► Implement and supervise the administrative policies and operations of the agency and supervise the provision of all direct patient care services to agency clients on a day-to-day basis.► Directed the daily operations of the agency, including staffing decisions, completing employee evaluations, budgeting and writing policy and procedures for the agency, and organizing and directing agency events.► Implementing an effective budgeting and accounting system that promotes the health and safety of the agency’s clients; and supervising and evaluating client satisfaction survey reports on all clients served. ► Ensure adequate staff education and evaluations are delivered according to requirements in Section 97.245(b) of the Texas Regulations.

► Manage the agency QAPI program and conduct quarterly QAPI and safety committee meetings. ► Build and deliver in-service trainings to educate staff in areas identified as needing improvement. ► Achieved 90-96% successful internal compliance each year through educating the team on proper documentation and identifying areas of improvement. ► Developed and implemented processes and procedures to meet CMS reporting requirements for HIS to achieve 100% compliance with all reporting areas.► Implemented and led multiple Performance Improvement Projects resulting in multiple accomplishments including achieving compliance with Medicare requirements by increasing volunteer recruitment and retention by 6 points; increasing plan of care compliance from 70 % to 96%; and exceeding compliance goals with all regulatory and quality components of discharge documentation by doubling scores.

► Oversaw the overall administration of patient services, including coordination of services with the interdisciplinary team, and appropriately delegating responsibility to nursing coordinators/team leaders, social workers, chaplains, and therapists resulting in a 30% increase in interdisciplinary team productivity and an 80% increase in timely documentation. ► Responsible for departmental budget, the onboarding of nurses and hospice aides, orientation, and education.► Created policies and procedures for facility and managed patient care delivery; reported to Executive Director. ► Supervised Clinical Team Leaders, Admission Intake Nurses, medical records specialists and all clinical services provided by RNs, LVNs, CNAs, therapists, social workers, chaplains, bereavement counselors, QAPI Coordinator, auditors and Clinical Liaison.► Developed and implemented daily documentation audit programs and enhanced the process for the provision of after-hours clinical services resulting in a 40% increase in the FEHC Satisfaction scores for “excellence” in after-hours care received.

► Coordinated all aspects of the agency’s Quality Assessment/Performance Improvement program and other review processes to ensure quality patient care and effective compliant agency operations. ► Provided consultation for agency education in the areas of clinical documentation, safety, risk management, infection-control and quality improvement. ► Oversaw the Medical Records and Education departments, and directed the implementation of special project areas such as HIPAA compliance, annual mandatory education and clinical outcome compliance for CMS. ► Established and implemented agency balanced scorecard based on core values; including over 80 clinical and administrative outcome measurements used to identify areas of needed improvement. ► Annually directed performance improvement projects for the agency, and provided guidance and direction for 3 successful CHAP accreditation surveys. ► Drafted and revised numerous agency policies regarding patient safety and medication administration in order to maintain compliance with evolving regulatory requirements.

► Provided nursing care for 10-15 hospice patients in home, nursing facility and hospital environment. ► Functioned as an integral part of an interdisciplinary team; implementing symptom management, identifying and meeting the end-of-life needs of patients and their caregivers.

► Responsible for the assessment, implementation delegation, and evaluation of total nursing care and functioned in accordance with established philosophy and protocols. ► Provided direct patient care for pediatric hematology and oncology patients while effectively working with team members across shifts and departments to ensure optimal continuity of care. ► Clinically supervised entry level nurses and coached them in several areas of growth and development.