Summary
Overview
Work History
Education
Certification
Timeline
Generic

Beth Underwood

Summary

Respected and agile healthcare leader with an unwavering commitment to delivering high-quality, accessible, and appropriate patient care. Skilled in providing strategic and practical advice to ensure compliance, mitigate risks, and support innovation-driven growth. Dedicated to fostering a culture of excellence by supporting accountability, integrity, performance, and transparency. Adept at navigating complex regulatory environments while maintaining a patient-centric approach.

Overview

24
24
years of professional experience
1
1
Certificate

Work History

Sr Director, Market Compliance Officer

Kaiser Permanente
Portland, OR
06.2017 - Current
  • Key strategic leader serving as the Compliance Officer for NW and WA hospitals, six Ambulatory Surgery Centers, and Brookside Secure Residential Treatment Facility
  • Advises and directs local executives and workforce on Ethics and Compliance Program matters and oversees the investigation of ethics and compliance related issues and subsequent corrective action plans
  • Instrumental in developing tool kit in conjunction with pharmacy to identify and swiftly address potential drug diversion of controlled substances
  • Authored and implemented standard operating procedure for addressing EMTALA concerns in tandem with national policy that was adopted and is widely used in Kaiser hospitals
  • Conducts continuous risk assessments and acts as the information resource for ethics and compliance issues
  • Supports the overall effectiveness of the Ethics and Compliance Program by providing input on applicable compliance-related policies and procedures
  • Trusted partner and advocate with National Quality to drive improvements in the quality of care at Central Hospital in Seattle

Regional Care Delivery Compliance Program Manager

Kaiser Permanente
08.2016 - 06.2017
  • Responsible for working collaboratively with operations and medical group to ensure compliance with Oregon & Washington state and federal laws regulating care delivery
  • Oversaw the development of policies & procedures for operational teams to assure that adequate systems were in place to facilitate appropriate scope of practice for all health plan staff, ensuring quality of care standards were met, and accurate and compliant billing for the services was in place
  • Conducted internal assessments to assist medical operations in ensuring compliant practices in care settings across the continuum
  • Developed and implemented regular and effective education and training programs for health care delivery operational leaders and staff
  • Oversaw the implementation of new Medicare, Federal, State or Billing laws and regulations impacting care delivery

RN Medical Necessity Reviewer

NW Permanente, PC
09.2013 - 08.2016
  • Served as an expert resource to medical staff in areas of clinical claims review and Risk Adjustment: clinical documentation improvement and diagnosis refresh
  • Recommended and implemented innovative strategies to deliver safe quality care to members, improve efficiencies in care delivery and contain medical costs
  • Supported development and implementation of creative, visionary potentials for program improvements
  • Completed graduate degree at Pacific University in healthcare administration and obtained graduate certificate in healthcare compliance

Risk Manager

Kaiser Permanente
03.2005 - 08.2013
  • Executed the Risk Management program including appropriate identification, evaluation, and control of events which could result in human, material, or financial loss to the organization
  • Created and taught risk management principles to leaders and staff to reduce risk and develop linkages between risk management, patient safety, quality, medical-legal, member services, compliance, and operations
  • Developed and presented risk management to nursing students at Mt Hood Community College
  • Introduced RL Solutions as risk management software that was adopted for use in the region
  • Collaborated with physician partners to identify and investigate potentially compensable events which subsequently could result in malpractice, negligence, or general liability claims
  • Led work groups in systems redesign to decrease organizational risk and to improve quality and patient safety
  • Worked cohesively with other disciplines while directing root cause recovery and managing loss control within the organization
  • Served as the President of the Oregon Society for Healthcare Risk Management

RN Application Analyst

Kaiser Permanente
Portland, OR
08.2005 - 03.2008

- Provided clinical, operational information systems expertise in the development, training, testing, optimization and
application of HealthConnect
- Evaluated user problems and subsequent development of customized programs to meet user needs
- Interpreted user feedback for systems personnel and collaborated in the development and enhancement of the Epic system
- Ensured flawless integration by providing hands on educational guidance to users

RN Coordinator

Kaiser Permanente
Portland, OR
09.2001 - 08.2005

- Facilitated home health and hospice referrals, coordinated care for frail, elderly patients living in Adult Foster Homes
- Trusted resource for home health and hospice services for patients, families, physicians and care coordinators
- Consulted and reviewed the appropriateness of skilled need/criteria for patients residing in contract Long Term Care facilities

Education

Master of Healthcare Administration -

Pacific University
Forest Grove, OR

Healthcare Compliance Graduate Certificate -

Pacific University
Forest Grove, OR

Bachelor of Science - undefined

University of St Francis
Joliet, IL

Registered Nurse Diploma -

Saint Luke's School of Nursing
Cedar Rapids, IA

Certification

  • American Hospital Association, Certified Professional in Healthcare Risk Management (CPHRM)
  • Healthcare Compliance Association, Certified in Healthcare Compliance (CHC)
  • RN, Oregon, 200141518RN
  • RN, Washington, RN00143367

Timeline

Sr Director, Market Compliance Officer

Kaiser Permanente
06.2017 - Current

Regional Care Delivery Compliance Program Manager

Kaiser Permanente
08.2016 - 06.2017

RN Medical Necessity Reviewer

NW Permanente, PC
09.2013 - 08.2016

RN Application Analyst

Kaiser Permanente
08.2005 - 03.2008

Risk Manager

Kaiser Permanente
03.2005 - 08.2013

RN Coordinator

Kaiser Permanente
09.2001 - 08.2005

Bachelor of Science - undefined

University of St Francis

Master of Healthcare Administration -

Pacific University

Healthcare Compliance Graduate Certificate -

Pacific University

Registered Nurse Diploma -

Saint Luke's School of Nursing
Beth Underwood