• Oversees & coordinates all regulatory site visits (TJC, Office of Inspector General, CMS, etc.) for University of Kentucky Healthcare• Oversees & coordinates overall preparedness of Enterprise on-going readiness for TJC and on-going compliance • Management & coordination of continuous readiness web site information• On-going implementation of collaborative initiatives to educate leaders (MDs, executive team, nurse leaders, etc. ) on standards interpretation &… Show more • Oversees & coordinates all regulatory site visits (TJC, Office of Inspector General, CMS, etc.) for University of Kentucky Healthcare• Oversees & coordinates overall preparedness of Enterprise on-going readiness for TJC and on-going compliance • Management & coordination of continuous readiness web site information• On-going implementation of collaborative initiatives to educate leaders (MDs, executive team, nurse leaders, etc. ) on standards interpretation & compliance• Ensure appropriate education and communication for regulatory standards for leadership across the Enterprise • Serve on hospital committees to include: Leadership Forum, Quality and Safety Committee and UK Healthcare Ethics Committee, Nursing Director Operations Team, Policy Development and Review Committee• Regulatory oversight for UK HealthCare Clinical Contracts Show less

• Responsible for overall administration of 20-bed inpatient Behavioral Health Unit and Outpatient Counseling Center.• Ensure compliance with all local, state, federal and Joint Commission regulations and standards. • Development and submission of annual Quality Improvement Plan• Development and implementation of a comprehensive community relations program • Strategic planning processes including oversight of Utilization Review processes• Program administration and… Show more • Responsible for overall administration of 20-bed inpatient Behavioral Health Unit and Outpatient Counseling Center.• Ensure compliance with all local, state, federal and Joint Commission regulations and standards. • Development and submission of annual Quality Improvement Plan• Development and implementation of a comprehensive community relations program • Strategic planning processes including oversight of Utilization Review processes• Program administration and development, inpatient and outpatient. Development of comprehensive marketing plan and community education program. Show less

• Risk Management Supervisor (Quality Assurance Coordinator) Monitoring regulatory compliance for more than 200 agencies statewide. • Mortality Review Committee• Oversight of DDID Medication Curriculum, HRST• Pre-Admission Screening Resident Review (PASRR) Coordinator-duties include coordination of certification training for CMHC evaluators, PASRR state manual revisions, CMHC program reviews and contract monitoring—to include Corrective Action Plans as needed; monitor trends and… Show more • Risk Management Supervisor (Quality Assurance Coordinator) Monitoring regulatory compliance for more than 200 agencies statewide. • Mortality Review Committee• Oversight of DDID Medication Curriculum, HRST• Pre-Admission Screening Resident Review (PASRR) Coordinator-duties include coordination of certification training for CMHC evaluators, PASRR state manual revisions, CMHC program reviews and contract monitoring—to include Corrective Action Plans as needed; monitor trends and report to director and DMS as needed; prepare and submit quarterly reports to DMS. Participate as member of National Association of PASRR Professionals (NAPP)• Oversee the collection, analysis, and reporting of all incident data for agencies statewide• Collaborate with Ky Board of Nursing, Dept for Public Health and Department for Medicaid Services (DMS) for continuous quality improvement for best practice recommendations• Legislative reviews• Coordinate and assign investigations with monitoring of corrective action plans • Serve as department representative at legal hearings as needed Show less