Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Jacki Livermore Smith

Dunn,NC

Summary

Experienced with regulatory compliance, policy development, and risk management. Utilizes in-depth knowledge to streamline compliance processes and ensure adherence to legal standards. Track record of implementing robust compliance programs that safeguard organizational integrity.

Qualified Chief Compliance Officer. Proven track record in leading compliance programs, enhancing regulatory adherence, and mitigating risks. Demonstrated expertise in policy development and risk management, ensuring organizational integrity and ethical operations.

Overview

16
16
years of professional experience
1
1
Certification

Work History

Chief Compliance Officer/Chief Clinical and Regulatory Officer

Venza Care
06.2024 - Current
  • Handled regulatory inquiries from the State level and Federal agencies
  • Researched, interpreted, and advised the company regarding compliance with laws and regulations
  • Write instructions for various departments on how to interpret and implement new guidelines
  • Developed remedial action plans when needed
  • Established policies and procedures to ensure compliance with legal and ethical standards
  • Regularly audit facility operations to identify potential compliance risks and implement corrective action as necessary
  • Oversee investigations into compliance concerns or ethical issues, ensuring appropriate resolution and documentation
  • Conduct risk assessments to identify vulnerabilities and implement strategies to mitigate potential compliance issues
  • Develop and implement clinical protocols and best practices to optimize patient outcomes
  • Oversee continuous quality improvement initiatives enhancing patient care and safety
  • Monitor clinical performance metrics and implement strategies to address areas of need

Chief Operating Officer

Alliance Health Group
07.2023 - 06.2024
  • Analyze internal operations and identify areas for process enhancement for 12 facilities
  • Implement business strategies and plans that align with the short- and long-term objectives developed in tandem with CEO
  • Oversee operations, HR, and accounting, and partner with CEO in sales management so that sufficient investment capital can be budgeted for near-term growth targets
  • Manage capital investments and expenses aggressively to ensure that the company achieves investor targets for growth and profitability
  • Monitor performance with tracking software and take corrective measures when necessary, and prepare detailed updates and forecasts
  • Build and maintain trusting relationships with key customers, clients, partners, and stakeholders

Chief Compliance Officer

SanStone Health & Rehabilitation
06.2018 - 07.2023
  • Regional Clinical Manager (6/18-3/19)- assess, develop and implement performance improvement initiatives, monitor and report on 5-Star Outcomes, Best Practices, Standards of Care, Risk Management, and other quality related measures, and will work directly with Administrators, DON’s, other stakeholders to develop standard operating procedures, action plans and educate staff
  • Regional Operations Manager (3/19-8/20)- supportive role guiding and directing the Administrators in the facilities to achieve success in a varied of areas to include clinical outcomes, operational goals, survey readiness, employee relations and life safety compliance to name just a few functions
  • Chief Compliance Officer- (8/20-7/23) Policy and procedure development, COVID 19 Resource, Manages COVID reporting and Infection Control Survey, Regulatory Compliance Leader and Program developer, Lead medical records department in chart reviews, litigation compliance and investigation, Survey management, Education development

Director of Nursing

Raleigh Rehabilitation
12.2017 - 05.2018
  • Supervisor of 75+ employees
  • All aspects of regulatory and compliance Scheduling
  • Quality Assurance
  • Collaborate and Strategize Policy and Procedures

Administrator

Principle Long Term Care
02.2015 - 12.2017
  • Built community relationships to improve reputation of organization
  • Monitor compliance of laws and regulations and standards of care
  • Responsible for Nursing Operations to include budget development and implementation Monitor and supervise the function of all nursing staff
  • Strategize ongoing performance improvement in patient care areas
  • Schedule and review the work of all nursing staff
  • Establish nursing goals and objectives
  • Hiring of new staff
  • Head Quality of Life Committee
  • Develop and assures the long term staffing patterns adherence to meet patient care needs in the most efficient manner
  • Reviews and monitors all quality assessment and crisis/emergency reports and takes corrective action with personnel involved limiting potential of future repeat occurrence

Interim Director of Nursing

Universal Healthcare Greenville
12.2014 - 02.2015
  • Supervise 85 nursing department employees
  • Responsible for recruiting clinical staff, disciplinary action, training and educating of staff
  • Maintain accountability for up to 96 residents
  • Strategize and collaborate for policy and procedures in nursing
  • Assessed, evaluated and managed all aspects of patient care
  • Infection Control officer for residents and employees
  • Maintain and optimize budget in nursing
  • Implementation of new systems to maintain regulation requirements and safe work practices

Director of Nursing

Emerald Health and Rehab
03.2014 - 11.2014
  • Supervise 85 nursing department employees
  • Responsible for recruiting clinical staff, disciplinary action, training and educating of staff
  • Maintain accountability for up to 96 residents
  • Strategize and collaborate for policy and procedures in nursing
  • Assessed, evaluated and managed all aspects of patient care
  • Infection Control officer for residents and employees
  • Maintain and optimize budget in nursing
  • Implementation of new systems to maintain regulation requirements and safe work practices

Administrator

Pruitt Health
08.2013 - 02.2014
  • Supervisor of 200 employees that include Administrative, CNA, MT, LPN and RN staff members
  • Maintain accountability 24/7 for a 140 Bed LTC facility
  • Built community relationships to improve reputation of organization
  • Monitor compliance of laws and regulations
  • Maintain standards of care
  • Responsible for Nursing Operations to include budget development and Implementation
  • Monitor and supervise the function of all nursing staff
  • Strategize ongoing performance improvement in patient care areas
  • Schedule and review the work of all nursing staff
  • Establish nursing goals and objectives
  • Hiring of new staff
  • Head Quality of Life Committee
  • Develop and assures the long term staffing patterns adherence to meet patient care needs in the most efficient manner
  • Reviews and monitors all quality assessment and crisis/emergency reports and takes corrective action with personnel involved limiting potential of future repeat occurrence

LNHA

Pruitt Health - Durham, NC
12.2012 - 02.2014

Director of Health Services

Pruitt Health
12.2012 - 08.2013
  • Supervises 130 Nursing employees
  • Maintain nursing accountability for 150 residents
  • Strategize and improve nursing performance
  • Collect and analyze data
  • Nursing Operations to include budget development and implementation Quality Assurance and Quality Improvement
  • Collaboration with all team members to improve patient care and patient outcomes
  • Provides ongoing education to staff with healthcare changes and practice techniques
  • Implementation of new systems to maintain regulation requirements and safe work practices

Administrator

Liberty Commons of Johnston County
03.2011 - 10.2012
  • Supervisor of 152 employees that include Administrative staff, CNA, MT, LPN and RN staff members
  • Maintain accountability 24/7 for a 160 Bed LTC/ ALF/SCDU facility
  • Built community relationships to improve reputation of organization
  • Monitor compliance of laws and regulations and standards of care
  • Responsible for Nursing Operations to include budget development and implementation (assisted with cutting a budget loss of $750K)
  • Monitor and supervise the function of all nursing staff
  • Strategize ongoing performance improvement in patient care areas
  • Schedule and review the work of all nursing staff
  • Establish nursing goals and objectives
  • Hiring of new staff
  • Head Quality of Life Committee
  • Develop and assures the long term staffing patterns adherence to meet patient care needs in the most efficient manner
  • Reviews and monitors all quality assessment and crisis/emergency reports and takes corrective action with personnel involved limiting potential of future repeat occurrence

Director of Nursing

Liberty Commons of Johnston County
11.2009 - 12.2010

Assistant Director of Nursing

Liberty Commons of Johnston County
10.2008 - 11.2009

Education

Master of Science - Nursing

University of Phoenix
Phoenix, AZ
06-2008

MBA - Healthcare Management

University of Phoenix
Phoenix, AZ
06-2008

Associate of Science - Healthcare Administration

University of Phoenix
Phoenix, AZ
12-2006

Skills

  • Ethical leadership
  • Regulatory expertise
  • Team management
  • Audit coordination

Certification

Board Certified in QAPI

BLS Instructor

Timeline

Chief Compliance Officer/Chief Clinical and Regulatory Officer

Venza Care
06.2024 - Current

Chief Operating Officer

Alliance Health Group
07.2023 - 06.2024

Chief Compliance Officer

SanStone Health & Rehabilitation
06.2018 - 07.2023

Director of Nursing

Raleigh Rehabilitation
12.2017 - 05.2018

Administrator

Principle Long Term Care
02.2015 - 12.2017

Interim Director of Nursing

Universal Healthcare Greenville
12.2014 - 02.2015

Director of Nursing

Emerald Health and Rehab
03.2014 - 11.2014

Administrator

Pruitt Health
08.2013 - 02.2014

LNHA

Pruitt Health - Durham, NC
12.2012 - 02.2014

Director of Health Services

Pruitt Health
12.2012 - 08.2013

Administrator

Liberty Commons of Johnston County
03.2011 - 10.2012

Director of Nursing

Liberty Commons of Johnston County
11.2009 - 12.2010

Assistant Director of Nursing

Liberty Commons of Johnston County
10.2008 - 11.2009

Master of Science - Nursing

University of Phoenix

MBA - Healthcare Management

University of Phoenix

Associate of Science - Healthcare Administration

University of Phoenix
Jacki Livermore Smith