Caryl Gill

Coordinated day-to-day operations of the complaint department.

Interacted daily with constituents, other support agencies, and staff in investigative units.

Determined caller’s issues and concerns, addressed, and provided accurate responses and referrals to inquiries.

Researched potential answers for emerging issues.

Processed complaints from residents/patients/clients ,providers, families,etc,

Performed desk reviews for involuntary discharges and collaborated with the Kansas Office of Administrative Hearing regarding involuntary discharge appeals.

Conducted complaint investigations and in-depth annual surveys of health facilities to determine if the facility was in compliance with state licensing and federal certification requirements of the Medicare and Medicaid programs.

Primary responsibility was enforcement of State and Federal laws, rules, and regulations pertaining to areas affecting total resident care such as nursing, physician, restorative, pharmacy, social services, discharge planning, dental, and other related services.

Provided education to providers and surveyors regarding completion of the Minimum Data Set3.0

Conducted workshops regarding issues effecting quality of care and quality of life.

Contributed to the quarterly newsletter informing individuals and providers of changes and clarification of regulatory issues.

Conducted complaint investigations and in-depth annual surveys of health facilities to determine if they were in compliance with state licensing and federal certification requirements of the Medicare and Medicaid programs.

Primary responsibility was the enforcement of State and Federal laws, rules, and regulations pertaining to areas affecting total resident care such as nursing, physician, restorative, pharmacy, social service, discharge planning, dental, and other related services.

Manged all aspects of the nursing staff.

Developed and implemented policies and procedures.

Responsible for the recruitment, retention, and training of the nursing staff.

Monitored compliance with government regulations. Implemented strategies reducing nursing staff turnover by 50%.

Member of the utilization review team reviewing medical record, speaking with residents and families and care providers, analyzing the care plan to ensure residents were receiving high quality of care and determining if the treatment plan needed changes.

Assessed residents prior to admission to ensure they were eligible to receive skilled nursing services.

Developed and implemented policies and procedures.

Responsible for the recruitment, retention, and training of the nursing staff.

Monitored compliance with government regulations. Implemented strategies reducing nursing staff turnover by 50%.

Member of the utilization review team reviewing medical record, speaking with residents and families and care providers, analyzing the care plan to ensure residents were receiving high quality of care and determining if the treatment plan needed changes.

Assessed residents prior to admission to ensure they were eligible to receive skilled nursing services.

Reduced restraint and psychotropic usage.