Candidate Information | Title | Regulatory Compliance Corporate | Target Location | US-OH-Cleveland | | 20,000+ Fresh Resumes Monthly | |
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| | Click here or scroll down to respond to this candidateSEEKING: To serve others by using a combination of healthcare, business and legal knowledge.EXPERIENCE:Regulatory compliance: 10 years of experience as Director of Corporate Compliance and Privacy Official EMH and Cleveland ClinicPrimary contact with DOJ, OIG, OCR and government agenciesAudit healthcare billing, former CPC, CHC: CPT, ICD, HCPCS, E&M codingDesigned, created and implemented Privacy & Security programsProgram Design: Regulatory compliance experience 10 years in healthcareIncident Response: Director/Leader for potential breach incident responsesTraining: Designed annual compliance and privacy training on-line > 10,000 employees annuallyPost-incident evaluations of potential/actual privacy & security breachesPrograms: Continual on-going improvement of programsImprovement: Focus on education, then engineering and enforcementLeadership: Chairman of Corporate Compliance/Privacy CommitteesRegistered Nurse, ICU, ER, psychiatry research clinical trials administratorWrote grants accounting manual for Case Western Reserve UniversityPrimary Administration for federal and pharmaceutical clinical research trials budgets and spending (increased grants 400% in 3 years by cold calling pharma executives) created contacts list over 800 people in pharmaHandled over $500M in post-grant awards at CWRU for School of MedicineCURRENTLY: Solo law firm founder: focused on Personal Injury, Social Security Disability Denials, Debt Collection resolution and Physician Contract Review. Advisor to Physicians on legal and medical liability for Privacy and HIPAA concerns plus protection from medical malpractice. Healthcare Corporate Compliance and other general law practice matters for select clients.2011Present: Contract Attorney: Electronic Discovery (eDiscovery) projects for multistate litigation using Relativity, Catalyst and many other software platforms performing document review and serving on privilege review team reviewing selection of material marked privileged and redaction selections. Preparation and research for abbreviation, acronyms and terminology lists. Worked on projects with Consilio, DiscoverReady, Cadence Counsel, Special Counsel, Blackletter Discovery (now TrustPoint).Industry projects entailed: telecommunications projects, patent infringements, municipal bankruptcy, pharmaceutical drug development, SEC insider trading complaint pertaining to new diabetes drug development, pharmaceutical drug delivery system device challenge (inaccurate dosage measurement product liability), pharmaceutical drug inhaler measuring delivery system (patent challenge), banking mortgage fiduciary mismanagement case, drug development defective product case, metal key device manufacturing faulty product liability and patent challenges, and antitrust actions.Popular teacher/trainer of physicians, nurses, nurse paralegals, attorneys and others using humor and varied techniques adjusted to meet adult learning needs geared to reach different types of adults. Lecturer on mental health issues impacting interactions within the legal system.SERVICES: Case Intake Evaluation: Skilled in intake interviewing to assess extent of potential legal viability of medical complaints, extent of injuries, potential projection of injury, loss of wages, etc. Very talented in establishing solid relationship with potential clients, amiable nature, good to work with, personable charming and attractive personality builds rapport quickly.Medical Record Evaluation: Extensive experience in-depth medical record analysis. Medical Billing Analysis. Special financial analysis expertise in reading and interpretation of reports and challenging denials. Medicare and Medicaid.Detail: Trial preparation and organization of records.Big picture: Strategy development.Certified Health Care Mediator through American Health Lawyers Association.Extensive training and experience in mental health services: DSMs, diagnoses, etc.Former Certified Professional Coder (CPC) through AAPC, so familiar with coding of ICD, CPT, HCPCS, etc. Former nurse gives understanding of hospital procedures & policy.Audits designed tailored to specific needs in hospital and physician billing records.Privacy (HIPAA and HITECH) Officer leading team for handling breaches over 10 years.SKILLS: Patient interview skills developed in psychiatry during clinical trial research. (NIH, etc.)Researcher and published author in healthcare on regulatory compliance (insurance).Public speaker. (Past president for Lorain County, Ohio. Toastmasters International).EXPERIENCE: 2011 to present: solo practice PI, SSD, end-of-life planning, POAs, HC POAs, Adv. Directives. Business start-up. Physician contracts. Debt collection mediation.2013 to 2018: Cadence/Blackletter Discovery/Special Counsel/Kelly: Contract attorney on eDiscovery projects with major law firms, such as Jones Day, Baker Hostetler, Giffin & Kaminski, and others. Projects on various areas such as pharmaceutical industry SEC insider trading, pharmaceutical product manufacturing defect, municipal bankruptcy, telecommunications, equipment manufacturing, etc.2006 to 2011: Cleveland Clinic Health System. 2nd Director of System-wide Corporate Compliance and Privacy programs (10 hospitals over 20 outpatient facilities). Privacy official. Resolved over 20 complaints with Office for Civil Rights: no penalties.2001 to 2006: EMH Health System (now part of University Hospitals Health System) 1st Director of System-wide Compliance and Privacy programs. Privacy Official. Successfully addressed Corporate Integrity Agreement (CIA) finalizing 3 year agreement with Department of Justice (DOJ) and Centers for Medicare and Medicaid Services (CMS). Created system-wide HIPAA programs (privacy and security policies, teaching, developing systems for reporting by departments, mandatory educational programs designed, implemented and successfully executed. CIA discharged without further penalty.Other Experience (prior to 2001):FDA Internship, Center for Devices and Radiological Health. Food and Drug Law Institute.Research Administrator at Case Western Reserve University. Post-grant award management for School of Medicine ($100M). Cleveland, OH.Research Administrator for Psychiatry, MetroHealth Medical Center, Cleveland, OH.Registered Nurse worked in Artificial Organ Research, Cleveland Clinic, Cleveland, OH.Registered Nurse worked in Intensive Care Unit, Cardiovascular, Cleveland Clinic.Registered Nurse worked in Emergency Department, Cleveland Clinic, Cleveland, Ohio.EDUCATION: Juris Doctorate (JD). Case Western Reserve University (Case), School of Law. 1999.Focus on Health law. Concentration in health systems management, and health care economics at Weatherhead School of Business.Associate Editor of Health Matrix: Journal of Law Medicine.Master of Business Administration (MBA), Executive Program. Baldwin Wallace University. 1993. Focused on systems theory. Organizational Development. GPA 3.54/4.0Bachelor Degree, Psychology, Magna cum laude. Baldwin Wallace University. 1990.Focused on physiological psychology and premedical studies. GPA 3.5/4.0Associate Degree, Nursing, Summa cum laude. Cuyahoga Community College. 1975. GPA 3.83/4.0LICENSURE: Attorney-at-Law, State of Ohio. 1999Registered Nurse, State of Ohio. 1975inactiveCONSULTANT: Yale University, New Haven, CT. 1998. Management Consultant. Analyzed workflow onAssignment through West Hudson, perioperative services and potential savings with new methodologies in staffing assignments.University of Chicago, Chicago, Il. 1998. Management Consultant. Analyzed workflow.Assignment through West Hudson, surgical services and potentialsavings with new methodologies in surgical suite assignment.OTHER EXPERIENCE: American Heart Association Advanced Cardiac Life Support Instructor. 10 yrs.Instructor, Nurse Paralegal Program, Cuyahoga Community College. 2 yrs.Trainer of Registered Nurses in Clinical Trial Research in Psychiatry. 5 yrs.Director, Department of Compliance and Privacy, Cleveland Clinic. 5 yrs.Director, Corporate Compliance and Privacy, University Hospitals of Cleveland, EMH Regional Healthcare System. 5 yrs.Food and Drug Administration (FDA), CDRH. Rockville, MD. Nurse paralegal.Food and Drug Law Institute Intern. Washington, D.C.MEMBERSHIPS: Ohio State Bar AssociationWest Shore Bar AssociationWorld Future SocietyVOLUNTEER: Harvard Nurses Health Study IISPECIAL INTERESTS: Futurism, playing the harp, artificial intelligence, neuroplasticity, and health |