KAREN HOLDEN
Garner,NC
Summary
Experienced healthcare executive with 20 years of expertise in managing healthcare facilities, compliance, and operations. Proven track record in directing facility operations, developing and implementing strategic plans, and ensuring regulatory compliance. Skilled in leadership, employee training, and building strong team dynamics. Seeking opportunities in Western NC.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Chief Executive Officer (CEO)
Walter B. Jones
06.2024 - Current
- Responsible for the operation and supervision of all organizational components of the facility. Responsibilities include the following:
- Oversee all facility operations including clinical, programmatic, budgetary, human resource allocation, strategic planning, quality improvement/risk management, affirmative action plan, performance management plans, capital improvement planning and disaster plans.
- Ensure the facility operates within established inpatient and outpatient services, within all established Federal, State, and other regulatory rules and policies, and within the approved budget.
- Direct the provision of inpatient and outpatient services provided by the facility.
- Oversee the development and implementation of the Facilities Operational Plan, to include relevant measures contained within the Division of State Operated Healthcare Facilities'(DSOHF) Operational Plan.
- Monitor facility performance with measures established in collaboration with DSOHF and the other alcohol drug abuse treatment center (ADATC) supporting the facility's efforts and making internal changes as necessary toward meeting the annual performance measures.
- Ensure that the facility budget is projected and maintained in a balanced manner.
- Provides direct supervision to senior level positions at the facility.
Director of Compliance
Carolina Meadows Retirement Community
01.2021 - 06.2024
- Plans for, directs, and advises Board, executives, senior management, leadership, and team members on all areas of risk, compliance and privacy exposure and claims management
- Analyze loss exposures and develop, maintain, or improve action plans to mitigate exposures, particularly regarding campus safety, workers compensation claims, employment practices, and resident falls, pressure sores, and medication errors, as inherent in a continuing care retirement community setting
- Annually develop key performance indicators (KPI) with department leaders across all disciplines
- Annually present Risk Management Working plan to the Board of Directors
- Oversee all incident reporting throughout campus
- Directly management a team of six social workers and one risk coordinator
- Work in unison with the Chief Operating Officer to ensure all operations across campus are running smoothly
Hospital Compliance Analyst
UNC HealthCare
04.2018 - 12.2020
- Identifies and analyzes areas of weakness, research causes and formulate recommendations that enhance operations and compliance
- Familiarizes self with area under review, and if necessary, visits department/facility to gain operational and process knowledge
- Researches all relevant materials including but not limited to regulations, policies, procedures, and other standards such as CPT coding guidelines and CMS policies
- Assists in preparing annual audit and work plan
- Analyzes audit findings and reports/tracks results for one-on-one or group feedback
- Provides communication of audit findings to department leadership as directed by management
Risk Manager
RJ Blackley
03.2015 - 05.2018
- Serves as hospital leadership in matters of service, performance quality, safety, and improvement in a 64-bed psychiatric and substance abuse hospital
- Supervises six direct reports and fourteen indirect reports
- Works with the Business Director to develop an annual operating budget
- Supervise the investigation of all patient injuries, sentinel events, medical issues that require a patient to receive services outside of the facility, patient complaints, and any other clinical cases that result in seclusion, restraint, and extended patient stays
- Prepare RCA's as a result of patient/staff incidents
- Handled the responsibility of managing the hospital's progress in achieving and maintaining accreditation as an inpatient psychiatric hospital with the Joint Commission and as an Institute for Mental Diseases with the Centers for Medicare and Medicaid (CMS)
Compliance Manager
Senior Community Care of NC (PACE Program)
01.2011 - 02.2015
- Find, select, and negotiate contract terms with suppliers of products and/or services for a healthcare organization
- Oversaw credentialing for physicians and other members of a health care facility
- Served as the head chair liaison for the agency HIPAA/Compliance committee
- Conducted yearly internally and externally audits
- Directly supervised one medical record coordinator
Education
Master of Public Administration -
Bachelor of Business Administration - Legal Studies
Skills
- Leadership
- Assisted living
- Workers' compensation
- Strategic planning
- Policy
- Quality assurance
- Budgeting
- Hospital experience
- Business development
- Team management
- Hospitality
- Electronic Medical Records
- Compliance management
- Operations management
- Senior care
- Auditing
- Behavioral health
- Critical thinking
- Risk management
- Organizational skills
- Active Listening
- Providing Care to the Elderly Population
- Microsoft Excel
- Contracts
- Contract negotiation
- Contract management
- External and Internal Customer Service
- Databases
- Medical records
- Microsoft Outlook
- Presentation skills
- HIPAA
- Healthcare management
- Managed care
- Financial management
- Verbal and Written Communication
- Human resources
- Attention to detail
- Internal audits
- Microsoft Powerpoint
- Microsoft Office
- Problem-Solving
- Communication skills
- Process improvement
- Senior leadership
- Public speaking
- Mentoring
- Team development
- Project management
- Supervising experience
- Joint Commission
- Centers for Medicare & Medicaid Services
- CARF
- Analysis skills
Certification
- Assisted Living Administrator
- Certified Notary Public
- Driver's License
Links
linkedin.com/in/karentholden
Accomplishments
• Supervised 13 direct reports and 183 indirect reports
•Reopened unit that had been closed since 2022 within 2 months of becoming CEO at a State of NC facility
•Achieved financial stability for a State of NC facility for the first time in history
Timeline
Chief Executive Officer (CEO) - Walter B. Jones
06.2024 - Current
Director of Compliance - Carolina Meadows Retirement Community
01.2021 - 06.2024
Hospital Compliance Analyst - UNC HealthCare
04.2018 - 12.2020
Risk Manager - RJ Blackley
03.2015 - 05.2018
Compliance Manager - Senior Community Care of NC (PACE Program)
01.2011 - 02.2015
STRAYER UNIVERSITY - Master of Public Administration,
STRAYER UNIVERSITY - Bachelor of Business Administration, Legal Studies
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