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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Caldwell Track DriveHuntersville, NC Street Address
PHONE NUMBER AVAILABLERegistered nurse with 30 years of Home Health Care experienceKindred at Home, Charlotte, NC: 9/17/2012 through 10/1/2020Director of Clinical Operations-South Region, my territory was VA, MD, TN-21 branchesRemote from 10/2016 through 10/1/2020-All branches in South RegionFinancial Management including managing and performing final claim billingReviewed and analyzed P & L statements and assisted with correcting metricsEnsured productivity standards, by reviewing utilization reports including paraprofessional productivityAssessment of office processes and education to achieve efficiencyRolled out all new programs to each branchPerformed QAPI in branch leaders absentOasis Rejections reviewed and corrected and resubmitted to CMSEducation and management of ADRs, TPE, CERTs, Z-PIC, SMRCs, and RAC AuditsAssisted branches with billing issues, insurance issues and reviewed for Oasis andcoding accuracyAssisted with State and Internal Surveys and writing of corrective action plans with follow up onthose plansAssisted Clinicians in field as necessaryHCHB ExperienceMcBee Associates, Inc, Charlotte, NC, Financial Management of Home Health Companies: 10/13/2011 through 12/15/2012Clinical Consulting Supervisor:Performed interim management of home health agenciesInstructed home health agencies on Oasis accuracyAssessed home health agencies for accreditation readinessPerformed coding from scratch for home health agenciesPerformed review of coding and Oasis for accuracyPerformed Pre-Bill review, for agencies going through CMS Pre-Bill ADR audits and made recommendationsWrote ADR appeal letters for these agencies when appropriate or recommended when and whyan ADR should not be appealedHeartland Home Health Care and Hospice, Virginia Beach, VA: 3/9/2001 through 8/31/2011Director of Professional Services: 3/2/2002 through 8/31/2011Directed clinical operations of the home health divisionEvaluated all services for quality and financial resultsDirected branch quality programs, including QAPIAnalyzed P & L statements and adjusted practices to meet our goalsReviewed and worked Oasis validation reports, SHP reports and Adverse events reportsConducted all surveys with CHAP and all Audits from CMSAssisted Clinicians with issues during visits as necessaryClinical Manager: 3/9/2001 through 3/1/2002Supervised all SN and Therapy staff and paraprofessionalsReviewed, coded, and processed Oasis paperworkEvaluated all complicated wounds and made recommendations to physiciansEvaluated all staff annually1998-2001 Sentara Home Health Care and Hospice, Chesapeake, VACase ManagerQI NurseCentral Intake Coordinator1998-2000 Owner/Operator of Adult Residential Care Home1997-1998 Commonwealth Home Health Care, Virginia Beach, VACase Manager-Implemented Oasis1993-1997 In Home Health Inc., Virginia Beach, VA, later known as Heartland as aboveHome Health Aide Competency Director and QI Committee member1990-1993 Commonwealth Home Health Care, Virginia Beach, VA1990-1991 Visiting Nurse Case Manager1991-1993 Clinical Manager1980-1990 Chesapeake General Hospital, Chesapeake, VALPN Staff Nurse on Medical Surgical Unit1976-1980 John F. Kennedy Memorial Hospital, Philadelphia, PALPN Staff Nurse on Surgical UnitEducation:Applied Associates of Science in Nursing, Tidewater Community College, Virginia Beach, VA- 1990License Practical Nurse, Hahnemann Hospital School of Practical Nursing, Philadelphia, PA- 197624 credits toward BSNReferences available upon request |
