Experienced with regulatory compliance management, driving successful submissions and audits. Utilizes deep knowledge of regulatory frameworks to ensure compliance and mitigate risks. Track record of effective regulatory documentation and policy development, supporting organizational compliance goals.
Overview
15
15
years of professional experience
Work History
Regulatory Specialist- Senior
St. Joseph Hospital- St. Charles, St. Joseph Hospital- Wentzville, St. Joseph Hospital- Lake St. Louis, Kisker Outpatient Surgery Center
09.2021 - Current
Coordinates regulatory compliance activities
Works collaboratively with leaders, clinicians and other staff in the development and implementation of regulatory requirements to identify and reduce risks, and meet regulatory requirements
Ensures implementation of an integrated regulatory compliance and accreditation program
Possesses a working knowledge of all The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS) Conditions of Participation and State Hospital Licensing Act standards and regulations and stays current with changes to these standards and regulations
Reviews current standards and ensures awareness of new and revised standards
Possesses a working knowledge of organizational policies and procedures and assists with development and revision of Policies and Procedures to ensure compliance with hospital regulations
Utilizes team leading and facilitation skills to support meetings, action plans, development of measures and goals, and data collection
Gathers data from tracers and chart audits to create departmental scorecards related to key compliance issues
Strengthened relationships with regulatory authorities through transparent communication and proactive engagement.
Nurse Manager, Department of Emergency Services
St. Mary’s Hospital
10.2018 - 09.2021
Conducts hiring, training, directing, development and evaluating of staff.
Ensures compliance with regulatory and accreditation requirements for self and within unit.
Identifies and resolves issues affecting the delivery of patient care services for the assigned unit(s).
Develops and implements policies and procedures to guarantee efficient and effective delivery of health services in a unit.
Monitors and adheres to budget. Approves or monitors expenditures, purchases and other actions to ensure compliance with budget guidelines.
Responsibilities include direct management and supervision of 90 direct reports in the ED, performance evaluations and corrective action, creation and management of unit schedule, aid in development of departmental performance board metrics, monitoring productivity, building relationships with EMS personnel.
Supervision of construction and opening of 50 bed ED expansion including dedicated closed Behavioral Health unit
Led staff meetings to keep team informed of departmental changes and provide opportunities for nurses to share ideas and concerns.
Conducted performance evaluations and provided constructive feedback to support professional growth of nursing staff members.
Registered Nurse, Cardiac Telemetry at SSM Health St. Joseph Hospital - Lake Saint LouisRegistered Nurse, Cardiac Telemetry at SSM Health St. Joseph Hospital - Lake Saint Louis