Summary of Qualifications

• 38+ years, Registered Nurse.

• 25+ years, Medicare Home Healthcare Nurse.

• 12 years, Medicare Home Healthcare management.

 

Education & Certification

• Bachelor of Science, California State University at San Francisco, 1967.

• RN license State of California.

• California Public Health Nurse Certificate, CSUSF

• Legal Nurse Consultant

 

Professional Experience

      Owner, Advanced Medical-Legal Resources, 2000-Present, Sacramento, CA

• Works with attorneys as an LNC, reviewing charts & medical records for standards of care and  regulation compliance.

• Works with HHA’s reviewing documentation for Medicare regulation compliance. Develops in-service programs.

• Works with intermediaries reviewing charts and records for Medicare fraud and regulation noncompliance.

 

      RN Case Manager, UC Davis Homecare, 2002-Present, Sacramento, CA

• Patient assessment, ongoing care & coordination with all other team members.

 

       Admin./Director of Clinical Services, Tender Loving Care, 1999-2002, Sacto., CA

• Responsible for day-to-day operations & clinical in JACHO/Medicare Home Healthcare Agency.

• Chart review, UR, QA, PI audits; risk management investigations.

• Presentation of in-services; new staff orientation.

• Assure compliance with all regulatory issues.

• Rate & visit negotiations for private insurance cases.

• Responsible for growth & development of all business lines.

 

       Dir. of Clinical Services/Clinical Mgr., IHS/Soleus Healthcare*, 1998-1999, Sacto., CA

• Responsible for day-to-day clinical operational functions.

• New staff hiring, orientation, mentoring, PRN evaluations & competency verification of staff.

• Aid with scheduling, review, audits & processing of documentation.

• Preparation & presentation on monthly PRN in-services.

• Monitoring & verifying that all state & federal regulations are met.

• Compliance of PI/UR/UM processes.

           

      Area Manager, IHS Homecare*, 1997-1998, Northern CA

• Responsible for operations a & financial functions of 8 offices.

• Compliance with COP, state & JCAHO regulations & HR issues.

 

      Clinical Supervisor, Private Duty, 1st American/IHS Homecare*, 1996-1997, Sacto., CA

• Responsible for clinical & operational functions of private duty.

• Client assessment & ongoing care.

• Rate negotiations; staffing; payroll & billing liaison with corporate.

 

      Clinical Supervisor-Assist. Admin., 1st American/ABC Homecare*, 1990-1996, Sacto., CA

• Responsible for clinical & day-to-day office operations.

• Staff orientation; in-services, counseling, interviewing.

• Staff assignments, patient coverage & coordination of care.

• Verification & completion of documentation; PI/QI; monthly billing.

• 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.