Home Health Registered Nurse

ELLEN S Grant

*** ********** **. ***. # **** Richardson, TX 75081

Cell: 214-***-**** Email: *************@*****.***

Registered Nurse with 20 plus years of experience

Case Management Expertise in Home Health and Hospice

Strong background in ICD-10, CPT and HCPCS coding

Recent experience in Home Health and PAS Services

Strong background in Medicare, state regulations, and COP in HH

Strong background in medical review and claims analyst for ZPIC

Experienced with ADR’S and appeals process

Previous experience in OR, PACU, Med/Surg, ER and Cardiology

Management: Leading, managing and directing professional, administrative and hourly employees, managing departmental budgets and performance to ensure profitability, training and development of staff, interviewing and hiring.

Relationship Management: Talent for understanding people as individuals, conflict resolution, negotiation skills, team player and ability to work with all levels of personnel.

EMPLOYMENT EXPERIENCE

Health at Home Administrator/Alternate Supervising Nurse 01/25/2016-11/21/2016 Responsibilities include coordination of the delivery of clinical services for patients, patient admissions, discharges, and recertification’s, skilled nursing visits, staff nurse and home health aide supervisory visits, liaison between patients and their physicians. Fulfill Assistant Administrator duties in the absence of the Administrator, coordinating and directing departments, assuming responsibility for continuity, quality, and safety of services delivered in compliance with State and federal regulations. Participate in activities relevant to professional services including development of qualifications and assignment of agency personnel. Supervises and provides direction to subordinates, in an effort to ensure quality, compliance with Plan of Care and assessment and reassessment of client’s needs and continuity of services by appropriate health care personnel. Monitors QAPI Program and assures appropriate corrective measures are performed. Promotes compliance with all fiscal intermediary and/or other third party payors, through education, coaching, and other assistance as necessary. Monitors systems and identifies problem areas to Administrator both verbally and through written reports. Meets mandatory continuing education requirements of the agency/licensing board.

New Life Home Health Administrator/Alternate Supervising Nurse 9/15/15 to 11/10/15 Provide leadership to a home health agency providing services to clients in the north central Texas region. Accountable for daily operations, employee management, administrative supervision to plan, organize and evaluate operations to ensure quality care to agency clients. Development, implementation and supervision of agency policy and procedures. Implementation of effective budgeting and accounting systems that promotes the health and safety of the agency’s clients. Ensure that documentation of services provided is accurate and timely. Oversight of all staff evaluations and education, according to state requirements.

Responsibilities also include coordination of the delivery of clinical services for patients, patient admissions, discharges, and recertification’s, skilled nursing visits, staff nurse and home health aide supervisory visits, liaison between patients and their physicians. Fulfill Assistant Administrator duties in the absence of the Administrator, coordinating and directing departments, assuming responsibility for continuity, quality, and safety of services delivered in compliance with State and federal regulations. Participate in activities relevant to professional services including development of qualifications and assignment of agency personnel. Supervises and provides direction to subordinates, in an effort to ensure quality, compliance with Plan of Care and assessment and reassessment of client’s needs and continuity of services by appropriate health care personnel. Monitors QAPI Program and assures appropriate corrective measures are performed. Promotes compliance with all fiscal intermediary and/or other third party payors, through education, coaching, and other assistance as necessary. Monitors systems and identifies problem areas to Administrator both verbally and through written reports. Meets mandatory continuing education requirements of the agency/licensing board.

Consulting and QA Richardson, TX-4/15/15 to present

Self-employed

Home health consulting and QA of homecare providers 485’s, all OASIS forms and coding using the following EMR: HCHB, HCF, Kinnser, Axxess and Allscripts.

Staff education.

Brookdale Home Health-Clinical Services Manager Irving, TX 11/05/14 -03/15/15-Responsible for management of 100 patients and all clinical staff to include education and training of staff, QA of all SOC, RCT’s, Discharges, TIF’s, 485’s and ROC’s. Responsible for coding and ensuring OASIS-C data is answered appropriately in accordance with OASIS standards.

Gardendale Hospice and Home Health-Director of Clinical Services Dallas, TX 10/13 to 09/14- Responsible for the daily clinical operations of home health company.

Professional Caretakers, Inc.-Administrator Richardson, TX 7/12 to 7/13 present- Responsible for the daily operations of branch office.

Redriver Home Care-Administrator/DON Reno, TX 10/11-01/12 -Responsible for daily operations of branch office.

Health Integrity/ZPIC4-Medical Review/Claims Analyst Dallas, TX 01/09-06/11- Responsible for medical review and claims analyst of Medicare Part A and B claims. Performed onsite visits to providers of home health care, physicians and beneficiaries. Worked with investigators, OIG, FBI and US attorneys on various fraud investigations. Educated them on home health fraud and abuse.

Beyond Faith Healthcare and Rehab-Case Manager Garland, TX 12/07-07/08 Responsible for case management of home health patients.. Coordination of care to include all disciplines on the case. Performed venipunctures, wound care, and teaching activities for Medicare home health patients.

Senior Care at Home-Administrator Garland, TX 07/06-0707- Responsible for the daily operations of home health company.

Angels Care Home Health-Regional Director Greenville, TX 08/04-09/05-Responsible for daily operations of three home health offices.

Christian Care Center-Director of Professional Services Mesquite, TX 12/03-08/04-Responsible for daily operations of two home health offices.

Texas Cardiac Associates-RN staff nurse Rowlett, TX 01/03-12/03-Responsible for daily operations of clinic to include: Patient assessment, lab, Coumadin clinic, assisted with dobutamine echoes and triage of patients.

Apex Home Health-Branch Manager Garland, TX 12/00-12/01- Responsible for the daily operations of Branch Office.

Texas Senior Care-Director of Nursing Commerce, TX 1999-2000-Responsible for the daily operation of branch office.

Town and Country Home Health-Regional Director Greenville, TX 1995-1999 Responsible for the daily operations of parent and branch offices.

Family Service Home Health/Hospice-Patient Care Coordinator Greenville, TX 1988-1995 Responsible for staffing/scheduling 1200-1400 visits per month, SN visits, IV therapy, wound care, venipuncture and patient education.

Presbyterian Hospital of Greenville, TX 1976-1989- Worked in the following areas: OR, PACU, ICU, ER, Med/Surg.

Education

Registered Nurse, ASN

LVN ((1976-1994)

Management Seminars

Ongoing education-at least 20 CEU’s per year

Proficiency in Word, Excel, Lewis system, Allscripts, MCS, HCF, HCHB, Kinnser and AXXESS.

Administrator hours for 2015

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