Behavioral Health Regulatory Compliance
Resume:
Kenda Flanery
*****.*******@*****.*** • +1-816-***-**** • Harrisonville, MO
SUMMARY
Dedicated Registered Nurse leader with 10+ years of experience in psychiatric care including inpatient, outpatient, and long term settings. Expertise in driving hospital initiatives, improving quality, outcomes, performance improvement, program development, and regulatory compliance. Seeking a primarily remote position initiating or improving programs in behavioral healthcare.
EXPERIENCE
Nursing Consultant/Interim Program Director
St. Veronica Senior Behavioral Hospital at Catholic Care Center
Jul 2022 - Jul 2024
•Successfully lifted the opening of a new senior behavioral hospital build including implementation of programming, nursingservices, environment of care, plant operations, pharmacy, electronic health record build, team implementation and development, regulatory compliance, accreditation, credentialing, and utilization management.
•EHR implementation and build for integration into behavioral health including template builds to ensure compliance.
•Operational activities of the Behavioral Health unit.
•integrating department’s services with the hospitals Mission, Vision, and Values and with other hospital services.
•Developed and implemented policies and procedures to guide and support the provision of services and be compliant with stateand federal regulations
•Responsible for establishing discharge planning and continuity of care processes to provide the best possible outcomes.
•Assisted with credentialing to establish in-network relations with insurance companies.
•Responsible for establishing precertification and utilization review plan for insurance purposes.
•Developed and implemented processes to integrate off-site pharmacy and laboratory integration.
•Drafted staffing plans and developed all competencies to develop the hospital team provide care/service and assured thequalifications and competence of those staff members met the needs of patient care.
•Continuously assessed and improved department’s performance and maintained appropriate quality control programs.
•Responsible for driving quality measures, facilitating regulatory compliance and ensuring risk mitigation.
Program Director
Research Psychiatric Center
Oct 2017 - Nov 2022
•Responsible for driving processes to meet hospital goals and targeted ADC.
•EHR implementation and build for integration into behavioral health including template builds to ensure compliance.
•Directed developmental and operational activities of the Behavioral Health unit.
•Responsible for integrating department's services with the hospitals Mission, Vision, and Values and with other hospitalservices.
•Developed and implemented policies and procedures that guide and support the provision of services.
•Responsible for prior authorization and utilization review for insurance purposes.
•Staffing oversight and continuing education to ensure competent persons are meeting the needs of patients for the best possible outcomes.
•Initiated continuous performance improvement strategies to improve department's performance and maintained appropriate quality control programs.
•Initiated and implemented marketing outreach strategies to reach targeted business development goals.
Nurse Manager
Research Psychiatric Center
Mar 2017 - Oct 2017
•Responsible for team oriented, efficient, financially sound and quality performance of the behavioral health unit includingstrategic planning, budget development, and quality improvement.
•Developed, mentored, provided timely and appropriate feedback on performance, reinforces efforts and progress of employees.• Responsible for developing and implementing short and long term planning as well as showing progress toward successful completion of unit goals.
•Responsible for staffing and unit coverage, scheduling, coaching and developing team members.
Development and assurance of evidence based competencies, procedures, and assessments were in place for patient safety,quality of care, and patient satisfaction.
Charge Nurse / PRN House Supervisor
Research Psychiatric Center
Aug 2015 - Mar 2017
Provided nursing care to people with mental illness, emotional disturbances, and mental handicap ranging from youth to seniorsin an acute care setting.
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Preformed the tasks of managing a team of nurses and mental health technicians, admissions, working with intervention andsevere addiction cases, performing the tasks of administering medications, completing assessments, and working with the treatment team to stabilize patients.
Mental Health Technician
Research Psychiatric Center
Oct 2014 - May 2015
Provided nursing care to people with mental illness, emotional disturbances, and mental handicap ranging from youth to seniors in an acute care setting. Performed the tasks of: admissions, working with intervention and severe addiction cases, acting as a liaison between patients and medical staff, recommending dietary options for patients and helping to keep order in all patient rooms, as well as providing a safe environment for patients and staff.
Site Manager
Jun 2011 - Mar 2015
Supervised a team of seven direct support staff and oversaw coordination of individual's support services. Responsibilities included: supervision of activities of daily living, updating plan of care with physicians, teachers, case managers, therapists, and guardians; on-call duties, monitoring documentation, signatures, medication refills, writing monthly reviews, scheduling and transportation to doctor appointments, monitoring implementation of outcomes, assisting with social development, community integration, and personal growth.
EDUCATION
University of South Alabama
Master’s Degree
Registered Nurse Advanced Practice - Dec 2019 - Present
National American University
Nursing - Jan 2011 - Aug 2015
SKILLS
Time Management • Risk management • Leadership Experience • Community Outreach • Strategic planning •
Program development • Utilization Review • Conflict management • Nurse Management • Performance marketing
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