Summary
Overview
Work History
Education
Skills
Professional Highlights
Certification
Timeline
Generic

Carol CJ Hardwick

Houston,TX

Summary

Results-driven Regional Operations Leader specializing in operations, risk management, and quality assurance within healthcare and community settings. Revitalizes underperforming units and drives revenue growth through strategic engagement. Committed to operational efficiency and customer loyalty, with a solid foundation in financial management. Promotes employee development and motivation, enhancing retention rates.

Overview

17
17
years of professional experience
1
1
Certification

Work History

CNO/Director, Risk Management/Quality

UHS- West Oaks Hospital
Houston, Texas
12.2022 - Current
  • Developed innovative solutions that improved team performance and outcomes.
  • Collaborated with diverse coworkers to achieve product goals and resolve issues efficiently.
  • Worked alongside cross-functional teams to fulfill organizational objectives.
  • Ensured compliance with Joint Commission, Texas Health and Human Services, and Disability Rights Texas.
  • Conducted training on hospital performance initiatives, including outcome measures and safety protocols, to enhance staff competency.
  • Achieved top ranking among 132 facilities for implementation of safety strategies.
  • Led M.O.M. initiative, fostering leader accountability for core measure improvement.
  • Presented quality metrics and training to medical executive team monthly.

Lead Administrator Operations

Harbor Health Care
Houston, Texas
03.2022 - 12.2022
  • Managed overall operations of the hospice company, focusing on quality patient care and efficient resource use.
  • Coordinated program operations to ensure seamless delivery of high-quality care and support for patients and families.
  • Monitored quality assurance, revenue, expenses, and census goals across all departments.
  • Achieved goals for controllable expenses at each site.

Improved overall staffing retention by 25-30%.

  • Maintained regulatory compliance, achieving accreditation with Joint Commission.
  • Documented key achievements that contributed to organizational growth and success.
  • Devoted to giving each family a gift when they need it most. Committed to excellence and compassionate core values.
  • Opportunity to lead six licenses in the Greater Houston.

Texas Market Lead Administrator (RN)

USMM- Unites States Medical Management
Dallas, Texas
12.2020 - 03.2022
  • Led marketing and engagement operations for Texas market, enhancing outreach in Dallas Fort Worth and Houston regions.
  • Initiated clinical and business development model using lean methodology for Dallas Fort Worth and Houston.
  • Managed administrative operations within leading medical management organization in healthcare services.

Directed agency operations to ensure regulatory compliance and quality outcomes across all activities.

  • Developed quarterly engagement forums to foster communication and collaboration among customers, employees, and physicians.
  • Established partnership between Texas Care Center and USMM Visiting Physicians Association.
  • Promoted employee excellence program to enhance higher education enrollment among site staff.
  • Trained and mentored staff on administrative best practices, improving system utilization and operational effectiveness.

Director of Operations/Executive Director

Asana Health
Fort Worth, TX
05.2020 - 12.2020
  • Achieved business volume and community partnership metric goals on monthly, quarterly, and annual basis.
  • Established national partnership with Bright Star Care, significantly expanding personal care network.
  • Delivered impactful presentations and promotional services to healthcare providers and hospital systems.
  • Collaborated cross-functionally with business development teams to enhance outreach efforts.
  • Partnered with community organizations to integrate Medicaid resources into service offerings.
  • Maintained compliance through root cause analysis and implementation of effective solutions.
  • Reviewed Medicare/Medicaid documentation to ensure prompt payment processing.
  • Provided high-quality hospice care to terminally ill patients and families in Fort Worth, TX.

Manager - Care Management

John Peter Smith Hospital
Fort Worth, Tarrant County
10.2018 - 05.2020
  • Directed care management for 15 clinics and 3 ambulatory specialty centers within JPS healthcare system.
  • Led multidisciplinary team of 52 personnel across 14 clinics, enhancing care delivery.
  • Implemented outpatient case management programs across Tarrant County clinics to enhance patient support.
  • Reduced readmission rates through targeted case management strategies and established voucher resource center for drug coverage.
  • Developed collaborative initiatives for seamless transitions of care between inpatient and outpatient settings.
  • Oversaw data collection and utilization outcomes for inpatient/outpatient case management, driving informed decision-making.
  • Achieved regulatory compliance across all care management activities without exception.

Network Operations Administrator

Cigna HealthSpring
Memphis, TN
02.2015 - 05.2018
  • Spearheaded client management team in developing strategies that increased program revenue and sales.
  • Directed Medicare Advantage offerings for diverse clients, including private and public entities.
  • Led financial discussions and account setups for new and renewing contracts.
  • Ensured regulatory compliance across all operational facets.
  • Provided insights to hospital case management to enhance care coordination and metric outcomes.
  • Engaged stakeholders with analytics to support Cigna's health advocacy initiatives.
  • Endorsed educational tools that promoted savings through preventive care programs.
  • Demonstrated market capabilities for West Tennessee territory effectively.

Director - Hospice Clinical Operations

Methodist Hospital (Alliance)
Bartlett, Tennessee
06.2009 - 02.2015
  • Promoted to lead multi-discipline care management across four hospital locations, including hospice, home care, and oncology.
  • Directed inpatient and outpatient case management ensuring comprehensive patient care.
  • Developed and implemented conditions of participation aligned with corporate standards and goals.
  • Facilitated diversity and inclusion initiatives, resulting in 98% approval rate among staff and patients.

Oversaw coordination of chronic condition management, utilization management, and case management to ensure integrated patient care.

  • Presented monthly data analysis and key metric interpretations to Chief Nursing Officer.
  • Advised leadership on integrated teams combining case managers, social workers, chaplains, and volunteers.
  • Created programs to enhance audit performance for JCAHO, ACHC, and quality leadership.

Education

MSN - Nursing Leadership and Management

Walden University
Minneapolis, MN
01-2017

BSN-RN - Nursing

Baptist College of Health Sciences
Memphis, TN
11-2006

BA - Operations Management

Crichton College
04-1997

Skills

  • Regulatory Compliance
  • Risk Operations Management/Compliance
  • Operational Risk Management
  • Strategy and Change Management
  • Value-based care
  • Healthcare Workforce Development
  • Network/Physician Engagement
  • Regional Operations Management
  • Medical Industry Financial Expertise
  • Healthcare Mediation
  • Patient Care Diversity

Professional Highlights

  • Internal and External Risk/Quality Growth in Case management for fifteen clinics across Fort Worth, Tarrant County
  • Revenue increase in first year organization of Hospital and Hospital Employed
  • Managed Care Physician Groups and Hospice and Palliative Care Organizations. (Network: Fee for Service, IPA, MCO, ACO, and Shared Savings Models)
  • Presented Financials to Board Members and other Stake Holders.
  • Project management experience in acquisition and start up health care entities.
  • Participated in startup of freestanding Hospice and Hospital Hospice Unit.
  • Reduced Utilization Encounters for Fort Worth Region Case Managed Population at a Safety-net Hospital in Inpatient, Observations, Emergency Department, and Urgent Care Center.
  • Decreased long length of stay (LLOS) Inpatient 25-30% at SafetyNet Hospital.
  • Achieved goals/metrics for IPA/POD Managed Care groups: Medical Loss Ratio (MLR), Revenue (REV), Expenses (EXP), Emergency Room Visits per thousand (ERK), Admissions per thousand (ADK), Hierarchy of Chronic Care (HCC).
  • Optimization in Business Development and Physician Engagement.
  • Engagement and partnership/contracting with community-based organizations.

Certification

Registered Nurse

Timeline

CNO/Director, Risk Management/Quality

UHS- West Oaks Hospital
12.2022 - Current

Lead Administrator Operations

Harbor Health Care
03.2022 - 12.2022

Texas Market Lead Administrator (RN)

USMM- Unites States Medical Management
12.2020 - 03.2022

Director of Operations/Executive Director

Asana Health
05.2020 - 12.2020

Manager - Care Management

John Peter Smith Hospital
10.2018 - 05.2020

Network Operations Administrator

Cigna HealthSpring
02.2015 - 05.2018

Director - Hospice Clinical Operations

Methodist Hospital (Alliance)
06.2009 - 02.2015

MSN - Nursing Leadership and Management

Walden University

BSN-RN - Nursing

Baptist College of Health Sciences

BA - Operations Management

Crichton College
Carol CJ Hardwick