PAULA BROWN

***** ******** ***** *****

Huntersville, NC 28078

757-***-****

Registered nurse with 30 years of Home Health Care experience

Kindred at Home, Charlotte, NC: 9/17/2012 through 10/1/2020

Director of Clinical Operations-South Region, my territory was VA, MD, TN-21 branches

Remote from 10/2016 through 10/1/2020-All branches in South Region

Financial Management including managing and performing final claim billing

Reviewed and analyzed P & L statements and assisted with correcting metrics

Ensured productivity standards, by reviewing utilization reports including paraprofessional productivity

Assessment of office processes and education to achieve efficiency

Rolled out all new programs to each branch

Performed QAPI in branch leaders absent

Oasis Rejections reviewed and corrected and resubmitted to CMS

Education and management of ADR’s, TPE, CERT’s, Z-PIC, SMRC’s, and RAC Audits

Assisted branches with billing issues, insurance issues and reviewed for Oasis and

coding accuracy

Assisted with State and Internal Surveys and writing of corrective action plans with follow up on

those plans

Assisted Clinicians in field as necessary

HCHB Experience

McBee Associates, Inc, Charlotte, NC, Financial Management of Home Health Companies: 10/13/2011 through 12/15/2012

Clinical Consulting Supervisor:

Performed interim management of home health agencies

Instructed home health agencies on Oasis accuracy

Assessed home health agencies for accreditation readiness

Performed coding from scratch for home health agencies

Performed review of coding and Oasis for accuracy

Performed Pre-Bill review, for agencies going through CMS Pre-Bill ADR audits and made recommendations

Wrote ADR appeal letters for these agencies when appropriate or recommended when and why

an ADR should not be appealed

Heartland Home Health Care and Hospice, Virginia Beach, VA: 3/9/2001 through 8/31/2011

Director of Professional Services: 3/2/2002 through 8/31/2011

Directed clinical operations of the home health division

Evaluated all services for quality and financial results

Directed branch quality programs, including QAPI

Analyzed P & L statements and adjusted practices to meet our goals

Reviewed and worked Oasis validation reports, SHP reports and Adverse events reports

Conducted all surveys with CHAP and all Audits from CMS

Assisted Clinicians with issues during visits as necessary

Clinical Manager: 3/9/2001 through 3/1/2002

Supervised all SN and Therapy staff and paraprofessionals

Reviewed, coded, and processed Oasis paperwork

Evaluated all complicated wounds and made recommendations to physicians

Evaluated all staff annually

1998-2001 Sentara Home Health Care and Hospice, Chesapeake, VA

Case Manager

QI Nurse

Central Intake Coordinator

1998-2000 Owner/Operator of Adult Residential Care Home

1997-1998 Commonwealth Home Health Care, Virginia Beach, VA

Case Manager-Implemented Oasis

1993-1997 In Home Health Inc., Virginia Beach, VA, later known as Heartland as above

Home Health Aide Competency Director and QI Committee member

1990-1993 Commonwealth Home Health Care, Virginia Beach, VA

1990-1991 Visiting Nurse Case Manager

1991-1993 Clinical Manager

1980-1990 Chesapeake General Hospital, Chesapeake, VA

LPN Staff Nurse on Medical Surgical Unit

1976-1980 John F. Kennedy Memorial Hospital, Philadelphia, PA

LPN Staff Nurse on Surgical Unit

Education:

Applied Associates of Science in Nursing, Tidewater Community College, Virginia Beach, VA- 1990

License Practical Nurse, Hahnemann Hospital School of Practical Nursing, Philadelphia, PA- 1976

24 credits toward BSN

References available upon request

Contact this candidate