KIMBERLY KRANWINKEL

• Developed and implemented nursing policies and procedures to support new dialysis acute unit.
• Initiated new program through telehealth to provide increase access to care. (Renal on Wheels)
• Launched clinic build for dialysis unit to capture productivity of dialysis nurses and MITs.
• Developed an algorithm to educate staff on clinic build and ensure proper encounters are being documented.
• Monitored quality assurance activities for compliance with standards of care.
• Provided guidance to staff on patient care, clinical practice, and professional development.
• Collaborated with other departments to ensure quality patient outcomes
• Initiate educational projects to enhance knowledge of hospital staff with caring for Veteran's who receive dialysis.
• Evaluated performance of individual nurses against established standards.
• Coordinated interdisciplinary team meetings to review patient progress and plan care strategies.
• Co-Chair Dialysis Committee meeting.
• Addressed disciplinary issues among staff in accordance with organizational policy.
• Facilitated communication between physicians, nurses, support services personnel.
• Applied clinical judgment and comprehensive knowledge of facility policies to assist dialysis nurses with patient care decisions. Continue to develop standard operating procedures for dialysis unit to meet updated Dialysis Directive.
• Identified registered nurses within VA hospital that had dialysis experience and initiated cross training to dialysis unit equipment to provide support during emergencies.
• Initiated early tray process to ensure Veterans are receiving dialysis at earliest available start. Late lunch trays identified to decrease waste of trays for lunch.
• Conducted regular meetings with staff to discuss concerns or issues related to nursing practices.
• Developed peer to peer chart review for accuracy of documentation during dialysis.
• Promoted a positive work environment through effective communication with staff members.
• Implemented supply chain management system with staff to ensure adequate supplies to treat Veterans.
• Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.

• Assessed and evaluated business procedures and implemented structure to improve day-to-day operations.
• Improved customer satisfaction rating from 79% to 93% satisfied through new processes.
• Employee satisfaction increased from 70% to 95% satisfied within regional team.
• Analyzed data across variety of sources to identify trends, patterns and areas of opportunity. Improved revenue margins from 43% to 49% based on data.
• Built cohesive messaging and executed plans with consistent voice, processes and tools to achieve targets. During operational changes wrote processes for communication across departments for increase of client relations and starts of care.
• Crafted successful messages to support large-scale, enterprise-wide changes. Developed templates and processes for communication based on new standard operating model to support initiatives.
• Created training programs to support organizational changes involving employees' day-to-day operations.
• Developed change management plans minimizing employee resistance and accelerating adoption. Increased communication and transparent approach to upcoming changes within organization to build trust.
• Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
• Used strong issue resolution and communication skills to cultivate and strengthen lasting client relationships.
• Reviewed financial statements and sales or activity reports to measure productivity or goal achievement.
• Implemented successful business strategies to increase revenue and target new markets.
• Created effective business plans to focus strategic decisions on long-term objectives.
• Handled customer billing errors by researching issues in system and asking detailed questions.
• Analyzed existing contracts and identified spend reduction opportunities.
• Managed projects governing material sourcing and cost savings initiatives.
• Negotiated, wrote and administered contracts to increase partners by 20% in the market.
• Successfully obtained additional license for services in territory through evaluation and restructuring programs for compliance with state, local and federal regulations.
• Worked with management team to develop operational goals aligned with business strategy.
• Delivered continuous training to associates to maximize performance and customer relations skills.
• Evaluated trends in customer service issues to analyze complaints and identify opportunities for improvement.
• Investigated reported and identified compliance issues against accepted standards.
• Supported internal and external auditing teams conducting impartial compliance reviews.
• Verified documentation against compliance standards and communicated deficiencies to resolve issues.

• Responsible for operations of 1 of 4 regions in the Maryland market.
• Manage a $50 Million P&L for 9 facilities.
• Evaluated operational trends and proactively adjusted strategies to maintain alignment between performance and objectives.
• Align team with state regulatory goals decreasing revenue loss for payment.
• Focus team on clinical and financial metrics leading to highest performance for the area.
• Improved physician relations to increase growth by 22%
• Recruited, identified, and developed professionals and implemented training and development programs to successfully exceed retention targets. Retention is currently 97%.
• Devised and implemented strategies to promote organizational growth, penetrate home markets and improve patient care standards and initiatives.
• Directly managed team of 8 and oversaw 200+ employees in outpatient and home dialysis operations.
• Developed corporate objectives and strategies collaborating on quality metrics and key performance indicators (KPI), as well as strategizing with cross-functional teams on improvement measures related to quality.

• Provide oversite to multiple outpatient dialysis facilities to include nursing home facilities.
• Focused training to enhanced customer relationships and satisfaction. Resulting in 80% of centers having >90% customer satisfaction positive scores.
• Succession planning through mentorship to align performance with core values and encourage career development.
• Conducted analysis to address downward labor trends which led to improved productivity by 22% and efficiency across shifts of 15% in treatment centers through project management.
• Used growth reports and performance data to assess, optimize and elevate operations to meet current and expected demands.
• Developed and deepened relationships with functional leadership to interconnect revenue generation initiatives with day-to-day operations.
• Set clear goals for area managers and implemented systems for measuring results in support of optimal decision making.
• Monitored performance metrics and developed process for improvement across the territory.
• Worked directly with Facility Administrators and staff to maximize customer satisfaction, streamline procedures and boost bottom-line profitability.
• Leadership efforts recognized for driving innovative process improvements.

• Provided oversight tp 9 outpatient medical health sites.
• Improved turnover rates by 90% within leadership roles through new training program.
• Developed and implemented an orientation program for the organization.
• Decreased staffing cost by 78% through productivity tools.
• Integrated new processes for billing that resulted in a 80% payout for missed revenue.
• Lead the organization through EHR initiative and implementation.
• Reduced food costs by 33% through new online ordering process.
• Established standardized tools to monitor state regulation compliance within facility.
• Successfully led marketing, sales, and utilization projects that resulted in 15% increase census.

TheKey

• Full supervisory responsibilities for multiple sites.
• Obtained achievement awards for continuous improvement, teamwork, and accountability.
• Enhance quality outcomes while ensuring adherence to CMS regulations. Multiple condition free survey's from KDP and State.
• Provide strategic and tactical leadership, counsel, and direction to the field management of those assigned facilities to ensure safe, efficient, therapeutic and ethical patient care.
• Recognize and cultivate strategic growth opportunities, monitor division performance, and work closely with Divisional Vice President to develop competitive strategies in alignment with the company's mission and value.
• Support Market development and growth. Increased census by 38% within facilities.
• Facilitated opening two denovo's with zero deficiencies.
• Decreased turnover rate by 22% in 6mos through team building and training.
• Multimillion Budget and P&L accountability.
• Positive growth of revenue over one year with two denovo's opening of 14million.
• Open/Close improvement by 74% through utilization of productivity tools.
• Received the following Core Value Awards: Continuous Improvement, Team, Accountability, and Integrity.

• Full supervisory responsibilities for 32 direct reports within assigned units.
• Responsible for the management and oversight of operations for multiple units within facility.
• Spearheaded Infusion Center opening, resulting in reduction of inpatient revenue loss.
• Created new customer satisfaction program, resulting in overall scores improving to 98% positive scores.
• Improved outpatient surgery rate by 14% by building physician relationship.
• Developed readmission team to improve process for follow-up of care.
• Lead SCIP protocol initiation for compliance and to improve patient outcomes.

• Provided nursing supervisor support for all administrative duties during off shifts for 400 bed facility.
• Coordinated Quality Improvement Activities (QIA's) to identify performance areas for improvement.
• Facilitated patient admission and safe care during off shifts for facility.

• Completed clinical work in intensive care unit and emergency department.
• Participated in research activities related to evidence-based practice initiatives.
• Demonstrated effective communication skills while interacting with patients, families, physicians and other healthcare staff members.
• Provided emotional support to family members during difficult times or end-of-life situations.
• Implemented infection control measures to reduce the spread of contagious diseases.
• Provided direct patient care including wound dressing, administering medication and IV therapy.
• Conducted patient education on medical treatments and procedures.

• Assumed a leadership position while conducting patient care
• Assigned and delegated tasks to nurses and technicians
• Obtained continuous leadership development through various roles and responsibilities.
• Conducted Charge Nurse duties and assisted Head Nurse with continuous education.
• Provided nursing care for patients with various medical diagnoses and treatments.
• Assessed and monitored patient health conditions, including vital signs such as temperature, pulse rate and blood pressure.