Talented Director offering proven background in Health Care settings and driving organizational change at operational levels. Demonstrated leadership, planning and problem-solving abilities focused on delivering robust, performance-oriented strategies to meet current and expected demands.
Overview
9
9
years of professional experience
Work History
Director of Care
Senior Helpers
Des Plaines, IL
02.2023 - Current
Recruited, hired and trained employees on operations and performance expectations.
Managed payroll for temporary, hourly and salaried employees.
Created and managed training classes to educate new hires and existing employees about compliance concerns.
Monitored regulatory change required by new and revised laws and regulations, communicating complex protocols and determining operational impacts.
Delegated work to staff, setting priorities and goals.
Organized and oversaw work schedules of departmental managers.
Increased caregiver satisfaction and streamlined business processes and procedures.
Increased Listen360 engagement from 21% to 61% within 6 months in the role of DOC.
Maintained records management system to process personnel information and produce reports.
Managed schedules, assignments and performance of caregiver staff.
Managed Recruitment Coordinator, Care Manager, Compliance and 142 caregivers.
Developed highly effective working relationships with other departments by being positive and constructive leader.
Compliance Manager of Corporate Stores
Helpers
Des Plaines, IL
02.2022 - 02.2023
Delivered subject matter expertise for internal and external customers on compliance best practices and quality control
Prepared and presented comprehensive reports to upper management and audit team, covering issues and recommendations
Reviewed documents, files, transcripts, and other records to assess compliance and potential risk
Developed and delivered training programs to inform new and current employees about compliance issues
Managed compliance efforts, reporting, and audits.
Created and managed training classes to educate new hires and existing employees about compliance concerns.
Developed and implemented policies and procedures to ensure compliance with applicable laws, regulations, standards, and best practices.
Conducted internal audits to identify areas of non-compliance and recommend corrective actions.
Compliance Analyst
AccentCare
Dallas, TX
11.2020 - 02.2022
Performed special reviews to support management needs
Helped to investigate fraud and identify risks in collaboration with risk management staff
Provided customer training on compliance concerns to optimize operations and meet risk prevention goals
Maintained State Survey tracking documents with current information
Planned, implemented, and led HIPAA Security program, which produced 98% Compliance from 80% Compliance within the organization.
Caregiver
Charles Brown
Chicago, IL
04.2019 - 11.2020
Followed care plan and directions to administer medications
Developed strong and trusting rapport with patients to facilitate smooth, quality care.
Quality Review Specialist
InGenesis Inc, Blue Cross Blue Shield
Chicago
10.2018 - 04.2019
Worked closely with Full-Service Unit, Provider Telecommunication Center, and Medical Management Department to ensure appeal process meets established guidelines
Adhered to accreditation and regulatory requirements to improve customer service and achieve organization goals related to grievance and appeal resolution
Adhered to compliance with external regulatory and accreditation standards
Complied with HIPAA, Diversity Principles, Corporate Integrity, and Compliance Program policies.
Compliance Analyst.............................
Family Health Network/Community Care Alliance of Illinois
Chicago, IL
09.2015 - 12.2018
Ensured compliance with contract provisions with various agencies and applicable State and Federal laws
Conducted periodic assessments and audits to ensure compliance with contractual and regulatory requirements and timeliness of submission
Performed monthly Exclusion screening as reported to OIG Compliance as well as assisted Director of Compliance on the Delegation Oversight Committee (DOC)
Acted as a resource to staff in all health plan departments related to contract and reporting requirements and regulatory compliance
Responded to inquiries from state and federal regulatory agencies.