Accomplished Regulatory Compliance Specialist with a proven track record at Pediatric Home Healthcare, LLC, excelling in audit management and fostering clinical development. Expert in regulatory knowledge and compliance monitoring, secured ACHC accreditation for multiple locations. Demonstrates exceptional training delivery skills, enhancing team efficiency and ensuring company-wide adherence to healthcare standards.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Regulatory Compliance Specialist
Pediatric Home Healthcare, LLC
01.2021 - Current
Responsible for company-wide QAPI activities.
Completes annual internal surveys and annual agency evaluations for 11 locations.
Alternate Administrator over four licenses.
Ensures company-wide complaint activities meet HCSSA and ACHC reporting requirements.
Secured ACHC accreditation for three locations in Texas and maintains ACHC accreditation in one North Carolina office. Others pending.
Champions process improvements within the company by identifying outdated practices and recommending innovative solutions that align with current regulatory requirements.
Stays abreast of evolving regulations by attending seminars, conferences, webinars, and other professional development opportunities.
Custodian of Records for all offices.
Attends all surveys in person or remotely as applicable to provide regulatory guidance and support for administrators.
Assists acquisition team with ownership change applications and other required reporting to state offices and accreditation bodies.
Completes all TMHP revalidations and licensure renewals/information changes.
Completes recredentialing applications for payer sources.
RN Case Manager
Pediatric Home Healthcare, LLC
02.2020 - 12.2020
Provided emotional support to patients coping with chronic illness or end-of-life decisions, fostering resilience during difficult times.
Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
Educated patients and families on available community resources, facilitating access to necessary support services.
Enhanced patient care by developing comprehensive care plans and coordinating with interdisciplinary healthcare teams.
Mentored new nursing staff, facilitating a faster learning curve and increased overall team efficiency.
Nursing Quality Assurance/Education Supervisor
Texas Kids Home Therapy and Nursing
05.2016 - 01.2020
Oversaw nursing QA department who reviewed and maintained compliance with TMHP and HHSC private duty nursing documentation requirements.
Provided coaching and education for PDN nursing staff regarding compliant documentation and best nursing practice.
Performed regular nursing chart audits to ensure RN case managers are informed of changes to prepare for biannual QAPI audits.
Provided in-home education and orientation to new nursing staff members and as needed for new procedures.
Provided EMR (KanTime) utilization guidelines and troubleshooting to nursing staff and consultant during QAPI reviews along side the Director of Operations.
Pediatric Home Care Nurse
Texas Kids Home Therapy and Nursing, LLC
02.2016 - 05.2016
Enhanced patient recovery by implementing individualized care plans and closely monitoring progress.
Developed strong rapport with families by effectively addressing questions or concerns regarding their child''s health status or treatment plan.
Administered medications safely according to physicians'' orders while monitoring potential side effects or adverse reactions in pediatric patients.
Implemented evidence-based practices when delivering nursing care to enhance the quality of services provided in pediatric home settings.
Provided high-quality, compassionate care to medically fragile children in their homes, ensuring a comfortable environment for healing.
Maintained accurate and detailed patient records to facilitate timely updates on the patient''s condition for the healthcare team members.
Assisted patients with daily living activities such as bathing, dressing, feeding, and mobility support to ensure their well-being and comfort at home.
Provided skilled nursing interventions such as wound care, tracheostomy management, and intravenous therapy for optimal patient outcomes.
Pediatric Home Care Nurse
Children's Home Healthcare
03.2014 - 02.2016
Enhanced patient recovery by implementing individualized care plans and closely monitoring progress.
Developed strong rapport with families by effectively addressing questions or concerns regarding their child''s health status or treatment plan.
Administered medications safely according to physicians'' orders while monitoring potential side effects or adverse reactions in pediatric patients.
Implemented evidence-based practices when delivering nursing care to enhance the quality of services provided in pediatric home settings.
Provided high-quality, compassionate care to medically fragile children in their homes, ensuring a comfortable environment for healing.
Pediatric Home Care Nurse
Encompass Home Health
07.2011 - 03.2014
Enhanced patient recovery by implementing individualized care plans and closely monitoring progress.
Developed strong rapport with families by effectively addressing questions or concerns regarding their child''s health status or treatment plan.
Administered medications safely according to physicians'' orders while monitoring potential side effects or adverse reactions in pediatric patients.
Implemented evidence-based practices when delivering nursing care to enhance the quality of services provided in pediatric home settings.
Provided high-quality, compassionate care to medically fragile children in their homes, ensuring a comfortable environment for healing.
Administrator/Therapy Account Manager at Texas Kids Home Therapy/Pediatric Home HealthcareAdministrator/Therapy Account Manager at Texas Kids Home Therapy/Pediatric Home Healthcare