Adrian Bennett
Moncks Corner,SC
Summary
Experienced and self-motivated manager bringing forth valuable leadership experience with a passion for quality performance and customer service . Results oriented with a proven track record of working collaboratively with team members to achieve goals. Experienced in both healthcare management and risk management settings, and adept at effective operations management.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Quality Assurance Manager
Broadstep
03.2023 - Current
- Communicated effectively with individuals served, staff, parents/guardians, and community contacts, Federal, State, and Local Officials.
- Ensured the integration and implementation of all quality initiatives, assurance policies, procedures, state-specific regulatory requirements, contract stipulations, and accreditation standards such as CARF are maintained.
- Lead investigations related to Grievances, Complaints, and Fraud Waste and Abuse process.
- Monitored ongoing implementation and effectiveness of state systems to maintain regulatory compliance.
- Completed related internal and external reports and provides data to the Chief Compliance Officer and others as required.
- Validated survey outcome scores through process reviews in conjunction with Chief Compliance Officer, company QA Director, and staff.
- Monitored and supported the quality and compliance team in managing labor costs and staffing.
- Ensured the development and annual review of compliance and improvement of subsidiary required operational plans
- Assisted management with writing and reviewing RFPs, RFBs, and CONs, as applicable.
- Ensured programs are meeting quality assurance compliance with all documentation, reporting, and service provisions within all contracts of services within the state.
- Conducted quality assurance and administrative trainings as directed by the Chief Compliance Officer and Executive Leadership.
- Worked with state leadership in marketing, growth, and business development.
- Assisted the state and executive leadership in reviewing and revising compliance and quality policies and procedures.
- Acted as liaison between the agency advisory or others as noted. the medical staff and the service lines and establish and attend meetings to provide pertinent information related to the agency operations and the provisions of quality health care.
- Conducted regular audits to ensure adherence to established protocols, maintaining consistency across the organization.
- Trained team members on quality assurance principles, fostering a culture of accountability and high performance.
- Facilitated communication between departments regarding quality concerns, fostering collaboration towards shared goals.
- Enhanced product quality by implementing comprehensive QA processes and procedures.
Risk/Regulatory Compliance Manager
Coastal Autism Academy
02.2022 - 03.2023
- Assured a work environment for all staff that is compliant with all relevant Federal, State, and local laws and regulations, as well as corporate policies and procedures
- Responsible for all quality assurance measures; monitored, inspected and proposed measures to correct or improve all facility operations to meet established quality and regulatory standards.
- Coordinated and implemented system-wide programs, policies and procedures to ensure system compliance with applicable Federal, State, and local laws and regulations
- Developed and monitored written policies and procedures that establish Corporate standards for compliance and risk management, giving specific guidance to management, professional staff, and individual departments, as appropriate
- Conducted internal audits for departments and served as liaison with external Auditors from Federal, State and local regulatory agencies
- Chaired and participated in quarterly Risk, Safety and Quality Management meetings and Quality Improvement meetings
- Directed the Compliance Committee and provided leadership to staff in the performance of corporate compliance functions
- Developed, implemented and maintained a system for confidential reporting, investigation and response to compliance or risk concerns.
- Coordinated with legal counsel, as needed, in response to identified compliance or risk questions, concerns, or Federal/State inquires or investigations
- In coordination with internal and external legal consultants and other resources; maintained awareness of laws and regulations, keeping abreast of changes that affect Health Care systems
- Reviewed and developed appropriate actions to issues, concerns, or questions relative to compliance and risk matters.
- Provided consultative leadership and support to staff and management as appropriate.
- Coordinated the development, implementation, and maintenance of internal audit controls, measurements of performance, and reporting in the areas of compliance and risk; ensuring correct processes are in place for accurate and complete measurement and tracking of the performance of the risk and compliance programs across the system
- Assisted in and coordinated corporate responses to compliance and risk reviews during licensing, re-licensing and accreditation processes
- Managed any internal and external compliance and risk investigations, along with appropriate departmental leaders.
- Responsible for developing, submitting, and implementing regulatory, accreditation and other needed corrective action plans.
- Monitored and assured ongoing compliance with all relevant corrective action plans
- Developed and monitored processes to minimize risk and reduce overall liability for facility
- Facilitated, communicated, and trained staff on proper processes and procedures
- Managed cross-functional teams to ensure timely implementation of new regulations, minimizing potential fines or penalties.
- Coordinated the timely submission of required filings and reports to relevant authorities while avoiding penalties associated with late submissions or inaccuracies.
Health Information Manager
Shoreland Healthcare
03.2021 - 02.2022
- Ensured all health information and related activities were prepared and maintained in accordance with established procedures and requirements of the North Carolina Licensor and Certification Section of the Department of Human Resources, and carried out in a professional manner
- Completed ICD-10 CM coding upon new and re-admissions and interim resident stays
- Completed daily census based off collected resident status change slips and daily Nurse census sheets
- Entered Resident demographic data into computer system, along with diagnostic and financial information for facesheet creation
- Served as department head and participated in the daily room rounding program as assigned
- Created and maintained MD certifications and reviews all MD med orders
- Maintained MD log and provides MD updated copies monthly
- Completed necessary HIM clinical chart audits, reports findings to appropriate staff, and presents findings in monthly meetings
- Ensured all monthly MD orders and telephone orders were signed by the MD
- Filed loose material into active and discharged charts, and closed out discharge records
- Completed periodic thinning of active charts, not to exceed quarterly, and files appropriately.
- Collaborated closely with physicians and nursing staff to improve quality of patient records documentation.
- Played an integral role in driving organizational growth, leveraging data-driven insights to inform strategic planning and operational initiatives.
Business Office Manager
Amedisys Home Health Services
03.2018 - 07.2020
- Coordinated systems and procedures with medical records, data entry, claims review, and personnel and human resource functions
- Ensure efficient and compliant billing and payroll operations
- Updated reports, managed accounts, and generated reports for company database.
- Managed billing: Medicaid, Medicare, Private Insurance
- Ensured continuous coverage in all administrative areas through appropriate staffing assignments and workload distribution and supervises non-clinical staff
- Managed accounts receivable: accounting, billing, collections, and write-offs
- Interviewed, hire, and ensure appropriate orientation for all new staff
- Screened, interviewed and made appropriate hiring decisions for non-clinical and administrative staff
- Conducted performance appraisals/reviews as necessary and in compliance with company policy and procedures
- Ensured compliance with all new and current employee documentation required by Human Resources and regulatory agencies for maintaining employment within the organization including, but not limited to, I9 compliance, professional licensure, background checks and all other documents related to employment
- Scheduled employees and managing time sheets
- Medical Records.
Resident Service Coordinator
RPM Management
03.2020 - 04.2020
- Scheduled meetings with prospective and existing clients
- Researched consumer base to better serve the needs of the target demographic
- Utilized various software programs for efficient data management, reporting, and analysis to make informed decisions regarding resident services.
- Advocated on behalf of their residents
- Resource for residents on available community-based services, and can answer any questions
- Facilitated wellness and other educational programs for residents
- Monitor follow-up with services provided to residents
- Developed strong relationships with community partners to enhance available resources for residents.
- Managed accurate record-keeping systems to track resident interactions, incidents, and program participation effectively.
- Championed who encouraged residents to adhere to a healthy lifestyle
- Educator who provided trainings and assistance to residents and other property staff
- Advisor who can assisted residents with building support networks and consult with tenant organizations and resident management
- Referral agent who connected residents to service providers who can meet their needs
- Community partner to assist residents with accessing community-based services.
Patient Representative/Volunteer Services Manager
McLeod Health Quality & Safety
08.2015 - 03.2017
- Investigated patient inquiries or complaints, document investigation and follow up, and ensure a satisfactory resolution
- Interviewed patients or their representatives to identify problems relating to care
- Ensured quality customer service measures are performed by all staff
- Researched evidenced based best practice measures to create new customer service tactics
- Discussed and assisted in patient discharge planning
- Explained policies, procedures, or services to patients using medical or administrative knowledge
- Assisted service excellence and operational effectiveness manager in projects related to patient satisfaction, maintaining HCAHPS scores, facility effectiveness, risk management, and maintaining cost effective measures
- Collected and reported data on topics such as patient encounters and inter-institutional problems, making recommendations for change when appropriate
- Met with physicians and/or charge nurses to discuss reoccurring issues within their department
- Managed 70 or more volunteers/interns
- Created competencies and service descriptions as changes were made within the facility or new positions arose
- Organized and maintained Volunteer Services budget and inventory
- Coordinated Volunteer Services operations and daily activities, which included recruiting, interviewing, processing new volunteer paperwork and onboarding, orienting, training, scheduling, timekeeping, and/or terminating the services of volunteers
- Medical Records.
Service Excellence/Volunteer Coordinator
Mcleod Health
12.2014 - 08.2015
- Serve as the initial contact for patient satisfaction matters
- Ensure quality customer service measures are performed by all staff
- Organize Volunteer Services budget and inventory
- Coordinate Volunteer Services operations and daily activities, which may include interviewing, orienting, placing, training, counseling, scheduling and/or terminating the service of volunteers
- Ensure regulatory compliance for all volunteer files to include service position descriptions and competencies, where applicable
- Organize the development, coordination and implementation of projects, activities, meetings, and events for volunteers and chaplains
- Make daily rounds on all new patients providing a questionnaire to gather information about the quality of their care
- Work collaboratively with hospital departments to assist in the implementation of volunteer opportunities.
Education
EdD in Healthcare Administration -
Grand Canyon University
Phoenix, AZM.A. in Management and Leadership -
Webster University
St. Louis, MO12.2017
B.A. in Interdisciplinary Studies; Healthcare Administration -
Coastal Carolina University
Conway, SC12.2013
Skills
- Accounts Receivable
- Management
- Organizational Development
- Strategic Planning
- Leadership
- Effective Communication
- Risk Management Analysis
- Human resources
- Customer Service
- Time Management
- Microsoft Office
- Internal Audits
- Continuous Improvement
- Quality Assurance Management
- Document Control
- Attention to Detail
- Employee Training
- Policy Reinforcement
- Quality Control
- Data Analysis
- Performance Metrics
- Operation Monitoring
- Project Management
Certification
CPR
- Certified CPR Instructor , American Red Cross
Timeline
Quality Assurance Manager
Broadstep
03.2023 - Current
Risk/Regulatory Compliance Manager
Coastal Autism Academy
02.2022 - 03.2023
Health Information Manager
Shoreland Healthcare
03.2021 - 02.2022
Resident Service Coordinator
RPM Management
03.2020 - 04.2020
Business Office Manager
Amedisys Home Health Services
03.2018 - 07.2020
Patient Representative/Volunteer Services Manager
McLeod Health Quality & Safety
08.2015 - 03.2017
Service Excellence/Volunteer Coordinator
Mcleod Health
12.2014 - 08.2015
EdD in Healthcare Administration -
Grand Canyon University
M.A. in Management and Leadership -
Webster University
B.A. in Interdisciplinary Studies; Healthcare Administration -
Coastal Carolina University
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