Experience

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  Kaiser permanente

  Aug 2015 - Feb 2023

  • Led qualitative research, data analysis, and training for multiple approaches to case management.• Provided analytical support services to address operational inefficiencies.• Developed quality improvement workflow to standardize processes for 15+ healthcare treatment specialities.• Increased workflow efficiency and time management, collaboration, and attendance from less than 50% to 80%. • Managed the General Acute Care Relicensing Survey (GACH) and The Joint Commission (TJC).• Evaluated CA state regulations and statutes compliance, e.g., disinfecting, drug dispensing, licensing, and healthcare providers. • Oversight and identification of potential compliance risks, licensing, policies and procedures.

  • Hospital Quality

    May 2019 - Feb 2023

  • Accreditation & Compliance

    Aug 2015 - May 2019
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  Keck medicine of usc

  Feb 2023 - Nov 2024

  Quality and regulatory compliance

  • Manage the hospital’s adherence to The Joint Commission (TJC) accreditation standards, CMS Conditions of Participation (CoPs), California Department of Public Health (CDPH), General Acute Care Hospital (GACH) relicensing survey, and other state and federal regulatory agencies.• Subject matter expert for interpreting regulatory and accreditation standards concerning hospital and clinic policies.• Ensure ongoing readiness for accreditation and regulatory complaint investigations. • Lead patient and system tracers in patient care areas via practice reviews. • Actively consults with quality teams and other stakeholders to ensure goals are achieved.• Engage with clinicians, business management, and partner leaders using empathic oral and written communications. Show less