Successful healthcare administrator with 13 years designing and implementing regulatory compliance systems and guidelines. Adaptable healthcare administrator accustomed to the integration of new healthcare delivery systems and restructuring of work in an increasingly complex regulatory environment. Highly analytical healthcare management professional combining more than 20 years of work in Healthcare, leadership and positive clinical outcomes.
Strategic planning capability
Strong presentation skills
Effective staff coach
Planning and development
Resource management expertise
Knowledge of Medicaid statutes and regulations
Quality improvement competency
Quality improvement competency
Knowledge of Medicaid statutes and regulations
Quality improvement competency
Independent judgment and decision making
Promotes positive behavior
COMPLIANCE/ PRIVACY OFFICER, 01/2012
to Current Contra Costa Health Services – Martinez,
County Privacy Officer for Hybrid Entity with Covered Components.
Compliance Officer for the Contra Costa Health Services.
Develops, updates, revises policies and procedures for the general operation of the Privacy Program and Compliance Program.
Approves and Authorizes Health Services Policies.
Manages day-to-day operation of the Program.
Collaborates with other departments (e.g., County Counsel, Risk Management, etc.) to direct compliance issues to appropriate existing channels for investigation and resolution.
Consults with the corporate attorney as needed to resolve difficult legal compliance issues.
Responds to alleged violations of rules, regulations, policies, procedures, and Standards of Conduct by evaluating or recommending the initiation of investigative procedures.
Develops and oversees a system for uniform handling of such violations.
Identifies potential areas of compliance vulnerability and risk; develops/implements corrective action plans for resolution of problematic issues, and provides general guidance on how to avoid or deal with similar situations in the future.
Provides reports on a regular basis, and as directed or requested, to keep the Corporate Compliance Committee of the Board and senior management informed of the operation and progress of compliance efforts.
Works with the Human Resources Department and others as appropriate to develop an effective compliance-training program, including appropriate introductory training for new employees as well as ongoing training for all employees and managers.
The privacy officer oversees all ongoing activities related to the development, implementation, maintenance of, and adherence to the organization's policies and procedures covering the confidentiality of, and access to, patient health information in compliance with federal and state laws and the organization's information privacy practices.
Develops, implements, and maintains the organization's information privacy policies and procedures.
Works with internal and external legal counsel and management to ensure the organization has and maintains appropriate materials, which reflect current State and federal privacy requirements.
Participates in the development, implementation, and ongoing compliance monitoring business associate agreements, to ensure all privacy concerns, requirements, and responsibilities are addressed.
Establishes with management and operations a mechanism to track access to protected health information, within the purview of the organization and as required by law and to allow qualified individuals to review or receive a report on such activity.
Establishes and administers a process for receiving, documenting, tracking, investigating, and taking action on all complaints concerning the organization's privacy policies and procedures in coordination and collaboration with other similar functions and, when necessary, legal counsel.
Ensures compliance with privacy practices and consistent application of sanctions for failure to comply with privacy policies for all individuals in the organization's workforce, extended workforce, and for all business associates, in cooperation with Human Resources, the information security officer, administration, and legal counsel as applicable.
Works with all organization personnel involved with any aspect of release of protected health information, to ensure full coordination and cooperation under the organization's policies and procedures and legal requirements.
Cooperates with the California Department of Health, Office of Civil Rights, and any other legal entities, organization officers in any compliance reviews or investigations.
PATIENT RELATIONS SERVICES MANAGER, 01/2004
to 01/2012 Contra Costa Regional Medical Center – Martinez,
Managed Patient Relations Department, Countywide Program for Contra Costa Regional Medical Center, CCRMC, and 8 Ambulatory Health Centers.
Project Manager for the NRC/Picker, Hospital Consumer Assessment of Health Care Providers, HCAHPS, and Clinician and Group Consumer Assessment of Health Care Providers, CG-CAHPS Expansion.
Member of Executive Team for CCRMC's Delivery System Reform Incentive Payments, DSRIP, Patient Experience Project.
Chair of the Grievance Committee; Responsible for Assuring Efficient and Effective Operation of Patient Complaint / Grievance Policy.
Member of Patient Experience Partnership Counsel.
Interpreted and Implemented State and Federal rules, Regulations and Laws.
Knowledge of Federal, State and County Codes, Laws, Rules and Regulations that affect Health Services Fiscal Operations.
Managed and Updated Department Policy.
Gathered, Tabulated, Analyzed Data and Prepared Reports.
Analyzed Administrative and Systemic Problems and worked with Administrators, Managers, and Supervisors to implement needed changes.
Prepared Clear and Concise Reports and Correspondence.
Liaison between the Patient, Facility, and Provider.
Investigated Formal Grievances and Recommended Resolutions.
Documented Investigatory Process.
Communicated Effectively with Multilevel Staff from Various Departments such as Contra Costa Health Plan, CCHP, Public Health, Mental Health, Patient Accounting and Financial Counseling to Obtain Answers to Grievances, Resolve Concerns, and Respond to Patients/Visitors.
Represented Hospital and Ambulatory Care System when Communicating Verbally and in Writing to the Complainant.
Represented Hospital and Ambulatory Care System when State Department of Public Health Conducted Investigations.
Communicated with Compliance/Privacy Officer regarding HIPAA grievances and investigations.
Communicated with HealthCare Risk Manager and County Risk Manager.
Assisted in the Monitoring of Patient care for Potential Liability/Risk.
Conducted Hospital Wide Orientations.
Developed Presentations and Training Materials on Patient Relations and Service Excellence for Nursing Leadership, Physicians and General Staff.
Managed Grievance Data Base.
DISEASE CONTROL INVESTIGATOR/ HEALTH WORKER III, 01/1999
to 01/2004 San Francisco Department of Public Health – San Francisco,
Disease Control Investigator,
Conducted In-Services Trainings and Updated Public Health Disease Control Policies.
Facilitated Weekly Staff Meetings.
Assisted Disease Control Coordinator and Physician with Various Assessments.
Coordinated Disease Control Investigations.
Administered Questionnaire and Documented Investigatory Process.
Provided Health Education/Promotion and Disease Intervention/Prevention.
Conducted Disease Surveillance.
Assisted with Outbreak Control Measures, Provided Information to Public on Post Exposure Prophylaxis.
Restricted Employment/Duties to Patients that were in Sensitive Occupations.
Verified Laboratory Reports, Dispensing, and Collecting Specimens to Clear Patient from their Infectious Disease.
Communicated Orally and in Writing with Physicians, Nurses, Microbiologist, Laboratory Technicians, Health Department Officials, and other Medical Professionals Conducting Research on Various Diseases.
LATINO PROJECT MANAGER, 01/1998
to 01/1999 Youth & Family Assistance, Center for Abuse Prevention – Redwood City,
Project Manager for the "Latino Project" based in San Mateo County.
Developed and Implemented the Mis Hermanas (My Sisters), STEP (Sisters Together Equals Power), ATS (Alternative to Suspension) Programs at various Junior High and High Schools.
Supervised 5-15 teens.
Provided Health Education.
Community organizing with local Non-Profit Organizations and City and County Offices.
Wrote Quarterly and Bi-annual reports.
Facilitated Educational and Support Groups for Adolescents and their Parents.
CASE MANAGER, 01/1997
to 01/1998 Big Brother Big Sisters of San Francisco and The Peninsula – San Francisco San Mateo,
Site Pilot Program.
Supervised Caseload of 50 Clients and 50 Volunteers.
Provided Quarterly Statistical Reports to our Administrative Team.
Facilitated Support Group to all Peninsula Matches.
Conducted Intake and Home Visits for Clients and Volunteers.
Provided Education and Resources to Clients and Volunteers.
Liaison between Big Brother/Big Sister and Little Brother/ Sister.
RESEARCH ASSISTANT, 01/1996
to 01/1997 Western Consortium for Public Health – Oakland,
Gathered and Recorded Statistical Data for the Centers for Disease Control and Prevention, CDC.
Interviewed Patients infected with Salmonella and E.Coli O157:H7.
Provided Health Education to Patients and Family Members.
Developed and Designed a Bilingual Campylobacter Brochure.
English/ Spanish) PROFESSIONAL AFFLIATIONS HCCA CaPSCO.
to 01/2012 CALFORNIA PATIENT RELATIONS ASSOCIATOIN – CaPRA,
Membership Chair, 01/2008
to 01/2009 Northern California
Silent Auction Coordinator, 01/2007
Geographic Representative and Committee, 01/2006
to 01/2007 SOCIETY OF PUBLIC HEALTH EUCATION – CA
Toy Drive Volunteer, 01/1997
San Francisco Fire Fighter's Toy Drive.
Food Server, Glide Memorial.
San Francisco Unified School District.
Mentor, San Francisco General Hospital Mentorship Program.
MPA: 2013 University of San Francisco -
B.S: Health Sciences,
1997 San Francisco State University - Health Sciences
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Companies Worked For:
Contra Costa Health Services
Contra Costa Regional Medical Center
San Francisco Department of Public Health
Youth & Family Assistance, Center for Abuse Prevention
Big Brother Big Sisters of San Francisco and The Peninsula
Western Consortium for Public Health
CALFORNIA PATIENT RELATIONS ASSOCIATOIN
SOCIETY OF PUBLIC HEALTH EUCATION
University of San Francisco
San Francisco State University
Job Titles Held:
COMPLIANCE/ PRIVACY OFFICER
PATIENT RELATIONS SERVICES MANAGER
DISEASE CONTROL INVESTIGATOR/ HEALTH WORKER III
Disease Control Investigator
LATINO PROJECT MANAGER
Silent Auction Coordinator
Geographic Representative and Committee
Toy Drive Volunteer
MPA : 2013 B.S : Health Sciences , 1997
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