Home Services Owner Position Contact

 

     Advanced Medical-Legal Resources

Resume

 

                                                        5100 Papaya Dr.                            Phone: (877) 208-3901

                                                        Fair Oaks, CA 95628                      Fax: (877) 208-3901

                                                                                                             E-mail: carolynhinds@sbcglobal.net

Carolyn Hinds - RN, BSN, PHN

Summary of Qualifications

  • 44+ years, Registered Nurse

  • 31+ years, Medicare Home Healthcare

  • 12 years, Medicare Home Healthcare management

  • 11+ years owner of Advanced Medical-Legal Resources

Education & Certification

  • Bachelor of Science , California State University of San Francisco, 1967

  • RN license State of California

  • Certified Public Health Nurse, CSUSF

Professional Experience

Owner, Advanced Medical-Legal Resources, 2000-Present, Sacramento, CA

  • Works with attorneys as an LNC, reviewing charts & medical records for standards of care and regulation compliance.

  • Works with HHA’s reviewing documentation for Medicare regulation compliance. Develops in-service programs.

  • Works with intermediaries reviewing charts and records for Medicare fraud and regulation noncompliance.

RN Case Manager, UC Davis Homecare, 2002-Present, Sacramento, CA

  • Patient assessment, ongoing care & coordination with all other team members.

Admin./Director of Clinical Services, Tender Loving Care, 1999-2002, Sacto., CA

  • Responsible for day-to-day operations & clinical in JACHO/Medicare Home Healthcare Agency.

  • Chart review, UR, QA, PI audits; risk management investigations.

  • Presentation of in-services; new staff orientation.

  • Assure compliance with all regulatory issues.

  • Rate & visit negotiations for private insurance cases.

  • Responsible for growth & development of all business lines.

Dir. of Clinical Services/Clinical Mgr., IHS/Soleus Healthcare*, 1998-1999, Sacto., CA

  • Responsible for day-to-day clinical operational functions.

  • New staff hiring, orientation, mentoring, PRN evaluations & competency verification of staff.

  • Aid with scheduling, review, audits & processing of documentation.

  • Preparation & presentation on monthly PRN in-services.

  • Monitoring & verifying that all state & federal regulations are met.

  • Compliance of PI/UR/UM processes.

Area Manager, IHS Homecare*, 1997-1998, Northern CA

  • Responsible for operations a & financial functions of 8 offices.

  • Compliance with COP, state & JCAHO regulations & HR issues.

Clinical Supervisor, Private Duty, 1st American/IHS Homecare*, 1996-1997, Sacto., CA

  • Responsible for clinical & operational functions of private duty.

  • Client assessment & ongoing care.

  • Rate negotiations; staffing; payroll & billing liaison with corporate.

Clinical Supervisor-Assist. Admin., 1st American/ABC Homecare*, 1990-1996, Sacto., CA

  • Responsible for clinical & day-to-day office operations.

  • Staff orientation; in-services, counseling, interviewing.

  • Staff assignments, patient coverage & coordination of care.

  • Verification & completion of documentation; PI/QI; monthly billing.

  • Saw agency through first JCAHO audit as acting Administrator.

* From 1979 through 1999 the agency remained in place, but the ownership changed.

RN Case Manager, Home Healthcare*, 1979-1990, Sacramento, CA

Registered Nurse, Floor, Med-surg, etc., 1967-1979

References upon request.