Director Of Quality Compliance Resume Example

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Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • H: (555) 432-1000
  • C:
  • Date of Birth:
  • India:
  • :
  • single:

Self-motivated, results-focused, quality-driven individual with a colorful background in developing, implementing, and sustaining high-functioning programs and businesses. Whether healthcare, hospitality, small business, or education, my experience lends to providing agencies with a competitive advantage through high-level quality and compliance, strengthened relationships, and robust data analytics. Accomplished Quality and Compliance Director with over four years of experience propelling effective quality management programs. Successful with implementation of customer-focused quality improvements and regulatory compliance while being committed to identifying opportunities for growth. Poised problem-solver with expertise in healthcare and hospitality. Proficient in leveraging data and analytics knowledge to promote efficiency and influence positive outcomes.

  • Excel, Microsoft Word, MIDAS, EPIC, Gehrimed, Social Media
  • SRHS LEAN/Six Sigma Green Belt
  • Acquisitions, Profit
  • Advertising, Project management
  • Budget, Quality
  • Business operations, Quality improvement
  • Closing, Recruitment
  • Consultant, Reporting
  • Council, Research
  • SC, Risk Management
  • Customer relations, Safety
  • Clients, Sales
  • Data mining, Scheduling
  • Database, Six Sigma
  • Designing, Spreadsheets
  • Directing, Spreadsheet
  • Financials, Strategic
  • Financial, Strategic planning
  • Hiring, Television
  • Inventory, Word processing
  • Leadership, Author
  • Letters
  • Managing
  • Marketing
  • Market
  • Meetings
  • Excel
  • Microsoft Word
  • Negotiations
  • Networking
  • Newsletter
  • Next
  • Nursing
  • Organizational
  • Personnel
  • Policies
  • Print advertising
  • Processes
Director of Quality & Compliance, 06/2016 to Current
Ridgeview Behavioral Health Services Campbell, CA,
  • Risk Management- Hospice, Palliative Care, Senior Health, Responsible for planning, directing, managing and facilitating the Quality and Compliance Programs for the Hospice, Palliative Care, and Senior Health Programs.
  • Ensure policies and procedures, and QAPI plans comply with federal, state and local laws, regulations, codes and current practice standards.
  • Supports the programs to maintain an environment of continuous survey readiness.
  • Responsible for overseeing the identification and assessment of compliance vulnerability and risk.
  • Responsible for the compliance training and education for all levels of personnel.
  • Mentors and orients managers and staff to aspects of quality, project management, and process improvement.
  • Conduct and oversee audits of defined areas/functions to assess compliance, oversees implementation action/resolution to problems or misconduct.
  • Act as an internal quality consultant and subject matter expert in process improvement, clinical risk management, physician peer review, and project management.
  • Act as a resource and responsible for summarizing findings of quality initiatives for outcomes reporting, in addition to synthesizing current evidence-based research to apply to quality programs and process improvement teams.
  • Responsible for discovering opportunities for improvement through data mining/analysis and observation of processes of care; collaborating across internal and external resources and disciplines to identify opportunities to improve efficiencies utilizing Lean/Six Sigma principles and other quality improvement tools to positively impact and achieve sustainable results that support strategic goals.
  • Facilitate quality improvement initiatives that promote enhanced patient and financial outcomes.
  • Delegated authority to take immediate and appropriate action in the event of an emergency situation where there is clear and present danger that poses a threat of personal injury, or threat of damage to property or equipment.
  • Assist leadership with designing, implementing, and managing special projects to enhance the marketing and value of Post-Acute division departments and services through collaboration with multidisciplinary teams.
  • Develop quality measures and tools for new or evolving Post-Acute services, research current national evidence-based quality models for implementation within our system.
  • Lead or assist community outreach events and education.
  • Research, analyze data, and prepare reports for high level presentation.
  • Collaborate with system Compliance and Quality departments to help achieve system organizational goals, maintaining open communication with team members.
  • Applied for and received 2-year, $412K Duke Endowment Grant for Advanced Care Planning Community Initiative- Directing Your Life.
  • Lead Project Manager for Duke Endowment Directing Your Life Grant, manages and oversees grant personnel, budget, strategic planning, and opportunities for continued funding.
  • Applied for and received a $5000 Spartanburg Regional Foundation grant for MGC Senior Health ImPAcT program which transitions over 70% of patients to MGC Primary Care Providers, or Non-profit Community Primary Care Providers, lessening the burden of self-pay patients on the system.
  • Assisted in developing and maintaining a Skilled Nursing Facility Collaborative of 13 local skilled facilities with SRHS inpatient facilities as a part of SouthEastern Health Partners ACO.
  • Gathered information from over 20 facilities to include quality metrics, demographics, nursing capabilities; developed a scoring tool to decide which facilities met metrics to present to the SRHS Collaborative Council; maintain weekly quality spreadsheets and call schedules for 13 SNFs in the collaborative; maintain monthly data scorecards for the 13 SNFs which are presented and combined with St.
  • Francis and AnMed metrics to form quality data references for SEHP.
  • Member of Hospice and Palliative Medicine Fellowship research team, assisting annual HPM Fellow with data mining, collaboration with system quality team for research opportunities and completion, help maintain adherence to IRB protocol.
Owner/Operating Manager, 02/2011 to 03/2016
National Veterinary Associates Des Moines, IA,
  • Build relationships and partnerships with other small business owners and corporate sponsors through daily, weekly, and monthly meetings or drop-ins.
  • Conduct day-to-day business operations including opening and closing of store front, managing employee schedules, product quality, customer relations and networking, budget/inventory maintenance, vendor acquisitions and negotiations.
  • Design and oversee marketing and advertising of business through social media, print advertising, television appearances, and community outreach.
  • Ensure compliance with all county, state, and federal food safety regulations, including annual DHEC surveys.
  • Coordinate large events and catering including weddings, corporate events to include BMW, Michelin, Fluor, City of Greenville festivals.
  • Prepare invoices, reports, memos, letters, financials statements and other documents, using word processing, spreadsheet, database, or presentation software.
  • Analyze local, regional, and national market data to drive marketing and sales strategic changes to enhance customer engagement, increase profitability, and prepare monthly and quarterly personal and business goals.
Operating Manager, 10/2008 to 02/2011
  • Confer with clients to discuss their options and goals with respect to small and large events.
  • Conduct daily operations of product quality and sales while implementing team initiatives and goals.
  • Assist with marketing campaign to include visual media footage throughout the Charleston hospitality industry.
  • Help open new locations in Columbia, SC and Greenville, SC through pre-planning, construction, staff recruitment/retention and hiring of part-time through management positions.
  • Analyze new products/recipes while working closely with the president and vice president of the company.
Director of Acquisitions, 10/2007 to 10/2008
  • Confer with potential clients to discuss their intentions, goals, priorities, budget, and next steps.
  • Plan and oversee monthly new author on-boarding weekend including plane and hotel reservations, conference scheduling, and meal planning.
Education and Training
Masters of Business Administration: Management and Leadership, Expected in 2020
Magna Cum Laude, Delta Mu Delta (DMD) International Honor Society in Business
Bachelor of Science: Packaging Engineering, Expected in 2004
Cum Laude, Presidential Scholar and Varsity Swimming & Diving, 3 year letterman; Varsity Rowing, 1 year letterman
Activities and Honors
  • Supports the Post-Acute Division programs of Hospice, Palliative Care, and Senior Health by maintaining an environment of continuous survey readiness while also developing, achieving and exceeding Spartanburg Regional Healthcare System Annual Operating Plan goals specific to my areas of responsibility
  • Responsible for planning, directing, managing and facilitating the Quality and Compliance Programs for the Hospice, Palliative Care, and Senior Health Programs, ensuring policies, procedures, and QAPI plans comply with federal, state and local laws, regulations, codes and current practice standards
  • Responsible for planning, directing, and managing current grants (Duke Endowment) and future grant opportunities through grant writing and administration
  • Special projects development and management within the SRHS Post-Acute division to include new clinics, community outreach education, and collaborative partnerships, while working closely with leadership to enhance patient service and satisfaction, population health, and serve as an extra layer of support for team members
  • Small Business Owner and Operating Manager with 10+ years of experience managing personnel, constant budget preparation and maintenance, daily customer/client interaction and sales, quality control and regulatory compliance with respect to city and state licensing, DHEC; Purchased financially insecure business and within two years sold profiting business to new ownership
  • Hospital volunteer work and medical terminology education

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Resume Overview

School Attended
Job Titles Held:
  • Director of Quality & Compliance
  • Owner/Operating Manager
  • Operating Manager
  • Director of Acquisitions
  • Masters of Business Administration
  • Bachelor of Science

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