Licensed by the courts of OH, PA, FL
REGULATORY COMPLIANCE, ETHICS, PRIVACY, & HEALTH LAW ATTORNEY
MY MISSION
Through diligent consultation and collaboration, create a culture committed to the highest standards of ethics, professionalism and excellence in the workplace.
MY VISION
My vision is to be a leader in compliance management and to promote ethical and legal practices by utilizing education and open communication.
• Experienced, accomplished executive and lawyer with the highest integrity who can perform and deliver what the organization needs
• Results-driven and well developed while demonstrating strong interpersonal and critical thinking skills
• Centralized oversight of the organization’s ethics and compliance efforts, including the administration, investigation and enforcement of the organization’s ethics and compliance plan and policies
• Astute knowledge and expertise in:
• Privacy and Security • Health Law and Mediation • Healthcare Compliance
• Business & Corporate Law • Risk Management • Legal Issues in EMR
• Healthcare Business & Finance • Mergers & Acquisitions • Banking Compliance
• Workplace Mediation • Publicly Traded Securities • Conflicts of Interest
• FLSA • Nonprofit Status Protection • Corporate Compliance
• Medical Staff Credentialing • “Stark” Laws • Organizational Ethics
• Accountable Care Organizations • Fraud Examination
Implementation of CARF accreditation procedures
Worked with Ohio Legislation for a change in Medicaid for additional treatment options for mental health patients
Highly skilled in creating supportive legal solutions such as counseling, advising, and analyzing all pertinent laws and regulations, policies and procedures
Knowledge of applying and evaluating techniques for the identification, consideration and resolution of issues concerning the efficiency and effectiveness of quality assurance operations
Knowledge of supplier capabilities, materials and production methods, emerging technological developments and improvements, current economic and market trends, and optimum supplier acquisition strategies across the enterprise
Proven ability to effectively handle multi-task levels of management responsibility with minimal direction while assessing all personnel, providing team leadership, training, coaching, mentoring, and development with follow-through
Superb listening, written and oral communication skills with all levels of an organization
Interpersonal, time management, analytical, organizational, and leadership skills
Extremely energetic, dependable, and self-motivated with a high degree of collaborative work integrity
Courage to confront appropriately
Sense of humor
Able to create an environment of cooperation where staff holds the vision, mission and values of organization above self-interest
Development of fundraising strategies
Team leadership and builder, training, coaching, mentoring, and development of robust internal competencies
Liaison between the organization and the community
The ability to work in a highly dynamic, fast-paced environment
A nuanced thinker, and adept at working effectively with key internal/external staff/business associates
Strong analytical, communication, executive, and teamwork skills
PROFESSIONAL EXPERIENCE
RAYMOND J. NICOL, DDS, Canton, Ohio January 2011 – present
• HIPAA and regulatory compliance issues (part time)
4 KidHelp, North Canton, Ohio March 2011– June 2012
Center for Child & Adolescent Psychiatry (part time)
Chief Compliance, Privacy and Ethics Officer; Vice President Special Projects
• Conducted internal investigations to ensure compliance with state and federal governmental regulations
• Provided leadership for the interpretation of federal and state regulatory processes and guidelines
• Developed and implemented an effective Compliance plan including the more stringent HIPAA and HiTech privacy and security policies and procedures required for the behavioral health industry
• Executed Business Associate Agreements and Confidentiality Agreements
• Implemented CARF accreditation procedures
• Worked closely with OH Legislature and ODMH: Lobbying efforts to bring Medicaid alternatives to hospital in-patient treatment for behavioral health needs in the state of Ohio
NORTH CANTON MEDICAL FOUNDATION, Canton, Ohio 2010 – 2011
Large, Multi-Specialty non-profit Medical Practice
Chief Compliance and Ethics Officer
• Conducted internal investigations to ensure compliance with state and federal governmental regulations
• Provided leadership for the interpretation of federal and state regulatory processes and guidelines
• Developed and effectively communicated and monitored a multifaceted education and training program on all elements of compliance with employees and board members
• Developed and implemented HIPAA and HiTech privacy and security policies and procedures
• Coordinated and supported monitoring and auditing procedures of clinical practices
• Conducted internal investigations of alleged violations of ethics and compliance standards
• Executed Business Associate Agreements and Confidentiality Agreements
• A leader and driving force in the company’s implementation of recent legislation
• Developed productive working relationships with employees and all levels of management
• Secured opinions of outside consultants and counsel when advisable
• Made reports and presentations to Leadership and Board of Directors
• Consulted with O.I.G. and D.O.J. regarding investigation following self-disclosure prior to my hire date
CONSULTANT, Canton, Ohio 2001 – 2010
Regulatory corporate compliance consulting
• Consulting Services: corporate risk assessment, drafting and revision of employee handbooks, healthcare law, banking/securities/healthcare regulatory compliance, and labor and employment law, mergers and acquisitions
• Completed certification that encompassed all aspects of arbitration, negotiation, mediation and dispute resolution
• Negotiated, reviewed and drafted physician employment contracts and covenants not to compete
Arbitrator / Mediator (Pro Bono): BETTER BUSINESS BUREAU; Auto line Arbitrator; DR and Commercial Mediator
Instructor/Speaker: FORTIS COLLEGE; medical and legal ethics, healt...
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