Emily Self
St Joseph,Michigan
Summary
Seasoned regional healthcare professional dedicated to achieving desired outcomes and maximizing team performance. Bringing strong communication, planning and problem solving abilities. Dedicated healthcare professional with a history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Area Director Clinical Operations
HEARTLAND/GENTIVA HOSPICE
2019.09 - Current
- Provide regional support and oversight for 12 offices to ensure compliance with Medicare, Medicaid, accreditation organization, and state healthcare rules, regulations and standards
- Conduct internal surveys and focused branch visits to identify areas of noncompliance and ensure plans of correction are followed to resolution
- Provide on-site support for external surveys/audits
- Assist in resolving concerns brought forward from Compliance and Legal Departments, including performing audits, conducting investigations, and providing input to assist with final determinations
- Perform audits and education related to regulatory risk areas, including medical necessity, eligibility, care planning and patient rights.
- Monitor regional performance metrics, providing timely feedback and implementing corrective actions when necessary to ensure goals were achieved consistently across all locations.
Regional Director - Michigan, Indiana & Wisconsin
COMPASSUS HOSPICE
2016.03 - 2019.05
- Provided clinical and regulatory compliance support to nine hospice branches across 3 states
- Performed ongoing risk assessments for multiple hospice branches
- Assisted branches in risk mitigation / plans of correction using education, observation, recommendations and emphasizing accountability to meet or exceed compliance thresholds
- Drove behavior change through education and oversight to ensure physician provider and RN documentation met reimbursement requirements
- Ensured successful state, federal and accreditation surveys for all branches through internal surveys, education, auditing and ongoing leadership accountability calls
- Consistently earned incentive awards for exceeding regulatory, quality and service standards
- Supported 2 programs that received nationwide recognition for Top 5 in the nation.
- Raised property accuracy and accountability by creating new automated tracking method.
Compliance Officer - Director of Organizational Integrity - Privacy Officer
HOSPICE OF MICHIGAN
2014.08 - 2016.01
- Developed and implemented corporate compliance program to include essential elements of effective compliance programs
- Developed and implemented corporate HIPAA privacy program
- Developed and implemented corporate auditing and monitoring program, including agency-wide risk assessments
- Overhauled agency policies and procedures
- Provided direct supervision, training and mentoring to Compliance Specialist
- Routinely provided risk reports and recommendations to Board of Directors and Executive Team
- Led the agency in successful accreditation from two of the top three accreditation organizations (CHAP and ACHC)
- Chaired Quality and Compliance Steering Committee and Internal Audit Committee.
Compliance Specialist
HOSPICE OF MICHIGAN
2009.02 - 2014.08
- Performed audits and reported findings and risk mitigation recommendations to agency branches
- Trained physicians and registered nurses on documentation requirements
- Successfully led transition from ICD-9 to ICD-10 coding changes.
Director Service Operations
HOSPICE OF MICHIGAN
2005.05 - 2009.02
- Led agencies to meet patient care, regulatory compliance, customer satisfaction and employee satisfaction metrics in company's largest service area
- Acted as clinical liaison to Quality & Compliance Department for initial accreditation survey
- Developed interdisciplinary group meeting process which received special recognition from accreditation organization.
Education
Master Of Science In Administration - Healthcare
Central Michigan University
Mount Pleasant, MIBachelor of Science in Nursing - Nursing
Oakland University
Rochester Hills, MIBachelor of Arts -
University of Michigan
Ann Arbor, MISkills
- Survey Preparedness
- Process Improvement
- Concern Resolution
- Risk Mitigation
- Educating / Training
- Quality
- Regulatory Compliance
- End of Life Care
- Plans of Correction
Certification
- Certification Healthcare Compliance (CHC), 10/01/10, present
- Certification Healthcare Privacy Compliance (CHPC), 03/01/13, present
- Registered Nurse, Michigan, Indiana, True
Timeline
Area Director Clinical Operations
HEARTLAND/GENTIVA HOSPICE
2019.09 - Current
Regional Director - Michigan, Indiana & Wisconsin
COMPASSUS HOSPICE
2016.03 - 2019.05
Compliance Officer - Director of Organizational Integrity - Privacy Officer
HOSPICE OF MICHIGAN
2014.08 - 2016.01
Compliance Specialist
HOSPICE OF MICHIGAN
2009.02 - 2014.08
Director Service Operations
HOSPICE OF MICHIGAN
2005.05 - 2009.02
Master Of Science In Administration - Healthcare
Central Michigan University
Bachelor of Science in Nursing - Nursing
Oakland University
Bachelor of Arts -
University of Michigan
- Certification Healthcare Compliance (CHC), 10/01/10, present
- Certification Healthcare Privacy Compliance (CHPC), 03/01/13, present
- Registered Nurse, Michigan, Indiana, True
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