Donna Mathews R.N.
Conshohocken, Pa. 19428
acb7g0@r.postjobfree.com
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