Eva Middleton
Blanket,Texas
Every problem is a gift—without problems we would not grow.
Tony Robbins
Summary
Highly analytical business leader and Licensed Vocational Nurse (LVN) with a strong client focus and an unwavering passion for driving quality and compliance within the healthcare industry. Brings proven strengths in quality control and process improvement. Builds strong relationships with clinical teams, patients, and customers alike to ensure best-in-class service delivery. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
32
32
years of professional experience
1
1
Certification
Work History
Owner & Operator
Millie & Company Home Furnishing & Decor.
01.2017 - Current
- Daily oversight of operations, business development, product development, production, account management
- Building strong client relationships to improve satisfaction and retention
- Increased retail revenue sales by 38.7% through improved merchandising, new product designs, and custom orders
- Increased online sales by 12% by redesigning company's website and improving social media visibility
- Ensured safety, compliance and quality of products and warehouse operations
- Conducted daily safety risk assessment of operational machinery and tools, quality check of production lines, and quality inspection of final product before releasing to inventory
- Expanded wholesale client base by 22% through strong focus on relationship development and growth opportunities.
Documentation Auditor
Performantcorp
03.2021 - 09.2021
- Enhanced financial accuracy by conducting thorough audits and identifying billing discrepancies
- Managed multiple concurrent audit engagements, prioritizing tasks to meet deadlines without compromising quality. Processed 15-25 audits per day
- Followed established auditing processes to meet internal and regulatory requirements.
- Performed observations and evaluated supporting documents to supplement audit findings.
- Ensured compliance with regulatory requirements by performing regular audits and staying up-to-date on industry standards.
- Streamlined audit processes, improving efficiency and reducing time spent on each audit engagement.
Clinical/Case Manager
Apex Therapy Services
01.2016 - 01.2017
- Scheduled and supervised team of 38 therapists, collaborated with therapist, physicians, and community agencies to ensure timely efficient delivery of care
- Developed audit tools to ensure timely completion of therapist documentation
- Monitored/reviewed documentation to ensure regulatory compliance, timely completion of initial evaluations
- Transformed EMR review scores from 72% compliance to 98%
- Developed new documentation processes and auditing tools to track missed visits and ensure on-time completion of initial evaluations/re-evaluations and follow-up visits
- Increased agency referrals by 18%
- Analyzed existing practices to identify needs, created improved communication processes for referrals, presented in-service product training, and participated in weekly patient care conferences.
Referral/Schedule Coordinator
Integracare Home Health
01.2013 - 01.2016
- Liaison among physicians, patients, IDT and community agencies to coordinate agency admissions/discharges and referrals to outside agencies to ensure continuum of care
- Managed daily schedules of multidisciplinary team, Managed Medical Records, and staff time logs, coordinated patient care conferences
- Medical review of patient records to ensure completion and compliance with regulatory requirements
- Increased schedule efficiency and productivity by organizing visits demographically, grouping by appropriate discipline
- Increased audit scores from 88% to 98% by creating audit process to ensure compliance of OASIS reassessment and supervisory visits.
Quality Assurance Performance Improvement (QAPI) Coordinator
Sears Methodist Retirement Systems, Hospice & Home Health
01.2009 - 01.2013
- Partnered with clinical doctors and administrators to develop and implement monitoring initiatives for quality assurance, performance improvement, risk management, and compliance for the Home Health, Hospice, and Community Services Department
- Managed provider contracts and provided compliance support to Hospice Billing Department
- Conducted comprehensive reviews to assess risk and determine operational effectiveness, clinical safety and quality, patient safety and satisfaction, and regulatory compliance
- Sustained high compliance rating for business and patient care by maintaining up-to-date knowledge of state and federal Medicare regulations and requirements
- Led Hospice Department's implementation of Allscripts EHR
- Coordinated CNA training and competency programs for team members across six facilities
- Member of Agency LTCF Survey Team. Performing regular mock surveys for sister facilities to ensure compliance with LTC operation and patient care guidelines
Business Office Operations/Medical Records Manager/Administrative LVN
Hendrick Hospice Care
01.1992 - 09.2009
- Provided direct supervision to 18 CNAs, with accountability for training, scheduling and evaluations
- Ensured compliance of provider contracts
- Functioned as Implementation Team Lead for HEALTHCARE First's and McKesson ' Hospice billing programs.
- Managed budget allocation for various departments, ensuring optimal resource utilization and cost savings.
- Coordinated staff scheduling to ensure adequate coverage during peak hours and reduce overtime expenses.
- Negotiated with vendors to secure competitive pricing on office supplies and equipment purchases.
- Implemented policies that ensured compliance with industry regulations while promoting transparency in daily operations.
- Collaborated with other department heads to identify areas of improvement in cross-functional processes.
- Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel.
- Managed compliance to keep organization operating within legal and regulatory guidelines.
- Managed team of billing specialists, providing guidance on best practices and ensuring timely completion of tasks.
- Conducted thorough audits of billing records to identify errors or inconsistencies, rectifying issues promptly
- Trained and mentored staff on procedures, compliance requirements, and collections techniques.
- Enhanced regulatory compliance by conducting thorough audits and identifying areas for improvement.
- Streamlined internal processes by identifying inefficiencies in the existing control systems and recommending improvements.
- Improved overall workflow efficiency by collaborating with team leads to identify bottlenecks, establish priorities, and develop solutions for process improvement.
Education
Licensed Vocational Nurse - Nursing
1991
Skills
- Hospice & Home Health directed Quality Assurance
- Team Leadership
- Process Improvement
- Operations Management
- Audit Processes
- Customer Service
- Billing Compliance
- Account Management
- Training & Development
- Risk Management
- Documentation
- Interdisciplinary Collaboration
- MS Office: Word, Excel
- Homecare Homebase (HCHB)
- McKesson Applications
- Inventory management
- Warehouse Operations
- Customer Relations
- Staff Training
- Client Service
- Business Development
- Staff Management
- Verbal and Written Communication
- Business Administration
- Coaching and Mentoring
- Hiring and Staffing
- Quality Management Systems
- Design Coordination
- Departmental Coordination
- Tradeshow Events
- Interior Renovations
- Project Oversight
- Management Team Leadership
- Accounts Payable and Accounts Receivable
- Evaluating Suppliers
- Inventory Optimization
Certification
CPR Certification
References
Jody Hawkins, RN, Evergreen Management, LLC
Cheryl Harding, Phd, CEO - James L. West, Centers for Dementia Care
Kathy Sims - Owner, Vintage Market Days Greater San Antonio
Debbie Garner, LVN, Client Services Coordinator, Lyndale Assisted Living
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Documentation Auditor - Performantcorp
03.2021 - 09.2021
Owner & Operator - Millie & Company Home Furnishing & Decor.
01.2017 - Current
Clinical/Case Manager - Apex Therapy Services
01.2016 - 01.2017
Referral/Schedule Coordinator - Integracare Home Health
01.2013 - 01.2016
Quality Assurance Performance Improvement (QAPI) Coordinator - Sears Methodist Retirement Systems, Hospice & Home Health
01.2009 - 01.2013
Business Office Operations/Medical Records Manager/Administrative LVN - Hendrick Hospice Care
01.1992 - 09.2009
Cisco Junior College - Licensed Vocational Nurse, Nursing