Highly Experienced Nursing Administrator
More than 15 years of nursing leadership and as a clinical specialist in both acute-care and sub-acute facilities with an excellent track record in improving quality of care, increasing reimbursement through better documentation, developing staff, and streamlining operations for non-profit and for-profit healthcare organizations.
A self-directed leader who is able to adapt to a variety of settings and develop a flexible management approach that meets the current demands of the environment. Expertise includes outstanding skills in clinical nursing, staffing, scheduling, nursing management, counseling, motivating staff, nursing infomatics systems, dispute resolution, patient and medical staff relations, union negotiations, and customer service.
Citrus Valley Medical Center, Covina, California 2000-2007
Director, Transitional Care Services
Managed the Transitional Care Services Department consisting of 50 medical and administrative staff providing nursing, social, rehabilitation, activity, case management and staff development services for two hospitals of an acute-care system with 800 beds.
- For six consecutive years, passed the Department of Health Services annual surveys with no citations.
- Successfully passed JCAHO bi-annual surveys.
- Decreased the length-of-stay for the hospital by increasing the unitilization of the transitional care services. This saved more than $1 million in un-reimbursable charges.
- Led the initiative for a new dialysis contract that saved the medical center more than 50% in un-reimbursable charges.
- Worked with four HMOs, decreasing inappropriate patient admissions that improved utilization of the Transitional Care Services Department.
- Decreased the number of Medicare denials by improving nurses' and physicians' documentation.
- Increased reimbursement by responding and justifying denied claims.
- Served as a preceptor for three bachelor degree interns with responsibility for leadership rotation.
Kaiser Permanente, Los Angeles, California 2000
Assistant Department Manager of Cardiology & Electrophysilogy
Managed a non-invasive Cardiology Department and an invasive Electrophysiology Department for the largest HMO at its largest acute-care hospital in Southern California with 1,200 patient visits annually.
- Coordinated and managed a unionized and non-unionized staff of seven physicians, 11 cardiology fellows, and 50 professional and non-professional medical technicians and administrative staff.
- Successfully prepared and passed a JCAHO survey, and participated in federal and state regulatory compliance seminars.
- Interacted with more than 1,000 patients per month.
Care Coordinator, Skilled Nursing Facility (1999)
Completed training in discharge planning and served as a liaison between a 75-bed skilled nursing facility and an acute-care hospital with 400 beds. Coordinated the Minimum Data Set (MDS) documentation for 15 inquiries daily.
Huntington Memorial Hospital, Pasadena, California 1995-1999
- Provided billing information for insurance companies and Medicare. Responded to denials.
- Coordinated a prospective payment system committee that reviewed documentation on care and charges to prevent billing errors prior to submission to Medicare intermediaries.
Unit Manager, Transitional Care Unit (1995-1998)
Directed operations for a 27-bed transitional care unit with 50 staff. Managed a $1.5 million budget.
- Motivated the professional staff to participate on a unit-based council that addressed teamwork issues, quality of care improvement and equipment needs. This increased staff morale and leadership effectiveness.
- Served as a preceptor for four bachelor nursing degree interns with responsibility for leadership mentoring.
- Grew the average daily census from 16 to 26 through direct marketing efforts to physicians and increasing the level of available services.
- Decreased length-of-stay from 14 to 7 days by developing preadmission treatment plans with the medical staff. This saved more than $12.2 million in operating costs annually.
- Developed and implemented a competency tool utilized in evaluating patient care providers, including nurses and ancillary staff. Improved Medicare reimbursement by providing staff with a better understanding of MDS assessment.
- Cross-trained clinical staff, a unit secretary and an activity director on MDS data input and transmission. Taught the LVNs to work with the acuity system. Improved productivity and staffing levels.
- Successfully encouraged five staff to enter college for advanced education.
- Automated the performance reviews and improved the accuracy of information through ongoing notations rather than year-end data only. This system was utilized as a model and adopted by other departments.
- Created a computerized discharge plan form that was implemented hospital-wide, reducing manual input delays in addition to saving in copy and paper costs as well as in processing time.
- Computerized the annual unit-based human resources reports covering employee compliance to education requirements, safety training, licensure, "Care Excellence" participation and quality improvement activities.
- Decreased supply costs by 30% through changing minimum stocking levels and ordering procedures.
- Developed an internal audit system for nursing documentation, which improved compliance with regulatory requirements. Ensured chart completion for billing was completed on time.
- Created a collaborative quality improvement process with RNs and LVNs in developing and implementing quality improvement studies.
Regency Health Care Services, Tustin, California 1994-1995
Managed a 60-bed skilled nursing facility for a for-profit national healthcare company. Responsible for 100 allied and professional staff as well as a $2.5 million budget.
- Successfully passed a long-term care JCAHO survey.
- Maintained 80% occupancy on a continuous basis.
Hillhaven Corporation, Tacoma, Washington 1986-1994
Administrator, Clinical Nurse Specialist, Care Coordinator
Served as an administrator for six skilled nursing facilities throughout Northern and Southern California. Completed Administrator-in-Training (AIT) licensure residency.
- Participated in labor negotiations for contracts with Local 250 and successfully managed employee relations in a highly unionized environment.
- Instrumental in turning around non-compliance facilities to meet federal and state standards. Consistently passed all federal and state surveys without mention.
- Met or exceeded the annual budget with gross profits of up to 10-15%.
- In addition to regular duties, led troubleshooting initiatives that brought other departments into compliance with federal and state regulations.
- Worked with the Legal Department in preparing cases to re-certify facilities that were criticized by the DHS.
Providence Hospital, Oakland, California 1981-1987
Staff Nurse, Intensive Care
Provided direct patient care on a 20-bed intensive care service for an acute tertiary medical center.
University of California, San Francisco, San Francisco, California 1985-1986
Resident, Alzheimer's Disease Treatment & Diagnostic Center (Langley Porter)
Performed tests on Alzheimer patients.
Merritt College, Oakland, California 1984-1986
Medical & Surgical-Clinical Nursing Instructor
Held staff nursing positions in critical care, medical-surgical and neurological services.
University of California, San Francisco, School of Nursing, San Francisco, California
Master of Science, Clinical Specialist, Nursing Administration, 1986
Sonoma State University, Rohnert Park, California
Bachelor of Science, Nursing
University of California, Berkeley, Berkeley, California
Bachelor of Science, Public Health
Merritt College, Oakland, California
Associate of Science, Nursing with Honors
|Clinical Nurse Specialist
||California Community College Instructor Credential
|Registered Nurse, California License
||Nursing Home Administrator, California License
|Public Health Nurse, California License
||Current CPR & ACLS Certification
|Association of California Nurse Leaders
||American Nurses Association (ANA)
|Sigma Theta Tau
||Reserve Officers Association (ROA)
United States Army Reserve, Colonel, Army Nurse Corp, 1983-Present