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Click here or scroll down to respond to this candidateCandidate's Name , BSHAStreet Address W. DAVIS RDPHOENIX, AZ Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLEHealth Care Operations Management/Health Care AdministrationCareer Summary:Fifteen years of extensive, executive operations management role in health care organizations; contributed tocompany growth by executing business strategies using strong knowledge of health care operational principle,decision making abilities and professional judgment; excellent leadership skills within a complex health careenvironment.Skills:? Knowledge of business and management principles involved in strategic planning, resource allocation, humanresource modeling and leadership techniques? Knowledge of contemporary office practices and procedures, principles of contract, business letter and reportwriting, financial analysis, collection and organization of data and information? Thorough knowledge of health care regulatory and legal compliance? Experience in budgeting process and fiscal management with proven successful record of developing,implementing, and managing administrative and financial operational procedures and activities;? Ability to operate business performance/support and implementation of the corporate strategic growth plan? Ability to define problems, collect data, establish facts, and draw valid conclusions? Ability to interpret a variety of instructions and deal with several abstract and concrete variables; ability to takedecisive action? Profitability and efficiency studies; productivity development? Ability to break down strategic initiatives into tactical actions? Ability to plan, organize, manage and direct health care organization services? Strong knowledge of health care quality standards and quality improvement strategies? Ability to effectively utilize staff and other resources to maximize output while containing costs to meet businessobjectives? Ability to drive process improvements and efficiencies to minimize risk and maximize resources? Operational/capital budgetingPROFSSIONAL EXPERIENCE:LipoNOW, Scottsdale, AZMay 2013 ? currentBusiness Development Project/Business Manager? Practice licensing? Ensure practice compliance with all regulatory agencies? Strategic and marketing planning? Financial planning to ensure business profitability? Establish policies and procedures; OSHA and HIPAA compliance manuals? Recruit, hire and train employees? Ensure proper financial and profitability reporting; referral tracking? Organize medical and personnel records; ensure compliance with HIPAA and HR laws and regulations? Ensure proper personnel licensingArizona Digestive Health, Glendale AZJanuary, 2013 ? April, 2013Compliance Project Manager? Implement regulatory requirements; develop HIPAA and OSHA policies and procedures, education and trainingprogram manuals and tracking tools? Ensure safety, privacy and security standards are followed by employees? Develop, recommend and establish company?s policies and procedures according to organizational guidelines? Perform a compliance audit and examine discrepancies found during a review and recommend corrective actions? Create an OSHA and HIPAA audit schedules? Review financial and reporting procedures to ensure adherence to Federal and State laws and regulations? Establish systems to prevent fraud and medical errors? Ensure effective and efficient communication channels between staff members, physicians and management? Recommend measures to prevent non-compliance occurrence/recurrence? Ensure proper documentation and storage of medical records? Prepare and review operational reports and schedules to ensure accuracy and efficiency? Analyze statistical data and reports to identify and determine possible compliance issues? Recommend cost saving methods to improve efficiency? Provide support, resources and appropriate compliance training to employees? Modify physician credentialing process? Review insurance coding and billing for accuracy and recommend necessary corrections? Review objectives to determine success of operations and compliance? Evaluate readiness for ICD-10 implementation? Ensure that the physicians meet the Medicare Meaningful use criteria and requirementsPlanned Parenthood of Arizona, Glendale AZMarch 2012 ? December 2012Health Center Manager? Ensure expected patient care and customer service levels at health center? Ensure staff adherence to the core values of customer service, diversity, integrity, financial strength, opencommunication and team work and teamwork for all center staff and volunteers.? Personnel supervision: supervision of medical assistants, registered nurses and physicians; scheduling of all staffto ensure client needs are mat and center is operating at capacity? Prepare monthly audits and reports; occurrence reports; quality assurance reports and correction plans, asnecessary? Ensure proper training of all center staff and volunteers? Employee time cards and PTO approval? Served as a member of Quality and Risk management team? Provision of management support and arrange for ongoing training as needed for effective work performance? Monitoring of all key indicators and drivers of success, including patient numbers, patient recruitment, patientretention, accounts receivable, revenue goals and budget costs? Implement and manage data collection according to agency policy? Management of all day-to-day clinic activities, management and facilitation of the clinic flow? Monitoring and reviewing patient care by auditing charts to assure adherence to protocol? Provision of leadership in maximizing revenue and containing costs? Maintain revenues, expenses and receivables within the designated range? Ensure the clinic has supplies and equipment necessary to carry on its services effectively; manage inventory? Management of inventories, petty cash and ensure balance of daily receipts? Agency budgeting, strategic planning and related activitiesAccomplishments: (1) Established a new patient flow, which reduced waiting time, increased efficiency and thereforeincreased patient satisfaction and showed a significant increase in revenue; (2)established a new staff scheduling to avoidovertime and utilize sources more efficiently; (3) established a new inventory tracking system, which resulted in asignificant expenses reduction and decrease in disposal of the expired medications.Phoenix Institute of Herbal Medicine and Acupuncture, Phoenix, AZCollege and ClinicAugust 2009 ? March 2012Director of Clinic Operations? Direct and oversee the work associated with company processes and client deliverables of Customer operations.Ensure service levels are maintained at all times through an effective management team;? Direct and oversee that service level timelines and quality criteria are met for all assigned areas of responsibility;? Represent and communicate to staff the strategic direction of the company;? Represent impactful business issues appropriately to all audiences;? Make recommendations to leadership as necessary to prevent/mitigate issues and ensure sustained quality ofassigned areas of responsibility;? Managing revenue cycle and care performance;? Employee recruiting, hiring and training;? Developing and implementing short-long-term business objectives and new business opportunities;? Establishing and monitoring Quality Assurance and Quality Improvement program.? Ensuring patient and employee safety;? Establishing, reviewing and updating policies and procedures; ensuring compliance with State and Federal lawsand regulations;? Ensuring proper service delivery to the patients; overseeing a student teaching process during clinical practice.? HIPAA Privacy official; Safety Compliance officer.? Performing statistical and financial analysis of the clinic performance, compliance with policies and procedures,and State and Federal regulations;? Provide leadership, mentoring and skill development to advance direct reporting staff;? Partner with the President and the department directors to mitigate impacts and implement short and long termsolutions;? Monitoring pharmacy compliance with FDA requirements;? Establishing annual strategic plan and budget plan for clinic;? Serving as a member of the Curriculum CommitteeAccomplishments: (1) established and implemented new HIPAA, OSHA, and ADA policies; (2) established new pharmacypolicy to ensure compliance with new FDA requirements;(3) increased clinic revenue within a year by 15%; (4) reducedclinic expenses by $12,000 by eliminating unnecessary spending and by establishing effective planning and trackingprocedures; (5) designed key reporting systems to streamline financial reporting processes; (6) implemented alternatedstatistical capture to ensure reporting system accuracy and reliability.Confident Care Of Florida, Corp.Medicare Certified Home Health AgencyPalm Coast, FLJuly 2004-July 2009Branch Manager? Served as an Alternate Administrator;? Responsible for Quality Assurance and Quality Improvement Program; Member of the risk management team? Successfully supervised direct and contracted employees for the branch;? Ensured operational effectiveness and care delivery;? Chart audits for completeness, accuracy and medical necessity;? Managed resources to ensure financial objectives were met, leveraging knowledge of competitive advantage andprofit drivers;? Managed overall operation of the branch; Established successful quality improvement program which helped toreduce re-hospitalization rates by 10% in 2008;? Developed proposals and negotiated lucrative contracts;? Monitored improvements in the quality and effectiveness of the patient care at many levels.? Created strategic plans, and established correction plans, performed marketing and community relationactivities: developed professional relationships with the medical community, including rehabilitation and hospitaldischarge planners;? Coordinated communication and collaboration between hospital case managers, physicians, families and thebranch staff;? Served as HIPAA privacy official monitoring compliance with State and Federal laws and regulations;? Strong knowledge of OASIS, Federal laws and regulations.Accomplishments: (1) opened Palm Coast branch and received Medicare and Medicaid certification within a year; (2)established new successful referral system in collaboration with hospital and long-term facility discharge planners; (3)established successful quality improvement program which helped in reducing re-hospitalization rates by 10% in 2008;(4) prepared agency to be compliant with the accreditation requirements and received CHAP accreditation in 2009 withno deficiencies.The Nursing Home Eyecare GroupFarmington Hills, MIMay 2001-July 2004Billing Manager? Analyzed the organization?s financial performance and reported to administration through newly developedprofitability reports;? Payroll, accounts receivable, billing;? Scheduling for daily operations; revamped and improved referral coordination;? Analyzed company revenue and the accuracy of the billing claims;? Ensured the quality of medical records by verifying the accuracy, completeness and proper entry to ensure correctreimbursement;? Established relationship with doctors and the nursing home social services;? Analyzed patient data for the purpose of improving patient care and controlling costs;? Established quality improvement plans;? Reviewed and updated policies and procedures, annual marketing plan, and quarterly effectiveness ofadvertisements and relations with partners;? Ensured proper coding of diagnosis and procedures and processed billing claims.Accomplishments: (1) developed new billing system which helped in recovering unpaid balances from the insurancecompanies; (2) increased company?s accounts receivable by 10% first year and 15% the following year of operation; (3)designed and developed comprehensive trainings to contracted health care providers and staff on reimbursementprocedures; (4) maximized cash flow.EDUCATION: Bachelor?s of Science in Health Care AdministrationMarch 2009-June 6, 2011University of Phoenix; Phoenix, AZAssociate Degree in Health Care AdministrationMarch 2007-March 2009University of Phoenix; Phoenix, AZManagement Seminars for continuing educationArizona Public NotaryCOMPUTER SKILLS: Microsoft Word, Microsoft Office, Outlook, Excel, Quick Books, Power Point, Centricity,NextGen, Citrix; experienced working with EMR.References are available upon request. |
