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Medical Management

Location:
Los Angeles, CA
Posted:
February 19, 2015

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Resume:

Maria “Cecille” Recio

*** ***** **** *****, **** 403

Beverly Hills, Ca. 90210

********@******.***

cell # 213-***-****

PROFESSIONAL PROFILE

Over twenty five years of extensive experience in the Healthcare Industry. Currently, the Medical Management Director of a major US Healthcare project with Accenture, Philippines. Familiar with Six Sigma, practice Lean Method. Experience with Joint Commission accreditation, Medicare and State surveys.

Confident and comfortable in interfacing with Medicare, State government licensing agencies, Accrediting

bodies and other healthcare organizations. Familiar with CMS guidelines, Title 22 and JC standards.

Develops, revises and implements organization’s Policies and Procedures and Quality Management

Improvement process. Creates, forecast, manages and oversee budgets. Conducts educational training.

Consulted, assisted and trained other healthcare companies in achieving State Licensing, Medicare Certification and Joint Commission Accreditation. Understands coding, reimbursement and billing practice.

Worked with a start-up healthcare organization, from hiring and training staff, prep are for licensing and accreditation, to full managing the operation of the organization. Had managed and directed multiple units and hospitals. Familiar with Health Care Organizations, HMOs and Private Insurance compliance needs.

Had worked well with Union Organizations. Worked with American Red Cross in setting up Health Fairs. Innovation and Out of the Box practice oriented, while keeping in compliance with rules and regulations. Customer-focused and performance-driven. Take patients, staff and physicians satisfaction very seriously.

A strong believer of Hands-on management, never micromanaging, and encouraging self-directedness.

PROFESSIONAL EXPERIENCE

ACCENTURE JUNE 2014 - PRESENT

Position: DIRECTOR, MEDICAL MANAGEMENT

JULY 2003 – JUNE 2014

FOCUS CARE, INC.

Home Health Care agency

LOS ANGELES, CA.

Position: CHIEF NURSING OFFICER

SEPT 2001 – JULY 2002

SAN GABRIEL VALLEY MEDICAL CENTER

SAN GABRIEL VALLEY, CA.

Position: DIRECTOR OF NURSING

- MEDICAL SURGICAL UNIT

- ONCOLOGY

- ORTHOPEDIC

SEPT 2000 – AUG 2001

CENTINELA HOSPITAL MEDICAL CENTER

INGLEWOOD, CALIFORNIA

Position: DIRECTOR OF NURSING, CONTINUUM OF CARE DEPARTMENT

- MEDICAL SURGICAL UNIT

- GERO-PSYCH UNIT

- ACUTE REHABILITATION UNIT

- ORTHOPEDIC UNIT

- TRANSITIONAL CARE UNIT

- SUB ACUTE UNIT

APR.1999– Sept. 2000

ST. FRANCIS MEDICAL CENTER

LYNWOOD, CALIFORNIA

ROBERT F. KENNEDY HOSPITAL

INGLEWOOD, CALIFORNIA

Position: DIRECTOR OF NURSING, BI-CAMPUS

- TRANSITIONAL CARE UNIT

- SUB ACUTE UNIT

QUEEN OF ANGELS MEDICAL CENTER MAR. 1996-APRIL 1999

HOLLYWOOD, CALIFORNIA

Position: Manager, ACUTE REHABILITATION UNIT

EDUCATION

MASTERS DEGREE IN NURSING BACHELORS OF SCIENCE IN NURSI

ANGELES UNIVERSITY FOUNDATION ANGELES UNIVERSITY FOUNDATIO

PHILIPPINES PHILIPPINES

BACHELORS OF SCIENCE IN NURSING

ANGELES UNIVERSITY FOUNDATION

PHILIPPINES

PROFESSIONAL LICENSE:

Current/active - US California Board of Registered Nursing: #458318

COMPUTER SKILLS

Proficient in use of Microsoft Office programmes



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