Open To Work
Carla Mauro
Northfield,CT
Work Preference
Desired Job Title
Transitional Care/ Risk Advisor/ SpecialistHealthcare Clinical Consultant/ AdvisorHealth Care EducationCMS compliance/ Best PracticeHealthcare/ Hospice/ Home Health OperationsWork Type
Full TimeLocation Preference
RemoteMinimum Desired Compensation
$126000/yrImportant To Me
Work-life balanceCompany CulturePersonal development programsFlexible work hoursWork from home optionSummary
Compliance Partner (MSN, RN, CCM) with 20+ years of nursing experience across home health, hospice, population health, surgical services, and acute care. Experienced in care transition risk and prevention of avoidable hospital readmissions. Focused on regulatory compliance, education, and clinical risk mitigation.
Overview
1
1
Certificate
10
10
years of post-secondary education
2027
2027
years of professional experience
Work History
Compliance Partner
Pennant Services
09 2024 - Current
- Conducts comprehensive chart reviews and onsite audits to identify documentation deficiencies, compliance risks, and system-level issues, supporting survey readiness and quality improvement.
- Delivers targeted education and regulatory guidance based on audit findings, compliance risks, and CMS and state regulatory trends to enhance documentation quality and regulatory understanding.
- Interprets and educates on CMS and state regulatory requirements for home health and hospice operations.
- Addresses internal compliance concerns by evaluating reported issues, identifying potential regulatory risk, and supporting appropriate escalation and resolution.
- Evaluated internal compliance concerns, identified potential regulatory risks, and supported escalation and resolution efforts.
- Responded to regulatory inquiries as a compliance resource for clinical and operational teams, supporting remediation of identified risk areas.
- Identified recurring compliance trends and process gaps using systems thinking to strengthen survey readiness and enhance operational performance.
- Participated in management/ consultant agreement activities with hospital system partners under the direction of the Chief Compliance Officer.
Complex Case Manager
Advantage Plus Network–Connecticut, a Partnership of Optum and Hartford HealthCare
04 2022 - 09 2024
- Coordinated care for medically complex, high-risk patient populations within a model emphasizing risk identification, care continuity, and safe transitions across healthcare settings.
- Partnered with physicians and interdisciplinary care teams to support clinical decision-making, care planning, and coordinated services for high-risk patients.
- Facilitated transitions of care across hospitals, skilled nursing facilities, rehabilitation centers, and home health settings, ensuring continuity and minimizing care gaps.
- Educated patients and caregivers on chronic disease management, treatment adherence, and healthcare navigation, enhancing self-management and reducing avoidable healthcare utilization.
- Achieved 77% first-quarter engagement (benchmark 40%) through proactive outreach and care coordination strategies.
- Provided patient and caregiver education on chronic disease management, treatment adherence, and healthcare navigation to improve self-management and reduce avoidable utilization.
- Served as system super-user and clinical resource, supporting onboarding, workflow standardization, and documentation consistency across care teams.
Case Manager /Team Leader/ Supervisor Responsibilities
Visiting Nurse & Hospice Of Litchfield County (Foothills VNA)
06 2011 - 04 2022
- Directed clinical coordination, workflow oversight, and staff support as the Case Manager team lead during weekend operations.
- Provided clinical leadership for home health and hospice patients, managing high-risk, medically complex populations across multiple care settings.
- Managed high-volume weekend operations with 24-hour on-call responsibility, including triage, escalation management, and urgent clinical decision-making.
- Supported case management staff as a clinical resource for care planning, workflow standardization, and operational consistency.
- Partnered with physicians, hospitals, and post-acute providers to ensure safe transitions of care and continuity across settings.
- Managed high-volume weekend operations with 24-hour on-call responsibility, facilitating triage, escalation management, and urgent clinical decision-making to address critical patient needs.
- Coordinated interdisciplinary communication to ensure timely response to patient needs and maintain continuity across the care continuum.
Care Transitions an Decreasing Hospital Readmissions MSN Internship
University of Hartford (Graduate Fieldwork) | West Hartford, CT Graduate Intern – Hosted at UConn Health (John Dempsey Hospital)
09 2013 - 05 2014
- Facilitated multidisciplinary initiatives that enhanced care transitions and minimized readmissions for high-risk patients in home health and hospice settings.
- Coordinated development of standardized patient education materials (heart failure, COPD, pneumonia) to enhance self-management and ensure continuity of care.
Registered Nurse West Hartford Surgery Center
Hartford HealthCare
02 2010 - 02 2011
- Delivered perioperative nursing care in ambulatory surgical center, prioritizing patient safety, adhering to sterile techniques, and streamlining workflow across pre-op, intra-op, anesthesia, and post-op phases.
- Coordinated with surgeons, anesthesia providers, and perioperative staff to ensure OR readiness and enhance procedural flow for timely, high-quality surgical care.
Registered Nurse
Bristol Hospital
06 2006 - 11 2009
- Directed unit operations as charge nurse during off-shifts and on-call periods, coordinating patient flow and clinical prioritization to support safe care delivery.
- Coordinated operative scheduling and perioperative readiness, ensuring equipment and resources availability for procedural safety and minimizing workflow delays.
- Served as clinical preceptor for new nursing staff, supporting onboarding, competency development, and standardization of care to reduce variability and clinical risk.
- Functioned as clinical preceptor for new nursing staff, facilitating onboarding, competency development, and standardization of care to minimize variability and clinical risk.
- Coordinated operative scheduling and perioperative readiness, ensuring availability of equipment, vendors, and resources to support procedural safety and minimize workflow delays.
- Collaborated with perioperative leadership and supply chain teams to support operational readiness, resource allocation, and system reliability.
- Contributed to Nursing Clinical Ladder, Grand Rounds, and education initiatives supporting clinical governance, practice standardization, and professional development.
- Contributed to nursing leadership initiatives focused on regulatory alignment, practice standards, and continuous improvement in care delivery.
Education
Master’s - Science in Nursing (Public Health)
09.2009 - 05.2014
- Inducted into Sigma Theta Tau International
Bachelor’s - Science in Nursing
09.2000 - 05.2006
- Inducted into Sigma Theta International
Skills
- CMS compliance
- Risk management
- Quality Improvement
- Readmission Reduction
- Care Transitions Management
- High-risk care coordination
- Clinical Operations / Systems Thinking
- Documentation review
- Population Health
- Patient Safety
- Interdisciplinary collaboration
- Staff development
Certification
- Registered Nurse (RN), #079100 granted 07/17/06
- Certified Case Manager (CCM), #4266192 granted 05/01/24
Timeline
University of Hartford - Master’s , Science in Nursing (Public Health)
09.2009 - 05.2014
Western Connecticut State University - Bachelor’s, Science in Nursing
09.2000 - 05.2006
Compliance Partner - Pennant Services
09 2024 - Current
Complex Case Manager - Advantage Plus Network–Connecticut, a Partnership of Optum and Hartford HealthCare
04 2022 - 09 2024
Case Manager /Team Leader/ Supervisor Responsibilities - Visiting Nurse & Hospice Of Litchfield County (Foothills VNA)
06 2011 - 04 2022
Care Transitions an Decreasing Hospital Readmissions MSN Internship - University of Hartford (Graduate Fieldwork) | West Hartford, CT Graduate Intern – Hosted at UConn Health (John Dempsey Hospital)
09 2013 - 05 2014
Registered Nurse West Hartford Surgery Center - Hartford HealthCare
02 2010 - 02 2011
Registered Nurse - Bristol Hospital
06 2006 - 11 2009