Represented Nevada’s Skilled Nursing and Assisted Living providers to the State and Federal Government on a range of issues including reimbursement, compliance, tort reform, provider tax and licensing. This 501(c)(6) nonspecific nonprofit is the Nevada state affiliate for the American Health Care Association & National Center for Assisted Living, AHCA/NCAL, the nation’s largest association of long term and post-acute care providers.During my tenure the Perry Foundation was created as a 501 (c)(3) educational non-profit that provides education to post-acute care providers. This foundation has had positive impact on Nevada’s post-acute care community utilizing grant funding to provide evidence-based practice education to Nevada’s post-acute care providers and regulatory community.Statewide responsibilities, programming and collaboration• Provider Tax or Supplemental Payment Calculation representation to the Department of Health Care Finance Policy (DHCFP) involves quarterly reconciliation to ensure the appropriate collection and distribution of the 6% gross SNF revenues tax and the matching federal funds it generates• Behaviorally Complex Care Program (BCCP) operationalized in May 2015 and generated a SNF Medicaid rate add-on for providers that have developed appropriate behavioral programing for Nevada’s residents.• Admissions and Transitions Optimization Program (ATOP) this SNF payment reform program starting October 2016 from HealthInsight provides additional payment through Part B for specific diagnosis and treatments that often result in readmission to an acute setting. This program was developed through a multi-year partnership between HealthInsight, the Association and Perry Foundation.

Responsible for the operations of eight Skilled Nursing Facilities and one Assisted Living building for a total of over 800 beds in New Mexico and Texas. Regional Account Manager and Regional RN reported to me in development of compliance / collection plans for the region. Collections reached 100% of billed revenue, up from 97% for 2007 for the first time. All buildings had dramatic improvement in survey compliance under my direction. Elimination of over 1 million dollars in agency use from my starting point in 2008.

Promoted from a long term care facility to a post-acute setting managing patient services for health maintenance organizations and managed care organizations. Responsible for the daily management and operation of a 118 bed Hospital averaging 10 admissions / discharges per day. Provided oversight for Henderson Healthcare Center, a 266 bed long term care facility and multiple home and community based organizations servicing the discharged residents. Managed over 600 employees.

Transferred for the purpose of developing new programs to enhance financial performance. Promoted from Administrator to Executive Director where my additional duties included oversight of Mountainview Care Center in Boulder City, Nevada. Managed over 450 employees.

On May 5th, 1998 a survey was completed on this facility. The Bureau of Licensure and Certification determined that the care justified a 182-page state of deficiencies that included 4 Immediate Jeopardy level deficiencies, a ban of admissions and a $300,000.00 fine. With the help of a great staff, on January 14, 1999 this facility received a deficiency free survey, the first for the Company in Nevada. The average daily census climbed from 74 to 126 since the ban of admissions was lifted. Managed over 250 employees.