KAREN R. DUKES Ph.D, MBA, RN
Detroit,USA
Summary
Experienced healthcare leader with a proven track record in nursing leadership, patient safety, and mentoring and coaching staff. Skilled in regulatory accreditation, hospital policy coordination, Magnet Recognition Program management, and serving as a Patient Safety Officer. Successfully led initiatives such as Nurses\' Week, Professional Nurse Council mentoring, and Magnet Champions Committee Chair. Extensive leadership expertise at the unit, ambulatory practice, and program levels within a large hospital system environment.
Overview
22
22
years of professional experience
Work History
Clinical Coordinator, Occupational Health
Detroit Medical Center, Tenet Sinai Grace Hospital
02.2025 - Current
- Create weekly schedules for nurses, taking into account sick days and vacation time.
- Supervise and manage daily activities of clinical team consisting of two Nurses and one Medical Office Assistant
Interim Manager 5 West Medical-Surgical Unit
Detroit Medical Center-Tenet Health Sinai Grace Hospital
09.2024 - 02.2025
- Plan, implement and evaluate processes related to performance improvement, staffing effectiveness, fiscal management, staff competence and customer service outcomes within designated units/services and in collaboration with senior leadership and subordinate staff
- Ensure that regulatory requirements/standards are communicated, implemented and monitored
- Collaborate with other members of the healthcare team to plan, implement & evaluate activities related to department, hospital and DMC objectives
- Model customer service excellence
- Develop, monitor and revise processes
- Initiate or recommend personnel actions such as hires, fires and disciplines for area(s) assigned
- Complete performance appraisals
- Develop and assess performance of daily, monthly and/or goals
- As requested, assist in long-range goal development for the department and assessment of goal attainment
- Maintaining and monitoring the budget for staffing needs
- Model customer service excellence
- Managed and motivated employees to be productive and engaged in work.
- Accomplished multiple tasks within established timeframes.
- Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
- Maintained professional, organized, and safe environment for employees and patrons.
- Oversaw inventory management, optimizing stock levels, and reducing waste.
- Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
Clinical Coordinator, Occupational Health
Detroit Medical Center-Tenet Health Sinai Grace Hospital
04.2024 - 09.2024
- Supervised day-to-day operations including three staff members
- Reported all OSHA related employee injuries in the Sedgwick Workers Comp electronic reporting system
Regulatory Manager
Detroit Medical Center-Tenet Health Sinai Grace Hospital
03.2022 - 03.2024
- Work collaboratively with nursing leadership in developing and submitting corrective action plans to various regulatory agencies after surveying the hospital
- Monitor corrective action plans to ensure that the hospital is meeting compliance
- Interpret standards and regulations as needed
- Maintain a compliance tracking system that demonstrates the effectiveness of corrective action plans or lack of effectiveness
- Work with nurse educators and nurse managers to re-educate appropriate staff as needed
- Collaborate with nursing leadership in writing hospital complaint responses to when needed
- Track and report all regulatory and specialty agencies that enter the hospital to Corporate Compliance
- Monitor the effectiveness of EMTALA outside hospital transfers
Staff Nurse
Henry Ford Kingswood Behavioral Health Hospital
08.2021 - 03.2022
- Provides leadership in the coordination and delivery of quality compassionate patient care
- Utilizes the nursing process of assessment, planning, implementation, and evaluation, to provide, delegate, supervise and document care and teaching of patients and family
- Effectively communicates pertinent patient/family information to health care team
- Participates in finding solutions for variances from patient goals and ensures implementation of solutions
Travel Nurse
Aya Healthcare
12.2020 - 07.2021
- Company Overview: San Diego, California
- Provide optimal patient care and great customer service
- Remain current in hospital patient care processes and collaborate with physicians and hospital leadership as needed
- Review hospital/unit specific policies in order to provide care within appropriate guidelines
- San Diego, California
Staff Nurse
Ascension Providence Hospital
06.2019 - 12.2020
- Company Overview: Southfield
- Provide optimal patient care and great customer service
- Remain current in hospital patient care processes and collaborate with physicians and hospital leadership as needed
- Review hospital/unit specific policies in order to provide care within appropriate guidelines
- Southfield
Health Care Surveyor
State of Michigan – Licensing and Regulatory Affairs
03.2018 - 01.2019
- Review and examine complaints and Facility Reported Incidents involving abuse and neglect of patients relative to the quality of care in residential care facilities, hospice programs, physical therapy, and occupational therapy programs
- Conduct inspections and surveys of health care facilities to determine compliance with state and federal health care rules and regulations and assists in evaluating programs to determine if the health care needs of the patient are being met
- Evaluate the quality of care, health care standards, and general management of health facilities operation
- Interpret existing laws, policies, and procedures as they relate to health care facilities and standards of care
- Advise representatives of facilities/agencies of findings orally and in written reports to substantiate findings and detail areas of non-compliance with state and federal regulations pertaining to health care standards
- The Centers for Medicare and Medicaid Surveyor Minimum Qualification Test (SMQT) successfully completed 7/25/2018
Program Manager for Magnet Recognition
Detroit Medical Center-Detroit Receiving Hospital
03.2016 - 10.2017
- Ensure that the NDNQI database is up to date and the results shared with the leadership team
- Mentor the Emergency Department Unit Based Council in understanding policies, hospital processes and procedures and establishing what they would like to see added or deleted form their work environment or the way in which they provide care
- Lead the Magnet Development Committee (nursing leadership team) in ensuring that Magnet standards are being met and working closely with the CNO of Patient Care Services on efforts to develop/establish processes and initiatives that will enable the hospital to receive Magnet recognition
- Ensure that data is submitted and uploaded in the NDNQI database
- Keep the nursing leadership team aware of hospital clinical indicators status and Nurse Satisfaction Scores
- Lead the unit Magnet Champions in their pursuit to engage peers in Magnet focused initiatives
- At this time lead nursing and physician leadership in updating, reviewing and revising hospital specific and department specific policies and procedures
- Stand in as regulatory personnel as needed
Continual Compliance Coordinator - Detroit Receiving and Rehabilitation Institute of Michigan
Detroit Medical Center-Corporate
08.2013 - 12.2015
- Ensure that assigned hospitals are Joint Commission ready by conducting mock surveys, keeping leadership abreast of changes in the standards as well as how well prepared the hospital and its outpatient sites are for pending regulatory agency visits
- Ensure that hospital policies and other required documents are updated and readily available for regulatory agency visits
- Coordinate regulatory activities in collaboration with the hospital leadership team and ensure that all corrective action plans are written correctly, and goals are realistic, and measurable
- Coordinate regulatory activities in the various hospital units and departments including the emergency department, surgical services, and central sterile processing to preempt a surveyor visit
- Ensure that corrective action plans are being followed by working with the leadership team in the development of audit tools according to the recommended Joint Commission evidence of standards compliance process
- Analyze historical data to understand where the hospital is potentially at risk for requirement for improvements (RFI) and assess for improvement opportunities to decrease the risk and make recommendations to leadership accordingly
- Interpret Joint Commission and CMS standards for the hospital leadership teams and other staff as needed
- Coordinate Electronic Joint Commission Hospital Focus Standards Assessment process
- Super User for my sites and assist where needed
- Function as hospital lead during external and internal regulatory survey visits in the facility
Clinic Manager – Primary Care Clinic
Sinai Grace Hospital-Primary Care Center Lahser
09.2012 - 06.2013
- Responsible for clinic operations, budget and revenue cycle
- Implement process improvement strategies that are conducive to providing excellent patient care services
- Provide leadership and policy interpretation to four Medical Assistants and four Patient Access Representatives (receptionists)
- Collaborate with the clinic Medical Director in facilitating processes that will increase patient and physician satisfaction
- Send HEDIS information to requesting insurances, conduct patient chart audits, hire staff, provide performance evaluations and work closely with the physicians and their patients in order to meet their needs
- ICD9 coding for billing purposes
Clinic Manager – HealthSource/Primary Care Nursing and Wound Care Clinics
Detroit Receiving Hospital-University Health Center
08.2010 - 09.2012
- Manage clinic operations including the fiscal year and monthly budgets
- Supervise seven clerical staff members and seven clinical staff members, complete performance evaluations, order all clinical and office supplies, provide patient care when needed, input patient referrals in the MC 400 computer system and ensure that ICD-9 and CPT-codes met the patient’s need for service
- Develop process improvement goals and standards for both clinical staff and medical staff
- Ensure that clinic complies with both Wayne County Healthsource guidelines and the State of Michigan’s Adult Benefit Waiver program guidelines
- Develop customer service goals and initiatives
- Collaborate with the clinic Medical Director and Nurse Practitioners on the planning and development of clinic specific initiatives
- Partner with the Breast and Cervical Cancer Control Program (BCCCP) in an effort to provide free breast and cervical cancer prevention services to patients meeting qualifications
- Ensure that the resident physician’s clinic schedules are effective and efficient to deliver patient care
- Communicate and interpret policies and procedures to both staff and clinic physicians in order to ensure understanding and adherence
Per-diem Staff Nurse – All DMC hospitals-current assignment-Occupational Health Services/University Health Center
Detroit Medical Center- Nursing Pool
09.2009 - 08.2010
- Provide optimal patient care at each facility scheduled
- Learn the patient care processes and environment
- Review hospital/unit specific policies in order to provide care within appropriate guidelines
- Be available for on-call staffing when needed
Clinical Manager – Women’s Health-ICU/Medical-Surgical
Hutzel Hospital
01.2005 - 01.2009
- Company Overview: 190 bed Women’s Health hospital affiliated with the Detroit Medical Center
- Managed up to 47 Full time equivalents (RNs, Patient Care Associates, and Unit Secretaries), responsible for daily operations including, budgeting, scheduling and 24 hour accountability, complete annual staff performance evaluations, Interview and hire new staff members, staff development and competency maintenance, multidisciplinary collaboration with physicians, respiratory therapist, care management and social work team, monitor, investigate and respond to incident reports, ensure process improvement targets and goals are met, ensure patient/staff safety needs and requirements are met according to the Joint Commission and Corporate Quality and Compliance Guidelines, daily patient rounding to ensure customer service needs were met, ensure Magnet goals and initiatives are successfully met, super user for Electronic Medical Record (Cerner) project, communicate and interpret hospital/organizational policies and procedures to staff and physicians, order supplies
- 190 bed Women’s Health hospital affiliated with the Detroit Medical Center
Clinical Manager – Emergency Services
Harper University Hospital
01.2003 - 01.2005
- Company Overview: 390 bed full service academic hospital affiliated with the Detroit Medical Center
- Managed up to 60 Full time equivalents, held 24 hour accountability, collaborated with Physicians and staff for appropriate placement of patients, ensured that the charge capture and billing process was successfully accurate, ensured success of the 29 minute initiative, expedite patient movement into and out of the department, completing annual staff performance evaluations, providing patient care when needed, customer service, interview and hire new staff members, staff scheduling; ensure accurate triage and mini-registration of patients, staff development and competency maintenance
- 390 bed full service academic hospital affiliated with the Detroit Medical Center
Education
PhD - Public Health-Community Education
Walden University
Minneapolis, MN02.2020
MBA - Health Care Management
University of Phoenix
Southfield, MI01.2006
BSN -
University of Phoenix
Southfield, MI01.2001
Skills
- Proficient in Microsoft Word
- Proficient in Advanced Excel
- Experienced in PowerPoint Presentations
- Outlook
- Proficient in Cerner EMR
- Kronos Scheduling System Expertise
- FirstNet Board Proficiency
- Midas Employee Event Reporting System
Accomplishments
- Participated in two successful Triennial Joint Commission Surveys
- Participated in 4 successful CMS oversight surveys
- Prepared written hospital corrective action plans that were accepted by various regulatory agencies on first submission
- Developed a hospital Regulatory Readiness Rounding Team
- Hospital Regulatory Readiness Tip Sheet development and staff distribution
- Took on leadership role in various successful hospital and community events
Degrees
- Ph.D.
- MBA
- BSN
Organizational Memberships
- Chi Eta Phi Sorority Incorporated-The Nursing Sorority, Retention and Retention Committee Member
- ASCENSION PROVIDENCE HOSPITAL COMMITTEE, Professional Nurse Practice Council
- DMC/HOSPITAL COMMITTEES, Chair: Sinai Grace’s Environment of Care Committee, Leader-Magnet Champion Committee (staff nurses), Leader-Magnet Development Committee (Patient Care Services Managers and Directors)
Timeline
Clinical Coordinator, Occupational Health
Detroit Medical Center, Tenet Sinai Grace Hospital
02.2025 - Current
Interim Manager 5 West Medical-Surgical Unit
Detroit Medical Center-Tenet Health Sinai Grace Hospital
09.2024 - 02.2025
Clinical Coordinator, Occupational Health
Detroit Medical Center-Tenet Health Sinai Grace Hospital
04.2024 - 09.2024
Regulatory Manager
Detroit Medical Center-Tenet Health Sinai Grace Hospital
03.2022 - 03.2024
Staff Nurse
Henry Ford Kingswood Behavioral Health Hospital
08.2021 - 03.2022
Travel Nurse
Aya Healthcare
12.2020 - 07.2021
Staff Nurse
Ascension Providence Hospital
06.2019 - 12.2020
Health Care Surveyor
State of Michigan – Licensing and Regulatory Affairs
03.2018 - 01.2019
Program Manager for Magnet Recognition
Detroit Medical Center-Detroit Receiving Hospital
03.2016 - 10.2017
Continual Compliance Coordinator - Detroit Receiving and Rehabilitation Institute of Michigan
Detroit Medical Center-Corporate
08.2013 - 12.2015
Clinic Manager – Primary Care Clinic
Sinai Grace Hospital-Primary Care Center Lahser
09.2012 - 06.2013
Clinic Manager – HealthSource/Primary Care Nursing and Wound Care Clinics
Detroit Receiving Hospital-University Health Center
08.2010 - 09.2012
Per-diem Staff Nurse – All DMC hospitals-current assignment-Occupational Health Services/University Health Center
Detroit Medical Center- Nursing Pool
09.2009 - 08.2010
Clinical Manager – Women’s Health-ICU/Medical-Surgical
Hutzel Hospital
01.2005 - 01.2009
Clinical Manager – Emergency Services
Harper University Hospital
01.2003 - 01.2005
MBA - Health Care Management
University of Phoenix
BSN -
University of Phoenix
PhD - Public Health-Community Education
Walden University
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