Donna Piechocki
Spring Hill,FL
Summary
Reliable business professional with experience in project management, process improvement and financial analysis. Proven track record of successfully streamlining business operations and reducing costs. Adept at analyzing data to identify trends and developing strategies to improve efficiency. Trained in resolution of critical issues within time-sensitive environment with successful track record of building and maintaining talented teams. Highly organized, energetic and versatile leader committed to continuous improvements.
Overview
17
17
years of professional experience
Work History
BayCare Home Care Utilization Review Supervisor
BayCare
11.2018 - Current
- UR Supervisor Hire, supervise and develop team of 23 Full Time and 3 PRN UR Team Members
- Present CMS updates in biweekly huddles to UR Team
- Audit records for coding and Oasis accuracy to build performance improvement plan
- Assist the billing department in recoupment of claim denials
- Collect and present PDGM and Review Choice Demonstration statistical data to Leadership
- Worked with education to analyze data and develop plans aimed toward success aligned with Value Based Purchasing goals
- Assist the education team with development of Oasis E rollout and prepare clinicians for Oasis changes
- Worked with clinicians, administrators, and educator on the development of Care Coordination pilot to encourage interdisciplinary communication
- Worked alongside IT and Billing depts to prepare for PDGM and Review Choice Demonstration rollout
- Provided Central Intake education with Face-to-Face criteria and acceptable PDGM primary diagnosis codes to enhance CMS Affirmation rate
- Worked with RCD Team to develop effect processes to achieve and maintain 99% - 100% Affirmation rate
- Oversite and development of 5 Face to Face and 3 Review Choice Demonstration Team Members to streamline effective billing of claims
- Train and develop Team of 3 Central Intake Team Members and provided all PCSs and Admins education on processing Commercial Plan of Cares
- Participant in the Home Care Orientation development project and standard work process to enhance retention rate of BayCare new hires.
BayCare Home Care NPR
BayCare
01.2016 - 01.2018
- Patient Care Supervisor Hired, developed, supervised, and evaluated Team of Nurses and Therapists
- Completed chart audits for submission of ADRs and annual surveys
- Held Daily and weekly Care Coordination meetings.
St Anthony’s Hospital
01.2015 - 01.2016
- OR Circulator / Relief Charge
Manatee Memorial Hospital
01.2014 - 01.2015
- OR Circulator – Ortho
Infinity Home Care, Clearwater, FL - Administrator
Infinity Home Care
Clearwater, FL
01.2010 - 01.2014
- Provide direct oversite for a team of three Supervisors
- Audited records and developed process improvement plans for efficient workflow
- Worked closely with sales team and medical director to grow business
- Developed care coordination processes to enhance communication between PCPs, patients, and families
- Assisted with Mock and State Surveys.
Comprehensive Home Care – Director of Health Services - Spring Hill, Crystal River and Ocala FL
Comprehensive Home Care
Spring Hill, Crystal River and Ocala, FL
01.2007 - 01.2010
- Member on Corporate QI committee reviewed and revised all policies and procedures in preparation for CHAP accreditation
- Assessed branch processes and developed process improvement plans
- Assisted the therapy director in the development and evaluation of the Low Vision program
- Prepared, coordinated, and presented quarterly PAC meetings
- Recruited, hired, and developed Nursing Supervisors
- Responsible for recruitment and retention of all clinical staff.
Education
BSN Degree -
Phoenix University
ASN Degree -
Delaware County Community College
AAS Physical Therapist Assistant -
Hahnemann University
Skills
- Data Analytics
- Strategic Planning
- Training and Mentoring
- Project Management
- Complex Problem-Solving
- Process Monitoring and Improvement
- Staff Development
License And Certifications
- ICD 10 Coding Certification – Current
- BSN FL Licensure - Current
- Physical Therapist Assistant –FL Licensure- Current
- BLS - Current
Personal Information
Title: RN, BSN
Timeline
BayCare Home Care Utilization Review Supervisor
BayCare
11.2018 - Current
BayCare Home Care NPR
BayCare
01.2016 - 01.2018
St Anthony’s Hospital
01.2015 - 01.2016
Manatee Memorial Hospital
01.2014 - 01.2015
Infinity Home Care, Clearwater, FL - Administrator
Infinity Home Care
01.2010 - 01.2014
Comprehensive Home Care – Director of Health Services - Spring Hill, Crystal River and Ocala FL
Comprehensive Home Care
01.2007 - 01.2010
BSN Degree -
Phoenix University
ASN Degree -
Delaware County Community College
AAS Physical Therapist Assistant -
Hahnemann University