JOANIE BOWES-WARREN, RNS, BSN,

RAC-CT.LNC, RCFE

East Bay California (Antioch)

Cell 954-***-****

Professional Experience:

Vitas Healthcare

Patient Care Administrator (Program 91) May 2020 – Present

Covia Communities (2185 N. California Blvd. suite 215, Walnut Creek, CA94596)

Jan.2017 to March 2020

Sr. Dir. Quality and Care

Responsible for 7 CCRC communities (including in patient/ outpatient) platforms, building public relations and business development; Clinical lead for the company. Building relationships with the Medical Directors and attending. Cross cultural team building and leadership; oversee corporate wide quality improvement program including but not limited to written Quality of care plan with a quarterly evaluation of the plan’s effectiveness. Successfully implemented / optimization all 7 communities, including physician’s documentation (assessments/progress notes and PRN encounters) from paper to Electronic System (Point Click Care). Transition management – credentialing, meet or exceeds requirements. Assist the leadership of the facilities in developing strategic plan of correction to ensure substantial compliance. Proactive in the admission process to ensure a satisfactory outcome. Conducts ongoing audits to ensure corporate /regulatory compliance. Regulatory Compliance- State Survey preparation (Title 22, RCFE, OBRA). Partnering with other leaders to ensure optimization of clinical operations, Lead Mock Peer- Reviews for all communities including inpatient /out pt. Medicare/Cal Utilization; Quality of Care and Safety Assurance. Stay current with changes in the healthcare environment.

CLINICAL SERVICES OWNERSHIP: Quality and care process owner, as such, this position monitors, guides, and directs the design, implementation and delivery of all clinical programs and services within the organization. Provides knowledge, internal advocacy, workflow design, and expertise. Initiates Clinical Initiatives as necessary or appropriate, including compliance with applicable State and Federal healthcare programs. Develops and cultivates effective relationships with and between community-based care and clinical staff, fostering an environment of support, innovation, and collaboration. Interacts with each community’s clinical and care leadership staff to have working knowledge of each community’s unique processes for resident care and business flow and assist in adapting shared policies and procedures for best-fit. Leads community leadership in the development, documentation, monitoring, and implementation of shared clinical and care standards, policies, and procedures. Develops and oversees onboarding & training programs for clinical staff in all levels of care. Has dotted-line supervision of all SNF Directors of Nursing, Minimum Data Set Nurses, and Directors of Staff Development. Over 20 years’ experience in MDS leadership. Has worked the last 13 years with some of the leading LTC providers in the US on a regional and corporate level.

· Created RNAC orientation program and increased company retention rate. · Completed Skilled Documentation training and monitoring for the facilities to ensure 100% compliance with daily skilled documentation.

Create the PDPM training. Provided training to NHA, DON, RNAC, Regional

Nurses, RDO, SR. Management

· Increase in SLP component from $14.56 to $31.78 & NTA component from $50.36 to $67.37

· MDS coding training and auditing for the company. Increased accuracy and decreased in F641 by 70%

· QM Training completed for their region. 10/10 facilities reviewing MDS Scrubber

Report prior to submission and no MDS coding errors identified · Implemented Point Click Care System to all level of care

ELECTRONIC HEALTH RECORD SYSTEM: The EHR clinical process owner, as such, by doing the following: responsible for EHR design and integration into and with clinical programs across all levels of care. In collaboration with community clinical leadership and Support Services billing and technical leadership, determines processes, tools, approaches, and policies as necessary for the efficient and effective design and implementation of the EHR. In conjunction with other company leaders, coordinates and facilitates integration of EHR with other business processes, such as census, billing, and reporting.

REGULATORY COMPLIANCE RESPONSIBILITY: Ensuring – through monitoring, guidance, and direction – that all clinical programs operate in compliance with all applicable laws, regulations, and policies of Covia. o Monitors changes in regulatory environment related to clinical and care services and ensures that community response to these changes is efficient and effective in maintaining compliance.

QUALITY OF CARE RESPONSIBILITY: Responsible for ensuring through monitoring, guidance, and direction that all clinical programs operating with excellence in quality and care. o Initiates quality initiatives as necessary or appropriate. Provides process oversight of continuous quality improvement efforts. Develops, implements, leads and monitors a strong quality assurance and performance improvement (QAPI) program at all communities. Ensures appropriate quality standards, policies, best practices, procedures, training programs, controls and documentation are in place to deliver and monitor efficient and effective clinical programs and services.

SUPPORT PROVIDED TO COMMUNITIES: Provides leadership and support to all Covia communities. o In conjunction with the Executive Director and Health Care Administrator, assists in the selection and successful onboarding of key clinical positions at the community level, including the Health Care Administrator, Director of Nursing, Director of Resident Health Services, and directors of other care or clinical programs. o Provides or arranges for interim DON coverage in skilled nursing facilities when needed. Visits each community on a regular basis (keeping time between visits to less than 90 days when possible) to support, observe, and advocate for the community’s clinical programs and needs.

Acts as a liaison between clinical programs, staff, and services and other company leaders, as necessary. Acts as a liaison between the community leadership and residents/families when there is a clinicalbased grievance. With the COO, functions as a principal liaison with company-wide clinical service providers, such as therapy services, pharmacy services, and others.

ORGANIZATIONAL LEADERSHIP: Provides strategic leadership at the corporate level related to quality and clinical services. With COO, functions as a principal liaison with the Board Quality First Committee. Participates in various meetings to coordinate, report, and collaborates with other company departments and divisions. o Provides strategic insight and participation with planning and governance functions.

Nucare Medical Consultants (Tampa FL33647) Dec.2012 to Dec.2017

Third party services as the Regional Nurse /Risk /Quality Assurance Consultant / Geriatric Case Management. Implement effective, ongoing programs to measure, assess and improve the quality of care.

Reviews nursing documentation for accuracy, timeliness and applicability.

Participates with medical staff and clinical /administration leaders in the decision-making process. Provides timely and accurate recommendations as the primary subject matter resource person.

Conducts pre-survey visits. Implement standards of Nursing practice and revision as indicated.

Assignments while working Nucare

Capitated Services Health Care Services/Capgemini US (CHCS) (Pensacola, Fl) Feb. 2002 to present

PRN

Field RN Assessor

Performs Independent Benefit Determination Assessments/ Comprehensive Assessment at the start of service or to continue services by Capitated Health Care Services (CHCS). The RN Assessment /Information is provided to the case management staff to identify if the client meets criteria of their policy, and if so, the level of care required. (Assessment includes but not limited to deficits in claimant’s ability to perform their activities of daily living (ADL’s) and cognitive impairment.

•Deerfield Beach Health and Rehab (Interim) Jan. 2016 to August 2016 Director of Nursing (194 beds)

Directs a staff of approximately 100 nursing personnel and interface regularly with physicians, department directors, clinical staff and system leaders. Intimately involved in the strategic planning for the redevelopment of facility. Lead and direct all related activities within the context of our policies and procedures to ensure the following: continuous compliance with accreditation and regulatory guidelines; meeting business expectations; maximum productivity within the nursing department by streamlining and centralizing functions; participation in marketing, health and community leadership initiatives; and open communication and collaboration with leaders, physicians and other key stakeholders to design and execute patient care programs that support the Mission, Vision and Values of the facility.

•Vanguard Healthcare (Brentwood TN) May 2013 to Jan. 2016

Corp. Dir. Of Healthcare Informatics/ Regional Dir. Of Clinical Ops

Corporate expert and resource for facilitating the company’s Electronic Medical Record,

(EHR), not limited to the Clinical and Financial Applications. Comprehensive knowledge of Healthcare Informatics Systems. Develops, plans and address information and technology needs to the end users. Maintains current knowledge of legal standards, regulatory standards, and standards of practice to assure that clinical systems support compliance with these standards.

•Consulate Management Company Dec. 2012 to March 1st 2013

Regional Nurse Consultant with overseeing 4 to 6 SNFs in Central FL

Avante Group (4601 Sheridan St. Hollywood Fl.33021) June 2009 to Dec.2012

Regional Director of Clinical Operations

Total Clinical over site for 11 free standing SNFs in FL (over 1200 beds). Quality Assurance- Developed an organizational culture that supported consistent delivery of quality service and service excellence. “How may I exceed your expectations?” Improved 5-star ratings for most of the facilities. Implemented Quality of Care programs to improve ADL scores.

Implemented Electronic Medical Records /EMAR/Point of Care system to all 11 buildings. Travel 100%. Care coordination for all in/outpatient platforms. Building relationships with the Medical staff. / Rolled out 6 buildings with ventilator /bedside Hemo Dialysis: 2 buildings with Peritoneal

EDUCATION &TRAINING

•Associates in Science -Miami –Dade Community College, Miami, FL

•Registered Nurse Specialist (State of Florida) CMS (Mailman Center) -University of Miami (certification-Registered Nurse Specialist)

•MSN/Healthcare Informatics- Jacksonville University (online)-incomplete

•Director of Staff Development

•Project Management – Point click care (PCC)- Clinical /Administration configuration

LICENSES & CERTIFICATIONS

•State of Florida Registered Nurse- #2000672

•State of California Registered Nurse-#95127041

•State of Virginia Registered Nurse -# 000*******(expired)

•American Nursing Association Credentialing—General Medical Surgical Nursing--#0207642

•Fl ALF Administrator license. #080517206 (CORE)

•RCFE Administrator - #604-***-****-California Department of Social Services

•LNC- Legal Nurse Consultant- American Nursing Association Credentialing

•American Association of Nurse Assessment Coordination-AANAC-RAC-CT

•Registered Nurse Specialist –State of Florida / Case management for the medically complex.

•BCLS/ACLS/PALS Certified

•Director of Staff Development

•Project Management – Point click care (PCC)- Clinical /Administration configuration CDC-Infection Preventionist certification-1/2020

PROFESSIONAL MEMBERSHIPS

•Florida Nursing Association - First Vice President - 2001 to 2005

•National Association Directors of Nursing Administration in Long Term Care (NADONA)

•Florida Association Directors of Nursing Administration in Long Term Care. (FADONA)

•Leading Age- National/California

•American Association of Nurse Assessment Coordination-AANAC

•American Nurses Association Legal Nurse Consultants - Core Board Member

•American/California/Florida -Nursing Association

•American Medical Directors Association-Post Acute and Long-Term Care Medicine (AMDA)

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