Karen Joyce Jimeno

· Develop, execute and manage policies and procedures governing the Compliance & credentialing program, including ensuring responsibility for team-focused best policies and practices.

· Managing The Joint Commission accreditation, certification, and verification of Quality Standards

· Applying NPL(Nursing Pool License) for new states, tracking and renewing existing NPLs and various Licensure and compliance requirements that can enhance the business growth

· Monitor the compliance and credentialing of multi-specialty providers to ensure active and

· valid documentation per company, client, and accreditation requirements. Measure credentialing-based drop offs and reduce percentage and turnaround time

· Create and implement the quarterly compliance training plan focusing on HIPAA, patient safety, quality candidates, and ethics

· Provide support and guidance to HCC program, detect suspicious activities, file reports with regulators, conduct ongoing audits and reduce any risks

· Keep abreast on all state, federal, and client regulations and requirements and relaying changes and updates to the organization

· As a Member of the Quality leadership team, participate in the Quality Metric review process, assess data for adverse trends, develop solutions, and oversee implementation related to area

· Act as a liaison and maintain a relationship and partner with clients, healthcare providers, and executive leadership, regarding compliance, onboarding, projects, meetings, deadlines, employee staffing and retention, and quality assurance

· Investigate client/provider complaints and make recommendations and corrective action.

· Conduct quarterly training in direct reporting managers, encouraging them to focus on continuing education, maintain company goals, and ensure that we are maintaining a positive environment to maintain our key performance indicators and high internal retention employee rate

· Assist the delivery team in reviewing candidate submissions to review qualifications, double check resume for formatting, spelling, experience, and identify any inconsistencies with work history

· Regular onboarding, compliance, and analytical reporting to the leadership team

• Regulatory Compliance: Stay current with federal, state, and local regulations related to healthcare staffing, including but not limited to HIPAA, JCAHO, CMS, and other relevant industry standards
• Develop and implement policies, procedures, and practices that ensure compliance with these regulations
• Policy Development: Collaborate with legal and executive teams to create and update compliance policies and procedures tailored to the healthcare staffing industry
• Ensure these policies are well-communicated to all relevant stakeholders
• Training and Education: Organize and conduct training sessions for staff members regarding compliance policies, ethical standards, and legal requirements
• Monitor staff knowledge and conduct regular refresher training
• Audit and Monitoring: Design and execute regular internal audits to assess the organization's compliance with regulations and policies
• Identify areas of risk and implement corrective actions as needed
• Data Privacy: Oversee data privacy and security efforts, ensuring the proper handling of sensitive patient and employee information in accordance with HIPAA and other relevant regulations
• Vendor and Partner Compliance: Collaborate with third-party vendors and partners to ensure they adhere to the organization's compliance standards and regulatory requirements
• Investigations: Lead internal investigations into any potential compliance breaches or incidents
• Implement strategies to prevent future occurrences and report findings to the executive team
• Reporting: Prepare regular compliance reports for senior management and regulatory authorities as required
• Keep track of any changes in regulations and adapt reporting mechanisms accordingly
• Risk Management: Identify potential compliance risks and work proactively to mitigate them
• Develop strategies to address challenges posed by evolving regulatory landscapes
• Continuous Improvement: Regularly review and improve compliance processes and procedures to ensure they are effective and efficient
• Stay informed about industry best practices and emerging trends

• Prepares monthly schedules and daily sign-in sheets for nurses, nursing assistants, carers, etc
• Takes call-ins while on duty and finds replacement for staff call offs
• Updates the master schedule with changes on a daily basis
• Maintains a record of absenteeism and point accumulation and reports to the Nursing Managers and Director of Nursing
• Records all Leaves of Absence, special requests, vacation and holiday requests, and requests for schedule changes
• Obtains appropriate approval for time-off requests, shift trades, and vacation requests
• Attends weekly staffing meetings and reports to the Administrator, Director of Nursing, and the Human Resources Manager, the staffing summaries, open positions, etc
• Reviews the daily punch details, compares it to the master schedule, makes any necessary changes, reviews the float reports, and submits the completed detail to the Nursing Managers and Director of Nursing for payroll
• Revises staffing/scheduling forms as needed
• Prepares weekly, monthly, and quarterly staffing summary reports
• Maintains clerical supplies, equipment, manuals, and meeting minutes for the department of nursing
• Maintains logs of hours worked in the distinct unit and available positions in the department

• Functional: Day to day monitoring of all electronic mailboxes – clinical interviewer, clinical lead, and complaints
• Ensure all electronic records and systems are updated accurately
• Support Clinical Team Manager in updating policies and procedures as required
• Assist with triaging all incoming clinical related telephone calls
• Ensure compliance with employment law, data protection guidelines, complaints policy, and any other legislation appropriate
• Assist Clinical Team Manager with audits and provide data for regulatory bodies
• Attend internal meetings as required
• Assist Clinical Team Manager with overseeing complaints managements
• Clinical Responsibilities: Clinical Support – assist in an advisory role for all departments within MedGen under the guidance of the Clinical Team Manager
• Clinical Governance – assist Clinical Team Manager in reviewing policies and procedures in conjunction with the HR, COO, and CEO
• Complaints – assist Clinical Team Manager in ensuring that Complaints procedure is followed
• Assist with providing Complaints training to MedGen office staff
• Compliance – oversee the compliance process by liaising closely with the compliance manager who audits all files before checking of a candidate ready for work
• Perform Risk Assessment for all candidates with contents on their DBS (clearance)
• Clinical Interviews – interview all candidates prior to them being signed off for work for MedGen
• Complete annual appraisal for all workers
• Assist Clinical Team Manager with signing off revalidation documents
• Support new business with community clients by checking care plans and NCE and producing client profiles to assist with bookings
• Assist Clinical Team Manager support community team with a review of worker ratio/care plans, etc
• Ongoing clinical support daily
• Attend client meetings if clinical input is required or relevant to a complaint/safeguarding in the absence of Clinical Team Manager

• Gathered and analysed data, verifying accuracy to ensure compliance with ISO standards, identify control gaps and highlight improvement opportunities
• Worked collaboratively with team members in communicating audit observations and developing valuable, realistic audit recommendations for improved outcomes
• Organised and executed internal audits to evaluate risks and processes across a range of areas, including technology, cybersecurity, operations and regulations
• Drafted issues for inclusion in audit reporting processes, increasing Drake International's credibility
• Collaborated with Quality Manager and Internal Audit Team to identify and develop current and future audit requirements

• Developed training systems for UK NMC CBT and OSCE to achieve optimum educational results
• Managed and supported the training team with training systems such as LMS to ensure smooth operations
• Presented engaging lessons and coursework geared toward reaching students with various learning strengths
• Provided technical coaching and training to Nursing and Allied Health applicants
• Achieved a consistent pass rate of 100% for all training programmes offered

• Provided accurate and appropriate information in response to customer enquiries
• Demonstrated mastery of customer service call script within specified timeframes
• Addressed customer service enquiries in a timely and accurate fashion
• Navigated multiple technologies whilst staying engaged with customers
• Possessed excellent negotiation decision making skills as well as communication skills
• Possessed strong customer focus with the ability to have detailed conversations with the customers
• Treated customers with respect and responded with empathy
• Demonstrated sensitivity and compassion in difficult situations which resulted in 100% customer satisfaction
• Maintained confidentiality of bank records and client information
• Built customer confidence by actively listening to their concerns and giving appropriate feedback

• Reviewer/Rationalizer for the Philippine Nursing Licensure Exam at Seamed Review Center and Health Ambassadors University Review Center
• Contributed to a successful Philippines Nursing Licensure Examination

• Designed, developed and produced engaging learning material across a range of subjects, including elective and major Nursing subjects
• Developed innovative and effective teaching methods that led to 100% increase in student engagement
• Grew the future nursing workforce of the Philippines, delivering highly effective teaching and learning activity to 40+ nursing students
• Consistently enhanced student experience, developing personalised learning plans to facilitate course evaluation and individual development
• Prepared monthly student progress updates, addressing concerns and identifying areas of improvement
• Mentored 40+ nursing students through academic and clinical development in line with national and local standards for nursing
• Attended quarterly lectures and seminars to maintain up to date knowledge on nursing techniques, policy and procedures
• Managed and updated records on student grades and attendance to consistently maintain organisational efficiencies
• Implemented diverse instructional approaches to engage students and promote deeper understanding of material
• Participated in student and faculty events to highlight programme offerings, engage students and increase profile on campus
• Worked with administrators on behavioural issues to support needs of all students
• Developed and updated source syllabi to comply with changing course plans

• Delivered a consistently high standard of individualised nursing care through to maintain patients' health and wellbeing
• Provided care across a variety of wards and units for adult and pediatric patients with medical and surgical conditions
• Actively promoted best practice throughout the perioperative department, regularly contributing to quality improvement
• Assessed, planned and implemented treatments and procedures including with precision and attention to care
• Updated knowledge and expertise through regular training schemes in new procedures and techniques
• Built caring and compassionate relationships with patients to provide emotional support and encouragement during hospitalisation