Manager Management
Resume:
Eileen O'Hara Garcia
Street
Tampa, Florida 33629
**********@***.***
KEYWORD COMPETENCIES: regulatory compliance; licensed healthcare risk
manager; certified ALF administrator; litigation, claims management,attorney; broker oversight; hotline monitor; state and federal healthcare
regulations; Medicare; Medicaid; HIPAA; fraud and abuse ;Stark II;
antikickback; investigations; ethics and compliance, teaching experience;
elder law; guardianship, conflict resolution training
EMPLOYMENT
Risk Analyst Specialist - Brandon Regional Hospital 3/2008-12/2009
Assists the Risk Management Director with implementation and coordination
of the Risk Management Program. Monitors occurrence reporting system,
patient complaints and addresses same. Supports regulatory compliance,
professional and general liability claim/litigation management, department
and staff education, and assists with implementation and coordination of
claims reduction initiatives.
Regulatory Compliance Manager - WellCare Health Plans
3/2007-3/2008
Serves as the focal point for all regulatory /compliance activities within
the MA/PFFS/PDP broker community. Works closely with the Corporate Medicare
Regulatory team to evaluate corporate, CMS, and state regulatory
requirements and to develop standards and protocols to help ensure
compliance with relevant guidelines. Provides broker compliance oversight
including tracking and investigation of potential broker related issues
that may result in compliance related concerns.
Attorney - Blalock Walters Held & Johnson P.A. Bradenton, Florida 2005
Member of the Health Law Practice group who counsels physicians and other
healthcare professionals on regulatory and corporate matters. In addition
to counseling on the appropriate corporate entities also advises clients on
compliance issues relating to HIPAA, Stark II, EMTALA, and other federal
and state health-related laws and regulations.
Hospital Compliance Officer - St. Mary's Medical Center West Palm Beach, Fl
2004
Advised hospital administration on issues regarding compliance. Supported
the corporate compliance program and prepared monthly compliance reports.
Ensured adherence to state and federal regulations regarding fraud and
abuse, Stark II, EMTALA and Anti-kickback matters. Chaired hospital
compliance committee meetings. Acted as consultant for issues on safety,
privacy (HIPAA) and other healthcare concerns.
Senior Attorney - State of Florida Agency for Health Care Administration
2001 - 2004
Administratively prosecuted long tem care facilities for violations of
state law resulting from survey deficiencies. Negotiated settlements of
multi-case complex litigation. Prepared and litigated emergency moratoriums
of long term care facilities. Participated in hiring decisions.
Supervised staff personnel. Possess substantial knowledge of public records
law, HIPAA, and other state and federal laws and regulations concerning
long term facilities.
Law Offices of Eileen O'Hara Garcia, Tampa, FL 1995-2001
Responsible for managing day-to-day activities, accounting functions and
clients. Provided risk management advice to clients with regard to their
assets. Conferred with clients regarding Medicaid qualification and long
term care insurance. Maintained direct referral system for interface with
nursing homes, ALF's, geriatric care managers and assorted governmental
agencies. Maintained awareness of legislative and regulatory activities
related to elder law and guardianship issues. Provided in-service training
on advanced directives and guardianship matters to assorted social service
associations, nursing home staff and hospital departments. Practice area
focused on Guardianship, Elder Law & Probate.
Assistant Public Defender, Thirteenth Judicial Circuit (Hillsborough
County) 1988-1994
Non-jury and Jury Trial experience. As felony attorney carried an average
caseload of 100 - 140 cases. Compiled and wrote a Baker Act manual for
office use in representing mentally ill clients in Baker Act proceedings.
Represented criminal indigent defendants in juvenile, misdemeanor,
traffic and felony cases.
LEADERSHIP POSITIONS, MEMBERSHIPS & AFFILIATIONS
Licensed Health Care Risk Manager -August 2001
Adjunct Professor, Florida Metropolitan University, Tampa FL Paralegal
Studies 2000-2001
Hillsborough County Bar Association
Co-Chair, Membership Committee 2000 - 01; Chair, Solo/Small Firm
Practitioners 1998-99; Member, Long Range Facilities Committee 1998-
99; Chair, Elder Law Section 1997-98
Hillsborough County Childcare Licensing Hearing Officer 1997 - 2001
Completed ALF Administrator CORE Training -April 2010
Completed Training in Negotiating and Mediating Healthcare Disputes, USF
Conflict Resolution Collaborative, May 2010
EDUCATION
Stetson University College of Law, St. Petersburg, Florida
Juris Doctor
Florida State University, Tallahassee, Florida
Master's of Social Work (M.S.W.)
Florida International University Miami, Florida
Bachelor of Arts, Psychology
COMPUTER SKILLS
Microsoft Office 2000 & 2003, 2007 Windows 98, Windows XP, Internet
Explorer, Dragon Naturally Speaking (Voice Activated Software)
REFERENCES AVAILABLE UPON REQUEST
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