Erika Bentley-Ammonds
Hempstead,NY
Summary
PROFILE AND CORE COMPETENCIES Nursing Director offers over 25 years of background in driving quality improvements and coaching nursing staff to work at their fullest extent of licensure. Positive, successful professional with excellent leadership techniques and the ability to combine business insight with compassion to meet the challenges facing today’s healthcare organizations. Extensive cross-functional management expertise including policy and procedure setting, operational streamlining, regulatory reporting, survey prep and compliance. Sound knowledge of standardization with the hospital, nursing home, home healthcare, ambulatory care, and health maintenance organizations.
Overview
38
38
years of professional experience
Work History
Regional Director of Nursing
Gotham Health
Queens, NY
11.2021 - 07.2022
- Visited sites 9 sites periodically to view service levels and adherence to global service standards.
- Monitored staff performance by actively engaging in and observing day-to-day activities.
- Recruited talented individuals bringing leadership skills to Ambulatory Care department.
- Reinforced Care Gap methodology and Establishes guidelines for safe and appropriate care planning as well as utilization of NCQA guidelines
Vice President of Clinical Operations
Ultimate Care Management
Bohemia, NEW YORK
07.2020 - 07.2021
- Identified opportunities to improve business process flows and overall departmental productivity and Address all State Survey and Family concerns
- Established performance goals for 15 Assisted Living Sites and provided methods for teaching staff standard of practice
- Created and made appropriate documentation for annual budgets and senior leadership goals.
- Managed 4 RN and 30 RN/LPN
Director of Embedded Care Management and Field Staff
EmblemHealth
New York , New York
01.2018 - 02.2020
- All boroughs with 15 Advantage Care Physicians
- Responsible for strategic and proactive hiring, performance management, and coaching/mentoring/training to enhance professional development
- Oversees quality of care/services rendered, ensuring efficient management, competency, and educational needs of Care Management staff and effectively coordinates and controls resources
- Establishes guidelines for safe and appropriate care planning as well as utilization of NCQA guideline
- Oversee care management for following member populations: Medicare, Medicaid, DSNP, transitions of care, SNP, LTSS. Commercial/City Insurance
Visiting Nurse
Association Of Brooklyn
Brooklyn, NY
08.2002 - 02.2004
- Managed 10 staff RNs, 3 staff LPN, 3 clerical members with active census of 300-350 patients in acute care CHHA
- Ensured Team members' compliance with agency requirements, by analyzing documentation in patients’ records for justification for services and reimbursement requirements
- Performed nursing field and written performance evaluations.
Senior Director
Health Home Care Management, Northwell Health
10.2014 - 10.2017
- Developed, coordinated, evaluated, and implemented programs, services, policies, and procedures
- Collaborated with care coordination, interdisciplinary team leaders, and post-acute provider networks throughout health system on all initiatives affecting care delivery model of 13 networks CMAs
- Ensured compliance with federal, state, and local regulations and regulatory agency requirements
- Served as integral part of all regulatory surveys.
Associate Executive Director
Home Health Home, New York City Health + Hospitals
All Boroughs, NY
12.2017 - 01.2018
- Managed network of 27 contracted care management agencies that serve over 10,000 members including oversight of internal CMA
- State Department of Health (NYSDOH) standards, NYS Office of Health Insurance Programs (OHIP)/Medicaid regulations as well as any applicable federal, state, and city requirements, and acts as liaison with government institutions for Health Home
- Establish policies, procedures, and workflows that improved processes, KPIs and revenue flow.
- Drove strategic improvements to enhance operational and organizational efficiencies.
- Exercised appropriate cost control to meet budget restrictions and maximize profitability.
Assistant Vice President
Queens, Nassau & Suffolk, ElderServe Health Inc
Bronx, NY
07.2012 - 10.2014
- Responsible for leadership, planning, development, direction, creation, implementation/evaluation of goals and objectives for Managed Long-Term Care (MLTC) program
- Ensured/developed P&P governing care government/regulatory compliance
- Developed policies and procedures governing client care
- Provided supervision, administrative, and clinical support to MLTC staff
- Lead quality improvement efforts by developing and implementing clinical policies/procedures that set standards for nursing personnel.
Assistant Vice President/Site Director
All Boroughs, CenterLight Healthcare Select, F/K/A Beth Abraham Health Services
Bronx, NY
10.2006 - 06.2012
- Responsible for leadership and implementing strategic comprehensive quality-focused clinical operations for organization’s Managed Long-Term Care (MLTC) SELECT program
- Responsible for leadership, planning, development, direction, creation, implementation, and evaluation of goals and objectives for MLTC program
- Managed budget and assured efficient, cost-effective, and quality models for care
- Ensured MLTC compliance with NYS Department of Health and other governing agencies.
On-Call Nurse Manager Per Diem
Comprehensive Care Management Corp
Bronx, NY
12.2001 - 06.2006
- Supervised, managed, monitored, evaluated team members in performance of their duties
- Received, evaluated assigned emergency calls to appropriate staff
- Managed daily operations/supervision of all clinical and non-clinical staff
- Ensured site compliance with regulatory and accrediting entities as it related to care and services
- Contributed preparation of policies and procedures to ensure compliance with relevant regulations.
Director of Health Services
VidaCare HIV SNP Inc
New York, NY
11.2003 - 05.2006
- Facilitated and operationalized a comprehensive care coordination model at the plan’s primary care sites
- Collaborated with site managers to ensure implementation, accountability, and compliance with care planning for each individual member served by the site
- Performed day-to-day supervision for all medical management functions and ensured timely performance utilization management decisions and communications
- Collaboration with Members Providers for optimal services coordination
Clinical Manager
VIP Home Health Care
Queens, NY
12.2000 - 10.2002
- Regularly evaluated employee performance and provided feedback.
- Communicated effectively with staff members, physicians and patients, employing active listening and interpersonal skills.
- Oversaw overall operation of nursing services and patient care.
- Identified opportunities to improve clinical practices, devised strategies and implemented plans to increase patient care standards and enhance operational procedures.
Clinical Service Manager
VIP Health Services
New York
12.2000 - 10.2002
- Reviews and analyzed maintenance of high-quality, effective client care through compliance with state, federal, JCAHO regulations
- Participated in development and ongoing supervision, instruction guidance of clinical staff personnel in improving high-quality services.
- Managed 6 staff RNs
Patient Services Manager
First to Care Home Care, Inc
Brooklyn, NY
12.1998 - 12.2000
- Managed 10 Clinical Care Coordinators (COC) with a census of 170 patients in Acute Care CHHA
- OASIS team comprising 3 data entry clerks and 2 RN reviewers
- Assisted and guided COCs in coordination of cases and time management
- Ensured team members complied with agency requirements by analyzing/documentation in patients’ records for justification of services and reimbursement requirements.
Director of Patient Services
Gotham Per-Diem
New York, NY
09.1997 - 12.1998
- Responsible for overseeing total clinical operations of the Licensed Home Care Department of 80 patients
- Managed 5 staff members, including intake processing, case management, utilization review, orientation, in-service and development of the HHA program.
Clinical Nurse II
Medical Intensive Care, North Shore University Hospital
Manhasset, NY
05.1991 - 09.1997
- Staff nurse in a 16 bed MICU responsible for patients with cardiopulmonary, renal and endocrine disorders
- Acted as a relief charge nurse and senior preceptor of new staff nurses.
Instructor, Practical Nurse Program
Board of Cooperative Education Services
Westbury, NY
09.1995 - 08.1997
- Teaching core curriculum requirements as well as developing of nursing program for 40 Adult student PNs
- Management and supervision of 15 student PNs
- Supervised clinical student
- Help coordinate clinical placement of student
Education
Master of Science - Family Practice Nurse Practitioner
Long Island University of Brooklyn
BrooklynMaster of Science - Health Administration
Hofstra University
Hempstead, New York05.2023
Bachelor of Science - Nursing
College of New Rochelle, The
New Rochelle, NY09.1991
Skills
- Project Implementation
- Operational Standards
- Healthcare Personnel Supervision and Evaluations completion
- Multidisciplinary Collaboration
- Policy Development and improvement
- Policies Compliance Enforcement
- Strategic Planning
- Clinical Operations Management
- Team Meetings
- Survey Preparation
- Quality Assurance
Additional Information
- Licensure Registered Professional Nurse, NYS Education Department License #443421
- Licensure Practical Nurse, NYS Education Department Deactivated Licensure #206934
Affiliations
- American College of HealthCare Executive
- Black Nurses Association
- American Academy of Ambulatory Care
Timeline
Regional Director of Nursing
Gotham Health
11.2021 - 07.2022
Vice President of Clinical Operations
Ultimate Care Management
07.2020 - 07.2021
Director of Embedded Care Management and Field Staff
EmblemHealth
01.2018 - 02.2020
Associate Executive Director
Home Health Home, New York City Health + Hospitals
12.2017 - 01.2018
Senior Director
Health Home Care Management, Northwell Health
10.2014 - 10.2017
Assistant Vice President
Queens, Nassau & Suffolk, ElderServe Health Inc
07.2012 - 10.2014
Assistant Vice President/Site Director
All Boroughs, CenterLight Healthcare Select, F/K/A Beth Abraham Health Services
10.2006 - 06.2012
Director of Health Services
VidaCare HIV SNP Inc
11.2003 - 05.2006
Visiting Nurse
Association Of Brooklyn
08.2002 - 02.2004
On-Call Nurse Manager Per Diem
Comprehensive Care Management Corp
12.2001 - 06.2006
Clinical Manager
VIP Home Health Care
12.2000 - 10.2002
Clinical Service Manager
VIP Health Services
12.2000 - 10.2002
Patient Services Manager
First to Care Home Care, Inc
12.1998 - 12.2000
Director of Patient Services
Gotham Per-Diem
09.1997 - 12.1998
Instructor, Practical Nurse Program
Board of Cooperative Education Services
09.1995 - 08.1997
Clinical Nurse II
Medical Intensive Care, North Shore University Hospital
05.1991 - 09.1997
Master of Science - Family Practice Nurse Practitioner
Long Island University of Brooklyn
Master of Science - Health Administration
Hofstra University
Bachelor of Science - Nursing
College of New Rochelle, The
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