Responsible for the Leadership and Management of the New England Homes for the Deaf, a non-profit organization. The New England Homes for the Deaf operates Long-Term Skilled Nursing, Level IV Long-Term Rest Home and Independent Living Centers and manages three regional Deaf Senior Citizens' Centers in Eastern Massachusetts.

• Lead and direct the overall operations of a 180-bed Skilled Nursing Facility in accordance with customer needs, government regulations and company policies, with a focus on improving quality and customer service while improving Medicare and Managed Care census.• Successfully completed an Office of Inspector General mandated periodic Survey, with a well a well above average score.• Maintain an excellent working relationship within the medical profession and other health related facilities and organizations through formal working and transfer agreements.• Oversee Mandatory Managed Care Duties including: Utilization Management for Admissions, Provider and/or Consumer Appeals, and Care Coordination among Providers.• Lead the Corporate Compliance Program, including review of contractual agreements arranged with outside professionals and organizations to ensure compliance with the facility's policies and procedures, these include, but are not limited to: HMO's, Hospital Networks, consultants, Physician Groups and outside vendors as well as state and federal agencies.• Supervise Director of Clinical Services, Business Office Manager, Business Office Coordinator, Director of Admission, Director of Rehabilitation Services, Director of Resident and Family Services, Director of Therapeutic Recreational Services, Director of Hospitality Services, Director of Dining Services, and Director of Environmental Services. Supervise the contracted laboratory and pharmacy services.• Manages turnover and ensures adequate staffing through development of recruitment sources, and through appropriate selection, orientation, training, and staff education.• Maintain necessary records, i.e., scheduling, hiring, terminations, weekly time records, workers' compensation, OSHA log, safety committee meetings, emergency procedures, physical plant inspections, Medicaid, Medicare, OBRA, licensure, surveys, and Health Department regulations.

Nursing Home Administrstor of a FIVE STAR 140 bed Nursing Home located in Woburn, Massachusetts. This is a great Nursing Home with a very good management team and a very strong and seasoned Nursing Management Department.

Develop better operating systems for Nursing Homes and fill in as an Interim Nursing Home Administraror

• Ensure all communities are operated in accordance with the organizational philosophy, standards, policies, and budgets.• Monitor cost control in both payroll and non-payroll expenses to assure budgetary compliance and successful financial operations.• Conduct site visits to ensure programs are functioning and meeting operational standards as well as provide immediate hands on feedback and action to meet standards.• Interview, hire, train, and direct community Administrators and become involved in the hiring and development of department heads who support the Administrator.• Ensure regulatory compliance to all federal, state and local regulations and laws relating to nursing home administration; guide facilities to operate within established company policies and practices.• Guide administrators in the preparation/analyses of the financial operating budget and monitor monthly performance; monitor performance and guide key facility management to meet operational goals.• Evaluate census development and maintains it at or above the budgeted levels.• Supervise and assist communities in the development and implementation of new programs and policies.• Assist facilities in obtaining appropriate corporate and regional and support as needed including clinical, accounting, marketing, and human resources.• Directs program budgetary development and monitors financial operating reports for communities.• Evaluate cost effectiveness of departments, programs and services at each community.• Serves as a resource for operational concerns in each community.• Lead special projects as directed by the COO.

• Conduct Risk Assessments of Skilled Nursing Centers and Assisted Living Facilities.• Analyze financial opportunities for revenue enhancement and expense control.• Review Sales and Marketing activities to ensure best practices for success.• Improve internal policies and procedures for quality care, resident safety and regulatory compliance including memory care.• Provide Mock Survey training and preparation to Skilled Nursing Centers and Assisted Living Facilities.• Foster the community’s mission to bring the highest quality care to residents and their families. • Mentor senior staff members on operational excellence and project management.

Senior Operations Consultant• Consult on transformational Performance Improvement initiatives and projects that accelerate the achievement of results in priority areas for Regency Healthcare.• Develop new Labor Tracking tools to improve the monitoring of labor and to reduce unnecessary overtime for hourly associates.• Provide recommendations for organizational continuous improvement for significant and measureable improvements in quality, safety, service and efficiency across the healthcare system.• Create action plans to improve the system for reporting incidents to the state, elopement drills and management of resident records.• Monitor data on continuous performance and quality improvement activities. Report the status of performance and quality improvement efforts and impact to Skilled Nursing Facility operations.• Identify the steps necessary to develop a well-designed project aimed at achieving quality improvement (QI) goals.• Review Plans of Corrections (POC) submitted to the state for proper cross referencing to Quality Assurance/Performance Improvement (QAPI) action plans. • Analyze budgets to ensure they are in line with annual action plans for Clinical, Education, Performance Improvement and Maintenance.

* Maintain high degree of customer satisfaction and retention through consistent delivery of high quality healthcare services. * Provide leadership for staff and residents including proactively solving problems and resolving issues. In conjunction with regional operations team, develop annual operation and capital budgets. * Meet and exceed budget occupancy goals for the property. Continuously explore means of revenue enhancement and expense reduction. * Create an environment that enhances the psychosocial well-being of residents. * Responsible for the initial and ongoing assessments of residents’ health status and care needs. Develop and maintain residents’ care plans. * Determine staffing needs in view of the needs of the residents; develop work assignments and daily work schedules. * Plan and coordinate all in-service trainings and continuing education of care personnel. Implement employee evaluations on an annual basis. * Maintain the confidentiality of all residents’ health care information. Ensure medications, medical supplies and equipment is maintained. * Direct the recruiting, hiring and training all community personnel as well as motivating, supervising and evaluating personnel. * Establish both individual and team reward programs, and continue to monitor associate satisfaction. * Lead the Change Management Process and Quality Improvement Process for this start-up medical community.Achievements* Achieved a Customer Service Net Promoter Score of +59, 12th best score in a company of over 1,200 healthcare communities.* 100% Compliance Rate with the state of Maine Clinical and Operational Regulations, no deficiencies.* Increased the med pass efficiency rate by 22%.* Created a more user-friendly admission process – decreasing paperwork by 16%.

* Lead and direct the overall operations of a Skilled Nursing Facility in accordance with customer needs, government regulations and company policies, with a focus on improving quality and customer service while increasing census and improving the quality mix. * Developed a stronger Performance Improvement program that raised the quality of the healthcare organization. * Maintain excellence service quality to residents, their families, physicians and all internal and external customers. * Review all operational aspects of the facility to determine which areas need to be improved. * Develop new business partnerships with local physicians, therapists, other local medical professionals and social services agencies to meet state and federal guidelines in providing safe discharges for residents back to their homes. * Ensure all employees receive orientation and ongoing training; act as Chairperson of the Performance Improvement Committee and Chairman of the Safety Committee. Create a Recruitment and Retention Committee to make empower staff to recruit more qualified staff and enhance the work environment. Responsible for the financial operation of the facility and ensure budgets are being met. Achievements* Decreased the number of short-stay residents who were re-hospitalized after Nursing Home Admission by 28%.* Reduced the number of med-errors by 34%.* Decreased the number of pressure ulcers by 54%.* Increased the number of new admissions by 23%.

* Write up Business Plans/Marketing Plans for Healthcare companies to grow their practices. Responsible for overall quality of resulting deliverables. * Review all creative and technical deliverables to ensure all work remains in scope. Create the project plan, task timeline, and operating budget. Track all projects via project management system. * Prepare project estimates and statement of work (SOW) documentation. * Responsible for managing project communication and documenting issues and changes that impact the project. * Establish weekly or as needed conference calls for status reporting. Provide and articulate clear direction for all team activity. * Serve as in-house contact for engagement based issues/problem reporting and resolution.Achievements* Redesigned the initial review process for all new projects.* Introduced new weekly educational in-services.* Created a new Excel Spreadsheet to track project progression for new accounts.* Developed a more streamlined mentoring program.

* Create and implement a marketing strategy for the facility that reflects service opportunities, competition, potential market area changes, and which maximizes census, payer mix and ancillary revenues. * Focus on Customer Service and increasing the quality of care created the highest census in nine years. Consistently had the highest census in the Maine District for Kindred Healthcare. * Monitor all departments’ activities, communicate policies, evaluate performance, provide feedback and assist, coach and take corrective actions as needed. * Conduct regular rounds to monitor delivery of nursing care, operation of support departments, cleanliness and appearance of facility, morale of the staff, and ensure resident needs are being met. This includes conducting one “off-shift” visit to the facility once a week. * Exceeding facility revenue and EBITDARM budget, by managing department budgets, Labor expense Per Patient Day (PPD), Total expenses Per Patient Day, and therapy services. * Conduct weekly rounds with the Medical Director to ensure all medical services are being carried out and to resident satisfaction. * Conduct committee meetings such as Daily Standup, Safety, Family Council, Continuous Quality Improvement, Recruitment and Retention, Employee of the Month/Year, Marketing and Safety.Achievements* Awarded the Maine Health Care Association Quality Improvement Award for achievements in Improving Clinical Quality Measures, well above average Customer Service scores, Staff Retention, Consistent Assignment, and Operations Excellence.* Awarded the Maine Health Care Association Quality Improvement Award for achievements in Staff Retention, Consistent Assignment, Clinical Quality Measures and Customer Satisfaction.* Decreased the number of falls by 42%.* Lowest Turnover in 7 years at the community, achieving a rate turnover rate of 17% while Maine state average was 38%.

• Administer, direct and coordinate all activities of a 130-bed Skilled Nursing Facility, to assure the highest degree of quality of care is consistently provided to the residents. Supervise 9 department heads and 110 employees with a hands-on style and a community based approach. Develop and execute the Marketing plan for the community.• Conduct, at minimum, one off-shift visit per week (evening, nights and weekends) to the facility to make sure all policies and procedures are being conducted at all times within the facility.• Responsible for maintaining and growing the census. This is done by maintaining good working relationships with conventional referral sources and cultivating new referral sources such as dentists, chiropractors, pain clinics, and acute care hospitals.• Put Customer Service first, ensuring that residents and families receive the highest quality of service in a caring and compassionate atmosphere which recognizes the individuals’ needs and their right to living in an environment which maximizes their physical and social well-being. This is done with daily interactions with residents and their families. • Turnover of staff was 9.5% in 2007, one of the lowest turnover rates within Golden Living Healthcare. This was done by encouraging a fun, open and supportive environment where people wanted to come to work and work hard.• Monitor financial reports and information of the center and report and implement corrective action and budgetary constraints as required.• Prepare budgets for next fiscal year using historical data, up to date payroll data, and trending analysis information.• Ensure compliance with current DPH, federal, state and local standards, guidelines and regulations that govern long-term care facilities.