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.
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