Emily Gorzelanczyk
North Ridgeville,OH
Overview
5
5
years of professional experience
1
1
Certification
Work History
Area Administrator
United Healthcare / LHC Group
05.2025 - Current
- Directs operational processes to ensure fiscal performance meets budget and supports growth strategies while optimizing reimbursement
- Responsible for QA, QCRs, QAPI, SHP reports to ensure quality measures are met within agency standards
- Oversees compliance with orders, authorizations, billing and payroll processes for Medicare and Medicaid services
- Maintain ongoing compliance with all federal and state regulations and agency policies and procedures
- Assists State Director with maintaining agency KPIs, budget goals and marketing opportunities
Home Health Clinical Director
Advanced Health Care
11.2023 - 05.2025
- Successfully established a new home health and hospice agency receiving accreditation via ACHC
- Recognized as top performing clinical director company wide
- Mentored and provided leadership to clinical directors from other office locations
- Ensure clinical operations achieve highest quality within local, state and federal regulations optimizing reimbursement to achieve budget goals
- Lead case conference, QAPI, QA audits, VBP excellence, and assist in key performance initiatives with the regional clinical team
- Train and educate all clinicians in the Matrixcare system, CMS and OASIS-E1 standards, survey readiness, utilization review and in-field support
Registered Nurse Case Manager
BAYADA Home Health Care
05.2023 - 11.2023
- Performed OASIS-E in home visits utilizing Homecare Homebase EMR system
- Completed LPN and aide supervisory visits within compliance
- Assisted in utilization review that adhered to Medicare and Medicaid guidelines
- Developed individualized care plans to promote positive patient outcomes while overcoming barriers to care
- Performed telephone triage to patients during on call rotation
Registered Nurse Case Manager
Residence Home Care
01.2022 - 05.2023
- Performed OASIS-E in home visits utilizing WellSky EMR system
- Mentored new nurses in the role of field preceptor
- Coordinated chronic and acute conditions while managing a case load of 30 points weekly
- Lead a blood pressure clinic at assisted living facility offering disease process education and prevention measures
- Responsible for scheduling all patient visits within order compliance
Registered Nurse
Cleveland Clinic Fairview Hospital
03.2021 - 12.2021
- Managed six patient assignments on a women's oncology floor
- Administered high risk medications such as blood transfusions, heparin drips, and patient controlled analgesia
- Implemented palliative care to patients undergoing cancer treatment
- Performed hospice services to patients diagnosed with terminal conditions
- Proper use of Personal Protective Equipment utilized while caring for patients with COVID-19
Education
Bachelor of Science - Nursing
The University of Akron
12.2020
Skills
- Healthcare Administration
- Clinical Leadership
- Quality Improvement
- Outcome Measurement
- Clinical Educator
- Staff Development
- Documentation and Reporting
- Wound Care
- Central Line Management
- IV Infusion
- Lab Specimens
- Enteral Feedings
- Dietary Guidelines
- Foley Care
- Ostomy Care
Certification
- BLS Certified
- RN.488332, 2021-03
Timeline
Area Administrator
United Healthcare / LHC Group
05.2025 - Current
Home Health Clinical Director
Advanced Health Care
11.2023 - 05.2025
Registered Nurse Case Manager
BAYADA Home Health Care
05.2023 - 11.2023
Registered Nurse Case Manager
Residence Home Care
01.2022 - 05.2023
Registered Nurse
Cleveland Clinic Fairview Hospital
03.2021 - 12.2021
Bachelor of Science - Nursing
The University of Akron
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