Seasoned Director of Quality/Risk at Encompass Health Deaconess Rehabilitation Hospital, adept in quality risk assessment and leading teams to excellence. Demonstrated success in regulatory compliance and patient complaint resolution, fostering significant improvements in care quality. Skilled in multitasking and goal-focused, ensuring top-tier service delivery and operational efficiency.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Director of Quality/Risk
Encompass Health Deaconess Rehabilitation Hospital
Evansville
11.2011 - Current
Coordinated with various departments to ensure compliance with regulatory requirements related to quality control.
Participated in cross-functional meetings involving all departments involved in the interdisciplinary process.
Utilized statistical process control methods as root cause analysis to identify opportunities for improvement.
Investigated patient complaints or concerns and addressed accordingly.
Analyzed data from customer feedback surveys to identify trends in complaints or issues.
Led State Board of Health surveys and The Joint Commission surveys including disease specific for Brain Injury and Stroke.
Monitoring of the Quality Dashboard and the Physician Scorecard to impact quality metrics.
Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
Worked effectively in team environments to make the workplace more productive.
Addiction Coordinator
Southwestern Behavioral Health
Evansville
09.2010 - 11.2011
Responsible for assessments, admissions, and discharges.
Responsible for staff scheduling and assignment.
Completed groups per programming, as needed.
Completed payroll and staff training to include disciplinary action as needed.
Maintained files to comply with state guidelines, CMS, and internal policies and procedures.
Executive Director
Rescare Homecare
Evansville
03.2007 - 09.2010
Monitored 19 group homes and 80 supported living waiver sites to ensure compliance with state and federal regulations, including quality of care.
Revised schedules to provide appropriate staffing reducing labor costs.
Responsible for all State Board of Health surveys including annual and complaint surveys.
Built a strong management team focused team work and quality of care.
Established day program for clients to provide better services while reducing costs.
Established Vocational Rehabilitation program.
Established strong relationships with outside agencies, including the State Board of Health and the local case management agency.
Operations Director
ResCare
Evansville
03.2006 - 03.2007
Monitored 19 group homes and 80 supported living waiver sites to ensure compliance with state and federal regulations, including quality of care.
Revised schedules to provide appropriate staffing while reducing labor costs.
Responsible for leading all State Board of Health surveys, including annual and complaint surveys.
Responsible for writing and implementing plans of correction, and ensuring oversight in homes/sites to maintain ongoing compliance.
Adult Day Services Coordinator
The Rehabilitation Center Of Bakersfield
Evansville
03.2005 - 04.2006
Established a day program for individuals in the group home setting and waiver setting.
Initiated CARF accreditation for program
Responsible for all staffing including training, scheduling, and any needed disciplinary action.
Maintained paperwork and files to ensure compliance with all regulations, policies, and procedures.
Social Services Coordinator
The Rehabilitation Center Of Bakersfield
Evansville
02.2001 - 03.2005
Responsible for admissions, discharges, and transfers for 9 group homes.
Responsible for group home billing.
Responsible for training new management staff.
Responsible for State Board of Health surveys including annual and complaints.
Covered case management duties in all homes.
Adult Day Health Director
Wendell Foster Center
Owensboro
03.1999 - 03.2001
Developed and supervised program.
Responsible for maintaining regulation compliance.
Responsible for staff training, scheduling to include hiring.
Education
Master of Science - Social Work
University of Southern Indiana
Evansville, IN
07-2002
Skills
Quality risk assessment
Corrective and preventive actions
Patient complaint resolution
Success with multitasking
Success with leading teams
Ability to work independently
Team player
Goal focused
Certification
Licensed Clinical Social Worker
Certified Professional in Healthcare Risk Management
Certified Case Manager
Certified Brain Injury Specialist
ICRA: Best Practices in Healthcare Construction
SAMA certified trainer
Timeline
Director of Quality/Risk
Encompass Health Deaconess Rehabilitation Hospital
Occupational Therapy Assistant at Encompass Health and Rehabilitation HospitalOccupational Therapy Assistant at Encompass Health and Rehabilitation Hospital
Hospital/Health-System Management APPE Rotation at Encompass Health Rehabilitation HospitalHospital/Health-System Management APPE Rotation at Encompass Health Rehabilitation Hospital