Donna Mathews R.N.

*** * **** ******

Conshohocken, Pa. 19428

acb7g0@r.postjobfree.com

215-***-****

Highly effective, skilled and tested health care executive, experienced in all phases of clinical

service development, regulatory compliance, financial management and public relations.

WORK EXPERIENCE

Field Operations Representative

Department of Public Welfare, Norristown, Pa. June 2013 to present

Perform medical record review in Skilled Nursing Facilities for Medicaid residents

Hedis Medical Record Reviewer

Medisys/ United Healthcare - Wayne, PA - February 2013 to June 2013

Independent Contractor

Performs quality improvement studies/ abstractions as they relate to trends via utilization review

activities, utilization patterns, audits

Maintains accurate documentation of all quality improvement activities. Performs analysis and

provides oversight

Director of Clinical Services

Personal Touch Hospice - December 2010 to January 2013

Responsible for all patient services of the hospice program. Contribute to the development of

the strategic planning, including business development and marketing, of the program to ensure

coordination between clinical operations, goals and targets and the organizations strategic goals

and targets. Oversee the delivery of patient services. Coordinate with referral sources and

families on discharge planning. Compliance with Federal and state regulations. Oversee

maintenance of medical records. Participate and oversee QAPI. Work with admission

coordinator to improve admissions process, address referral sources, and meet budgeted

census targets

Clinical Director

Life Choice Hospice - March 2008 to December 2010

Development and direction of Medicare Certified Hospice in the highly competitive Pennsylvania

market. Working as a key member of a multi-state team, established a successful program for

in-home, Assisted Living and Long Term Care based clients, achieving deficiency free Medicare

Certification. Assisted in the development of a JCAHO accredited hospice in New Jersey.

Responsibilities include all components of program development and management, including:

Quality Assessment and Performance Improvement (QAPI); coordination of marketing efforts;

Training and development in new Electronic Medical Record (EMR); and integration of

Program services as new partner with a major, national Skilled/ Long Term Care

Organization. Participated in development of business and market growth plans.

Clinical Director

AseraCare Home Health and Hospice - 2007 to 2007

Responsibilities included all facets of regulatory compliance; policy, staff, and program

development; and

Community outreach. Development and management of budget, clinical procedures and staff;

quality improvement and office systems as well as establishing and monitoring compliance

tracking systems for personnel and employee health requirements. Education of staff,

community based physicians, and health care facility partners in reimbursement criteria and key

indicators for Hospice as well as standards and processes for Hospice Care and case

management

Clinical Director

Samaritan Care Hospice - 2004 to 2007

Full accountability of Medicare-certified Hospice agency.

Responsibilities included: budget development and management; development of new and

enhancement of existing community relationships; quality improvement; development and

supervision of clinical staff; development of expansion opportunities.

Nurse Consultant

Delaware County Office of Aging - 2003 to 2004

Management of a multi-disciplinary team providing health and social services to home-bound

patients, including the Waiver Program

Charge Nurse

Friends Hospital - 2000 to 2003

Evening charge nurse responsible for 32 bed co-ed adolescent unit

Nurse Manager

Eugenia Hospital - 1996 to 2000

Responsible for 22 bed co-ed adolescent unit for children and adolescents with emotional

disorders

Charge Nurse

Hahnemann University Hospital - 1990 to 1995

Charge responsibilities on a 32 bed ante-partum, post-partum floor with responsibility for

newborn and transitional nurseries.

Clinical Coordinator

Northwestern Institute of Psychiatry - 1986 to 1990

Responsible for a 32 bed adopted adolescent and children psych unit

Supervisor

Norristown State Hospital - 1985 to 1986

Responsible for supervision of 6 units in adult psychiatry

EDUCATION

Roxborough School of Nursing 1982 to 1985

Penn State, Ogontz Campus 1982 to 1985

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