Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
Affiliations
References
Software
Speaking
Work Preference
Timeline
Bethanne VanderMolen

Bethanne VanderMolen

Hickory,NC
Champions are not champions because they do anything extraordinary, but because they do the ordinary things better than anyone else.
Chuck Noll

Summary

Accomplished Chief Compliance Officer with a proven track record, excelling in regulatory expertise and ethical leadership. Spearheaded a compliance program that significantly improved organizational performance. Skilled in audit coordination and team management, adept at driving change and fostering a culture of transparency and continuous improvement. Detail-oriented and dedicated to improving policies and procedures in all business areas. Hardworking and flexibe with quality-focused and proactive approach.

Overview

22
22
years of professional experience
5
5

Certificates

Work History

Chief Compliance Officer/Director of Risk Management

Choice Health Management Services, LLC
06.2016 - 06.2024
  • Acting as Chief Compliance Officer, HIPAA Privacy Officer, and Director of Risk Management for medium size, multi-state organization with post-acute healthcare, pharmacy, DME, minor league baseball, and country club/spa business interests and over 2000 employees.
  • Developed proactive program from scratch, capable of improving organizational performance, based on culture of education, training, risk identification, root cause analysis, quality improvement, mitigation, auditing and monitoring, transparency, and investment in leadership development.
  • Drove change management of organization through risk assessment, analysis, and work plan strategies.
  • Evaluated emerging risks in industry to proactively address potential challenges and maintain continuity.
  • Authored and maintained all organizational policies and procedures (Clinical, HR, Financial, Safety, Emergency Preparedness, HIPAA, Security, and Compliance) through regulatory and clinical research, interpretation, and collaboration resulting in improved compliance with regulations as evidenced by successful inspection outcomes.
  • Served as subject matter expert in providing advice on complex matters involving legal obligations associated with organization operations.
  • Reduced potential legal exposure by conducting thorough investigations into alleged misconduct or potential violations of organization policy or applicable laws and regulations by employees and third parties and recommending appropriate corrective actions.
  • Coordinated with legal counsel on complex legal matters, including litigation, contracts, regulations, and corporate governance.
  • Responsible for creation and maintenance of organization training, creating both curriculum and content and managing Learning Management System (LMS).
  • Assisted in serving as Corporate HR when position was open and oriented new hires.
  • Served as Corporate Rehab Director for approximately 6 months assisting with program development and transition to in-house therapy.
  • Provided clinical speech pathology services.

PRN Compliance Specialist

Renewal Rehab
01.2019 - 01.2023
  • Implemented robust record-keeping systems that ensured accurate documentation was maintained according to regulatory requirements at all times.
  • Created appeal responses to third-party payer denials by researching regulatory citations, analyzing available documentation, and identifying compliance. Success rate 96% for first level appeals.
  • Scrutinized documentation for compliance with payer requirements and organizational standards.
  • Analyzed documentation for compliance concerns and patterns and provided risk feedback and developed recommended plan of correction.
  • Created training programs designed to educate staff on compliance issues and ensure adherence to established guidelines.

Director of Rehabilitation Services

Heartland of West Ashley (HCR ManorCare)
05.2015 - 06.2016
  • Owned the management of physical, occupational and speech therapy services with a staff size of ~25 FT, PT, and PRN personnel in a post-acute setting focusing on short-term rehabilitation of average 52 short-term patients.
  • Improved rehab customer satisfaction scores from 82% to 98% through development of collaborative tools with staff, patients, and families and regular personal customer interactions.
  • Supervised, oriented, trained and counseled department employees to improve job performance and maintain high standards of patient care.
  • Analyzed budgetary and performance indicators with program plan development and execution to improve key metrics. Through effective management, increased revenue and average reimbursement rates, exceeding 100% of budget monthly.
  • Conducted reviews of clinical documentation and assessed departmental compliance to ensure adherence to regulatory standards.
  • Responded to additional documentation requests (ADR's) and managed all appeals.
  • Eliminated agency usage through expanded student training program, enhanced recruiting efforts, consistent orientation, and internal team development activities resulting in the ability to expand access to services and improved department performance.
  • Provided clinical services as a speech pathologist,

VP of Rehabilitation Services

Palmetto OpCo, LLC
09.2007 - 05.2015
  • Created, grew, and directed post-acute therapy provider company in the Carolinas (Palmetto Rehab Solutions) and in Pennsylvania (Team Healthcare Management, LLC), under Palmetto umbrella.
  • Led 20 therapy departments in multiple states, including operations management, site assessments, budget evaluations, clinical assessments, audits, and risk analyses.
  • Hired and managed employees to maximize productivity while training staff on best practices and protocols.
  • Cultivated a high-performance culture within the organization by setting clear expectations for employees at all levels, coaching team members with regular feedback, and recognizing achievement.
  • Provided strategic leadership and direction to achieve organizational goals and objectives.
  • Created and added organizational clinical programs such as wound care, biofeedback, golf therapy, and Kinesio taping, resulting in advancement in recruitment, participation, and outcomes.
  • Took actions to improve billing and regulatory compliance such as peer reviews, roundtables, and systematic audits.
  • Authored employee personnel and operational policies and procedures, trained staff, and made certain procedures were executed through routine auditing and monitoring.
  • Generated educational programs and delivered training to staff, clients, and administration to ensure compliance with changing regulations as well as for quality improvement.
  • Responded to government and third-party payer audits, produced appeals, and analyzed results through quality assurance processes.
  • Enhanced department and facility compliance through ongoing audits, mock surveys, and analysis of clinical services, documentation, physical plants, operations, equipment, and facility needs.
  • Generated increased referrals through marketing and census development programs including analysis of client needs and clinical care opportunities resulting in increased revenue.
  • Designed branding for therapy company including company logo, mission, and objectives. Produced company website and social media account.
  • Grew student clinical program through community outreach at high school and collegiate levels.

Speech Pathologist/Director of Rehabilitation

Multiple Companies
05.2002 - 09.2007
  • Conducted thorough assessments of patients' speech, language, cognitive, and swallowing abilities to determine appropriate therapeutic approaches and developed appropriate plans.
  • Collaborated with multidisciplinary teams to develop comprehensive treatment programs for patients with various speech and language disorders.
  • Maintained detailed documentation of each session, ensuring accurate tracking of patient progress and facilitating effective communication among care team members.
  • Managed day-to-day operations of Rehabilitation Services department including budgeting, staffing, scheduling and performance evaluations. Able to improve department efficiencies and ensure departments were meeting of exceeding budgeted standards.
  • Evaluated effectiveness of existing programs and developed strategies for improvement when necessary.

Education

Master of Science - Communication Sciences And Disorders

Medical University of South Carolina, Charleston, SC
05.2002

Bachelor of Science - Biology

University of South Carolina - Columbia, Columbia, SC
12.1998

Skills

  • Ethical Leadership
  • Regulatory expertise
  • Team Management
  • Legal knowledge
  • Audit Coordination
  • Compliance Monitoring
  • Internal Audits
  • Investigations skills
  • Documentation Review
  • Training creation and delivery
  • Risk Management
  • Project Coordination

Certification

  • CHC (Certified in Healthcare Compliance)
  • CHPC (Certified in Healthcare Privacy Compliance)
  • RAC-CTA Certified Resident Assessment Coordinator (Advanced)
  • ASHA CCC #12081878
  • NC SLP #8348
  • OSHA General Industry, 30-hour
  • RAMP Certified (Relias Administrative Mastery Program)
  • Completed ISC2 Certified in Cybersecurity (CC) training

Accomplishments

  • Collaborated with clinical and operations team of in the development of COVID-19 protocols.
  • Achieved reduction in outstanding payments and reimbursement in question from 2.5 million to $100,000 through effectively addressing appeals in Medicare, Medicaid, and third-party payor claims. Initial submission success rate boosted from 70% to over 93%.
  • Reduced citations by 35% and reduced scope and severity of citations.
  • Investigated, documented, and resolved OCR HIPAA breach investigation which led to no citations or financial penalties.
  • Collaborated with IT and operations team in the completion of the organization's first security risk assessment and development of related risk analysis and work plan.
  • Resolved OSHA investigations for multiple locations which led to reduced penalties.
  • Achieved positive survey results through effectively developing protocols and plans including Emergency Preparedness Plans, OSHA Safety Plans, and Facility Assessments.
  • Reduced employee injuries by 20% through creation and implementation of Safety Toolbox, Safety Committee, Job Hazard/Safety Analysis, and OSHA Safety programs.
  • Achieved reduction in regulatory citations by creating required and necessary policies and introducing sharepoint and Relias for availability of such policies.
  • Administered Relias Learning Management System to create a custom curriculum for supported entities to ensure regulatory compliance and improved employee success. Elevated training requirement compliance by over 200%.
  • Developed contract tracking and review process. Assessed compliance areas and key provisions in contracts and enhanced the consistency of agreements. Managed Business Associates and vendors through life of the contract and ensured compliance with security requirements.
  • Served in Human Resources during times when Corporate HR position was vacant, taking on functions such as Workers’ Compensation case management, writing job descriptions, conducting personnel file audits, serving as a subject matter resource, etc., and provided orientation, ongoing training, and support following hire.
  • Supervised team of 20+ staff members who were part of the Compliance and Ethics Committee as the Chair of the committee.
  • Supervised 20 compliance liaisons as part of the compliance program.
  • Reduced settlement cost by 50% for professional liability/general liability cases.
  • Improved customer satisfaction scores from 82% to 98% through development of collaborative tools with staff, patients, and families and regular personal customer interactions.
  • Eliminated agency usage through expanded student training program, enhanced recruiting efforts, revamped orientation, and internal team development activities resulting in the ability to expand access to services and improved department performance.
  • Created, grew, and directed post-acute therapy provider company in the Carolinas (Palmetto Rehab Solutions) and in Pennsylvania (Team Healthcare Management, LLC), under Palmetto umbrella. Provided inpatient, outpatient and home care services.

Affiliations

  • American Speech Language Hearing Association
  • American Society for Health Care Risk Management
  • Health Care Compliance Association
  • American Association of Post-Acute Nursing

References

Jackie Woolard, Regional Vice President-Eastern Principle LTC

"I worked with Bethanne VanderMolen first as an administrator, then moving to a regional role and finally as a Director of Operations. Bethanne’s willingness to develop policies, teach and mentor, in my opinion, cannot be matched. Working with her as an administrator I learned so much. As I work with her in a regional role I learned more about compliance and policies. I started as a Director of operations in November 2019 working with her. Then the worst pandemic that has ever hit started in March 2020 . With Bethanne and our senior Nurse Consultant our company was able to develop and implement the ever-changing policies of Covid. Her work ethic never wavered in the stressful times. I hope to be able to work with her again in the near future."


Ronald Herbert, COO-Choice Health Management Services

"Bethanne is the complete professional that understands both the clinical and operational aspects of Compliance and Risk Management. Her dedication to her role is unsurpassed and was a pleasure to work with. She was professional in her approach and recommendations in both Compliance as well as Risk Management. She was well organized and focused.
I would hire her if I had a need/role with zero hesitations."

Software

American Health Tech (AHT)

Point Click Care (PCC)

Casamba (Net Health)

Rehab Optima

Team TSI (IntelliLogix)

SimpleLTC

PrimeView

KPI

Compliancy Group

Verify Comply

SmartLinx

Kronos

MyStericycle

Relias

Microsoft 365

SharePoint

Microsoft Project

Speaking

  • 2020-2021 HCCA Compliance Institute Speaker, “SNF Compliance on a Quarter: Leveraging Your Resources to Implement an Effective Audit Plan”
  • 2021-2022 HCCA Compliance Institute Submission, “Privacy Programs for SNF Providers: You May Not Know It, But You Need One

Work Preference

Work Type

Full TimePart TimeContract Work

Work Location

On-SiteRemoteHybrid

Important To Me

Company CultureWork-life balanceFlexible work hoursWork from home option

Timeline

PRN Compliance Specialist - Renewal Rehab
01.2019 - 01.2023
Chief Compliance Officer/Director of Risk Management - Choice Health Management Services, LLC
06.2016 - 06.2024
Director of Rehabilitation Services - Heartland of West Ashley (HCR ManorCare)
05.2015 - 06.2016
VP of Rehabilitation Services - Palmetto OpCo, LLC
09.2007 - 05.2015
Speech Pathologist/Director of Rehabilitation - Multiple Companies
05.2002 - 09.2007
Medical University of South Carolina - Master of Science, Communication Sciences And Disorders
University of South Carolina - Columbia - Bachelor of Science, Biology
  • CHC (Certified in Healthcare Compliance)
  • CHPC (Certified in Healthcare Privacy Compliance)
  • RAC-CTA Certified Resident Assessment Coordinator (Advanced)
  • ASHA CCC #12081878
  • NC SLP #8348
  • OSHA General Industry, 30-hour
  • RAMP Certified (Relias Administrative Mastery Program)
  • Completed ISC2 Certified in Cybersecurity (CC) training
Bethanne VanderMolen