Quality Assurance Care
Resume:
Debra S. Nales, LPN
Lutz, Fl 33549
Cellular 813-***-****
**********@*****.***
Education and Affiliations :
*ALF Core Training 2014
*Affiliate Member of the Geriatric Case Management Association both at a National and Local level
*Impact Sales Training 2006
*LPN Degree 1984 Muskingum Area Joint Vocational School, Zanesville, Ohio
*Certified with the following : NAPNES, American Red Cross, Utilization Review and Quality Assurance
Employment :
Stone Ledge Manor Assisted Living 2016
Director Of Nursing
Hacienda Villa ILF, AL, 2014 to 11/2015
Executive Director
Oversee management and day to day operations of 98 Unit Facility
Hire and supervise employees ensuring adequate staffing
Implement approached and services to maintain and enhance resident independence and satisfaction
Participate in sales and marketing activities while developing and implementing an annual business plan that achieves the financial goals and maintains high occupancy through marketing strategies.
Home Town Home Care 2012 to 2014
Medical Service Coordinator
Marketing Medicare and Private market for home care business
Rehab Matters Home Care 2009 to 10/01/2012
Senior Clinical Liaison
Medicare Home care marketing MD, Hospitals, ALF's and SNF
Hearthstone Assisted Living facility 2008 to 2009
Wellness Director
Assured resident care and medication supervision/administration is carried out by staff. Maintain open communication to assure maximum operational support of marketing efforts and to facilitate admission. Consult with and monitor services of pharmacy consultant. Serve as backup in conducting tours of the facility. Conduct admission of new resident. Conduct initial 4-hour orientation of all new staff. Assure that all new hire paperwork is completed performance and conduct retraining.
Home Care Assistance, Tampa, Florida 2007-2008
Community Relations Coordinator
Marketing Private pay non-medical services to Seniors, as well as Hospital Discharge Planner, Skilled nursing facilities, Assisted and Independent Living facilities and Case Managers in a five county area. All initial intake assessment follow up home visits for quality control, staffing, data entry and call 24/7.
Sea Crest Health Management Company Tampa, Florida 2007-2008
Interim Marketing Director / Clinical Liaison
Assessment of acute care patients, medically and financially for referral to short term rehabilitation.Floated in this position to various hospitals and skilled nursing facilities in the Sea Crest Corporation.
HCR Manor Care Tampa, Florida 2005-2007
Managed Care Case Manager
Managed all lengths of stay and interdisciplinary care plans for all managed care payers. Referral development, relationship building with managed care payers, case managers and patients. Discharge planning, care coordination and patient education. Monthly bill review and billing of outliers.
United Health Group Tampa, Florida, 1996- 2005
Care Coordinator 1996- 2005Disease management, Utilization review, Care coordination, escalated issues, Account management, patient education and supervision of non clinical staff.
Health Care Connections Tampa, Florida 1995-1996
Office Coordinator 1995- 1996
Coordinated office visits, collected payments, kept MD on schedule. Communication with IPN, PRN and Managed Care payers.
Ultramedix Health Care Plan Tampa, Florida 1994-1995
Quality Assurance / Utilization Review Nurse
Hiring, training and supervision of triage staff . Quality assurance, Utilization review, Discharge planning. Audit Primary Care Physicians charts for HEIDIS
reviews. In servicing network providers . Patient education.
Travelers Insurance Company Tampa, Florida
Case Management Intake Coordinator 1992-199
Case Management Intake Coordinator 1992-199intake of referrals based on acuity of care and plan benefit structure. Quality assurance audits on RN Case managers files.
*** For ten years prior I worked in long term care in Ohio. Duties included:
Treatment nurse, Charge Nurse, MDS Coordinator and Care Plan Coordinator to name a few
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