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Julie Montgomery
Open To Work

Julie Montgomery

Limestone,TN

Work Preference

Job Search Status

Open to work
Desired start date: Flexible

Desired Job Title

Director of Clinical ComplianceDirector of Clinical Quality OutcomesQuality Data ManagerHealth Informatics Nurse Care Coordinator Manager

Work Type

Full TimeConsulting

Location Preference

RemoteOn-SiteHybrid
Location: Greeneville, TNJohnson City, TNbristol, tn
Open to relocation: Yes

Salary Range

$65000/yr - $165000/yr

Important To Me

Work-life balanceCompany CultureHealthcare benefitsPaid time off401k matchPaid sick leave4-day work weekStock Options / Equity / Profit SharingTeam Building / Company RetreatsPersonal development programs

Summary

Focused Clinical Quality/Compliance Director bringing 10+ years of expertise in regulatory compliance, audit procedures, project oversight, quality improvement, and risk management. Excellent history of delivering effective leadership and training to support staff development. Driven and strategic with an aptitude for program management. Advanced knowledge of audit methodologies, functions and compliance teams.

Overview

22
22
years of professional experience

Work History

Director of Compliance and Quality

ReVIDA Recovery Centers
Nashville , Tennessee
08.2023 - 03.2026
  • Maintained effective working relationships with regulatory authorities, suppliers and customers.
  • Delivered and tracked program training for associates and supervisors to safeguard continuing business relationships.
  • Audited food safety practices to evaluate performance and deliver effectiveness of preventive controls.
  • Executed corporate food safety strategies, policies and procedures.

Director of Clinical Compliance

Vynca Care
Eureka, CA
09.2021 - 03.2023
  • Develops, leads, plans, & manages all regulatory readiness programs.
  • Direct & lead all audits, compliance, quality improvement, credentialing, & accreditation activities.
  • Identifies key accreditation, regulation and licensing issues, vulnerabilities, risks, and areas for improvement, including leading annual comprehensive compliance gap analysis activities and participation in security and privacy risk analysis
  • Responsible for the tracking, escalation, follow-up, and communication of issues, non-conformances, and potential compliance violations.
  • Maintained compliance frameworks, policies and documentation to support audits. Maintained and revised policy procedures for general operation of clinical and compliance program.
  • Planned and executed compliance audits to check company policies, procedures and controls.
  • Organized training programs to educate company staff on benefits and consequences of complying or defying regulations.
  • Stayed abreast of applicable laws and state or federal regulation to report violations.
  • Developed and implemented strategies necessary for minimizing risk of non-compliance. Monitored compliance risk controls to identify deviations and offer recommendations.
  • Developed systems to track and monitor compliance with regulatory requirements and internal policies.
  • Analyzed data from multiple sources to systematically document work and results.
  • Liaised between regulatory agencies and internal departments to facilitate regulatory and related matters.
  • Performed fact-finding research by investigating, collecting and analyzing data and compiling in report format.

Director of Clinical Quality Outcomes

Community Health Centers of Central Florida
, FL
07.2019 - 09.2021
  • Direct and coordinate activities related to clinical quality initiatives.
  • Partner with operations and clinical leadership on strategic quality initiatives.
  • Aligns providers and clinical staff working directly with the Chief of Quality to improve quality of care and cost.
  • Create, development and maintain HEDIS (Health Effectiveness Data Information Sets), UDS (Uniform Data System), P4P (Pay-4-Performance), MCO (Managed Care Organizations), and ACO (Accountable Care Organizations) reports and dashboards to maintain the highest level of performance and key performance indicators.
  • Project budget outcomes for managed care, Accountable Care Organizations, and Chronic Care Programs.
  • Oversaw and implemented comprehensive quality management plan.
  • Discovered opportunities for performance improvement through data analysis and report assessment.
  • Orchestrated data collection, report generation and review of quality issues.
  • Tracked quality improvement implementation process and measured results using KPIs.
  • Remained updated on latest state and federal regulations to serve as internal regulatory resource.
  • Devised impactful policy and procedure changes based on research and report findings.
  • Investigated medication errors, incidents, grievances, etc. events to conduct root cause analysis and suggest responsive action to administrators.
  • Conducted quality training sessions for clinical staff resulting in better quality care outcomes for employees and patients.
  • Prepared evaluation of QAPI plan by assessing and investigating outcomes.
  • Analyzed facility quality and risk performance data to plan improvements in clinical settings.
  • Kept records of quality reports and statistical reviews.
  • Analyzed quality control test results and provided feedback and interpretation to production management or staff.
  • Collected and analyzed production samples to evaluate quality.
  • Established product specifications and quality assurance practices.
  • Monitored product trends and suggested changes.

Quality Data Manager

East Tennessee State University
Johnson City, TN
09.2015 - 07.2019
  • Manage, develop, & implement new processes & workflows in relation to CMS Quality Payment Programs and clinical process improvement strategies.
  • Performed manual and automated tests on applications and submitted reports. Developed process improvements to enhance overall data quality.
  • Worked with programmers to correct data quality errors.
  • Analyzed, queried and manipulated data to defined business procedures.
  • Managed backup, user account and helpdesk systems.
  • Analyzed workflows and established priorities for daily operations.
  • Met with users, vendors and technicians to determine computing requirements. Evaluated organization's technology to recommend upgrades for hardware and software.
  • Reviewed program plans to develop and coordinate activities.
  • Procured IT resources for strategic and operational computing requirements. Developed, reviewed, and approved project plans prior to implementation.
  • Recruited, trained and supervised IT and Care Coordination department staff.
  • Manage, develop, and implement chronic, complex, and case management for patient health managers.
  • Project budget outcomes for MCO's, ACO's, and Chronic Care Programs.
  • Overseen the development, procurement, and adoption of patient-self management educational resources used by patient health managers.

Health Informatics Nurse

Holston Medical Group
Kingsport , Tennessee
10.2014 - 09.2015

Care Coordinator Manager

Mountain States Health Alliance
Kingsport, TN
02.2012 - 10.2014

Charge Nurse

Christian Care Center of Kuttawa
Johnson City , TN
09.2010 - 02.2012

Charge Nurse

National Health Corporation
Johnson City , TN
06.2007 - 09.2010

Staff Coordinator, Infection Control Quality Nurse

Century Care of Laurinburg
Laurinburg, NC
12.2003 - 06.2007

Education

Master of Science - Health Informatics

University of South Florida
05.2019

Bachelor of Science - Healthcare Administration

King University
12.2014

Skills

  • Compliance regulatory director
  • Healthcare/Clinical Credentialing
  • Quality Improvement, Critical Thinking
  • Population Health, Managed Care
  • Clinical Analytics, Data Collection
  • Leadership & Team Building
  • Highly proficient in multiple EHR/EMR's & HIE's
  • Root Cause Analysis, Reporting Requirements, Trend Monitoring
  • Highly proficient in Healthcare Accreditation Organization boards & Quality Assurance Committees
  • Risk Management Strategies, Compliance Reviews
  • Project Coordination & Management
  • Data Evaluation, Audit Oversight, Investigative Skills
  • Leading Audits, Document Analysis, Regulatory Documentation
  • System Management, Data Management
  • Process Development, Planning & Organizing
  • Team Management, Relationship Building
  • Organizational Skills, Training & Development

Accomplishments

  • Department of Family Medicine, East Tennessee State University, Johnson City, TN Patient Health Management Chronic, Case, & Complex Management Improvement Strategies (2019).
  • HIMSS Davies Ambulatory Award of Excellence Recipient (2019). HIMSS Conference, Orlando, Florida. Improved Transitional Care Management & Improved Quality Scores.

Certification

  • Licensed LPN - since 2003

Additional Information

  • CERTIFICATES: LPN State of TN Compact Since 2003 License # 0000071258, American Red Cross BLS , IV Therapy & Push certified, Infection Control Certified

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Affiliations

  • American Nurses Association
  • Health Information & Management Systems Society
  • Health Care Compliance Association

Quote

I think that only daring speculation can lead us further and not accumulation of facts.
Albert Einstein

Software

Microsoft Office

Excel

Zoom, Slack, Microsoft Teams

Interests

Clinical transformation

Portfolio

Featured Picture
Improved Transitional Care
Featured Picture
Improved Quality Scores

Timeline

Director of Compliance and Quality

ReVIDA Recovery Centers
08.2023 - 03.2026

Director of Clinical Compliance

Vynca Care
09.2021 - 03.2023

Director of Clinical Quality Outcomes

Community Health Centers of Central Florida
07.2019 - 09.2021

Quality Data Manager

East Tennessee State University
09.2015 - 07.2019

Health Informatics Nurse

Holston Medical Group
10.2014 - 09.2015

Care Coordinator Manager

Mountain States Health Alliance
02.2012 - 10.2014

Charge Nurse

Christian Care Center of Kuttawa
09.2010 - 02.2012

Charge Nurse

National Health Corporation
06.2007 - 09.2010

Staff Coordinator, Infection Control Quality Nurse

Century Care of Laurinburg
12.2003 - 06.2007

Master of Science - Health Informatics

University of South Florida

Bachelor of Science - Healthcare Administration

King University

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Julie Montgomery