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5100 Papaya Dr.

Fair Oaks, CA 95628

Phone (877) 208-3901

Fax (877) 208-3901

E-mail:

carolynhinds@sbcglobal.net

 

Carolyn Hinds - RN, BSN, PHN

 

Summary of Qualifications

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44+ years, Registered Nurse.

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31+ years, Medicare Home Healthcare Nurse.

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12 years, Medicare Home Healthcare management.

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11+ years owner of Advanced Medical-Legal Resources consulting firm.

 

Education & Certification

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Bachelor of Science, California State University at San Francisco, 1967.

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RN license State of California.

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California Public Health Nurse Certificate, CSUSF

 

Professional Experience

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

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Works with attorneys reviewing charts & medical records for standards of care and  regulation compliance.

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

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

 

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

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

 

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

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

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

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Presentation of in-services; new staff orientation.

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Assure compliance with all regulatory issues.

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Rate & visit negotiations for private insurance cases.

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Responsible for growth & development of all business lines.

 

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

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Responsible for day-to-day clinical operational functions.

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

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

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Preparation & presentation on monthly PRN in-services.

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

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Compliance of PI/UR/UM processes.

           

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

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Responsible for operations a & financial functions of 8 offices.

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

 

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

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Responsible for clinical & operational functions of private duty.

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Client assessment & ongoing care.

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

 

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

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

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Staff orientation; in-services, counseling, interviewing.

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Staff assignments, patient coverage & coordination of care.

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

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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.