Quality Assurance Case Management

Christine Senczakowicz, RN, HCM-C, NM-CSp

**** ****** ***, *** **** Richey, FL 34652 C: 570-***-**** *******@****.***

PROFESSIONAL EXPERIENCE:

Regency Oaks Senior Living Community, Clearwater, FL

Director/Administrator of Innovative Services April 2018 - Present

•Administrator of Innovative Home Services (IHS) which includes implementing policies of the agency and supervising provisions of direct care services

•Participate in Strategic Planning that reflects the agency’s mission and evaluation of internal and external environments effecting agency viability, growth and financial stability

•Coordinate services, including alternative resources, as needed, within professional and state guidelines

•Complete Case management for clients, families, and additional care takers that are involved with the continuum of care

•Market the Home Service program to appropriate internal and external audiences

•Perform budgeting within the accounting system that promotes the health and safety of the clients and associates

•Prepare annual budget for approval by Governing Body

•Review financial statements, operating results, and performance evaluations on an on-going basis

•Oversee the recruiting, hiring, orientation and training of area’s associates.

•Provide education to families, clients and staff members

•Manage staffing coverage for the provision of services on a day-to-day basis

•Complete preparation for regulatory and independent reviews including, Community Health Accreditation Partner (CHAP) and Department of Health (DOH).

•Complete Quality Assurance (QA) and Performance Improvement (PI), Risk Management, Comprehensive Emergency Management Plan (CEMP), and other routine and/or ad-hoc reporting.

•Participate in Patient Safety Committee.

•MAOS and Provider education

•Long Term Care insurance filing and prequalification, ICD 10 Coding

Angelina Theresa Bucci Eye Surgery Center, Inc., Wilkes-Barre Twp, PA

Director of Surgical Services March 2015 – January 2018

•Supervise daily clinical operations of the surgery center and manage the clinical and clerical staff.

•Direct patient care (including circulating) and oversee patient activities in preoperative, postoperative, and intraoperative areas.

•Systematically monitor the nursing standards of practice, standards of care, standards of performance, and consumer satisfaction

•Write and/or update polices in accordance with DOH, Joint Commission, Center for Medicare and Medicaid Services (CMS), and Accreditation Association for Ambulatory Health Care (AAAHC) guidelines

•Ensure compliance with regulatory agencies and accreditation standards.

•Responsible for Quality Assessment, Risk Management, Peer Review, Utilization Review, Patient Safety and

Performance Improvement initiatives

•Member of the Strategic Planning(Lead), Peer Review, Therapeutic, Medical Advisory, Utilization Review, and Quality Assurance/ Performance Improvement Committee.

•Responsible for all staff development, education, orientation, appraisals, and discipline.

Wound Healing Center at Wilkes-Barre General Hospital, Wilkes-Barre, PA

Clinical Manager March 2008 – March 2015

•Assist with wound related procedures including biopsies, debridement’s, graft applications, and hematoma evacuations

•Responsible for staff education on wound care staging, assessment, and treatment, debridement procedures, nutritional needs, and patient safety

•Administering of Hyperbaric treatment to patients.

•Case Management, including but not limited to, nutritional risk assessment, screening with care planning, fall risk, national patient safety evaluations, and collaboration of care

•Perform and/or participate in compliance related audits

•Experience and Familiarity with ICD 10 Coding, Pre authorizations,

•MAOS and provider education

Part Time/Per Diem Work

Celtic Home Health Agency, Kingston, PA

Home Health Registered Nurse/Consultant July 2012 – December 2015

Geisinger Health System, Wilkes-Barre, PA

Quality Data Specialist Performance Improvement February 2007 – July 2008

Skills

Case Management, Risk Management, Infection Control, Wound Care, Quality Assurance, Performance Improvement, Audit/Compliance, EMR Systems, Utilization Review, Data Abstraction, ICD coding, Pre Authorization, Insurance Claims

LICENSE/CERTIFICATIONS:

•Registered Nurse (RN)

oFlorida (Multistate)

oPennsylvania

•Certified Wound Care Associate

•Certified Health Care Manager (HCM-C)

•Certified Specialist in Nursing Management (NM-CSp)

•Advanced Care Life Support (ACLS)

•Basic Life Support (BLS)

EDUCATION:

Excelsior College, Albany, NY

Associate of Science in Nursing January 2012

Wilkes-Barre Area Career & Technical Center, Wilkes-Barre, PA

Licensed Practical Nursing Program (LPN) December 2003

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