Patricia Guarino-Larson
West Mifflin,Pennsylvania
Overview
18
18
years of professional experience
Work History
Director of Human Resources/ Grievance Officer
Three Rivers Behavioral Health Hospital
06.2025 - 08.2026
- Develop and implement HR strategies and initiatives aligned with the overall business strategy
- Maintain staffing financial metrics, payroll and employees benefit enrollment
- Manage performance appraisal systems to drive high performance
- Design and implement comprehensive training and development programs
- Support business needs through organizational design, staffing, and workforce planning
- Ensure legal compliance throughout human resource management
- Oversee and manage a performance appraisal system that drives high performance
- Develop and monitor overall HR strategies, systems, tactics, and procedures across the organization
- Address and resolve patient complaints and grievances.
- Full cycle recruitment onboarding, orientation.
- Follow Joint Commission and State regulations.
- Report to management and providing decision support through HR metrics and policy.
- Manage the organization’s compensation programs, ensuring internal equity and market competitiveness
- Laid off due to pending sale
Director of Human Resources
Spring Hill Nursing and Rehabilitation
01.2019 - 06.2025
- Develop and implement HR strategies and initiatives aligned with overall organizational goals.
- Oversee all aspects of human resources operations, full cycle recruitment, benefits, attendance, performance management.
- Create a positive and inclusive work environment that promotes employee engagement, development and promotes retention.
- Payroll administrator
- Create and implement competitive compensation and benefit programs.
- Maintain employee files according to state and federal guidelines.
Director of Human Resources / Business Office Manager
Juniper Senior Living
03.2016 - 01.2019
- Provide expertise in workforce planning, onboarding, employee retention, employee relations, management coaching, performance management, and change of management.
- Advise and coach managers on HR policies and programs including employee relations matters.
- Employee on-boarding and off-boarding process.
- Create improvements to policies, programs, and procedures related to the effectiveness of the HR function.
- Conduct thorough and objective investigations as needed, assess risk and determine appropriate courses of action, working closely with the Manager and legally as appropriate.
- Work closely with management and employees to improve work relationships, build morale, increase productivity and retention.
- Track and analyze metrics on talent, employee actions, terminations, and voluntary attrition to recommend actions as needed.
- Census – tracking and reporting of daily census and ensuring its accuracy.
- Deposits – completing daily deposits and accurately keying into accounting system.
- Billing – creating private pay and resident liability monthly bills. Discussing/answering billing questions from residents/families. Follow-up on unpaid accounts by utilizing facility’s collection policy as a guide for making phone calls and collection letters.
- Accounts Receivable – Prepare and build current monthly Medicaid and insurance claims, prepare refunds, write-off requests and adjustments
- Admissions – complete, discuss and obtain resident/responsible party’s signature on the financially related sections of the admission packet. Verify Medicare and insurance benefits to determine eligibility.
- Medical Assistance – meet with families to assist with Medicaid application process. Maintain organized filing system of insurance and other medical expense deductions. Preparation of documentation for annual UMR reviews.
- Medicare – timely data entry of ancillary charges. Attend Medicare and Triple-check meetings. Review claims. Print claims for the facility’s record.
- Resident Trust Fund – maintain accurate accounting records. Disburse cash to residents. Accurately key in deposits/withdrawals according to State/Federal regulations. Mail quarterly account statements.
- Management – supervise and train front office staff.
- Accounts payable, staff payroll
- Comply with all State and Federal regulations. Maintain the integrity of the facility’s corporate compliance program. Abide by all HIPAA laws and regulations.
Director of Human Resources /Business Office Manager
Fair Oaks Senior Living
10.2008 - 03.2016
- Manage full-cycle recruiting for hourly and salaried positions.
- Coordinate interviews and hiring manager communication.
- Facilitate onboarding, including new hire paperwork and orientation.
- Ensure I-9 and compliance documentation is completed accurately and timely.
- Support performance review processes and documentation.
- Maintain compliance with federal, state, and local employment laws.
- Support OSHA, safety, and workers’ compensation processes in partnership with operations.
- Support payroll processing and timekeeping accuracy.
- Maintain HR metrics and reporting.
- Monthly billing cycles for Medicare, PA Medicaid, private pay, and commercial managed care insurances.
- Review accounts receivable aging reports, follow up on outstanding payments and resolve billing discrepancies.
- Maintain meticulous logs and balances for the resident trust accounts, ensuring accurate tracking of personal deposits, withdrawals, and full compliance with state regulations.
- Coordinate with the admissions department to verify insurance benefits, secure authorization, and meet with incoming residents or families to review financial responsibilities.
Timeline
Director of Human Resources/ Grievance Officer
Three Rivers Behavioral Health Hospital
06.2025 - 08.2026
Director of Human Resources
Spring Hill Nursing and Rehabilitation
01.2019 - 06.2025
Director of Human Resources / Business Office Manager
Juniper Senior Living
03.2016 - 01.2019
Director of Human Resources /Business Office Manager
Fair Oaks Senior Living
10.2008 - 03.2016