RANDI HERSHKOWITZ
Jackson,NJ
Summary
Dynamic and accomplished healthcare executive with extensive experience as Chief Nursing Officer and Senior Vice President. Proven expertise in overseeing complex operational needs, driving cost containment initiatives, and optimizing clinical workflows to enhance organizational performance. Demonstrated success in ensuring regulatory compliance, improving quality outcomes, and managing hospital budgets. Skilled in strategic planning, organizational leadership, and fostering a culture of excellence and accountability. Recognized for implementing innovative solutions that align with organization goals, advanc3 patient care standards and deliver sustainable high impact results in competitive healthcare environments
Overview
37
37
years of professional experience
1
1
Certification
Work History
Chief Nursing Officer, Senior Vice President
Northbrook Behavioral Health Hospital
, New Jersey
08.2022 - 01.2025
- Directed clinical operations and strategic initiatives for 158 bed behavioral health hospital, ensuring the highest stands of patient care, quality, and safety
- Worked Closely with CFG to establish a medical residency program in partnership with Cooper Medical School, enhancing academic collaboration and clinical excellence.
- Spearheaded cost-saving initiatives, reducing pharmacy costs by over $400,000 annually through implementation of Hospital Inpatient free Trial program, therapeutic interchange strategies, and launch of CoverMy Meds for insurance authorizations
- Restructured the admissions department workflow, increase efficiency and driving occupancy rate to exceed 95%
- Successfully decreased clinical denial rates to 1.7% and reduced technical denial rates to 0.05% by improving documentations, workflows and enhancing staff education on payer requirements
- Managed the hospital’s multi-million-dollar budget, ensuring resource optimization and alignment with strategic objectives
- Ensured compliance with all state federal and accreditation standards, including The Joint Commission, CMS and other regulatory bodies
- Led quality improvements initiatives improved patient satisfaction scores and clinical outcomes
- Collaborated with executive leadership to develop and execute strategic plans positioning the hospital for long-term success in a competitive healthcare environment
- Recruit, mentored, and retain top nursing talent, fostering a culture of accountability, professional development, and excellence
Chief Nursing Officer
RWJBarnabas Behavioral Health Service Line
, NJ
01.2014 - 07.2022
- Responsible for all quality measures and standards for the behavioral health service line in our 14-hospital system.
- Creates and maintain the Behavioral Health clinical and administrative policies for the Behavioral Health Service Line
- Ensured compliance with regulatory standards set by Joint Commission/CMS/DMHAS/DOH.
- Oversight of the Centralized Behavioral Health Case Management and Utilization Review
- Denial rate (technical/clinical) for 2021 is 1.7
- 2022 Q1 is 1.4
- These denial rates among the best in the Nation
- Executive Leader for behavioral health for Quality Improvement Program- New Jersey (QIP-NJ)
Chief Nursing Officer
RWJBarnabas Behavioral Health Center and System Network
06.2017 - 01.2022
- Created a scorecard and developed a Behavioral Health Quality Council aligning all of the RWJBarnabas Behavioral Health Network Quality Measures
- HBIPS-Composite Score 2020 99.6%
- Created educational tools/ meetings to examine and improve workflow
- Composite score of over 90% for all of Behavioral Health throughout the Network
- Completed Environmental Risk Assessments for all Behavioral Health Sites in the Network
- Chair Psychiatric Inpatient Subcommittee
- Successful Joint Commission Survey January 2020
- “Best Behavioral Health Survey in 10 years” reported by JACHO Surveyors
- Executive Sponsor for EPIC Behavioral Health build as we transition from Cerner to EPIC
- Successfully improved measurable quality outcomes in Behavioral Health (Decrease in: Restraints; falls; Length of Stay; Re-admission rates; Assaults/Workplace Violence)
- Highest patient Satisfaction Scores in the State of New Jersey
- Receiving the Press- Ganey Guardian of Excellence for Patient Satisfaction Award 3 years in a row
- Chair and Co-Chair Nursing and Behavioral Health Leadership Committees
- Grant writing and submission for multiple behavioral health inpatient and outpatient grants as well as grants for our PESS at Jersey City Medical Center and Monmouth Medical Center
- Created a telehealth platform for services within our Outpatient Program for medication management, individual therapy and IOP services
- Developed a Trauma Informed Care Program and Education at RWJBarnabas Behavioral Health Center with plans to expand throughout our Behavioral Health Network
Director for Case Management
RWJBarnabas Behavioral Health Network
07.2016 - 06.2017
- Created a Centralized Utilization Model for the Behavioral Health Service Line, decreasing clinical and technical insurance denials from 1.8 million to 1 million dollars throughout the RWJBarnabas Behavioral Health Network.
- Achieved a 9.1% reduction in clinical denials.
- Lowered rate of technical denials significantly, achieving a 52.6% decrease.
- Initiated project improvement in case management to decrease length of stay, re-admits, and denials.
- Shifted from outsourcing to assuming direct control over first-level appeals in the behavioral health network.
Administrative Director of Behavioral Health
RWJBarnabas Clara Maass Medical Center
Belleville, USA
01.2014 - 07.2016
- Responsible for all behavioral health clinical services including the involuntary psychiatric unit (STCF) adult- geriatric unit, and psychiatric emergency services at Clara Maass Medical Center and Saint Barnabas Medical Center (Livingston, NJ)
- Management and supervision of Nursing, Case Managers, Social Workers, Crisis workers, Adjunct therapist, and Advance Practice Nurses for Behavioral Health
- Ensured compliance with JCAHO, Medicare/Medicaid, and third party payor Standards of Care
- Implemented Monthly statistical reporting to analyze utilization trends
- Maximize hospital revenue- during my tenure
- Assure compliance for the Behavioral Health department with regulatory agencies –Joint Commission and DMHAS
Administrative Director for Behavioral Health
Care Point Health
Jersey City, USA
05.2012 - 01.2014
- Strategic and results-driven Director of Psychiatric Services with extensive expertise in overseeing the operational, clinical, and financial performance of both inpatient and outpatient psychiatric programs. Responsible for strategic planning, staff leadership, and driving quality improvement initiatives to enhance patient care while ensuring compliance with regulatory standards. Skilled in securing and managing grant funding to sustain and expand psychiatric services, fostering program growth, innovation, and long-term impact
Nursing Care Coordinator
Hoboken University Medical Center
Hoboken, USA
05.2012 - 01.2014
Charge Nurse- child/adolescent psychiatric unit
Trinitas Hospital
Elizabeth, USA
02.2011 - 05.2012
Nursing Care Coordinator
University Correctional Health Care
Newark, USA
01.1999 - 12.2010
- Correctional Medical Services-1999-2004/ University Correctional Health Care/ UMDNJ- 2005 to December 2010 (UCHC/UMDNJ took over from Correctional Medical Services in January 2005)
Triage Nurse
St. Joseph’s hospital
Syracuse, USA
01.1993 - 01.1999
- Comprehensive Psychiatric Evaluation Program (CPEP)
Staff Nurse
Community General Hospital
Syracuse, USA
01.1991 - 01.1993
- General psychiatry
Staff Nurse
Friends Hospital
Philadelphia, USA
01.1990 - 01.1991
- Acute psychiatry, General psychiatry
Staff Nurse
New York Hospital/ Cornell Medical Center
New York, USA
01.1988 - 01.1990
- Coronary Care Unit
Education
Masters - Nursing
Capella University
Bachelor of Science - Nursing
State University of New York at Binghamton
Skills
- Strategic goals
- Strategic plans
- Innovation management
- Process improvements
- Policies and procedures
- Strategic leadership
- Business development
- Financial management
- Recruiting and hiring
- Budget preparation
- Organizational development
- Staff development
- Partnership development
- Healthcare regulations
- Quality improvement
- Patient services coordination
- Resource allocation
- Regulatory compliance
- Clinical expertise
Affiliations
- Active Member- AONL
- ANA
- NJHA
Certification
- ANCC Psychiatric-Mental Health Certification (PMH-BC)
- Training - Completed for InterQual and MCG for Behavioral Health & Medical Case Management
- Registered Nurse, New Jersey
Referrals
Available upon request
Speakingengagements
- New Jersey Department of Human Services- Presented to all STCF Directors 'Management of the Covid Positive Behavioral Health Patient in the Psychiatric Unit'
- American Organization for Nursing Leadership 'Management of the Violent Patients in Acute Care Setting'
- New Jersey Hospital Association 'Joint Commission Readiness'
Timeline
Chief Nursing Officer, Senior Vice President
Northbrook Behavioral Health Hospital
08.2022 - 01.2025
Chief Nursing Officer
RWJBarnabas Behavioral Health Center and System Network
06.2017 - 01.2022
Director for Case Management
RWJBarnabas Behavioral Health Network
07.2016 - 06.2017
Chief Nursing Officer
RWJBarnabas Behavioral Health Service Line
01.2014 - 07.2022
Administrative Director of Behavioral Health
RWJBarnabas Clara Maass Medical Center
01.2014 - 07.2016
Administrative Director for Behavioral Health
Care Point Health
05.2012 - 01.2014
Nursing Care Coordinator
Hoboken University Medical Center
05.2012 - 01.2014
Charge Nurse- child/adolescent psychiatric unit
Trinitas Hospital
02.2011 - 05.2012
Nursing Care Coordinator
University Correctional Health Care
01.1999 - 12.2010
Triage Nurse
St. Joseph’s hospital
01.1993 - 01.1999
Staff Nurse
Community General Hospital
01.1991 - 01.1993
Staff Nurse
Friends Hospital
01.1990 - 01.1991
Staff Nurse
New York Hospital/ Cornell Medical Center
01.1988 - 01.1990
- ANCC Psychiatric-Mental Health Certification (PMH-BC)
- Training - Completed for InterQual and MCG for Behavioral Health & Medical Case Management
- Registered Nurse, New Jersey
Masters - Nursing
Capella University
Bachelor of Science - Nursing
State University of New York at Binghamton
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