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Kimsung Hawks
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Dr. Kimsung Hawks

Director

Healthcare Compliance, Medicare/Medicaid, Clinical Program Development

RN, Ph.D., HS-BCP

LinkedIn

Dr. Kimsung Hawks possesses over 30 years of clinical leadership and healthcare industry experience. Dr. Hawks has held consistent professional roles at the national level, building clinical programs and interfacing with various levels of state and federal stakeholders. She has over 12 years of combined quality experience and has worked in private industry and state and federal governments.

Kimsung is an expert in conducting onsite inspections of healthcare delivery provided to beneficiaries to evaluate the quality of care, quality of life, and the provision of essential services, in compliance with federal and state statutes and regulatory requirements at long-term care facilities, group homes, assisted living facilities, home health solutions, and respite care programs. She has expertise in using and evaluating various statutory tools such as the Outcome and Assessment Information Set (OASIS) to ensure home health agencies integrate into the patient’s comprehensive care plan; the Resident Assessment Instrument (RAI) to ensure that facilities are addressing the whole person (person-centered care), the Minimum Data Set (MDS) and other state-specific instruments used for audits. She is a subject matter expert in identifying and reporting sentinel events, developing corrective actions, and working with other components to address risk management issues. Her expertise in data analysis and crafting narratives and reports align with the tools used to address facility-based care.

Previously, Kimsung served as National Director of Clinical Program Development for UnitedHealthcare where she performed clinical program development, creating P&Ps based on the latest clinical practice guidelines and standards of care, and marshalling the integration of physical and behavioral health. She also developed and implemented national health initiatives.

Addionally, Dr. Hawks has advised facilities on best practices and technical assistance and partnered with the Department of Social Services to advise and refer to appropriate services and supports. Her appeal rate was 99% successful at the Virginia Department of Health, Suffolk. She is an expert on the nursing process, assessment, and development of plans of care.

Testimonials

"SunHawk demonstrated a commendable commitment to precision and compliance throughout our engagement. Their expertise in navigating complex healthcare regulations was evident, providing us with a thorough and insightful audit. We required assistance with a complex billing audit that required statistical analysis. As a smaller healthcare system, SunHawk provided us a level of audit expertise that we are not able to staff in-house. The team’s responsiveness and industry knowledge make them a valuable partner for healthcare organizations seeking rigorous and reliable auditing services."

Sara Coverstone

Chief Compliance & Privacy Officer
Northern Arizona Healthcare

"SunHawk was an outstanding partner in the provision of interim leadership in compliance and internal audit for our organization.  They provided seamless coverage and advancement of our compliance and internal audit functions.  As CEO, I had no concerns or worries during our engagement.  They were true partners for us!"

Alfred E. Pilong

President and CEO
Garnet Health

"James and the SunHawk team have been an invaluable resource for our Compliance Office - they are a reliable, well experienced, trusted and knowledgeable team of professionals who at a moment’s notice will take your calls or respond to your emails.

Their advice helped us navigate the ever evolving, highly regulated healthcare industry!  Whether it’s discussing report methodology or determining appropriate repayment, SunHawk provides the reassurance and confidence that you are doing the right thing!

We are honored to have partnered with SunHawk and will continue to do so in the future!"

Natasha Cogdill

Vice President/Chief Ethics, Compliance and Privacy Officer
Community Health System

"SunHawk’s professionals are leaders in the compliance and risk industries. Over the years I have worked with a number of their professionals on a series of projects/issues and learned SunHawk’s professionals are problem/solution-oriented and great coalition builders. 

SunHawk Professionals get the job done and are a pleasure to work with. Commitment, Experience, Professionalism, and Integrity; that's what SunHawk Professionals brings to the table."

Gerry Roy

Vice President/Chief Ethics, Compliance and Privacy Officer
Phoenix Children's Hospital

"Jim Rough is among the most conscientious professionals I have encountered. When he says he is going to do something -- he does it. Jim has a broad range of experience gained over decades in leading organizations.

Now as the founder of his own firm, Jim will be enabled to provide the same high-quality service to his clients in a setting that allows greater customization to his clients' financial circumstances."

Frank M. Placenti

Chair, US Corporate Governance & Securities Regulation
Practice, Squire Patton Boggs

"SunHawk Consulting's HIPAA Check Program provided us with an invaluable third-party review of our HIPAA policies and practices. The tracking tool SunHawk includes with the Program has become an integral part of our continued monitoring for HIPAA compliance.

Jan Elezian's extensive hands-on compliance experience was evident during site visits and staff interviews as she translated difficult subject matter into practical use scenarios and provided quality feedback. Thank you SunHawk team!"

Nancy Lipman

Vice President, Compliance
Chicanos Por La Causa, Inc.

"SunHawk provides an array of dynamic professionals, each with significant subject matter expertise and a problem-solver approach. Beyond their knowledge and conscientious work ethic, however, is a team of caring individuals who strive to furnish individualized, tailored assistance with a personal touch. 

Jim Rough's dedication to the success of SunHawk clients is evidenced by his strategic and prospective thinking complemented by his ability to truly anticipate the needs of a company in the midst of the complicated compliance climate. I highly recommend SunHawk for companies of any size seeking actionable solutions and measurable results."

Michelle Missal

Vice President and Chief Compliance Officer
Paragon 28, Inc.

“Sunhawk Consulting has proven to be a trusted partner with the ability to deliver results. We have consistently been impressed with their expertise, professionalism, and commitment to customer service.  Sunhawk Consulting has supported our enterprise-wide risk assessment, risk management activities, and the configuration of our Governance, Risk and Compliance software tool.

Sunhawk Consulting’s leadership and consultative services have helped us to successfully navigate through the complexities of SOC, HIPAA, NIST and FedRAMP audits this year.  The knowledgeable team of Sunhawk professionals has been and continues to be an invaluable resource for us, ensuring we are positioned for success in all our audits and assessment activities.”

Zachary Fain

Chief Technology Officer (CTO)
Signature Performance

“The team at SunHawk Consulting helped our private equity backed company establish consistent auditing processes for our patient charts and shared easily digestible data that we could take back to our clinical teams to help drive improvements and consistency around their clinical documentation. We highly recommend utilizing SunHawk Consulting to help your company ensure compliance is top of mind for your clinical teams.

Lauren Gerdin, DDS

Chief Dental Officer
Cherry Tree Dental

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SunHawk Consulting

2550 E Rose Garden Ln.
Unit 72016
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info@sunhawkconsulting.com

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