Manager Medical
Resume:
CC,CT
Port Ewen, NY *****
Diane Spies-Hoffman
** *** ***** ***** *** Milford, CT 06776 914-***-**** *********@***.***
OPERATIONS MANAGER
SUMMARY
A Healthcare Executive with 25 years of experience as a Manager/Director of Operations. Fluent in Human Resources, Risk assessment, Finance, Compliance and Daily Operations in the healthcare Industry. Dedicated, Patient Focused, results oriented Healthcare Executive. Proven track record in staff Development and Family Advocacy.
KEY ACCOMPLISHMENTS
Successfully Managed 8 Primary Care Practices while receiving quality awards through the CPCI program.
Rolled out PFAC to all Primary Care sites, arranged and spoke at each luncheon.
Acquired Service Excellence, Care Managers, and Centralized call center creating Departments, teams and budgets.
Assisted in development of a clinical and clerical float pool for all medical practices.
Handled several acquisitions and responsible for on boarding new Providers. EXPERIENCE
2/15-10/18
Health Quest Medical
Practice Lagrange NY
Manager/Director of Operations-Primary Care
Currently relocated to Connecticut and transferred to Manager of 5 Sharon Hospital specialty practices.
Previously Responsible for 8 Primary care sites with 7 managers, 20 Providers and 53 employees. Instituted capital and operational budgeting for all sites.
Implements office objectives, policies and procedures.
Relocated offices, on boarded 6 Primary care Providers, Handled several acquisitions.
Responsible for PCMH and registration for NCQA for all Primary Care locations.
Provide training for all Quality and Incentive programs, safety and compliance.
Handles any patient care concerns and implemented press ganey patient surveys.
Instrumental in employee engagement surveys and team building.
Complete employee evaluations, salary recommendations and coaching along with implementing career ladders for all employees. 7/11-2/15 Mid-Hudson Medical Group Kingston, Rhinebeck, Livingston Office Practice Manager
Promoted from managing 1 site to 3 locations, while simultaneously reducing costs for 30 Providers and 60 employees in 1 year. CC,CT
Port Ewen, NY 12466
Handled all mergers and acquisitions while assisting in the design of the 86,000 square ft building in Kingston NY.
Conferred with Finance Department to redesign the budget process.
Scheduled and monitored office hours and staffing to ensure productivity targets.
Provided continuing education for staff including transferring of phones to centralized call center.
Implemented new work flows for 16 Primary Care Providers.
Provided leadership and support for multiple offices while maintaining excellent provider and staff relationships with minimal turn over. 4/01-7/11 Dr. Daniel Hafner Kingston, NY
Office Practice Manager
Opened Practice which grew from 2 to 5 Providers. Managed daily operations for Providers along with all staff and patient advocate.
Responsible for payroll and record keeping through Quick Books.
Hired and trained all new clinical and clerical staff.
Handled Acquisition with Mid-Hudson Medical Group 4/97-3/2000
Wellcare Management
Group/GHI HMO Kingston, NY
Case Manager/Utilization Management
Daily case management of high risk cases, TOC for patients from hospital to home or follow up Care.
Hospital concurrent review and negotiation of rates for out of network facilities and providers.
Prior Authorizations and pre-certifications on InterQual systems.
Daily Morning Huddles with CMO to discuss high risk cases and length of stays.
Adjudication of pending appeals backlog.
7/93-1997 Catskill Medical Associates
Nurse Manager
Coordinated patient care activities, designed and implemented training classes for patients and staff.
Maintained quality control records.
Handled all telephone triage for Primary care providers, patient education and development.
Designed new efficient work flows for the clinical staff while assisting with nursing duties.
Education 1992 Ulster Boces Port Ewen, NY
L.P.N #226015
Certified Hospice Volunteer, certified in phlebotomy, Excelling in Management. MGMA member. Attended several AMGMA conferences, currently obtaining my CMPE, Botox Certification, Certified Dialysis Nurse. Excelsior College RN Program. Interests
Advocate of team building, Assisted in implementing employee recognition and Patient satisfaction surveys. Sponsor of ALS walk and many other fund raisers in Hudson Valley. Created and wrote the monthly Newsletter for all of HQMP. CC,CT
Port Ewen, NY 12466
References are available on request.
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