, Cal-OSHA/OSHA programs, HR management to comply with state and federal labor laws and provided ongoing support for all regulatory matters. Did regularly assist one client with weekend staffing as an RN in both the SNF and distinct part with the ventilator/high acuity patients. Additionally assisted all clients with geriatric assessments and planning care for high acuity patients. EDUCATION

WHITTIER LAW SCHOOL, Costa Mesa, California

Juris Doctor

GEORGE MASON UNIVERSITY, Fairfax, Virginia

Master of Science in Nursing Administration

POINT LOMA NAZARENE COLLEGE, San Diego, California Bachelor of Science in Nursing Degree

PROFESSIONAL CERTIFICATIONS AND ACCREDITATIONS

R.N. License, State of Michigan (Active through 2025)

Geriatric Board Certified Nurse (Active through 2025)

California State Bar Association (Active through 2023)

Certified in Healthcare Compliance (Active through 2023)

R.N. License, State of California (Active through 2024)

Michigan State Bar (Active through 2023)

PROFESSIONAL AFFILIATIONS

American Health Lawyers Association

Health Care Compliance Association

Society of Corporate Compliance & Ethics

CLINICAL SUMMARY

1986-1987 – Charge Nurse/Supervisor for SNF

1987-1989 – St. Francis Medical Center – started in Telemetry and went to ED and worked as ED nurse and MICN

(obtained CEN at the time)

1989-1993 – Invoa Healthcare System – CVICU Clinician IV Staff Nurse (Fairfax and obtained CCRN) and Manager of ICU (Arlington)

1993-1997 – Mercy Hospital (now Scripps Mercy) worked as a Trauma Coordinator (TNCC)/Hospital Supervisor

1997-2019 – Worked in some staffing capacity sporadically for TSW Management and Health Quality Management Group. During this time also worked Home Health (Case Manager for Ventilator dependent patients) and Hospice (Case Manager, Admission Nurse, On-Call Supervisor).

2020 – Worked in ED COVID pod for three weeks to help with staffing challenges.

2000-2019 – Hurst Consulting – my consulting company for regulatory compliance but did fill in for clients as a charge nurse, nursing supervisor and provided other services such as IV nurse and providing assistance with immunizations.

TECHNICAL SKILLS

Computer knowledge: Windows OS, Word, Excel, PowerPoint, Adobe Acrobat, and other systems.

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