Kimberly Trabing
Herriman,UT
Summary
Results-oriented Healthcare Leader with expertise in clinical compliance and strategic planning. Led nursing operations optimization, enhancing patient outcomes through continuous quality improvement initiatives. Championed cross-functional teams to maintain regulatory adherence and drive process improvements in complex healthcare environments.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Director of Nursing
Monument Taylorsville
02.2025 - Current
- Led clinical operational management for a 120-bed skilled nursing facility.
- Managed daily operations for nursing department, improving patient care and supporting staff development.
- Supervise and evaluate nursing staff, providing guidance, training, and performance management.
- Collaborated with interdisciplinary teams, physicians, and executives to deliver comprehensive patient care.
- Developed and implemented nursing policies and procedures, ensuring effective execution across the department.
- Designed and implemented continuous quality improvement (CQI) initiatives to enhance patient outcomes.
- Implemented operational efficiencies that optimized budgetary resources and strengthened nursing operations.
- Oversaw departmental budget, optimizing resource allocation to align with financial goals.
- Ensured compliance with regulatory standards, government regulations, and accreditation requirements.
RN Short Stay payment Integrity Utilization Review – Contractor
Advice
06.2024 - 02.2025
- Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of all relevant and applicable Federal and State regulatory requirements and InterQual guidelines.
- Reviewed complex claims for DRG validation and itemized bills, confirming appropriate levels of care and adherence to clinical standards, which supported accurate reimbursement.
- Conducted clinical reviews of retrospective medical claims utilizing InterQual criteria to verify medical necessity.
- Evaluated quality of care issues for regulatory compliance, enhancing patient care standards.
- Reviews medically appropriate clinical guidelines and other appropriate criteria with Medical Directors on denial decisions.
- Supplied criteria to substantiate recommendations for denial or modification of payment decisions, ensuring alignment with established guidelines.
- Provided thorough documentation to validate denial and modification of payment decisions.
- Documented clinical review summaries and bill audit findings in the database to ensure thorough record-keeping and facilitate audits.
- Provided clinical expertise to Utilization Management team
Director of Managed Care - Contract
Cambridge Healthcare
12.2023 - 08.2024
- Developed and managed payor contracts to enhance partnerships and optimize managed care processes.
- Implemented a managed care process, trained all licensed facility case managers to be fiscally responsible and clinically accountable to implement quality care while managing medical necessity.
- Conducted managed care financial reviews to ensure compliance and identify opportunities for process improvement.
- Assisted facilities in developing and strengthening managed care processes for case management and social services, ensuring compliance and satisfaction among managed care partners.
- Participated in Joint Operation Committee (JOC) and Quality Care meetings with managed care partners, generating rehab and clinical outcome reports to inform care strategies.
- Reviewed facility financial summary and managed care clinical outcome reports monthly, discussing findings with the facility case manager and administrator.
- Coordinated transition of care reports for PACE, enabling patient returns to community programs post discharge.
- Evaluated facility performance and conducted environmental inspections to ensure maintenance of standards.
- Contributed significantly to team dynamics and training initiatives for new case managers and Social Services Directors. in the training and orientation of new case managers and Social Services Directors and staff.
- PACE program liaison for Alta Med and Neighborhood Pace for 35 SNFs in California.
- (Buena Park, CA)
ICU-RN Staff Nurse
St. Mark's Hospital
05.2023 - 06.2024
- Served as an RN for the Medical/Surgical ICU, focusing on Cardiac and Neurosurgical post-op care.
- Managed care for ventilated and sedated ICU patients, ensuring stability and comfort through tailored interventions.
- Provided high-quality care for diverse critical care patients, ensuring adherence to all interventions within Critical Care RN scope.
- Collaborated with multidisciplinary teams, including critical care and cardiothoracic surgeons, to enhance management of critically ill patients.
- Stabilized patients facing emergency complications and decompensations through timely and effective interventions.
- Demonstrates in-depth skills in managing arterial lines, central lines, Trialysis catheters, and all other invasive lines.
- Skillfully manage all pharmacological drips, including vasoactive/sedative drips.
- Manages direct care of patients, conducts assessments, and documents care activities.
- Skillfully implements treatment plans for acute and chronic conditions.
- Order diagnostic tests and requested specialist care to meet patient needs.
- Educated patients and families on treatment plans and care processes, promoting understanding and engagement in critical care.
- Provided compassionate end-of-life care for patients and support for families in a critical care setting.
- Educate patients and caregivers on proper at-home care and treatment regimens.
- (Salt Lake City, UT)
Circulating OR Nurse
The Eye Institute of Utah
06.2022 - 12.2022
- Reduced risk of contamination by enforcing infection control measures and adhering to strict safety regulations during all procedures.
- Maintained sterile environment by meticulously following protocols for handling sterile supplies and instrumentation, ensuring patient safety.
- Supported surgical team by passing instruments, administering medication, and anticipating needs during procedures, enhancing overall procedural flow.
- Advocated for patients by ensuring proper positioning and conducting thorough reviews of their condition, minimizing risk of complications.
- Delivered exceptional patient care while ensuring clear communication among patients, surgical staff, and families.
- Helped patients feel comfortable by explaining procedures, verifying consent, and addressing concerns, fostering a supportive environment.
- Prepared patients for appointments by completing intake processes and providing clear instructions.
- (Salt Lake City, UT)
Corporate Compliance Officer / Home Health Administrator
Home Health Salus Homecare
03.2008 - 03.2018
- Ensured clinical and regulatory compliance for all skilled entities with a focus on survey preparedness and post-survey plans of correction.
- Assessed compliance risk, identified root causes of compliance exceptions, and developed corrective action plans to strengthen enterprise-wide internal controls.
- Performed on-site visits during actual state and/or Joint Commission Surveys to help organize survey efforts while acting as a resource to entities' staff.
- Collaborated with Human Resources to develop and implement regulatory compliance action plans that enhanced adherence to standards.
- Completed monthly and quarterly regulatory reports to ensure compliance with standards and enhance organizational transparency.
- Effectively corrected compliance deficiencies identified by internal and external examinations.
- Developed, initiated, maintained, and revised policies and procedures for Compliance Program operations, preventing illegal, unethical, or improper conduct.
- Ensured timely reporting of violations or potential violations to duly authorized enforcement agencies.
- Monitored and coordinated all aspects of compliance activities across all departments.
- Provided reports on a regular basis to keep teams informed of the operation and progress of corporate compliance efforts.
- Developed goals and objectives for department quality improvements, aligning initiatives with compliance strategies.
- Collaborated with business management to identify and implement compliance risk education and training policies and procedures.
- Reviewed billing procedures, claims review, and collection process to ensure compliance with all federal and state regulations.
- Demonstrated broad skills in organizing and presenting to the Governing Board quarterly.
- Acted as the primary contact for all Utah Payor issues and collections.
- Maintained daily operations of Home Health Agency, focusing on patient care outcomes, census growth, financial management, billing compliance, and enhancing community reputation.
- (Midvale, UT; Irvine, CA)
Vice President of Managed Care
Sun Mar Healthcare
05.2006 - 03.2008
- (Brea, CA)
- Led strategic initiatives to enhance patient care quality and streamline operational processes, improving overall service effectiveness.
- Managed cross-functional teams to optimize service delivery and foster interdepartmental collaboration, resulting in improved workflow.
- Developed comprehensive policies ensuring compliance with healthcare regulations and industry standards, safeguarding organizational integrity.
Regional Business Development
Kindred Healthcare
03.2005 - 05.2006
- Cultivated relationships with key clients, resulting in sustained business growth.
- Managed client accounts, ensuring satisfaction and retention through effective communication.
- Conducted market research to identify new business opportunities and trends.
- Crafted proposals and presentations that showcased service offerings and attracted potential clients.
- Organized networking events that enhanced brand visibility and strengthened industry connections.
- Established and nurtured relationships with clients, partners, and vendors to drive successful partnerships.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Enhanced customer satisfaction by addressing concerns promptly. by finding creative solutions to problems.
- Assessed customer needs through effective communication and observation.
- Collaborated closely with team members to achieve project objectives and meet deadlines.
- Contributed innovative ideas and solutions to enhance team performance and outcomes.
- Achieved cost-savings by developing functional solutions to problems.
- Utilized advanced technical skills and expertise to troubleshoot complex problems and implement solutions.
- Led training sessions for junior staff on best practices in business development techniques.
- Maintained a database of contacts from prospective clients for future follow-ups.
Education
Master of Science - Nursing
Chamberlain University
Addison10-2026
Associate of Science - Registered Nurse
Salt Lake Community College
Salt Lake City, UT05.2023
Licensed Vocational Nursing - Nursing
North Orange County Regional Occupational
Anaheim, CA12.1995
Skills
- Team leadership
- Clinical compliance
- Critical care management
- Case management
- Patient safety
- Clinical auditing
- Medicare regulations
- InterQual expertise
- Data reporting
- Records management
- Recruitment and onboarding
- Strategic planning
- Policy development
- Process improvement
Certification
- ACLS Certified, 06/23
- BLS Certified, 06/23
Additional Professional Experience
- Regional Business Development, Kindred Healthcare, 03/2005, 05/2006
- Vice President of Managed Care, Sun Mar Healthcare, Brea, CA, 01/1998, 03/2005
- Vice President of Managed Care, Sun Mar Healthcare, 05/2006, 03/2008
Timeline
Director of Nursing
Monument Taylorsville
02.2025 - Current
RN Short Stay payment Integrity Utilization Review – Contractor
Advice
06.2024 - 02.2025
Director of Managed Care - Contract
Cambridge Healthcare
12.2023 - 08.2024
ICU-RN Staff Nurse
St. Mark's Hospital
05.2023 - 06.2024
Circulating OR Nurse
The Eye Institute of Utah
06.2022 - 12.2022
Corporate Compliance Officer / Home Health Administrator
Home Health Salus Homecare
03.2008 - 03.2018
Vice President of Managed Care
Sun Mar Healthcare
05.2006 - 03.2008
Regional Business Development
Kindred Healthcare
03.2005 - 05.2006
Master of Science - Nursing
Chamberlain University
Associate of Science - Registered Nurse
Salt Lake Community College
Licensed Vocational Nursing - Nursing
North Orange County Regional Occupational