Accomplished Compliance Specialist and Licensed Vocational Nurse with over 9 years of experience in mental health and substance abuse settings. Expertise in DHCS, DSS, Joint Commission, and CARF regulations, with a proven track record in policy development and compliance oversight. Strong leadership skills in guiding healthcare teams to maintain high standards of care and safety. Committed to continuous quality improvement and patient-centered care.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Director of Healthcare
Circa Behavioral Healthcare Solutions
Mission Viejo, CA
07.2020 - Current
Led successful compliance monitoring programs, ensuring adherence to DHCS, DSS, Joint Commission, and CARF standards.
Collaborated with cross-functional teams to implement process improvements for enhanced patient care and safety.
Managed healthcare operations, overseeing staff performance and regulatory compliance across multiple facilities.
Assist Organizations through the initial licensing process for, The Department of Social Services, Department of Healthcare Services, Joint Commission and CARF.
Organized initiatives, drafted documentation and enforce compliance with best practices.
Addressed customer concerns with suitable solutions.
Conducted comprehensive audits and developed reports to inform leadership of compliance status and recommend improvements.
Executed successful compliance monitoring and risk assessment programs.
Guided employees on understanding and meeting changing customer needs and expectations.
Created and managed training classes to educate new hires and existing employees about compliance concerns.
Trained and mentored healthcare staff, enhancing team compliance with medication administration standards.
Develop competency exams for organizations to meet the Department of Social Services, the Department of Healthcare Services, the Joint Commission, and CARF requirements.
Mitigated risk by coordinating plans and specifications to maintain safety and compliance.
Checked adherence to federal and state regulatory requirements as well as any accrediting body by performing audits on eMAR systems.
Kept up-to-date knowledge of Department of Social Services, Department of Healthcare Services, Joint Commission and CARF standards and regulations, to assist Organizations maintain up to date internal policies and procedures.
Provided compliance risk control consultation to committees and leadership.
Assist Organizations established a culture of safety, to assist in improvement of overall organization performance.
Collaborated with leadership to devise strategies to improve processes and risk controls as well as implement new systems and best practice guidelines.
Developed organizational methods and policies, implementing training initiatives to deliver ongoing awareness of and compliance with established procedures and meet all licensing and accrediting body standard and requirements.
Adhered to company deadlines to meet the needs of all our clients.
Produce monthly reports detailing compliance findings and recommendations for improvements for various Organizations.
Studied regulations, standards and service requirements for The Department of Social Services, Department of Healthcare Services, Joint Commission and CARF standards to assist Organizations in delivering the necessary training to Healthcare and Operational staff.
Director of Healthcare
TDCLA
Los Angeles, California
01.2025 - Current
Provide direct patient care for a substance use / dual diagnosis residential facility.
Completed intakes including: nursing assessment, Columbia Suicide Scales, Nutritional, Pain, COWS and CIWA's. Maintaining the Medical Providers and Clinical Team of any high risk issues.
Trained medical technicians and support staff in the self-administration of oral medications patients as prescribed, monitoring responses for adverse reactions.
Reviewed and assessed staff processes, reducing hazards posed for residents and staff while promoting regulatory compliance.
Communicated concerns regarding patients' status, care and environment to Executive Director, clinical supervisors and case managers.
Advocated for patients by supporting and respecting basic rights, values and beliefs.
Maintained personal and team compliance with medication administration standards and patient care best practices.
Adhered to infection control procedures to facilitate safe, clean patient environment.
Provided patient education on medications prescribed by the Medical Team.
Healthcare Supervisor
Safe Harbor Treatment Center for Women
Costa Mesa, CA
08.2022 - 03.2025
Provide direct patient care for a substance use / dual diagnosis residential facility.
Completed intakes including: nursing assessment, Columbia Suicide Scales, Nutritional, Pain, COWS and CIWA's. Maintaining the Medical Providers and Clinical Team of any high risk issues.
Trained nurses and support staff in the self-administration of oral medications patients as prescribed, monitoring responses for adverse reactions.
Reviewed and assessed staff processes, reducing hazards posed for residents and staff while promoting regulatory compliance.
Communicated concerns regarding patients' status, care and environment to Executive Director, clinical supervisors and case managers.
Advocated for patients by supporting and respecting basic rights, values and beliefs.
Maintained personal and team compliance with medication administration standards and patient care best practices.
Adhered to infection control procedures to facilitate safe, clean patient environment.
Provided patient education on medications prescribed by the Medical Team.
Healthcare Supervisor
Mental Health Center of San Diego
San Diego, CA
01.2022 - 08.2023
Provided direct supervision to clients, healthcare, and support staff for a Licensed and Certified Social Rehabilitation Program.
Provided ongoing in-service training for all staff annually and for new hires.
Promoted independence by assisting and supervising clients while completing daily living activities.
Created safe and supportive therapeutic milieu to promote recovery.
Collaborated with treatment and service providers using interprofessional interdisciplinary team approach for continuity of care.
Monitored and educated clients on medication usage, symptoms and side effects.
Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care,
Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
Executive Administrative Assistant
Karma Doctors & Associates
Newport Beach, CA
04.2020 - 04.2021
Managed Medical Director's calendar and prepared meeting agenda for bi-weekly meetings to discuss high-risk patients.
Administered intramuscular psychiatric and MAT medications to patients directed by the Psychiatrist
Prepared and updated office records, spreadsheets and presentations to support executive needs and enhance office productivity.
Managed external contacts and kept track of periodic communication needed for priority actions.
Revised and maintained calendar for medical appointments.
Tackled and addressed top-level, high-priority issues with professional administrative discretion.
Entered patient information and updates in the eMAR system to track billing. new patients, documentation and prescriptions.
Verified and managed all medication prescriptions and refills for all the providers in the practice.
Managed daily patient invoices.
Nuring Manager
True Recovery/ First Responder Wellness
Newport Beach, CA
02.2020 - 01.2021
Managed performance of 12-person nursing staff, for a Dual Diagnosis and Substance Use Disorder facility.
Completed intakes including: nursing assessment, Columbia Suicide Scales, Nutritional, Pain, COWS and CIWA's. Maintaining the Medical Providers and Clinical Team of any high risk issues.
Administered intramuscular psychiatric and MAT medications to residential patients as directed by the Psychiatrist
Applied clinical judgment and comprehensive knowledge of facility policies to nurses with patient care decisions.
Received and investigated complaints from families, patients and clinical staff, devising solutions to multifaceted challenges.
Trained nurses and support staff in the self-administration of oral medications patients as prescribed, monitoring responses for adverse reactions.
Performed personnel interviewing, hiring, disciplinary actions and dismissals.
Monitored staff performance and provided coaching and formal counseling to staff.
Communicated with patients and their families with compassion while keeping medical information private.
Collaborated with multi-disciplinary staff to improve overall patient care and response times.
Resolved conflicts between physicians, nurses and administrative staff to maintain optimal workflows.
Managed operations in accordance with budget requirements.
Initiated training and education programs for supporting healthcare staff.
Implemented new hire training to further develop skills and initiate discussions on task prioritization.
Participate weekly meetings with department heads to discuss census information, admissions and discharges for residents.
Reviewed and assessed staff processes, reducing hazards posed for residents and staff while promoting regulatory compliance.
Worked closely with the operations manager to maintain day-to-day operations.
Developed policies to align procedures with strategic initiatives and complied with statutory, regulatory, state and federal guidelines.
Provided patient education on medications prescribed by the Medical Team.
Nursing Supervisor
Northbound Treatment Center
Garden Grove, CA
02.2019 - 02.2020
Supervised 13-person healthcare staff including Licensed Vocational Nurses and Medical Assistant's for a 20-bed dual- diagnosis, substance use disorder licensed and certified residential detoxification treatment center, with 68 residential bed treatment center.
Assisted Medical Director in reviewing patient charts to determine appropriateness for admission.
Initiated and oversaw patient transfer to higher level of care when the facility was not able to meet patient needs along with the Medical Director.
Administered intramuscular psychiatric and MAT medications to residential patients as directed by the Psychiatris.
Assured completion of documentation within the timeline of the licensing and certifying agency.
Completed daily check in of healthcare department to verify healthcare service personnel performance alignment with organizational and accrediting body standards.
Provided patients with direct nursing care during periods of department short-staffing.
Answered questions and addressed concerns from employees promptly through email, phone and in person.
Managed and supervised the healthcare team with strong commitment to offering patients optimal treatments, resources and quality care.
Enforced infection prevention protocols among staff members, patients and visitors.
Created and integrated new healthcare protocols designed to improve patient outcomes while minimizing medical errors.
Healthcare Supervisor
Northbound Treatment Services
Newport Beach, CA
12.2017 - 01.2019
Supervised Residential Healthcare Team for a residential dual diagnosis and substance abuse treatment program.
Worked with the Medical Director and other Healthcare Providers to deliver comprehensive, high-quality care to mental health and substance abuse patients.
Administered intramuscular psychiatric and MAT medications to residential clients as directed by the Psychiatrist
Observed strict confidentiality and safeguarded all patient-related information.
Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor.
Observed the self-administered of prescribed medications and reported any adverse reactions.
Monitored infection control procedures to verify facility-wide health and safety.
Collected and documented vital signs to track current patient conditions.
Collected biological samples for routine laboratory testing to assist diagnostic processes.
Communicated concerns regarding clients' status, care and environment to medical director, psychiatrist, clinical team supervisors and case managers.
Answered patient and family questions to provide education on medications.
Assisted the psychiatrist in scheduling psychiatric evaluations for all patients in the required timeframes as directed by the licensing agency.
Licensed Vocational Nurse
Northbound Treatment Services
Newport Beach, CA
09.2014 - 12.2017
Provided direct patient care for a 12-bed residential dual diagnosis, substance use disorder treatment facility.
Administered intramuscular psychiatric and MAT medications to residential clients as directed by the Psychiatrist.
Created a daily schedule for the Psychiatrist for initial evaluations and follow up.
Supervised the self-observation of prescribed medications and reported any adverse reaction or side effects to the health care practitioner or psychiatrist.
Completed nursing intakes for all admissions, including the monitoring of vitals, withdrawal scores, and suicide risk.
Addressed patient care needs, collected vitals, withdrawal scores and continuous round observation as directed by the Medical Director.
Observed strict confidentiality and safeguarded all patient-related information.
Identified issues and determined how best to provide assistance within parameters established by facility and supervisor.
Monitored infection control procedures to ensure facility safety,
Provided patient education for all prescribed medication's as needed.
Evaluated patient's detoxification tapers for effectiveness and informing the provider to make made necessary adjustments to provide ongoing quality care.
Managed patients' hygiene with comprehensive care for toileting, bathing and grooming needs.
Kept eMAR updated with patients' vital statistics, tracking metrics and observations about behaviors or responses.
Communicated concerns regarding clients' status, care and environment to medical director, nursing supervisors, clinical care supervisors and case managers.
Education
Bachelor of Science - Healthcare Management
University of Phoenix
Tempe, AZ
09.2023
Licensed Vocational Nurse - Vocational Nursing
American Career College
Anaheim, CA
11.2013
Skills
Regulatory Compliance Oversight
Team Management
Healthcare consulting
Regulatory Documentation
Quality improvement
Ethics and compliance
Human resources
Training and education
Nursing Consultation
Empathetic and compassionate
Organizational skills
Employee Trainer
HIPAA guidelines
Interdepartmental relationships
Patient Education
Staff direction and task delegation
Reporting requirements/Regulatory requirements
Risk management strategies
Project coordinating
Familiar with DHCS, DSS, Joint Commission, and CARF regulations