Medical Home Health RN Instructor for CHHHAS

Eileen M. Hickey, RN, BS

Verona, NJ

Cell 201-***-****

E-mail:******@*****.***

Objective: To utilize my healthcare experience in a setting that promotes

wellness, caring, and maintains clinical standards.

Summary:

. Home Care, Hospice, Geriatric Care Management, Insurance and Medical

Record Review

. A goal-driven leader with Nursing, Management, Recruitment and

Business Experience.

. Expertise embraces direct patient care, teaching, program development,

site and record reviews, strategic planning, case management, policies

and procedures, start-up operations, new business development,

marketing, clinical, administration, contract development, financial,

recruitment, human resources, and training.

. Scope of responsibility has included the oversight of up to 1000

employees at multiple facilities and 1250 home-bound patients.

. Licensed as Registered Nurse in New Jersey and New York.

Professional Experience:

2/2012 - 2/2015 Personal Touch Home Care of NJ

Director of Clinical Services

. Responsible for all clinical operations and oversight of this CHAP

accredited proprietary home care agency.

. Responsibilities include oversight of the provision of Home Care

services to 600 home-bound patients, supervision of 500 Certified Home

Health Aides, and 15 RN Field Supervisors.

. Provides Inservices, Orientation, Program Coordination and Instruction

for Certified Home Health Aide, Board of Nursing approved Training

Program

. Provides services according to NJ Board of Nursing requirements and

all other applicable federal, state, and regulatory requirements.

. Maintains combined roles of Director of Clinical Services, Field Nurse

Supervisor, CHHA Program Coordinator and Instructor and new business

development for cost containment purposes.

. Involved in maintaining relationships with NJ Health Maintenance

Organizations, and other contracts with Hospices, Home Care agencies

and state and federally funded programs for the elderly and disabled.

. Responsible for direct recruitment and hiring of all nursing

personnel.

. Co-Developed Companion/Housekeeping Program

2010 - 2012 MedAssurant, Inc., Bowie, Maryland

Medical Record, and Site Review Consultant

National Medical Informatics Solutions Provider

. Medical record chart data abstractions - in field (on-site) and remote

(on-line) -for Medicare and Medicaid projects. Subcontracted by large

client health insurance plans to detect fraud, waste and abuse billing

of CPT and HCPCS codes for medical/surgical devices, procedures and

durable medical equipment.

. Perform reviews of care providers, sites, facilities, medical records,

and other associated medical-field materials, personnel, and documents

either onsite or at remote locations. Such reviews include: Care

Provider Site and/or Care Provider Monitoring Reviews and Chart

Keeping Standards Reviews.

Assist in the coordination of communication processes with

MedAssurant's administrative, management, and field staff as well as

other affiliates, strategic partners, and other external individuals

and organizations.

1997 - 2012 Peace of Mind Geriatric Care Management, Verona, NJ

Founder / President / Owner

. Founder and manager of this organization, comprised of network of

healthcare/social work professionals.

. Provided assistance to older individuals and their families through

the oversight of in-home or hospice care.

. Coordination of all medical, financial, and social services.

. Provision of long-term care arrangements.

. Provided consultation services to the home healthcare industry, with

expertise including facility start-up, Medicare and Medicaid program

development, operations, clinical supervision, finance, marketing,

regulatory compliance, training, and development of policies,

procedures, and forms.

Personal Touch Home Care of NJ. Bloomfield, NJ

Contract Assignment: Nursing Auditor, Instructor, Supervisor

. Clinical responsibility of Case Managed Patients including Admissions,

Case Coordination, Transfers and Discharges

. Orientation, Evaluation and Supervision of Certified Home Health

Aides, Inservice Education,

. Prepare for CHAP accreditation audit

. Geriatric Care Management Program Development.

2008 - 2009 Accredited Health Services, Hackensack, NJ

Chief Executive Officer

. Responsible for all operations, oversight and new business development

of this CAHC accredited, proprietary home care agency.

. Completed company wide assessment, including financial and clinical

operations, administrative staff evaluation, recruitment, marketing,

new payer mix.

. Developed Operation and Marketing Plan for 2009.

. Created and developed new Private Pay, Geriatric Care Management

Program

. Maintained dual role of Area Manager /Marketer as well as CEO for cost

containment purposes.

. Responsible for Human Resources Department and the recruiting,

screening and hiring of all clinical and clerical personnel for all

departments including, nursing, and human resources,

2007 - 2008 Access Nursing Services, New York, NY

Branch Manager

. Responsible for all operation, oversight and market development of a

JACHO accredited, multiple service line, nursing agency.

. Increased revenue by 9% in the first quarter of 2008 in the

Spanish/American Home Care Division and Chinese Home Care Division

. Oversight of Nursing Division including Home Care, Facility Staffing,

Recruitment

. Created and Developed Russian Home Care Division

. Created and Developed Education Center in Midtown Manhattan location

2006 - 2007 Compassionate Care Hospice of New York, LLC,

Bronx and Brooklyn, NY

Program Director

. Responsible for expansion and development of CHAP, Medicare/Medicaid

Hospice program.

. Expanded market into new territory, Brooklyn, while maintaining

oversight of Bronx location.

. Established new site, recruited, hired and trained staff, including

physicians, clerical, nursing, social work, marketers, volunteers and

chaplains.

. Procured new referral contracts with hospitals, LTC and Assisted

Living Facilities.

. Procured contracts with pharmacies, DME, HHA, and laboratory vendors.

. Managed all operations, including clinical, financial, human

resources, program and market development.

2003 - 2006 People Care of New Jersey, Inc., Subsidiary of People

Care Holdings, Inc., Jersey City,

Executive Director

. Complete responsibility for expanding this New York-based home health

agency into New Jersey marketplace.

. Managed all operations, including clinical, financial, human

resources, program and market development, social workers, behavioral

assistants and mentors.

. Received JCAHO accreditation with commendation, NAHC and CAHC

accreditation, and Medicaid approval.

. Procured all contracts, including VNS, Hospice, and Insurance.

. Established Board of Nursing-approved CHHA Training Program in each

location.

. Created, developed, and implemented new Behavioral Health Division,

offering Intensive In-Community Therapy and providing LCSWs,

Behavioral Assistants and Mentors to emotionally challenged children.

. Procured contracts for Behavioral Health Program in 4 county areas.

. Created Behavioral Health Program Policy and Procedure Manual.

Education:

MedAssurant (national technology-enabled health care solutions provider)

. Claims Integrity

. ICD-9 Training

. CARA (Capitated Risk Adjustment)

. Hierarchical Condition Categories

Centers for Medicare and Medicaid Services

. Certificate in Diagnosis Coding Using the ICD-9-CM (March-2011)

University of Phoenix

. Bachelor of Science Degree, Business Management,

Bergen Community College, Department of Nursing

. Associates in Applied Science Degree, Nursing

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