Case Management Manager

Charlotte Ann Byrne RN, BSN, MS

(aka Charlotte Byrne Gnecco)

Highly experienced and dedicated BSN, with an MS in Health Policy and Management, seeking hands-on patient care

*** ******* **. * **** 3 (510) 508 - 1249

Jamaica Plain. MA 02130 *******@***.***

EXPERIENCE:

RN Case Manager: Element Care SCO Program - 12/19 - 03/21

Provided Nursing Case Management to mostly Spanish speaking SCO members. Provided case management assistance to keep members safe in their homes.

• Followed all protocols and documentary requirements for Medicare and Medicaid

• In home assessments done for each member every 3 months with physician follow up. Annual assessments done with MDS completed.

RN Case Manager: United Health CARE SCO Program – 02/16 - 04/19 •

Provided Nursing Case Management to mostly Spanish speaking SCO members. Provided case management assistance to keep members safe in their homes.

• Followed all protocols and documentary requirements for Medicare and Medicaid

• In home assessments done for each member every 3 months with physician follow up. Annual assessments done with MDS completed.

Contract Home Health Nurse, Core Medical Supplemental Health – 9/13 – 1/16

• Provided Nursing Case Management at VNA Care Network for 4, 3-month periods

• Delivered Hands-on treatment per disease status and Physician orders

• Coordinated with all team members to provide high quality care in clients homes

• Completed all required documentation in a timely manner.

Hospice Program Manager, Steward Health Systems, Westwood, MA – 10/12 - 8/13 •

Managed and developed 2 Hospice teams, providing care to patients in 2 geographic territories. Increasing team cohesion and quality of patient care.

• Supervised 19 professionals, 11 of whom are RNS. Assured that all clinicians followed Hospice COPs and maintained clinician productivity.

• Provided customer service to patients and families, and contracted service providers, in both ALF and

• SNF management fac8ilities., Worked closely with clinicians and management within the Steward ACO healthcare system.

Consultant to Start-up Home Health Agency, Bliss Heath Care, Waltham MA – 03/11 - 10/11 •

Provided expert level assistance for start-up Home Health Provider seeking CMS certification.

• Advised on standard regulatory procedures and paperwork systems.

• Carried out Home Health visits for new clients and reviewed proper documentation procedures.

• Review all documentation for accuracy and assure software is supportive of CMS regulatory requirements.

Geriatric Care Manager, AZA Care Management, Brighton, MA – 01/11 - 09/11 •

Provided care management services to clients of AZA Care Management

• Coordinated all levels of geriatric care including organization of care plans

• Maintained client satisfaction in all aspects of care provision and referrals

• Supervised Care Attendants and developed tools for documentation

• Marketed services to potential referral sources

Clinical Supervisor, Caretenders Health Corp, Newton, MA – 01/10 - 01/11 •

Supervised and educated 17 clinicians, including RNS, PTS, OTS, STS, MSWS. Enhanced customer service by direct contact with patients, families, physicians, and referral sources; Census grew from 91 to 120 in 5 months.

• Provided direct care to clients and educated clinical staff in client's homes.

• Conducted Team Meetings, oriented new staff, and inspired existing staff to meet job requirements and standards of care.

• Functioned as wound care consultant and provided wound care as needed.

Director of Client Services, Senior Bridge - Newton, MA –02/09 - 01/10 •

Directed, managed, and educated 4 Care Managers.

• Provided care management services.

• Hired, supervised, and educated 30 C.N.A. caregivers.

• Financially responsible for productivity of all team members.

• Conducted weekly productivity reports and assured margins were achieved.

• Increased client census from 16 to 30 in 5 months.

• Built reputation for providing quality services with clear and direct follow-up.

• Built a solid team and a great team spirit.

Administrator/Director Clinical Services, AccentCare Home Health - Foster City, CA – 11/07 - 11/08 •

Directed full clinical and branch operations for Certified Home Health Agency.

• Managed 5 clinical managers, 11 administrative staff and 44 field staff. Grew the average daily census from 220 to 320 in 9 months. Rewarded for consistently exceeding corporate quarterly budget goals. Branch received Award of Excellence from the Vice President of Home Health.

• National Patient Outcomes Reviews exceeded national standards in all areas. . Analyzed and improved OASIS document flow in MYSIS computer system.

• Successfully educated field staff in quality of care, documentation, wound care,

Branch Manager, San Pablo and Pleasant Hill Branches – Professional Health Care at Home – 08/05 - 11/07 •

Managed all branch functions, staffing, budget, and regulatory compliance.

• Supervised and educated 15 clinicians, including RNS, PTS, OTS, STs, MSWs. Enhanced customer service by direct contact with patients, families, physicians and referral sources; grew census from 82 to 90 in first 4 months Conducted Team Meetings, oriented new staff, and inspired existing staff to meet job requirements and standards of care.

• Worked closely with HMO partners to obtain authorizations for visits, report on patient care, and assure correct and timely documentation per HMO rules.

• Supported successful pilot implementation of McKesson point-of-care system,

Home Health Case Manager, Oakland Branch - 08/05 - 08/06

• Assessed, developed, and managed treatment plans; provided direct care and education for average caseload of 25 geriatric patients.

• Instructed patients and caregivers in a variety of medical conditions, provided technical nursing skills, including wound care assessment and treatment.

Home Care Manager, Center for Elders Independence, Oakland, CA – 04/03 - 06/05 •

Managed Home Care Department which served 350 PACE clients. Worked with the Interdisciplinary Team in each of 3 sites to establish clear Home Care Plans that enhanced care delivery to participants and their families. Supervised 5-6 RNs and 38 aides to provide care in client's homes as per plan of care and reported weekly to the interdisciplinary teams.

• Worked with CEI's management to make a Federal Qualifying Visit a success.

• Acted as Interim Site Manager for largest site during the Federal investigation.

• In November 2003, CEI received official recognition as a PACE provider.

• Recognized as a Superior Contributor to the organization in December 2003.

Independent Consultant in Home Health and Senior Care, Dartmouth College, Lebanon NH –

1997 - 2002 • Wood Crest Village Assisted Living, New London, NH

• Scarborough Terrace Assisted Living, Scarborough, ME

• Valley Terrace Assisted Living, Norwich, VT The Arbors Assisted Living, Shelburne, VT

• Youville Place Assisted Living, Lexington, MA

Director of Wellness Department, A.D. Solomont Inc., Newton, MA – 1996-1997 •

Directed the care for 110 Assisted Living clients: supervised care staff of 24 + 2 LVNS. Worked with residents and their families to provide highest quality of care within regulatory constraints. Developed staff care quality and professionalism. Worked closely with marketing and did direct assessments prior to accepting new residents. Created a Family oriented care model working closely with family members of the residents.

Director of Clinical Services, Caretenders Health Corp, Newton, MA – 1995-1996 •

Hired, organized, and lead a team of professionals and prepared for a Joint Commission (JACHO) evaluation that the agency passed with 1 minor deficiency

• Supervised an off-site Assisted Living subcontract, enhanced communications, maintained the contract, and established guidelines for care.

• Assessed climate of discrimination in the Assisted Living Facility; worked closely with all staff resulting in reduced tensions and improved focus on quality of care.

Project Manager, Harvard Institute for International Development, Cambridge, MA – 1991-1994 •

Managed a $16M USAID Cooperative Agreement in child survival, generating over 300 grants for research and in-country capacity-building in 12 developing countries. Over 37% of projects resulted in peer-reviewed articles.

• Coordinated a training visit of Bangladeshi (ICDDRB) physicians to Peru to enhance use of Oral Rehydration Therapy, which changed Cholera treatment practices in Peru. Worked with US Embassy in Peru.

• Prepared and presented grants to be reviewed by the Harvard Board of Human Research Subjects and all grants were approved. Administered and coordinated all project funds with USAID, HIID, Harvard, Tufts, Johns Hopkins, developing country institutions and expert consultants.

• Carried out on-site audits of research projects in Peru and Mexico, and successfully coordinated with government officials to implement research results through local health policies.

• Collaborated with WHO on a 6-country Nutritional Research Project resulting in improved dietary intake of local foods during acute diarrheal episodes.

• Facilitated a highly successful 5-year Project Evaluation with USAID consultants, which resulted in project expansion and diversification.

• Increased funding from USAID and NGOs to expand research areas from diarrheal diseases to include Acute Respiratory Infections, Cholera, and Vitamin A deficiency.

Special Projects Manager, Boston Senior Home Care, Boston, MA – 1990-1991 •

Implemented and enhanced a State-mandated Nursing Home Admissions Screening Program within a not-for-profit agency, which resulted in improved allocation of resources within the agency.

• Reorganized the Home Care staff into teams and trained them to efficiently use the resources established by budgetary guidelines.

• Trained nursing staff to become active team members and to educate case managers, which resulted in the creation of strong group leaders and increased sharing of ideas.

• Organized and directed a meeting of two State programs (OEA and PACE), internal staff, and leaders of a pilot program which resulted in the change of program policies and addressed the ethical concerns of internal staff and State officials.

Director of Home Critical Care, Staff Builders Home Care, Boston, MA – 1989-1990 •

Established a new vision and sales plan for the Critical Care Program that resulted in a 3.5% monthly growth rate. Internal staff was expanded from 7 to 11 team members and external staff from 200 to 250 members.

• Designed and implemented a marketing model including brochure development.

• Coordinated and lead meetings on Death and Dying to support external staff.

• Lead and encouraged nursing staff to actively participate in pre-discharge planning meetings with hospital staff and families, assuring a smooth and coordinated transition to the home setting for ventilator-dependent clients.

General Manager, BADAF S.A., Lima, Peru – 1980-1983 •

Managed all business aspects of a small synthetic glue manufacturing company.

EDUCATION •

Harvard School of Public Health, MS Health Policy & Management

• Universidad del Pacífico, Lima, Peru, MBA Studies (35/60 credits)

• Columbia University, BS Nursing

• Boston University, Biology (pre-med) studies (minus 1 lab)

ADJUNCT EDUCATION •

Master Practitioner of Unlimited Body Work :Teacher of Andean Spiritual Traditions Sound Healer; Rieke practitioner,

SPECIAL SKILLS •

Fluent in Spanish

• Skilled in MS Word, Excel, and Power Point software

• Experienced in McKesson and MYSIS Home Health systems

• Proficient in staff and group training

• Competent in grant management

Contact this candidate