Summary
Overview
Work History
Education
Skills
Websites
Accomplishments
Timeline
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Sherilyn Smith

Plantation,FL

Summary

Experienced healthcare leader specializing in clinical operations, team development, and regulatory compliance. Proven ability to lead regional teams, improve patient outcomes, and drive operational success. Adept at building strong relationships with stakeholders and implementing strategies that support organizational growth.

Overview

18
18
years of professional experience

Work History

REGIONAL DIRECTOR OF NURSING

HAVEN HOME HEALTH
03.2023 - Current
  • Established partnerships with physicians and hospitals to increase patient referrals and expand home health services.
  • Analyzed profit and loss statements to ensure positive financial performance and maintain EBITDA.
    Led recruitment initiatives to attract top-tier nursing professionals and improve regional staffing quality.
  • Implemented marketing campaigns tailored to regional needs to promote home health programs.
  • Supervised compliance with CMS guidelines across multiple counties to ensure operational excellence.

CLINICAL APPEALS AND DENIALS COORDINATOR

OPTUM
04.2021 - 03.2023
  • Reviewed clinical records to ensure accuracy and compliance with appeal requirements under CMS guidelines.
  • Communicated appeal and denial information professionally through multiple channels, including fax and email.
  • Ensured timely processing of denial documentation to meet Federal and State regulations.

SR. ACCOUNT MANAGER

AXXESS
01.2020 - 04.2021
  • Operated as the main point of contact for all assigned Enterprise clients across the Home Health, Home Care and Hospice platforms
  • Managed multiple enterprise clients with a monthly recurring revenue of over $100,000
  • Worked closely with clients to develop operation goals, improve revenue, and ensure commercial growth
  • Implemented home health, home care, and hospice software to various enterprise clients
  • Collaborated with multiple Product teams to achieve positive client outcomes and escalate concerns and resolutions
  • Worked closely with the sales teams and other related teams to leverage strong relationships and clinical industry knowledge to ensure successful client demonstrations and increase company revenue of products targeted to improve the client’s key performance indicators
  • Presented client information and provided status updates of all enterprise clients to C-suite and administrative personnel
  • Performed consultative presentations and product demonstrations of new system features and client enhancements across many solutions

DIRECTOR OF NURSING

COMPREHENSIVE HOME HEALTH, INC.
06.2016 - 01.2020
  • Collaborated with the Administrator/Chief Financial Officer in helping to prepare annual financial and clinical reports
  • Conducted monthly QA activities of Medicare and Medicaid billing, chart audits, and patient outcomes
  • Executed clinical strategies and policy changes to increase CMS star rating from a 2.0 to a 4.0
  • Developed and implemented new nursing protocols designed to improve patient outcomes and minimize medical errors
  • Worked closely with Sales and Marketing to improve revenue and increase partnerships with hospitals and physician offices
  • Interviewed, hired, instructed and monitored employees and promoted a high level of care to patients

Home Health RN Case Manager

Patience Home Health Care
06.2015 - 06.2016
  • Developed, implemented, and evaluated individualized care plans for each patient with chronic and acute medical conditions
  • Conducted bi-weekly case conferences to evaluate patient’s progression and update care plans as needed

Alternate Administrator

Angels Unlimited Home Health
06.2007 - 06.2015
  • Assisted with the implementation and review of agency policy and procedures for all categories of licensure
  • Conducted direct and ongoing quality assurance for all clinical and non-clinical staff documentation in accordance with Medicare and Medicaid guidelines

Education

ASSOCIATE IN NURSING - Registered Nurse

GALEN COLLEGE OF NURSING
San Antonio, TX
03.2015

BACHELOR OF BUSINESS ADMINISTRATION - Management

BAYLOR UNIVERSITY
Waco
08.2008

Skills

  • Enterprise Account Management
  • Ability to implement multiple EMRs
  • Strong knowledge of profit and loss statements
  • Process improvement
  • Relationship building
  • Employee recruitment
  • Budget development
  • Staff training and development
  • Regulatory compliance
  • Strong Presentation Skills to C-Suite Executives
  • CMS and Medicare Guidelines
  • Patient Outcome Optimization
  • Team Leadership
  • Home Health Operations Management
  • Staff Recruitment Strategies

Accomplishments

Survivor Outreach Co-Chair for the Pancreatic Action Network

Timeline

REGIONAL DIRECTOR OF NURSING

HAVEN HOME HEALTH
03.2023 - Current

CLINICAL APPEALS AND DENIALS COORDINATOR

OPTUM
04.2021 - 03.2023

SR. ACCOUNT MANAGER

AXXESS
01.2020 - 04.2021

DIRECTOR OF NURSING

COMPREHENSIVE HOME HEALTH, INC.
06.2016 - 01.2020

Home Health RN Case Manager

Patience Home Health Care
06.2015 - 06.2016

Alternate Administrator

Angels Unlimited Home Health
06.2007 - 06.2015

ASSOCIATE IN NURSING - Registered Nurse

GALEN COLLEGE OF NURSING

BACHELOR OF BUSINESS ADMINISTRATION - Management

BAYLOR UNIVERSITY

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