Leanne Kelly Email & Phone Number

Grand Rapids, Michigan, United States

• Develop and educate on comprehensive Compliance Policies/Compliance Program and present program to Board of Directors for direction and oversight
• Serve as the HIPAA Privacy Officer and respond to all HIPAA breaches by investigating/taking remedial actions
• Create and disseminate Compliance Education and Training for the company with 100% timely completion
• Create and maintain a company-wide audit and monitoring program

• Manage remediation and communication of the highest-risk compliance issues to Senior Leadership Team
• Produce and distribute enterprise reporting on compliance risks and issues to identify trends and drive compliance issue remediation
• Develop and enhance policies, procedures, and detailed process flows on risk and issue management
• Lead Compliance Managers by training and advising on effective risk and issue management

• Develop complex issue Corrective Action Plans (CAPs) and Risk Mitigations and drive to full remediation
• Report on company-wide escalated risks and issues during Compliance Committees with Leadership
• Ensure smooth transition to new Issue/Risk Management system (Service Now) by conducting testing, training, reporting, and overseeing enhancements and defect fixes

• Conduct and maintain a risk assessment tool to drive audit schedule as well as oversight and monitoring recommendations
• Lead audit activities during audits of both internal departments and external delegated entities based upon relative risk scoring in risk assessment
• Develop audit tools, schedules, templates, and notices in accordance with all applicable regulatory requirements
• Issue, track, and validate remediation of all Corrective Action Plans (CAPs) issued to internal departments and external delegated entities
• Research, analyze, and communicate all applicable regulatory guidance to internal departments and external delegated entities
• Organize, prepare, review, and submit requested audit materials to regulators

Santa Clara, California

• Oversaw entirety of the Compliance Program including developing and revising policies and education modules, enforcing disciplinary action, conducting and reporting all compliance audits
• Conducted compliance-related investigations by gathering evidence, interviewing involved parties, and determining the conclusion and corrective actions of the investigation
• Conducted comprehensive risk assessments to identify areas of risk
• Mitigated identified risks by providing training opportunities, audits, and policy updates
• Served as the HIPAA Privacy Officer and responded to all HIPAA breaches by investigating and taking all remedial actions required

Orange, California

• Increased compliance with National Patient Safety goals to achieve above 90% through audits and meaningful dashboards
• Dashboards utilized by Executive Management Team and Board of Directors reports
• Conducted random staff audits to confirm knowledge of hospital-wide patient safety goals
• Real time notification of fallouts with on the spot education and coaching
• Tracked and trended harm events utilizing the Incident Reporting System (RL Solutions)
• Coordinated the command center during licensing and accreditation surveys

Orange County, California Area

• Function as the Lead Registrar responsible for coaching caregivers and performing management responsibilities when appropriate
• Welcome and greet patients to the hospital while obtaining demographic and insurance information
• Determine and collect any financial liability due to the patient based on services provided

Mission Hills, San Diego

• Warmly greet patients and introduce them to the facility, their care-takers, and other residents
• Admit patients to the facility by assigning an appropriate room, notifying staff, and preparing paperwork
• Provide informational tours of the facility to prospective patients and answer all questions and concerns