DANIEL J. COGGINS
**** ******** ****, **** *-*, Largo, FL 33771
727-***-**** ********@*****.***
DIRECTOR – ADMINISTRATOR – DIR. OF OPERATIONS
Highly experienced and focused senior health services executive with proficiency in strategic planning, operations, and financial management. Proven capabilities in improving quality of service, customer satisfaction, profit maximization, business development, and meeting or exceeding projected financial objectives. Proven communicator with strong interpersonal skills which has enabled me to successfully operate a variety of facilities. I have a strong passion to assist those in need. I possess a Master’s in Health Administration, MBA, LNHA, and recently obtained my Certification in Practice Management. I am comfortable with CMS Regulations, Joint Commission, AHCA, and other agency regulations.
AREAS OF EXPERTISE
•Management & Operations Strategic Planning
•Financial P&L Analysis Quality Assurance-Improvement
•Cost Control & Budgeting Business Development
•Risk Management Leadership Skills
•SNF, ALF, IL, & Acute Clinic/Practice Mgt. & Behavioral Healthcare, Hospice, Fee for Service, Managed Care
•Substance Abuse Managed Care, Billing, Scheduling
•Physician Recruiter Recruited Clinicians, Therapists, Nurse Practitioners, PA’s
•Labor Negotiations Hospital Contracts & Program Development
•Board Experience Hospital, College, & Charitable Boards
•RUG’s, RVU’s, DRG’s, PPS, MDS Productivity & Efficiency
•Multi-site Operations CCRC
•Grant Writer Program Development
•Quality Assurance Program/Process Improvements
•Clinic Operations 3 Outpatient Clinics – Medical Evals
•Project Management Building Start-ups, Grants, Private Initiatives Medicare, Medicaid, Other Payors
•Fleet Management 25 Vehicle Fleet & Schedules
PROFESSIONAL EXPERIENCE
ED – ADMINISTRATOR – Grace Healthcare Jacaranda Manor – (January 2015 – Current) work for a 299 bed SNF with behavioral specialty. [Largest Facility in Corporation] Work between 40 – 50 Hours per week.
Stabilize leadership by hiring new DON, Risk Mgr., SDC, & Sales Dir.
Stabilize regulatory competency (6 month surveys d/t past IJ’s) with no quality of care tags – 2 strong annual surveys
Increased occupancy from 270 to full capacity of 291
Increased operating margins from 8% to 17% by increasing revenue and decreasing expenses and responsible for approving all vendor orders
Build a behavioral program & started a sensory stimulation program
Lowered hospital readmissions by decreasing baker acts from 13/mo. to zero
Hire & contract psychiatric & psychological staff
Negotiate a contract with Food & Commercial Workers Union (Lead) & 2 Wage Reopeners – taught & presented monthly on policies, procedures, and the bargaining agreement including dispute resolution
$22 Million Budget & 365+ Employees
Increased Medicare average by 5
Lowered OT% to corporate standard of 2% from 5%
Contracts with Medicare, Medicaid, ACO’s, MCO’s, Tri-Care, Hospice, & others
Increased Customer Satisfaction and Hospitality Focus
Bundled Payment Model 3, PBJ Initiative, and CMS Updates as we are one of the few pilot organizations using this alternative payment method
Established budget for both 2016 & 2017 (Including bidding process)
Supervised 12 – 15 department heads
Worked with William “Bill” Barry VP of FCWU (150 bargain unit members) on dispute resolution
Supervisor: Cyndi Matheny COO
CEO-ADMINISTRATOR - Consultant (July 2014 – January 2015) Interim work for Compass Pointe, Auburndale, FL 120 Bed Skilled Rehab. Worked 40 – 50 Hours per week. Worked 40 – 50 Hours per week.
•Build new business through hospice contracts, memory care unit
•Stabilize Regulatory Issues by lowering complaint surveys
•Build Teamwork & Leadership (Hired new DON, Risk Mgr., and MDS)
•Met Financial Goals (exceeded net income goal by $300k)
•Familiar with Abiqis, ERMA (Risk Management System)
•Established new physician contracts with hospitalist, orthopedic surgeon, internal medicine, and family practitioner
•Lowered overtime % from 10.9% to under 2%
•Increased Managed Care & Medicare by 7 per month
•Established ACO contract with Baycare Hospital System
•Established Hospice Contract and designated area for hospice
•Working on program for pulmonology, neurology, and specialties
•Medicare, Medicaid, ACO’s, MCO’s, Tri-care, & other payor sources
•125+ employees with 12 departments reporting to me
•Presented monthly to staff on policy changes, conflict resolution, problem solving, and other related topics
•Responsible for budget, compliance, and P&L’s (Included bidding process)
•Resolved any disputes between employees, residents, & families
•Supervisor: Kevin Bell 561-***-****
ASSOCIATE EXECUTIVE DIRECTOR & HEALTH SERVICES ADMINISTRATOR: (June 2013 – July 2014): Westminster Suncoast, St.Petersburg, FL Worked 40 – 50 Hours per week.
•CCRC with IL, ALF, & Skilled Rehabilitation 379 Beds
•Increased census from 104 average to full capacity of 120
•Strong Survey with Desk Review & developed marketing plan
•Increased Customer Satisfaction from 8.6 to 9.7 on a scale of 10
•Established Person-centered care & formed HS committee
•Increased Financial Results (700K ahead of budget)
•Reduced Hospital Readmission Rates – started campus health group
•Campus Increased to full occupancy-opened 23 bed rapid recovery unit
•Volunteered with Pinellas Hope, Catholic Charities, & Clean up Pinellas
•Opened out-patient clinic for extended services and hours
•Responsible for formation to implementation of budget and P&L (Included bidding process for vendors)
•Worked with Westminster Home Health & Contract with hospice on IL, ALF, and SNF
•Assisted with $1.3 million fundraising campaign
•Presented to all-staff monthly concerning policies, procedures, and “hot” topics - 350+ employees with 15-20 directly reporting to me
•Fulfilled year assignment & mentored AIT who took over position
•Resolved disputes between employees, residents, & families
•Supervisor: Mark Beggs 727-***-****
EXECUTIVE DIRECTOR – INTERIM ADMINISTRATOR (Nov. 2012 – June 2013): Bowling Green Health & Rehabilitation Center, Bowling Green, VA Worked between 40 – 50 Hours per week.
•Received “Silver Survey Award” for annual survey results
•Improved therapy efficiency by 10% (RUG Rates)
•Increased Census by 5% & Increased Medicare/Medicare Advantage case mix
•Resolved 8/10 outstanding patient accounts
•Increased customer satisfaction
•Secured a large account with local cardiovascular & thoracic surgery group for a rapid recovery unit
•Resigned due to mother-in-law passing away on hospice and returning to Florida for wife’s job
•Five Star Facility & Listed in US News & World Report
•Medicare, Medicaid, ACO’s, MCO, Tri-care, & other payor sources
•Worked with hospice to negotiate a contract
•QAPI, Risk, Business Development, Contracts, and Strategic Planning
•Presented to staff on a montly basis policy changes and leadership topics as well as resolved any disputes arising between employees, residents, & families
•Supervisor: Keith Helmer COO
EXECUTIVE DIRECTOR – ADMINISTRATOR (June 2010 – Nov. 2012): Airamid Healthcare, Clearwater, FL [SNF & ALF] Worked between 40 – 50 Hours per week.
•Operated 120 bed SNF & 70 bed ALF
•Took Facility into the black from the red
•Strong Survey 3 tags (D)
•Took it to a 5-Star Rating
• Built a strong leadership team
•Highest RUG Rates in the Region
•Labor Management Meetings, Grievance Process, Personnel Decisions, monthly staff meetings, and other weekly department head meetings with 100+ bargaining unit employees as well as resolved disputes
•Level 4 Hospice Contract and a designated floor devoted to hospice care
•Also turned around Gracewood Rehabilitation in Pinellas Park which was a 120 bed SNF with a 55 bed behavioral unit that COO (Chris Kmet) asked me to operate. Increased census from 84 to full capacity 117. Built a small 10 bed rapid recovery unit and had 2 strong surveys which made the facility a 4-star. Contracts with Medicare, Medicaid, ACO’s, MCO, and other payor sources. Reason for leaving – mother-in-law diagnosed with terminal cancer so we moved to Virginia to be close with family
•Supervisor: Chris Kmet COO 813-***-****
RDO/VP - DIRECTOR OF OPERATIONS: (APRIL 2004 – MARCH 2009): Northwood Health Systems, Inc. Wheeling, WV [Mulit-site Ops] Worked a minimum of 55 – 65 Hours per week.
•Operated a 3 county-wide health system
•Practice Administrator for 3 clinics (Over 3,000 patients)
•Evaluations, Med Reviews, ECT Treatments, & Scheduling
•Medical Evaluations, ECT Surgery’s, Medication Reviews, Ect.
•22 total facilities [IL, ICF, MR/DD, 3 Clinics, 2 Crisis Stabilization Units]
•$32 million budget & over 500+ employees (Including the bidding process)
•Strong financial results with ROI 20-25% over my 5 years
•Business Development, QA/QI, Compliance Officer, Risk Manager, Cost Control, Strategic Planning, Contract Development, & Grant Writing
•Representative on Numerous Boards, Coalitions, Associations – Homeless coalition, NAMI, Hospital Triage Board, Transitional Housing
•Increased new programs, Managed Care Contracts, & Utilization Mgt.
•3 Independent Apartment Buildings & 1 ALF
•Fleet Manager for 22 vehicles
•4 ICF (Fragile Homes), Day Services, Residential Services
•Physician Recruiting & Clinical Staffing, Centralized Scheduling
•Increased Patient Satisfaction
•Worked as liaison with 3 local hospital systems and triage contracts
•Provide services for the underserved: Homeless, HIV-AIDS, etc.
•Fundraising & Positive Promotional Activities within the local communities
•Resigned in order to pursue an entrepreneurial opportunity
•Reduced recidivism through peer review program
•Community outreach programs – Homeless Transitional Housing, Salvation Army Housing, Homeless Coalition, Homeless Medical Supplies, Health Right Free Clinic, Home Health, and Hospice
•Worked on non-profit foundation
•Contracts with Medicare, Medicaid, Private Contracts, and other sources
•Presented in front of entire staff many times on corporate projects, initiatives, policies, strategic initiatives, and other “hot” topics and resolved disputes between employees, clients, & families
•Negotiated employment contracts in 5 year increments (Lead)
•Worked on WV Behavioral Health Association Board & Several other local boards/coalitions/committees
•Responsible for budget formation & implementation
•Supervisor: Mark Games CEO 304-***-****
ADMINISTRATOR (DECEMBER 2000 – APRIL 2004): New Martinsville Healthcare Center, New Martinsville, WV Worked between 40 – 50 Hours per week.
•Regional Facility of the Year 2000
•Exceeded budgetary goals for fiscal, census, & case mix
•5 outstanding surveys & Developed outstanding team with several receiving honors from the State
•Involved with the WV Healthcare Association – Labor Committee
•Resigned to accept position with Northwood Health Systems, Inc.
•Negotiated 2 labor contracts with SEIU 1199 (Lead), Grievances, Personnel, presented to managers and bargaining unit on conflict resolution, job tasks, managing fair & consistent, problem solving techniques, and other topics concerning the CBA. Resolved disputes between County Agencies, employees, families, & residents
•Dealt with Medicare, Medicaid, Managed Care, and other payor sources
•Rob Johnson Rep & Carol Young Rep SEIU for 100+ bargaining unit members (Dave Reagan President)
ADMINISTRATOR (JUNE 1996 – DECEMBER 2000): Park Health Center, St.Clairsville, Ohio [Retirement Campus] Worked between 40 – 55 Hours per week.
•Operated 100 bed non-profit gov’t SNF for Belmont County
•Took from the red into the black and built a “rainy day” fund of over $1 million dollars
•Worked on a Retirement Center Community – with Presbyterian Homes
•Worked with Board of Commissioners & resided on numerous other committees – boards, presented and represented the county
•Built strong team & had good survey results
•Contracted with Medicare, Medicaid, Tri-care, and other payor sources
•Part of a residential community that was separate on property
•Political appointment ended after 4.5 years
•Responsible for RFP’s & the bidding process
•Negotiated 2 labor contracts with SEIU 1199 (Lead & Second Chair), Grievances, Mediation, Strike Situation, Clear & Present Danger Court Order, Decertification Proceeding, Labor-Management Meetings, Dispute Resolution Strategies, Appointed to the County Mediation Team for Disciplinary Action, County Benefits & Insurance Committee
•SEIU 1199 100+ bargaining unit members – Carol Young Rep & Dave Reagan President
•AFSCME 25 bargaining unit members
•Supervisor: Anita Wiley County Commissioner 740-***-****
Bell Nursing Home (January 1994 – June 1996): Kimbolton, Ohio Worked between 40 – 50 Hours per week.
•2 deficiency free surveys
•Completed CON for a new 50 bed SNF
•Increased occupancy to full
•Strong fiscal results
•Negotiated a 3 year contract with the United Communication Workers (Lead), set up the grievance process, Labor-Management Meetings, and Dispute Resolution (50 bargaining unit members)
•Supervisor: Greg Childs deceased
Carriage Inn Corporation (1991-1994): Cadiz, Ohio & Steubenville, Ohio Worked between 40 – 50 Hours per week.
•AIT
•Operated 145 bed SNF
•Stabilized a “fast-tracked” facility into a strong fiscal facility
•Developed a strong leadership team
•Negotiated labor contract with United Steel Workers Union
•Johnny Saunders Representative
OTHER EXPERIENCE:
PRESIDENT OF DC HEALTHCARE ENTERPRISES LLC (FEBRUARY 2009 - PRESENT) Worked between 50 – 65 Hours per week.
Sole proprietor of my own healthcare & consulting business. Project to take a governmental owned SNF to a private for profit SNF. Completed project from lease to purchase and all relevant steps in between. Hired all new staff, licensing, legal compliance, etc. Also, made recommendations – analysis for two local hospitals. One project concerned an in-house LTAC in which I made recommendations on business development, maximizing profit, areas of concern, and overall efficiency improvement. The other project concerned making recommendations from intake (ER) to admittance of a locked behavioral unit. I also provided local market knowledge for future business development and compliance. Improved the operating results.
Internship for Ohio University – 1988 – 1990
Barnesville Hospital – Internship (Joint Commission Survey of 1991): Worked through all departments which included: Surgery, Labs, X-Ray, Outpatient Services, 2 Clinics, ER, Physician Recruiting, Board Meetings, Committees, Risk, QA, Admissions, Billing, Transportation, Physical Plant, Environmental Services, and Administration. Worked 40 – 45 Hours per week.
Barnesville Health Services Association - Physician Recruitment (ER/Family Practice), Policy Making, & operating two free standing clinics. Set up contracts for ER coverage as well as all aspects of customer satisfaction & follow up.
Worked with State & local ombudsmen to resolve disputes between residents, families, and facility
Assisted Living & Independent Living
Dementia & Alzheimer Units – Behavioral Health – Mental Health
Sub-Acute Unit with HIV specialty beds
EDUCATION
Wheeling College – BS Accounting 1986
University of Dayton – MBA 1988
Ohio University – Masters in Health Administration 1990 Graduate Assistant
Licensed Nursing Home Administrator: Florida & Ohio
Certified Practice Management through AAPC
AWARDS
Silver Survey Award for 2012
Outstanding Young Men & Executives
Presidential Award – SunBridge
Annual Bonus Awards for exceeding expectations
Regional Facility of the Year 2002
REFERENCES
Anita Wiley 740-***-****
Chris Kmet 813-***-****
Perry Stanley 304-***-**** or 304-***-**** x 3276
Mike Langford – Utility Workers of America President
Ed Good – Labor Liaison UWA
William Barry – VP of Food & Commercial Worker’s Union