Experienced Registered Nurse with over 13 years in healthcare operations and clinical oversight across diverse settings including managed care and acute care. Specializes in regulatory compliance, quality improvement, and performance initiatives, with a focus on enhancing care for Medi-Cal populations.
Overview
14
14
years of professional experience
Work History
Home Health Case Manager (Registered Nurse)
North Star Home Health
02.2025 - Current
Provide comprehensive case management services in the home health setting, coordinating care across interdisciplinary teams.
Conduct ongoing patient assessments, develop care plans, and coordinate services per physician orders and agency protocols to ensure holistic patient care.
Maintain accurate, timely, and Medicare-compliant clinical documentation.
Collaborate with providers, therapists, and agency leadership to ensure adherence to regulatory standards and improve patient outcomes.
Facilitate corrective action planning and follow-up activities to strengthen compliance and enhance overall quality of care.
Lead Clinical Compliance Inspector
Partnership
10.2023 - Current
Provide leadership for regulatory compliance activities supporting Partnership's provider network by evaluating adherence to DHCS, Medi-Cal, Medicare, and organizational standards while promoting quality improvement and population health initiatives.
Analyzed clinical documentation, workflows, quality measures, and regulatory performance to identify trends and recommend corrective actions, enhancing compliance outcomes.
Collaborate with executive leadership, providers, medical directors, clinic administrators, Quality, Population Health, Care Coordination, Provider Relations, Credentialing, Health Equity, and Communications to support organizational goals.
Developed and delivered educational presentations and individualized coaching for thousands of providers and clinic staff on regulatory requirements, preventive health initiatives, documentation standards, and quality improvement, fostering organizational compliance.
Guided provider organizations through corrective action planning, implementation, monitoring, and sustained compliance improvement, ensuring adherence to regulatory standards.
Assist organizations in preparing for DHCS and regulatory reviews through education, technical assistance, and performance monitoring.
Serve as a trusted regulatory resource for internal departments and contracted provider organizations.
Conducted comprehensive inspections to ensure compliance with regulatory standards and organizational policies.
Clinicial Compliance Inspector
Partnership Healthplan of CA
10.2021 - Current
Conducted comprehensive compliance inspections to ensure adherence to regulatory requirements.
Developed and implemented corrective action plans following compliance violations.
Evaluated operational processes for efficiency and identified areas for improvement.
Collaborated with cross-functional teams to enhance compliance training programs.
Reviewed documentation for accuracy and ensured timely reporting of findings.
Mentored junior inspectors on best practices in compliance assessment techniques.
Led initiatives to streamline inspection processes and reduce turnaround times.
Infection Preventionist
Copper Ridge Care Center
08.2020 - 10.2021
Managed infection surveillance, tracking, and reporting for timely response to risks.
Managed infection surveillance, tracking, and reporting to ensure timely responses to infection risks.
Conducted outbreak investigations and implemented corrective actions to mitigate future occurrences.
Developed and updated infection prevention policies and procedures.
Provided ongoing staff education on infection control and prevention strategies to enhance compliance and awareness.
Director Of Staff Development
Copper Ridge Care Center
01.2019 - 08.2021
Provided leadership for clinical education, onboarding, competency validation, and workforce development supporting more than 200 healthcare employees.
Directed orientation, onboarding, and continuing education programs for nursing and clinical staff.
Onboarded 20+ new employees annually, ensuring competency and regulatory readiness for seamless integration.
Coordinated organization-wide competency validation and compliance training.
Developed educational programs, competency assessments, and policies supporting quality improvement.
Partnered with department leaders to enhance workforce readiness and boost employee engagement across teams.
Facilitated recruitment, hiring, retention, and professional development initiatives to enhance workforce capabilities.
Registered Nurse / Licensed Vocational Nurse
01.2013 - 12.2018
Provided direct patient care including assessments, medication administration, and patient education.
Collaborated with interdisciplinary teams to ensure continuity of care.
Supported quality and safety initiatives through adherence to evidence-based clinical practices.
Interim Care Coordinator • Case Management Registered Nurse at CHI St. Alexius Health-Garrison Hospital & Nursing FacilityInterim Care Coordinator • Case Management Registered Nurse at CHI St. Alexius Health-Garrison Hospital & Nursing Facility