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Operations Director

Location:
Pembroke Pines, FL
Posted:
September 12, 2015

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Resume:

Profile:

Senior level leader with extensive experience in healthcare operations management involving entities of diverse size and revenue. Responsibilities encompass overall management of departmental budgets & contracts, safety/risk management and departmental operational oversight for healthcare organizations. Core competencies which include:

Financial Budgeting and Analysis, with P&L Responsibilities

Revenue Cycle Management

Multiple-Site Oversight & Monitoring Responsibilities

Dynamic Team Building and Leadership

Forecasting/Evaluation of Departmental savings opportunities

Strategic Planning: Project Design, Budget and Organizational Development

Staff Training, Development and Retention

Quality Assurance (QA) Monitoring and Analysis

Education:

St. Thomas University, Miami, FL

Masters of Business Administration

St. Thomas University, Miami, FL

Masters of Science in Health Management

LaGrange College, LaGrange, GA

Bachelors of Arts in Biology

*Certification:

University of Florida, Gainesville, FL

Healthcare Risk Management Licensure Program October 2008

Agency for Health Care Administration

State of Florida, Licensed Healthcare Risk Manager (# 5504053) Received: Nov. 2008 – Exp.: Nov. 2016

Professional Experience (All positions are full-time/40 hours + per week):

Med Pro Billing, Inc. (Revenue Cycle Management) Oct. 2014 – Dec. 2014

Med Pro Billing, Inc. is a revenue cycle management company that specializes in substance abuse and mental health billing services as well as physician group practices. As a leader in the field, Med Pro Billing serves over 100 clients throughout the nation.

Director, Training and Quality Assurance

Responsible for overall training program/Leadership & Customer Service Development.

Policy and Procedures development & implementation.

Quality Assurance (QA) & Process Improvement (PI) to promote effectiveness and efficiency.

Insurance verification, billing, collections & Utilization Review (UR).

Research and updates on best practices initiatives.

Mercy Hospital / Special Care Hospital Mgmt. (Specialty Services) Mar. 2013 – June 2014

Special Care Hospital Management Corporation is a Medical Stabilization (Detox) services company that provides specialty care medical services for hospitals nationally. Mercy Hospital is a 473-bed acute care hospital accredited by Joint Commission.

Service Manager

Responsible for overall business performance & operations for the hospital site.

Census management & business relations manager.

Maintain & coordinate physicians’ relations within specialty service delivery and Emergency Services Department (ER).

Inventory control monitoring and ordering for office & marketing products.

Responsible for monthly reports & financials (insurance reimbursements, self-pay).

Ensure that patient confidentiality is appropriately maintained.

Business marketing representative for hospital service to psychiatrist, therapist and hospital & treatment facilities.

Supervised a staff of 32 FTEs (Physicians, Nurses, Medical Assistants & Mental Health Therapists).

Key Accomplishments: In FY 2014, Qt. 1: Increased hospital census by 25% and increased financial reimbursement by 40%. In 2013, Increased profit margins $125K for year end; achieved 42% increase in hospital census; achieved 65% more in insurance reimbursements monthly; developed strategies for ER patient medical clearance process; initiated the addition of new drug (Suboxone) to be added to hospital formulary for patient care; developed a consistent business/clinical support relationship for our hospitals “Medical Stabilization Service” within the competitor hospitals within Miami-Dade County.

Aesculap Implant Systems, LLC. (Spine Division) Aug. 2009 – Sept. 2012

Aesculap Implant Systems is a global medical device products and services company, which supports Neuro and Orthopedic surgeons with spinal implants, fusion instrumentation & biologics for spine surgical procedures.

Regional Business Sales Associate

Responsible for business contracts & operations for the Eastern US Region.

Contract management & RFP support for healthcare business operations.

Managed Profit & Loss for surgical equipment operations, and quarterly maintain surgical implant par levels for all hospital and healthcare facilities for the Eastern US Region.

Maintained & coordinated surgeon relations in the Eastern US Region for neurosurgeons and orthopedic surgeons.

Inventory control monitoring and ordering for surgical instrumentation & surgical implant products.

Responsible for spine clinical technical support during spine surgeries.

Trainer for clinical spine training courses within organization for Spine Representatives, Distributors and Sales Associates.

Monitored and ensured quality control oversight on surgical instrumentation.

Ensured that billing and restock activities were consistently coordinated.

Surgeon sales consult, medical device tradeshow representative & sales support staff.

Key Accomplishments: In FY 2011, Aesculap Implant Systems, LLC National Sales Region of the Year; Achieved 100% satisfaction on management quotas for overall Eastern Regions; FY 2012, successfully gained a 30% profit shift regarding P&L on inventory operations management for business regions.

Jackson North Medical Center (Jackson Health Systems) Apr. 2008 – Dec. 2008

Jackson North Medical Center is a 382-bed acute care center, including a 24 hour adult and pediatric emergency care, cardiac care, maternity care, orthopedics, surgery, inpatient and outpatient rehabilitation services.

Associate Administrator

Supervised and coordinated the overall operation activities of the Emergency Department (Adult, Pediatric & Urgent Care).

Monitored and ensured consistency with regard to patient flow and throughput activities.

Coordinated weekly staff meetings with nursing & ancillary staff related to quality of care and customer service delivery.

Maintained & coordinated physicians’ relations within the Emergency Department, as well as hospital wide.

Responsible for ensuring the department is in Joint Commission on Accreditation of Healthcare Organizations (JCAHO) & HIPAA compliance.

Quality Assurance (QA) & Performance Improvement (PI) dynamics used in evaluating and analyzing patient data and daily census of treatment of care.

Responsible for departmental conflict resolution for both staff & patient services.

Oversaw inventory monitoring and ordering for clinical & ancillary supplies.

Monitored and controlled cost expenditures related to departmental needs & approval of staffing payroll.

Consistently monitored & prevented any risk management issues or concerns to prevent hospital liability.

Public relations, community affairs and strategic marketing with regard to Emergency Care Services.

Supervised a staff of 52 FTEs (Physicians, Nurses, Medical Assistants & Mental Health Therapists).

Annual budgetary authority - $3 Million.

Key Accomplishments: In FY 2008, Oversaw & monitored initiation of technical operations of Cerner Online Medical Records process in Emergency Department; Restructured patient flow process for Pediatric Emergency Department; Planned and completed construction renovations to Pediatric Emergency Department; Decreased wait-time by 40 minutes for Adult Emergency Department; Planned and completed a EMT refreshment break room.

The Village South, Inc. (Substance Abuse/Mental Health) Apr. 2004 - Dec. 2007

The Village South, Inc. is a residential and outpatient substance abuse and mental health organization, that provides services for dual diagnosed, as well as HIV/AIDS services and programs, with a focus on intervention and preventative care service delivery.

Environment of Care Director

Administrative oversight of the Adult & Family Services Residential Facilities/Operations.

Managed overall budget of services and operations oversight is around $8.5 million dollars.

In-depth knowledge of Department Licensure and Regulatory Standards/ HIPAA Compliance.

Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Readiness Team; ex: developing policies & procedures, standards of organizational care plan and employee ethics and grievance policies.

Safety Officer for Village South, Inc.

Monitored quarterly quality assurance (QA) & performance improvement (PI) of Residential Services.

Weekly assessed the Risk Management (RM) activities and sentinel events outcomes tracking plan.

Oversaw all incidents reporting for organization.

Bi-weekly Executive Management Team (EMT) meetings to strategize and develop comprehensive organizational measures for quality service delivery.

Facilitated quarterly departmental meetings with staff.

Assumed 24-hour responsibility of residential facilities and operations activities.

Departmental Oversight: Environmental Service, Security, Plant Operations, Nutrition/Cafeteria & Transportation

Supervise a staff capacity of 120 FTEs (Psychiatrists, Mental Health Therapists, Case Managers & Mental Health Techs).

Key accomplishments: In FY 2006 Executive Management Team Member of the Year; FY 2006, oversaw new residential construction project for additional residences; FY 2007, oversaw residential campus room construction renovations; FY 2007, International Lecturer on Clinical Substance Abuse Treatment, US Consulate, Sao Paulo, Brazil.

Teaching (Part-time/10 hours per week):

San Ignacio College (Science Department) Aug. 2010 - Present

Adjunct Professor

Providing educational instruction in the academic disciplines of: Biology, General Science, Environmental Science and Health Wellness.

Broward Community College (Business Department) Nov. 2014 - Present

Adjunct Professor

Providing educational instruction in the academic disciplines of: Business Operations, Business Development and Strategy.

Brown Mackie College (Healthcare Administration Department) Nov. 2014 - Present

Adjunct Professor

Providing educational instruction in the academic disciplines of: Healthcare Operations Management, Organizational Development and Business Strategy.

Military Service:

United States Marine Corps Aug. 1991-Jul. 1999

Cpl. E-4

Awarded Navy Achievement Medal, Good Conduct Medal and meritoriously promoted.

Honorable Discharge in 1999.



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