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Ellen S. Grant
411 Buckingham Rd. Apt. # 1118 Richardson, TX 75081
Cell: (214) 478-7172 Email: ellengrant529@yahoo.com
 Registered Nursewith 20 plus years of experience
 Case Management Expertise in Home Health and Hospice
 Strong background in ICD-10, CPT and HCPCS coding
 Recent experience in Home Health and PAS Services
 Strong background in Medicare, state regulations, and COP’s in HH
 Strong background in medical review and claims analyst for ZPIC
 Experienced with ADR’S and appeals process
 Previous experience in OR, PACU, Med/Surg, ER and Cardiology
Management: Leading, managing and directing professional, administrativeand
hourly employees, managing departmental budgets and performanceto ensure
profitability, training and development of staff, interviewing and hiring.
RelationshipManagement: Talent for understanding people as individuals,
conflict resolution, negotiation skills, team player and ability to work with all
levels of personnel.
EMPLOYMENT EXPERIENCE
New Life Home Health Administrator/Alternate Supervising Nurse 9/15/15 to Present
Provide leadership to a home health agency providing services to clients in the
north central Texas region. Accountable for daily operations, employee
management, administrative supervision to plan, organize and evaluate
operations to ensure quality care to agency clients. Development,
implementation and supervision of agency policy and procedures.
Implementation of effective budgeting and accounting systems that promotes the
health and safety of the agency’s clients. Ensure that documentation of services
provided is accurate and timely. Oversight of all staff evaluations and education,
according to state requirements.
Responsibilities also include coordination of the delivery of clinical services for
patients, patient admissions, discharges, and recertification’s, skilled nursing
visits, staff nurse and home health aide supervisory visits, liaison between
patients and their physicians. Fulfill Assistant Administrator duties in the absence
of the Administrator, coordinating and directing departments, assuming
responsibility for continuity, quality, and safety of services delivered in
compliance with State and federal regulations. Participate in activities relevant to
professional services including development of qualifications and assignment of
agency personnel. Supervises and provides direction to subordinates, in an effort
to ensure quality, compliance with Plan of Care and assessmentand reassessment
of client’s needs and continuity of services by appropriate health care personnel.
Monitors QAPI Program and assures appropriate corrective measures are
performed. Promotes compliance with all fiscal intermediary and/or other third
party payors, through education, coaching, and other assistance as necessary.
Monitors systems and identifies problem areas to Administrator both verbally and
through written reports. Meets mandatory continuing education requirements of
the agency/licensing board.
Consulting and QA Richardson, TX-4/15/15 to present
Self-employed
Home health consulting and QA of homecare providers 485’s, allOASIS forms and
coding using the following EMR: HCHB, HCF, Kinnser, Axxess and Allscripts. Staff
education.
Brookdale Home Health-Clinical Services Manager Irving, TX 11/05/14 -
03/15/15-Responsible for management of 100 patients and all clinical staff to
include education and training of staff, QA of all SOC, RCT’s, Discharges, TIF’s,
485’s and ROC’s. Responsible for coding and ensuring OASIS-C data is
answered appropriately in accordance with OASIS standards.
Gardendale Hospice andHome Health-Director of Clinical Services Dallas, TX
10/13 to09/14- Responsiblefor the daily clinical operations of home health
company.
Professional Caretakers, Inc.-Administrator Richardson, TX7/12 to 7/13
present- Responsiblefor the daily operations of branch office.
Redriver Home Care-Administrator/DONReno, TX10/11=01/12-Responsible
for daily operations of branch office.
HealthIntegrity/ZPIC4-Medical Review/Claims Analyst Dallas, TX01/09-
06/11- Responsiblefor medical review and claims analyst of Medicare Part A
and B claims. Performed onsite visits to providers of home health care,
physicians and beneficiaries. Worked with investigators, OIG, FBI and US
attorneys on various fraud investigations. Educated them on home health
fraud and abuse.
BeyondFaithHealthcare and Rehab-Case Manager Garland, TX 12/07-07/08
Responsiblefor casemanagement of home health patients.. Coordination of
care to include all disciplines on the case. Performed venipunctures, wound
care, and teaching activities for Medicare home health patients.
Senior Care at Home-Administrator Garland, TX07/06-0707- Responsiblefor
the daily operations of home health company.
Angels Care Home Health-Regional Director Greenville, TX08/04-09/05-
Responsiblefor daily operations of three home health offices.
ChristianCare Center-Director of Professional Services Mesquite, TX12/03-
08/04-Responsiblefor daily operations of two home health offices.
Texas Cardiac Associates-RN staff nurse Rowlett, TX01/03-12/03-
Responsiblefor daily operations of clinic to include: Patient assessment, lab,
Coumadin clinic, assisted with dobutamine echoes and triage of patients.
Apex Home Health-BranchManager Garland, TX 12/00-12/01- Responsible
for the daily operations of Branch Office.
Texas Senior Care-Director of Nursing Commerce, TX1999-2000-Responsible
for the daily operation of branch office.
Town and Country Home Health-Regional Director Greenville, TX1995-1999
Responsiblefor the daily operations of parent and branch offices.
Family Service Home Health/Hospice-PatientCare Coordinator Greenville,
TX 1988-1995Responsiblefor staffing/scheduling 1200-1400 visits per month,
s, SN visits, IV therapy, wound care, venipunctureand patient education.
PresbyterianHospital of Greenville, TX1976-1989- Worked in the following
areas: OR, PACU, ICU, ER, Med/Surg.
Education
 Registered Nurse
 LVN ((1976-1994)
 Management Seminars
 Ongoing education-at least 20 CEU’s per year
 Proficiency in Word, Excel, Lewis system, Allscripts, MCS, HCF, HCHB,
Kinnser and AXXESS.
 Adminastrator hours for 2015
.

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Ellen's current resume

  • 1. Ellen S. Grant 411 Buckingham Rd. Apt. # 1118 Richardson, TX 75081 Cell: (214) 478-7172 Email: ellengrant529@yahoo.com  Registered Nursewith 20 plus years of experience  Case Management Expertise in Home Health and Hospice  Strong background in ICD-10, CPT and HCPCS coding  Recent experience in Home Health and PAS Services  Strong background in Medicare, state regulations, and COP’s in HH  Strong background in medical review and claims analyst for ZPIC  Experienced with ADR’S and appeals process  Previous experience in OR, PACU, Med/Surg, ER and Cardiology Management: Leading, managing and directing professional, administrativeand hourly employees, managing departmental budgets and performanceto ensure profitability, training and development of staff, interviewing and hiring. RelationshipManagement: Talent for understanding people as individuals, conflict resolution, negotiation skills, team player and ability to work with all levels of personnel.
  • 2. EMPLOYMENT EXPERIENCE New Life Home Health Administrator/Alternate Supervising Nurse 9/15/15 to Present Provide leadership to a home health agency providing services to clients in the north central Texas region. Accountable for daily operations, employee management, administrative supervision to plan, organize and evaluate operations to ensure quality care to agency clients. Development, implementation and supervision of agency policy and procedures. Implementation of effective budgeting and accounting systems that promotes the health and safety of the agency’s clients. Ensure that documentation of services provided is accurate and timely. Oversight of all staff evaluations and education, according to state requirements. Responsibilities also include coordination of the delivery of clinical services for patients, patient admissions, discharges, and recertification’s, skilled nursing visits, staff nurse and home health aide supervisory visits, liaison between patients and their physicians. Fulfill Assistant Administrator duties in the absence of the Administrator, coordinating and directing departments, assuming responsibility for continuity, quality, and safety of services delivered in compliance with State and federal regulations. Participate in activities relevant to professional services including development of qualifications and assignment of agency personnel. Supervises and provides direction to subordinates, in an effort to ensure quality, compliance with Plan of Care and assessmentand reassessment of client’s needs and continuity of services by appropriate health care personnel. Monitors QAPI Program and assures appropriate corrective measures are performed. Promotes compliance with all fiscal intermediary and/or other third party payors, through education, coaching, and other assistance as necessary. Monitors systems and identifies problem areas to Administrator both verbally and through written reports. Meets mandatory continuing education requirements of the agency/licensing board. Consulting and QA Richardson, TX-4/15/15 to present Self-employed
  • 3. Home health consulting and QA of homecare providers 485’s, allOASIS forms and coding using the following EMR: HCHB, HCF, Kinnser, Axxess and Allscripts. Staff education. Brookdale Home Health-Clinical Services Manager Irving, TX 11/05/14 - 03/15/15-Responsible for management of 100 patients and all clinical staff to include education and training of staff, QA of all SOC, RCT’s, Discharges, TIF’s, 485’s and ROC’s. Responsible for coding and ensuring OASIS-C data is answered appropriately in accordance with OASIS standards. Gardendale Hospice andHome Health-Director of Clinical Services Dallas, TX 10/13 to09/14- Responsiblefor the daily clinical operations of home health company. Professional Caretakers, Inc.-Administrator Richardson, TX7/12 to 7/13 present- Responsiblefor the daily operations of branch office. Redriver Home Care-Administrator/DONReno, TX10/11=01/12-Responsible for daily operations of branch office. HealthIntegrity/ZPIC4-Medical Review/Claims Analyst Dallas, TX01/09- 06/11- Responsiblefor medical review and claims analyst of Medicare Part A and B claims. Performed onsite visits to providers of home health care, physicians and beneficiaries. Worked with investigators, OIG, FBI and US attorneys on various fraud investigations. Educated them on home health fraud and abuse. BeyondFaithHealthcare and Rehab-Case Manager Garland, TX 12/07-07/08 Responsiblefor casemanagement of home health patients.. Coordination of care to include all disciplines on the case. Performed venipunctures, wound care, and teaching activities for Medicare home health patients. Senior Care at Home-Administrator Garland, TX07/06-0707- Responsiblefor the daily operations of home health company.
  • 4. Angels Care Home Health-Regional Director Greenville, TX08/04-09/05- Responsiblefor daily operations of three home health offices. ChristianCare Center-Director of Professional Services Mesquite, TX12/03- 08/04-Responsiblefor daily operations of two home health offices. Texas Cardiac Associates-RN staff nurse Rowlett, TX01/03-12/03- Responsiblefor daily operations of clinic to include: Patient assessment, lab, Coumadin clinic, assisted with dobutamine echoes and triage of patients. Apex Home Health-BranchManager Garland, TX 12/00-12/01- Responsible for the daily operations of Branch Office. Texas Senior Care-Director of Nursing Commerce, TX1999-2000-Responsible for the daily operation of branch office. Town and Country Home Health-Regional Director Greenville, TX1995-1999 Responsiblefor the daily operations of parent and branch offices. Family Service Home Health/Hospice-PatientCare Coordinator Greenville, TX 1988-1995Responsiblefor staffing/scheduling 1200-1400 visits per month, s, SN visits, IV therapy, wound care, venipunctureand patient education. PresbyterianHospital of Greenville, TX1976-1989- Worked in the following areas: OR, PACU, ICU, ER, Med/Surg. Education  Registered Nurse  LVN ((1976-1994)  Management Seminars  Ongoing education-at least 20 CEU’s per year  Proficiency in Word, Excel, Lewis system, Allscripts, MCS, HCF, HCHB, Kinnser and AXXESS.  Adminastrator hours for 2015
  • 5. .