NEDRA J. MORAN, R.N.

***** ********* **** 317-***-****

Indianapolis, IN 46256 acy3vt@r.postjobfree.com

SENIOR EXECUTIVE PROFILE

Motivated and dedicated senior level professional with extensive healthcare experience and proven track record of

success in hands-on leadership, organizational management, start-up facilities, negotiations, technologies, and

strategic planning. Assess service needs and design, deliver, evaluate and administer customized programs to

meet needs, increase services and boost revenues. Skilled facilitator, able to bring together diverse working

groups and project teams-fostering a genuine sense of motivation. Highly skilled in ROI analysis and budget

administration. Recognized for ability to identify key markets, customers, and vendors leading to increased

revenues.

Core Competencies:

Leadership / Multi-Site Operations Strategic / Tactical Planning

Organizational Design Budget Development / Management

Staff Recruitment / Development Project Management

Regulatory Compliance Facilities Design

P&L Management Continuous Process Improvement

Negotiations / Contracts Multi-Level Communication

Certified Consultant – Survey Preparation Legal Consulting

MAJOR ACHIEVEMENTS

Served as President for first publicly traded company to develop ambulatory health services. Concept of

services became the most successful in reducing the cost of surgery, improving time management and revenue

for the surgeon and ease of surgery for the patient while ensuring large return to the investors.

Opened 35 facilities with accountability for conception through management of operations.

Developed software program allowing coordination of healthcare from primary providers. Provided ability to

monitor several thousand Medicaid recipients and maintain constant communication between providers.

Initiated a Disease Management Program that improved outcomes for the patient, provided cost savings of

$2.5M to the Medicaid Agencies, saved time for the providers which equated to thousands of dollars in savings,

and allowed Medicaid agencies to determine the best and most appropriate clinical pathways.

Negotiated the first national surgery center contract with Blue Cross / Blue Shield for pay ment reimbursement.

Served as a lobbyist in the State of Missouri and successfully wrote and lobbied a bill through the State Senate

and House of Representatives to amend the insurance law to allow reimbursement to Ambulatory Surgery

Centers in the State of Missouri, saving millions of dollars to third party carriers and to the patients.

Achieved recognition: Manchester “Who’s Who in Professional Executives” (2005-2006) and Cambridge “Who’s

Who in Professional Executives” (Lifetime Recognition).

Professional Experience

Healthcare 4 Tomorrow Indiana

President 2015-Present

Provide consultant services to various healthcare agencies regarding licensure or

accreditation preparation, i.e., Home Health, Hospice, Hospitals, Surgery Centers

Provide medical documentation reviews and/or medical documentation presentations

Provide quality performance/assurance reviews to determine compliance with

Federal, State and Local regulations

Provide assistance regarding development of healthcare facilities, agencies from

inception to operation

Review of policy and procedure manuals for compliance with regulatory bodies

Marketing strategies to increase patient census

Negotiate with various ancillary providers increasing client census

Negotiations with insurance providers to establish an agreement, adjust an agreement

Third party negotiator for the purchasing of another healthcare organization and provide due

diligence reviews to ensure the viability of the organization

Assist with Plan of Correction process, including preparation of document, assistance with corrections as

needed, i.e., rewriting policy, procedure, teaching staff, etc.

Consult with law firms regarding medical record review, regulatory compliance, etc.

Regulatory consultation

Reduction of operational expenses to increase profitability

1st Care Home Health & Care Hospice Indianapolis, In.

Administrator 2013-2015

Advanced operations structure to a developing Home Health Agency, including t he

preparation for licensure and accreditation survey

Reviewed and revised all manuals in accordance with rules and regulations

Established a staffing plan allowing for consistency in scheduling

Reviewed and revised the personnel policies to maintain compliance

Developed an orientation program to mentor the professional staff including the RN’s

PT’s, OT’s, ST’s, PTA’s, OTA’s, Social Workers, Nursing Assistants

Developed in-service education programs for continued learning & consistency of care

Developed marketing strategies and developed a marketing team to increase patient census

Developed successfully a strategy to include the agency as a preferred provider in a newly-formed ACO and

developed various contracts for reimbursement with insur ance organizations

Developed a new Hospice Agency from inception to provisional operation

Nightingale Home Care & Hospice Services Indianapolis, IN

Vice President Clinical Operations, Director Clinical Services

Administrator Hospice / Director of Regulatory Compliance 2007-2014

Advanced operational structure for newly created Hospice program, including organization of a new agency,

development of operational policies and procedures, established staffing plan, hiring and mentoring professional

staff comprised of RN’s, social workers, chaplain, nursing assistants, and volunteers.

Prepared for state licensure, Medicare and Medicaid certification ensuring company obtained ability to operate

and bill for services in all fourteen states.

Developed contracts as well as marketing and quality improvement strategies proving reimbursement and

consistency in patient care increase the profitability of the organization.

Assessed and expanded organizational structure for company encompassing the development of job

descriptions, staffing plan for Hospice, and wage and salary administration.

Prepared organizational budgets and capital budgets. Reduced costs through effective vendor negotiations for

equipment, supplies, and medications.

Assisted with creating a new employee handbook and forming special project teams.

Assess educational needs of all staff members and provided continu ing education programs while developing

educational programs for all new employees. Programs include staff orientation, compliance with Medicare /

Medicaid regulations and Conditions of Participation. Resulted in improved medical documentation, positive and

consistent communication and no medical mistakes.

Review Medicare / Medicaid and Licensure statutes for compliance of operations for both Hospice and

Nightingale Home Health in all offices located in seven states.

Monitor quality improvement programs for compliance with federal, state, and local laws.

Directed clinical staff in the State of Indiana

Developed accreditation program, authored PER Manual, prepared management staff for accreditation process

in all agencies

Managed thirteen agencies clinical operations

Oversight of all policies and procedures for compliance with all regulatory bodies and maintain all disciplines in a

current state with same.

Myers & Stauffer, LC Indianapolis, IN

Supervisor of Acute Care Services 2002-2007

Conducted utilization management studies and analysis to determine overpayment, fraudulent activities, and

wasteful practices.

Developed audit tools and clinical pathways for large projects which resulted in savings up to nearly $2.5M on

projects.

Reviewed medical policies, regulations, and statutes to determine compliance, need for revision in policy or

regulation and standardized forms for documentation.

Provided strategic guidance to CMS during the Payment Error Rate Measurement (PERM) demonstration

program.

Led medical review teams for state Medicaid programs including the PAM / PERM medical program review team

for six state Medicaid agencies.

Developed proposed legislation language for state statutes.

Reviewed state agency regulations, policies and procedure manuals to determine accuracy and

consistency. Developed compliance tools used in the audit process that identified aberrant beneficiary

behavior. Culminated in improved oversight by agencies, reduced costs, the identification of practitioners

that should be sanctioned, and ability to deliver a project under budget.

Participated in the development of RFP’s and prepared budgets.

Ambulatory Health Services Indianapolis, IN

President 1982-1996

Conducted research and assessment to ascertain feasibility of surgery center or pain management facilities

including demographics, industry need, physician interest, and health care path within each community.

Developed strategy, wrote, submitted, and presented application for “Certificate of Need” at all levels of the

regulatory process. Was successful with every “Certificate of Need” hearing.

Marketed facilities to physicians, industry, HMO’s, PPO’s, IPA’s, community organizations, and third party

payers.

Accountable for identifying investor group and site selection. Supported the development and finalization of the

limited partnership.

Facilitated the design of facilities, creating clinical and business office policies and procedures. Organized

equipment selection and purchasing. Developed purchasing program to support facilities, physician practices

and clinics saving thousands of dollars.

Initiated a quality assurance program. Investigated medical records to maintain compliance with all accrediting,

licensing, and certification agencies.

Recruited, hired, and trained all staff members. the surgery centers, Home Health, Hospice and multi-specialty

clinics.

Demonstrated to the insurance companies, that with the introduction of ambulatory care facilities and agencies,

the increase in the quality of care and the reduction in the cost of health care.

CREDENTIALS

Education

Jewish Hospital of Nursing - St. Louis, MO

Various Management & Business Courses

St. Mary’s College

Purdue University

Bradley University

Guam University

American Management Association

Certifications

Consultant, ACHC

Parish Nurse

Registered Lobbyist in Indiana and Missouri

Professional Affiliations

Train-Aide Board of Directors, Past President

Indiana Association Healthcare Quality

American Management Association

Association of Operating Room Nurses

Association of Parish Nurses

National Hospice & Palliative Association

Indiana Hospice & Palliative Association

Staff Development Council of Greater St. Louis, Past President

Continuing Education Council - St. Louis University, Member

Legal Affairs Committee - Missouri State Nurses Association, Chairman

Hearing Loss Association of America, Member

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