Raphael H. Email & Phone Number

El Paso, Texas And San Antonio Areas

Scheduling, Documentation and reporting, Strategic planning, Business administration, Budgeting, Operations oversight, Staff management, Expense reporting, Data entry, Customer relations, Human resources management, Staff training/development, Deadline-oriented, Customer service-oriented, Exceptional interpersonal communication, Conflict resolution, Effective leader, Billing/Collections

Sunland Park, New Mexico

La Clinica de Familia, Inc. (LCDF) is a private, not-for-profit federally qualified health center (FQHC) that was established in Doña Ana County, New Mexico in 1978.LCDF provides quality health care for the entire family through a system of medical clinics, dental clinics, school based clinics, behavioral health services, mental health services, Early Head Start programs, Healthy Start programs and a Promotora program. LCDF health and social services programs are funded by grants, contracts, and fee-for-service.

El Paso, Texas Area

• Provided in-depth support to the executive staff in regards to healthcare programs and administration.• Tracked and evaluated statistical data on healthcare activities to make effective program decisions.• Organized and managed contracts directly related to the mission of the home health care agencey.• Educated staff on state and federal statutes, rules and regulations governing home health services.• Demonstrated ability to lead and motivate outstanding healthcare teams, SN, PT, ST, OT, HHA’s.• Routinely collaborated with department managers to correct problems and improve services.• Coordinated activities with the Director of Nursing to ensure that the planning processes met targetedproject outcomes.• Established staff schedules and assignments based on facility and patient needs and availability.• Oversaw private insurance, MCO, Medicare, and Medicaid billing, payroll, AP, and AR and verified thatproper procedures were followed.• Monitored Infection Control and Critical Incidents, Risk Management and Quality Improvement Plans.• Supervised and managed the daily activities of administrative, and clinical team consisting of over 80nurses, therapist and support staff.• Analyzed patient and family feedback to identify opportunities for staff recognition as well as areas forimprovement.• Provided on-call at all times of day and night to clinical staff and patients.• Performed monthly inventory and maintained office and medical supply counts.

Austin, Texas Area

• Evaluated organizational systems to identify workflow, communication and resource utilization issues.• Led, designed and implemented training programs and initiatives which contributed to an increase inproductivity.• Investigated, provided and submitted information to Quality Improvement Department about specialincidents, events and complaints.• Continually improved knowledge, skills and performance based on feedback and self-identifiedprofessional developmental needs.• Supervised administrative and provider staff of 20.• Represented and interpreted the agency's functions and services to other institutions, the public, government agencies and other organizations.• Educated staff on state and federal statutes, rules and regulations governing home care services.• Consistently complied with applicable laws and regulations and ensured facility adhered to Medicaidregulations.• Developed and implemented improvements to billing system to maximize efficiency, reducedelinquency and increase accuracy.• Interviewed patients to obtain medical history, signatures for start of care, weight and heightmeasurements and vital signs.• Created and maintained computerized record management systems (Kantime) to record and processdata and generate reports.• Confidently managed the overall operation of the agency including financial management, qualityassurance, patient care, safety risk management, teammate satisfaction, quality index scores and facilitymaintenance.• Conducted monthly patient case conferences, in-services and staff meetings to educate staff andfacilitate good communication.

• Led diverse team of medical and administrative professionals in day-to-day agency activities such aspatient care, new business development and patient relations.• Developed key initiatives to meet and maintain substantial business growth.• Led organization by developing professional and ethical culture focused on patient care excellence.• Met customer service standards and expectations consistently by effectively communicating andactively listening.• Supported the company in maintaining a work environment focused on quality, communication,collaboration, integration and teamwork.• Maximized branding outreach by facilitating marketing initiatives.• Managed payroll, transactions, invoicing and budgeting to decrease financial inconsistencies.• Directed hiring and recruitment of personnel in all departments.• Networked with industry professionals to foster partnerships and identify new and improved methodsof delivering quality patient care and developing home health solutions.• Developed and updated policies and procedures, maintaining compliance with statutory, regulatoryand local, state and federal guidelines relating to HIPAA, COBRA, payroll and benefits administrationand general liability.• Generated and reviewed incident reports, including employee write-ups, actualizing appropriatecorrective action plans to mitigate ongoing and potential situations.• Collaborated with first responders, field and administrative staff to implement an EmergencyPreparedness system.• Administered financial management functions, including medical billing and collections, marketingand operational budgets.• Managed two branches in Texas, San Antonio and El Paso. Site visits and frequent visits to patient’shomes and conducting case conferences with staff and school administrators.