Regional Director Of Operations Southern California Resume Example Accentcare Inc

REGIONAL DIRECTOR OF OPERATIONS- SOUTHERN CALIFORNIA

Professional Background

Continue to grow and develop my professional expertise in a challenging managerial position combining financial/operational/clinical/ quality innovations within a progressive home health organization, which is committed to positive patient outcomes, quality performance and financial viability. To allow use of my current knowledge, education, and experience to assist in building a quality health organization with sound business, quality and clinical practices. I have 20+years' experience as a Registered Nurse of which 15 years have been progressive management positions within home health, hospice and skilled care. Numerous years' experience in staff development, training, QA/QI manager, and Clinical Application Manager for implementation of a EMR in 60+ Home Health branches.

EXPERTISE Knowledge of Medicare Appeals and Denials and presenting cases to the Administrative Law Judges at Medicare. Knowledge of creating and revising clinical pathways, assessments and working of the HomeCare HomeBase (HCHB) electronic medical record system. Knowledge of reimbursement and alignment of outcomes with financial goals. Experience establishing quality programs, ongoing monitoring and disease management. Coordinating interdisciplinary team in the assessment, utilization and care planning processes. Financial oversight and AR management experience. Experienced with OASIS assessments. Experienced Clinical Quality specialist managing multiple home health agencies clinically, financially and operationally Directing, educating, developing and supervising staff in home health, hospice and skilled facilities. Directing the day to day running of a home health agency, skilled nursing unit and a hospice team. Developing and implementing policies, procedures, processes and programs. Experience in ICD 9 coding and case mix diagnosis, Title XXII and HIM 11 knowledge, active participant in DHS surveys and writing of Plans of Correction in Home Health agencies Experienced instructor- preparing in-services, PowerPoint presentations and other coursework Implementing and monitoring infection control protocols.

Skill Highlights

Strong clinical judgment
Computerized charting specialist
Problem resolution ability
Staff training and development
Financial, quality and clinical management

Home Health Business management
Regulatory compliance
Licensed RN in California
CPR/BLS certified

Accomplishments

Clinical Services/ Financial:

Guided multiple home health locations in financial management to result in region exceeding financial goals.
Monitoring and management of OPEX and COS management
Development and implementation of clinical programs and quality initiatives across multiple sites
Plan of correction development and implementation

Implementation

Electronic Medical record system across 60+ locations for home health

Training

Executive Directors, clinical managers and friled staff in Home health and hospice best practices, policies and procedures and quality initiativesImplementation

Professional Experience

Regional Director of Operations- Southern California12/2013 to 08/2015AccentCare IncDallas, TX

Direct, develop, train, and communicate with staff personnel.
Discuss progress, provide general direction, and work with staff on actual situations, providing insight into the handling of problems.
Oversee the work of Executive Directors and Regional Staff.
Provides leadership and support to locations within my assigned area of responsibility.
Assists with the on-boarding of agency managers.
Provides direction and guidance in the oversight, implementation, and adherence to internal policies and procedures.
Provides assistance in the review and analysis of financial, clinical, and operational performance indicators and provides feedback to the RVP and local management team.
Maintains current knowledge of program policy, service and license compliance requirements for agency program.
Responsible for filling in as an onsite manager at an agency in the event the position is vacant.
Participates in the evaluation of agency performance through the annual evaluation process, quality assurance and performance program and periodic review of operations.
Partners with the local leaders to assist in the hiring of a competent workforce, as needed.
Supports and communicates the organization's goals, priorities, and professional standards.
Utilizes the company's software platform other technology tools to review and trend location results.
Works with local leaders to ensure they understand the meaning of the data elements and how they have an impact on results.
Develops and implements effective clinical and business management systems, oversees the audits of client charts, client satisfaction surveys and all service delivery within the region by conducting routine program audits, as assigned.
Maintains effective and cooperative working relationships with community, health resources and agencies, as directed.
Works in collaboration with the VP of Operation and sales team to identify and pursue opportunities for new markets and initiatives.
Provides sales related support to location sales and operations teams.
Guides Agency Managers in all operational areas including process and personnel management.
Makes site visits to locations and provides professional development and training to achieve optimum staff performance.
Establishes and maintains working relationships with key line, contracts, marketing, and clinical staff to ensure thorough understanding of company products/services.
Ensures location leaders are kept abreast of assigned product lines, programs and services. Participates in the education of these to frontline caregivers, as directed.

Clinical Application Manager01/2011 to 12/2013AccentCare IncDallas, TX

Customized Homecare Homebase (HCHB) assessments to company documentation standards
Assisted IT staff in customization of clinical aspects of HCHB
Assisted in training of multiple Home health locations to HCHB platform

Clinical Supervisor04/2011 to 11/2011VNASanta Ana, CA

Supervised clinical staff
Performed nursing procedures and assessments

Clinical Manager, QI Director, Director of Patient Care, and Regional Clinical Quality Specialist01/2005 to 01/2011AccentCare Home HealthEscondido, CA

Directed clinical staff
Monitored quality outcomes and initiatives
Ensured OASIS accuracy
Performed ICD 9 coding
Trained clinical staff
Monitored billing completion and other financial stauses

Sub-acute Case Manager01/2003 to 01/2004VitalCare AmericaIrvine, CA

Assessed vent and trach patients for appropriateness to be admitted to sub-acute unit
Coordinated admission to sub-acute unit
Traveled to hospitals all over San Diego County to perform assessments

Director of Nursing01/2003 to 08/2003Las Villas Del NorteEscondido, CA

Directed and oversaw all clinical matters for 49 bed skilled nursing facility

Quality Auditor01/2002 to 08/2002Interim HealthCareWheeling, WV

Performed QA audits of OASIS and patient charts

Director of Nursing04/2001 to 08/2001Las Villas De CarlsbadCarlsbad, CA

Directed and oversaw all clinical matters for 49 bed skilled nursing facility

CNA Instructor01/2000 to 01/2001Adult Education (ROP), Escondido School DistrictEscondido, CA

Educated ROP students to be able to take their CNA/ CHHA certification exam
Clinical preceptor on the floor at a skilled facility

Supervisor, Assistant Director, Director of Staff Development, Director of Nursing01/1997 to 01/2001Las Villas Del NorteEscondido, CA

Assisted in directing and overseeing all clinical matters for 49 bed skilled nursing facility
On-boarding and in-servicing of staff

Supervisor, MDS Coordinator, Assistant Director01/1995 to 01/1997Manor Care Health Services, Rancho Bernardo Skilled NursingPoway, CA

Supervised clinical staff
Performed nursing procedures and assessments
Completed MDS assessments and care plans

Nursing Supervisor01/1989 to 01/1995Barnesville Health Care CenterBarnesville, OH

Supervised clinical staff
Performed nursing procedures and assessments.

Education and Training

Master's of Health Administration: Health Administration2008University of PhoenixSan Diego, CA, USA

Bachelor's Degree: Health Care Administration2006University of PhoenixSan Diego, CA, USA

Associate: Applied Science Nursing1993Belmont Technical CollegeSt. Clairsville, OH, USA

Registered Nurse

General courseworkOhio University EasternSt. Clairsville, OH, USA

Certifications

Active RN License CA
Inactive RN License OH
Inactive RN License WV
Applying for RN license in TN

Affiliations

CAHSAH

Skills

See professional experience

Resume Overview

Companies Worked For:

AccentCare Inc
AccentCare Inc
VNA
AccentCare Home Health
VitalCare America
Las Villas Del Norte
Interim HealthCare
Las Villas De Carlsbad
Adult Education (ROP), Escondido School District
Manor Care Health Services, Rancho Bernardo Skilled Nursing
Barnesville Health Care Center

School Attended

University of Phoenix
Belmont Technical College
Ohio University Eastern

Job Titles Held:

Regional Director of Operations- Southern California
Clinical Application Manager
Clinical Supervisor
Clinical Manager, QI Director, Director of Patient Care, and Regional Clinical Quality Specialist
Sub-acute Case Manager
Director of Nursing
Quality Auditor
CNA Instructor
Supervisor, Assistant Director, Director of Staff Development, Director of Nursing
Supervisor, MDS Coordinator, Assistant Director
Nursing Supervisor

Degrees

Master's of Health Administration : Health Administration 2008
Bachelor's Degree : Health Care Administration 2006
Associate : Applied Science Nursing 1993
General coursework

Regional Director of Operations- Southern California Resume Example

Resume Score: 90%

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