Joanne O'Regan
Duxbury,MA
Overview
17
17
years of professional experience
Work History
Registered Nurse/Case Manager
Nonotuck Resource Associates Inc.
03.2021 - 07.2022
- Educated and supported home care providers, of adults with disabilities, with training, guidance, mentoring and resources required to maintain individuals in positive, nurturing and safe home environment.
- Enhanced interdisciplinary team communication through regular case conferences with multi-disciplinary and multi- agency providers, to ensure optimal communication and compliance with all applicable regulations.
- Prepared clinical notes regarding initial assessment and subsequent evaluations/updates for review by primary physician. regulatory bodies, and insurance providers.
- Improved patient outcomes by consistently providing comprehensive assessments and developing tailored care plans.
- Streamlined care coordination processes to reduce hospital readmissions and emergency department visits.
Clinical Manager/Quality Manager
Northeast Rehabilitation Hospital Network
06.2016 - 04.2018
- Oversaw certified clinical home care services delivered by team of approximately forty RN case managers and multidisciplinary therapists in home setting under CMS Medicare regulations. Worked collaboratively with other providers across acute and post-acute continuum to ensure patient receives best care in most appropriate setting to obtain and maintain highest level of independent functional ability.
- Optimized electronic health record usage among staff members through training sessions tailored toward maximizing system efficiencies, data collection and specific payor required and government regulated documentation.
- Promoted culture of safety by enforcing policies related to infection control, teaching medication administration, fall prevention and incident reporting procedures.
- Worked with managers to develop staff through education, evaluation, performance management, and competency improvement.
- Reviewed medical records for submission to Medicare and other insurances; researched and wrote appeals for denied coverage of service
- Implemented quality improvement initiatives that led to measurable improvements in patient satisfaction scores.
Clinical Auditor
New England Quality Care Alliance, Inc.
01.2016 - 03.2016
- Supported NEQCA's Quality Program through interim contract position.
- Reviewed and analyzed individual medical record data for Medicare-identified quality measures (HEDIS Data Set Items) and uploaded data to Medicare's database.
- Maintained confidentiality, handling sensitive information discreetly throughout all stages of audit process.
Project Manager, Client Services
Commonwealth Care Alliance, Inc.
01.2014 - 10.2015
- Worked in contract position to develop, implement and evaluate clinical assessment program for CCA's community-level ACO members enrolled in Center for Medicare and Medicaid Services (CMS) Pilot Study for dually eligible (Medicare/Medicaid) adults.
- Hired, trained and supervised team of twenty nurses conducting Minimum Data Set (MDS) Assessments and developing Care Plans for several thousand CCA members statewide. Transitioned members/ documentation to case managers for follow-up care and oversight.
- Developed and executed comprehensive project plans to ensure timely completion of deliverables to CCA leadership team.
- Interacted with CCA counter-parts on regular basis to quickly alleviate issues and provide project updates.
- Streamlined communication channels for better collaboration with cross-functional teams, resulting in enhanced project efficiency.
COO/formerly VP of Business Development
Stewart Home Care
06.2011 - 02.2013
- Oversaw business development initially and then operations for Home Care Division of Stewart Health Care System (SHC), one of first Accountable Care Organizations (Pioneer ACO) approved by CMS. SHC consisted of an academic medical center in Boston and ten community-based hospitals, over 3,000 physician practices and an Accountable Care Organization serving 110 communities. Stewart Home Care grew to 11 branches in eastern Massachusetts and southern New Hampshire, with daily census of 1600 patients with budget of $26M.
- Developed comprehensive business plan to enhance service programs and increase overall volume of business. Trained and supervised team of approximately 15 clinical liaisons/ case managers at Stewart healthcare facilities (acute, post-acute, rehab, outpatient clinics) who functioned as case managers to collaborate with facility case managers to ensure patients are treated at most appropriate setting to meet patients' goals.
- Monitored key business risks and established risk management procedures. Educated leadership and staff in risk management procedures and emergency management plan.
- Directed technological improvements, reducing waste and business bottlenecks. Developed multifunctional teams to evaluate and improve agency's policies and clinical and administrative procedures.
- Formulated and executed strategic initiatives to improve product offerings.
Vice President
Emergency Management Associates, Inc.
11.2005 - 01.2011
- Managed financial, operational and human resources to optimize business performance of small, privately held consulting company.
- Cultivated strong relationships with key stakeholders, including customers, vendors, regulators, and community leaders to promote collaboration and long-term success.
- Developed and implemented new strategies and policies in collaboration with executive partner to establish and achieve long-term business objectives, providing company with strong and sustainable organizational leadership.
Various Clinical and Management Roles
Multiple Employers
07.1980 - 2024
- In addition to above, worked in variety of clinical and management roles, initially as Visiting Nurse (case manager) for Boston VNA, and then as Director of Adult Day Health Program, Supervisor of Public Health Nursing organization, and several executive positions including with Partners Home Care, division of Mass General Brigham Health Care .
- In early and mid-career, worked per diem for supplemental staffing agencies in Boston area hospitals (Mass General, Brigham and Women's, Spaulding Rehab, South Shore, Boston Children's, Newton - Wellesley) and variety of skilled nursing homes.
- Left last position due to early retirement for health issue; Subsequently resolved with full unrestricted work clearance from physician.
Education
Bachelor of Science - Nursing
Salem State University
Salem, MA06.1977
Master of Science - Healthcare Management
Lesley University
Cambridge, MA05.2001
Timeline
Registered Nurse/Case Manager
Nonotuck Resource Associates Inc.
03.2021 - 07.2022
Clinical Manager/Quality Manager
Northeast Rehabilitation Hospital Network
06.2016 - 04.2018
Clinical Auditor
New England Quality Care Alliance, Inc.
01.2016 - 03.2016
Project Manager, Client Services
Commonwealth Care Alliance, Inc.
01.2014 - 10.2015
COO/formerly VP of Business Development
Stewart Home Care
06.2011 - 02.2013
Vice President
Emergency Management Associates, Inc.
11.2005 - 01.2011
Various Clinical and Management Roles
Multiple Employers
07.1980 - 2024
Bachelor of Science - Nursing
Salem State University
Master of Science - Healthcare Management
Lesley University
Similar Profiles
Nichole BourkeNichole Bourke
Placement Specialist at Nonotuck Resource Associates Inc.Placement Specialist at Nonotuck Resource Associates Inc.
Zach PhakosZach Phakos
Learn to Skate Instructor at Nonotuck Valley Hockey AssociationLearn to Skate Instructor at Nonotuck Valley Hockey Association
Aaron DeWeesAaron DeWees
Chief Operating Officer at Absolute Resource AssociatesChief Operating Officer at Absolute Resource Associates
Mara MacKinnonMara MacKinnon
Waitress at Ironwood HinghamWaitress at Ironwood Hingham
LIAM COPPLIAM COPP
Business Development at Verve MotionBusiness Development at Verve Motion