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VP Clinical Operations - Home Health & Hospice

Location:
Charleston, WV, 25301
Posted:
August 05, 2021

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Resume:

Sharon Mason

*** ******** ***** ** *** *** Fort Ashby, WV 26719 717-***-**** adn10s@r.postjobfree.com

Qualifications

Over 34-years nursing experience in the following specialties: skilled nursing home, acute care hospital, skilled rehabilitation, primary and post-acute care, and home health and hospice. Majority of experience has been in home health and hospice, with over 22-years providing direct patient care, staff development, clinical management, quality management, and executive leadership.

Very strong work ethic based on honesty, respect, open-mindedness and forward thinking. Strengths include being self-motivated, self-directed, and able to motivate and engage staff to want to be the best they can be. Leads by example, with a high level of critical thinking and problem-solving skills. Exceptional mentoring, coaching, and teaching skills.

High level of professional patience, with the ability to also be professionally persistent. Takes pride in following-through to complete a job with the highest possible level of quality, safety, and patient satisfaction. Extensive knowledge and experience with quality metrics, with a proven record in bringing patient satisfaction and quality metrics above state and national benchmarks. Known as a “realistic optimist,” whose career is also a passion.

Education

Walden University, Columbia, MD. MSN in Nursing Executive. Estimated completion: June 2022

Penn State University, Mt Alto, PA. Bachelor of Science in Nursing 2013 Harbor Hospital School of Registered Nursing, Baltimore MD. RN Diploma Program 1992

York County Vocational-Technical School- LPN Program 1987

Affiliations, Memberships, Licenses, Certifications

Professional Nursing License – compact license in WV

Active Professional Nursing License in PA and Maryland

Member of the National Association for Home Health & Hospice since 2000

Member of the National Hospice and Palliative Care since 2011

Member of the National Nurses Association since 2015

LEAN Leader Training- through WellSpan Health

PAHA Leadership Academy course certification in 2013

BLS Certified Jan. 2021

GPA: 3.87 Dean’s List 2007-2012

Sigma Theta Tau International Honor Society of Nursing

ABC Home Health Patient Satisfaction Award – 6 consecutive quarters (1994-1995)

Microsoft- Word/Excel certification course (1997)

Skills & Abilities

MANAGEMENT/LEADERSHIP EXPERIENCE

Over 19 years’ experience in different levels of clinical health care management and operations

Over 10 years’ experience in leadership roles.

Completed Patient/Customer Experience training.

Computer experience to include: Microsoft Office - Word, Excel, PowerPoint, Visio; Publisher; SnagIt; Epic, Lawson, Red Carpet, Kronos, Open Hire, eCare, Customer Reporting System (CRS), Safety Reporting System (SRS), Adobe forms, Microsoft Teams, SharePoint, etc.

Preparing articles, memo’s, newsletters, policies & procedures, job descriptions, process/workflows, presentations, employee and patient teaching/training materials and surveys.

Professionally handles and resolves patient and employee complaints/grievances, and provides appropriate service recovery, documentation, and regulatory reporting, as needed to meet State and Joint Commission requirements.

CMS Regulations and reimbursement/billing, quality auditing & reporting, RAC / ADR audits, have had many denials overturned after going through Administrative Law Judge review, responsible for all quality reporting to include HH Compare, patient satisfaction, and financial metrics, hospital readmission rates, etc.

Experience with HH-CAHPS, Physician Quality Reporting System (PQRS), and Value-Based Purchasing Reimbursement.

Analyzing, interpreting, and assisting in development of countermeasures for improvement of HH-CAHPS metrics.

Experience in SWOT analysis/strategic planning, and submission of annual Wildly Important Goals (WIGS)/metrics for health system Blue Book Objectives.

Project management/Program development experience.

Improvement in overall reimbursement through use of financial metrics and targeted staff education focusing on knowledge gaps, such as improvement in areas of proper coding, documentation, and utilization of services. Assisted in and took part in financial management and budgeting for both for profit and not for profit agencies.

Experience performing mock State and Joint Commission surveys

Experience with Patient Center Medical Homes/Neighborhood, and meaningful use incentives.

COMMUNICATION

Experience communicating via- e-mail, skype, Microsoft Teams, voicemail, professional letters, phone/computer, and video conferencing.

Public speaking, marketing, educating patients, families, employees, managers, up to and including senior management, and board of directors.

Proficient with computer/technical set-up for presentations Experience in informatics.

Use of “Just Culture”- consoling, coaching/mentoring, counseling, establishing “Performance Improvement Plans” and holding staff accountable, including terminations when necessary.

Able to have crucial conversations and help guide and engage staff to do their best.

Completion of several 360-degree feedback evaluations over the years.

Attended the following education seminars: Myers Briggs personality seminar, Generations at Work, Personality Profiling, Conflict Resolution, Crucial Conversations, and Emotional Intelligence.

EMPLOYMENT EXPERIENCE

UPMC- WESTERN MARYLAND HEALTH SYSTEM

JUNE 2019- PRESENT

DIRCTOR OF OPERATIONS - HOME HEALTH & HOSPICE

Responsible for the operations and leadership for 72 Home Health and Hospice staff with a combined daily patient census of over 260 active patients.

Responsible for the department’s overall quality metrics and patient outcomes.

Performs departments annual budget and budget management.

Attends health system committees and annual strategic planning.

Performs annual SWOT Analysis and strategic planning for departments.

Manages, mentors, and coaches’ clinical managers and management team staff.

Prepares and presents quality data at health system level.

Performs root cause analysis and utilizes DMAIC methodology for process improvement and Top 3 Board annual planning.

Handles all patient complaints, provides follow-up and service recovery.

WELLSPAN HEALTH JULY 2000- JUNE 2019

WELLSPAN MEDICAL GROUP(WMG)- Administration

CLINICAL OPERATIONS COORDINATOR

FEB. 2014-JUNE 2019

Under the direct leadership of the Director of Quality & Innovation, served as clinical leadership, and provided clinical/operational/regulatory oversite for more than 35 medical group physician practices and 24 Clinical Nursing Coordinators.

Matrix position, in which communication was paramount to its success.

Attended various meetings to take part in the clinical/operational decision making for physician practices.

Completed several lean projects, one of which focused on the proper technique for blood pressure monitoring. This was strategically chosen due to a system goal to achieve the National Top 10th percentile for blood pressure control.

Lead OSHA compliance efforts for over 120 medical group offices

Assisted clinical staff to review quality dashboards, and work towards improvement of quality metrics.

Created work flows and reporting tools for WMG daily patient safety huddle conference calls. Instrumental in the success of daily reporting, tracking, and follow-up of patient safety events.

Attended executive level committees, meetings, and subgroups to clinically/operationally represent medical group practices. To name a few- “Employee Safety Committee; Pt Experience Committee; Quality Council; Education Council; and most recently was elected chair for our Policy, Procedure, and Forms Committee.

WELLSPAN VNA HOME HEALTH, HOSPICE & PRIVATE DUTY

QUALITY & STAFF DEVELOPMENT MANAGER

JULY 2000-FEB. 2014

Positions held include:

July 2000, hired as the only full-time evening nurse. In order to meet family needs and eliminate the need for daycare, I returned to a staff nurse position.

12-hour Field Nurse

Clinical Manager

Staff Development Coordinator

Staff Development & Quality Manager for Home Health, Hospice, and Community Services

Responsibilities/Accomplishments/Experience include:

Extensive experience with both State and Joint Commission surveys. Appointed to handle all State surveys, and worked closely with surveyors to answer questions, and assist them with computer auditing. Deficiency free for 2 of 2 Hospice State surveys, 2 of 2 Private Duty surveys, and for 3 of 3 State Surveys for Home Health.

Experience writing and submitting State and Joint Commission “Plans of Correction”

“Go to” person for any type of Regulatory question/need for Home Health, Hospice, and Private Duty Home Care.

Experience with and was responsible for notifying the State with Chapter 51 Reportable Events.

Directed/managed all aspects of VNA quality & compliance (work level was equivalent to a Director position), including the establishment of a new quality committee. While under my leadership the VNA, for the first time achieved a “Home Care Elite” status in November 2014 due to steady performance improvement in all patient quality and satisfaction metrics.

2011 to 2013- reported directly to the VNA president, which resulted in a very notable upward trend of improvement in all quality indicators.

Achieved 100% compliance rate for mandatory flu shots.

Worked closely with WellSpan Health Education; Employee Health; WS Safety; Infection Control and other WellSpan departments to accomplish training and system goals.

Developed a comprehensive onboarding and orientation program for all new hires.

Responsible for completion of CMS required quarterly clinical record review audits and data analysis.

Managed the coordination for completing Health System training on “Managing Difficult Patient Behaviors.” VNA was the first WellSpan department to achieve this goal.

Leading resource person for Learning Management System(LMS). Assist staff and managers as needed. Ran reports and ensured that all required training was completed. 100% employee compliance rate from 2007 to 2013 for completion of annual LMS Modules- OSHA Safety/Personal Safety, and Compliance (this included over 250 employees)

Oversite of employee personnel files to ensure that all required background checks, skill competencies, and professional license are present. No deficiencies found while under my leadership

Extensive experience researching clinical best practices, procedures, and policies to develop staff education and new/revised clinical policies.

Responsible for keeping up on regulatory compliance by keeping alert for updates and/or by researching regulations to keep current and compliant.

Responsible for tracking, trending, and reporting all VNA data, including progress on system Blue Book Objectives.

Created PowerPoint presentations & reports for the VNA President to present to executive level meetings, including board meetings.

Attended WellSpan system committees and meetings to represent VNA leadership.

NURSEFINDERS

DIRECTOR CLINICAL OPERATIONS

MARCH 1998- JULY 2000

Clinical Director over both Home Health and Facility Staffing. In charge of two offices with approximately 200 employees when hired, and upon resignation was in charge of four offices with approximately 500 employees.

Nursefinders was a for profit franchise specializing in Pediatric Home Care Services, Private Duty Home Care, Medicare/Medicaid certified Home Care, and facility staffing.

First Director to turn a profit for reimbursement for Medicare home health services.

Assisted in opening two new branch offices, developed facility orientation programs to better prepare employees to safely staff facilities.

Assisted in more than doubling monthly revenue/profits, due to developing weekly and on the spot hiring and orientations practices.

Developed and set-up new patient care services, such as an IV Therapy contract with surrounding SNF’s, Restorative Nursing/Rehab Program, and Behavioral Health Program.

Due to the nature of the staffing business I became very knowledgeable/experienced with human resource issues, and utilized support from the Corporate HR and Risk Management department that was based in Texas.

IHS (INTEGRATED HEALTH SYSTEM) HOME CARE

CLINICAL SUPERVISOR

SEPT. 1994-MARCH 1998

Positions held include:

Case Manager (Sept. 1994 to Sept. 1996)

Clinical Supervisor (Sept. 1996 to Sept. 1997)

IHS Reengineering Team (Sept. 1997 to Feb. 1998)

Unique opportunity while employed with IHS- The director and regional area manager unexpectedly submitted my name to the Corporate Office, recommending me for employment on a “Reengineering Team.”

I accepted the position on the IHS Reengineering Team, which was established due to IHS home care acquisitions, and the need for standardizing home health policies, procedures, and work flows. While on the team I traveled to the Corporate office in Maryland, and had the opportunity to work closely with a consulting company, Deloitte & Touche, that taught the team how to complete time studies, process improvement/ re-design strategies, process design/process flows, writing and revising policies, development and presentation of training materials, how to perform regulatory-type investigations/research, and an opportunity in which I attended classes to become Microsoft Certified.

I later had the opportunity to join a fast-paced operational improvement team, which traveled to several Home Health offices throughout the United States to perform time studies, assess office functions, work flows, and to provide recommendations for operational improvements and reduction in force.

HEALTH SOUTH REHAB HOSPITAL

RN STAFF NURSE & RELIEF CHARGE NURSE

JULY 1992-SEPT. 1994

Worked as an RN Staff Nurse and Relief Charge Nurse for a 44-bed orthopedic and spinal cord injured unit.

YORK HOSPITAL

LPN STAFF NURSE; RN STAFF NURSE/RELIEF CHARGE NURSE

NOV. 1987-JULY 1992

RN Staff Nurse/Relief Charge Nurse from Jan. 1992 to July 1992

Worked on 5-South, which at that time was a medical/surgical/detoxification unit.

Team Leader for 17 patients. Filled in as needed as relief charge nurse.

Delegated job duties and assigned staff.

Casual Staff Nurse from Jan. 1991 to Jan. 1992

Employed as a casual staff nurse while attending school for Registered Nursing.

LPN Staff Nurse from Nov. 1987 to Jan. 1991

Employed on 4-South, which at the time was a surgical/trauma step-down unit.

RESTHAVEN NURSING HOME

LPN STAFF NURSE

JULY 1987-JULY 1992

Employed as GPN for 34-bed dementia unit.

PERSONAL & PROFESSIONAL INTERESTS

Family time; crafts; gardening; horseback riding; boating; volunteering for vaccination clinics

PROFESSIONAL REFERENCES:

Upon Request



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