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Carolyn Hinds - RN, BSN,
PHN, CLNC
Summary of Qualifications
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38+ years,
Registered Nurse. |
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25+ years,
Medicare Home Healthcare Nurse. |
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12 years,
Medicare Home Healthcare management. |
Education &
Certification
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Bachelor of
Science, California State University at San Francisco, 1967. |
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RN license State
of California. |
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California Public
Health Nurse Certificate, CSUSF |
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Certified Legal
Nurse Consultant |
Professional Experience
Owner, Advanced Medical-Legal Resources, 2000-Present, Sacramento, CA
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Works with
attorneys as an LNC, reviewing charts & medical records for standards of
care and regulation compliance. |
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Works with
HHA’s reviewing documentation for Medicare regulation compliance. Develops
in-service programs. |
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Works with intermediaries reviewing charts
and records for Medicare fraud and regulation noncompliance. |
RN Case Manager, UC Davis Homecare, 2002-Present, Sacramento, CA
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Patient
assessment, ongoing care & coordination with all other team members. |
Admin./Director of Clinical Services, Tender Loving Care, 1999-2002, Sacto.,
CA
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Responsible for
day-to-day operations & clinical in JACHO/Medicare Home Healthcare Agency. |
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Chart review,
UR, QA, PI audits; risk management investigations. |
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Presentation of
in-services; new staff orientation. |
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Assure
compliance with all regulatory issues. |
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Rate & visit
negotiations for private insurance cases. |
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Responsible for
growth & development of all business lines. |
Dir.
of Clinical Services/Clinical Mgr., IHS/Soleus Healthcare*, 1998-1999, Sacto.,
CA
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Responsible for
day-to-day clinical operational functions. |
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New staff
hiring, orientation, mentoring, PRN evaluations & competency verification of
staff. |
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Aid with
scheduling, review, audits & processing of documentation. |
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Preparation &
presentation on monthly PRN in-services. |
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Monitoring &
verifying that all state & federal regulations are met. |
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Compliance of
PI/UR/UM processes. |
Area Manager, IHS Homecare*, 1997-1998, Northern CA
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Responsible for
operations a & financial functions of 8 offices. |
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Compliance with
COP, state & JCAHO regulations & HR issues. |
Clinical Supervisor, Private Duty, 1st American/IHS Homecare*, 1996-1997,
Sacto., CA
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Responsible for
clinical & operational functions of private duty. |
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Client
assessment & ongoing care. |
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Rate
negotiations; staffing; payroll & billing liaison with corporate. |
Clinical Supervisor-Assist. Admin., 1st American/ABC Homecare*, 1990-1996,
Sacto., CA
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Responsible for
clinical & day-to-day office operations. |
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Staff
orientation; in-services, counseling, interviewing. |
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Staff
assignments, patient coverage & coordination of care. |
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Verification &
completion of documentation; PI/QI; monthly billing. |
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Saw agency
through first JCAHO audit as acting Administrator. |
*
From 1979 through 1999 the agency remained in place, but the ownership
changed.
RN
Case Manager, Home Healthcare*, 1979-1990, Sacramento, CA
Registered Nurse, Floor, Med-surg, etc., 1967-1979
References upon request.
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