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Maureen McCarthy 14 Rowell Lane Wappingers Falls, NY 12590
email: mccuty@optonline.net ph: 845-298-0245
Professional Summary
Results driven, team oriented Health Care Professional with over 25 years experience. Focus on clinical
operations, program management, compliance and quality review, pain and symptom management with
the specialty of Hospice and Palliative Care. Articulate and open-minded leader; refined relationship-
building skills with clients and partners, physicians, and internal and external team members; experienced
public speaker.
Experience
December 2014 - Present
Clinical Consultant – Hospice and Palliative Care
 Independent sub-contractor - Hospice and Palliative Care
o Perform clinical eligibility reviews for compliance as well as purchase and acquisition due
diligence.
o Review and answer Medicare ADR’s
March 2013 – December 2014 Director of Access for Hospice and Palliative Care
Services MJHS Hospice and Palliative Care 39 Broadway NY, NY 10006
 Oversee access, admissions and day to day operations for hospice and non-contract
community palliative care services for one of the largest hospice and palliative care
programs in New York State
 Responsible for growing the census and maintaining budgeted census in contracted
facilities
 Responsible for 20 field staff who perform evaluations and admissions to hospice
 Achieved 35% Hospice census growth from March 2013 – September 2014; 21% census
growth for 2014.
 Reported directly to the Senior Vice President of Business Development and Long Term
Care Services
 Collaborated with the Senior Vice President, Executive Vice President and Director of
Business Development on a regular basis for the purpose of evaluating current processes
and establishing new systems to coincide with the program’s growth and development
 Directed and administered access of quality comprehensive care through efficient
admissions to hospice as well as the non-contracted, community based Palliative Care
Program
 Ensured compliance with legal, regulatory, and clinical policies and procedures
 Collaborated with system finance team regularly regarding eligibility, authorization,
compliance with commercial, managed care and CMS guidelines
 Met regularly with Associate Chief Medical Officer to discuss issues related to
improving clinical excellence and educational needs of admissions field staff
 Direct oversight of Access Center Manager, Admissions Manager and Business
Support Supervisor. Guide them to develop their staff, assess staff competence and
maintain accountability.
Maureen McCarthy 14 Rowell Lane Wappingers Falls, NY 12590
email: mccuty@optonline.net ph: 845-298-0245
 Participated in outreach and education in the community and within the MJHS Health
System.
 Participated in strategic planning and budget development with the Executive Vice
President and the Senior Vice President of Business Development
 Ensured that departmental/agency operates within established financial guidelines
May 2010 – March 2013: Director, Palliative Care Program – MJHS Hospice and
Palliative Care
 Responsible for the day to day management of the most innovative palliative care
program in the country
 Reported directly to the Chief Medical Officer
 Participated in strategic planning with Executive Vice President, Chief Medical Officer and
Director of Business Development
 Monitored census and planned growth to anticipate staffing needs.
 Demonstrated creative and productive use of staff in during program growth
 Worked directly with finance department for budget planning, program billing
 Provided ongoing evaluation of process and procedures related to patient, vendor
and customer service
 Collaborated with and made recommendations to the Chief Medical Officer and
Executive Vice President related to unresolved issues and areas that required
improvement
 Met regularly with Director of Business Development and Chief Medical Officer to
assess and review any areas of concern related to program, growth opportunities.
 Ensured compliance with legal, regulatory, and clinical policies and procedures
 Oversight of Clinical team members in Palliative Care in their duties
o Focus on pain management and symptom management related to acute and
chronic illness as well as the progression of terminal illness
 Clinical resource for field staff
o Focus on pain management, symptom management in acute and chronic
care settings
 Met regularly with Associate Chief Medical Officer to discuss issues related to clinical
excellence of the team and educational needs
 Ensured that departmental/agency operates within established financial guidelines.
 Participated in outreach and education in the community and within the MJHS Health
System.
 Successfully answered Medicare ADR for 83 community based palliative care service
inquiries.

December 2009 – May 2010: Manager, Palliative Care Program – MJHS Hospice and
Palliative Care
 Responsible for the ongoing evaluation of Palliative Care operations through
oversight of the Palliative Care team.
 Directed and administered access of quality end of life care, through efficient
admissions to the Palliative Care program.
 Managed Clinical team members, developed their leadership abilities including their team
building and knowledge regarding all Hospice regulations.
 Participated in strategic planning with Director of Patient Services and Director of
Business Development
Maureen McCarthy 14 Rowell Lane Wappingers Falls, NY 12590
email: mccuty@optonline.net ph: 845-298-0245
 Reviewed documentation standards for quality of clinical records, justification or
services and reimbursement requirements in accordance with all regulations and
quality improvement standards.
 Participated in outreach and education in the community and within the MJHS Health
System.
 Reported directly to the Executive Vice President of Hospice and Palliative Care
 Participated in outreach and education in the community and within the MJHS Health
System.
 Clinical resource for field providers and telephonic RNs
o Pain management
o Symptom management
o Coordination of care
 December 2007 – December 2009 - Metropolitan Jewish Hospice (MJHS)
Brooklyn, New York
Clinical Consultant
 Developed inpatient documentation tool to ensure Medicare documentation quality and
compliance related to Dementia patients TMR
 Targeted Medicare Review – responsible for reviewing documentation for quality and
compliance, collaborating with interdisciplinary team members regarding documentation,
plans of care, preparing responses to Medicare inquiries
 Provided in-service/education to IPU staff regarding documentation guidelines to ensure
Medicare compliance, quality, organization and time management assessment and
education to improve efficiency
October 2009 – December 2009 Acting Palliative Care Consultation Team Leader – oversight of
Palliative Care Consultation Team
collaboration with team members related to plans of care, facilitation of weekly IDT
meetings, ongoing review of effectiveness of interventions, documentation, and
compliance with CMO requests
May 2005 – December 2009 The Dyson Center for Cancer Care at Vassar Brothers Medical
Center Poughkeepsie, NY
Staff Nurse
 Infusion Center; work independently and as member of team providing patient care in a
hospital based out patient setting administering IV antibiotics, inotropes, vasodilators,
chemotherapy, hydration, blood products
2003 - 2005 Hospice Inc. Hyde Park, New York
Inpatient Hospice Nurse
2001 -2003 Gentiva Health Services Middletown, New York
Visiting Nurse
1989 – 2001 Private duty nursing - homecare settings
Provided direct patient care to patients in their homes directly for families.
1985 – 1989 White Plains Hospital Medical Center White Plains, NY
 Staff Nurse ICU step down
1983 – 1985 Newton Wellesley Hospital Newton Massachusetts
 Staff nurse ICU
Education
Maureen McCarthy 14 Rowell Lane Wappingers Falls, NY 12590
email: mccuty@optonline.net ph: 845-298-0245
1981 – 1983 Newton Wellesley Hospital School of Nursing Newton MA
Graduated from this hospital based nursing program in 1983 – Registered Nurse
1979 -1981 Boston College Newton, Massachusetts
Certifications: CHPN, CHPCA
HPCANYS Interdisciplinary Pediatric Palliative Care (HIPPC) Faculty Trainer
Licensure: MA, NY, CT
Publications:
Dhingra, L, Dieckmann, N., Knotkova, H., Chen, J., Riggs, A., Breuer, B., Hiney, B.,
McCarthy, M., & Portenoy, R. A High-Touch Model of Community-based Specialist
Palliative Care: Latent Class Analysis Identifies Distinct Patient Subgroups. Journal
of Pain and Symptom Management In Press.
Other Leadership Experience
2004 – 2010 Councilwoman for the Town of Wappinger (elected position – pop. approx. 35,000)
 Organized an Inventory and Audit Committee to review Towns infrastructure, liabilities,
compliance with policies and procedures within Code Enforcement Department
 Led the re-organization of Towns Code Enforcement Department to improve efficiency
and customer service; ongoing evaluation of departments, performance
 Responsible for oversight and management of multi-million dollar budget, departments
within Town Hall
 Member of team responsible for hiring professional services, negotiating contracts with
CSEA, Highway employees
 Provided regular, pro-active communication with constituents and prompt communication
regarding employee and residents concerns
1998 – 2004 Board Member - Wappingers Central School District (elected position – approx .
12,000 students, 10 schools)
 Member Logistics Committee, Redistricting Committee
 General oversight of 135+ million dollar budget

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MMcCarthy 2016 Resume.CV

  • 1. Maureen McCarthy 14 Rowell Lane Wappingers Falls, NY 12590 email: mccuty@optonline.net ph: 845-298-0245 Professional Summary Results driven, team oriented Health Care Professional with over 25 years experience. Focus on clinical operations, program management, compliance and quality review, pain and symptom management with the specialty of Hospice and Palliative Care. Articulate and open-minded leader; refined relationship- building skills with clients and partners, physicians, and internal and external team members; experienced public speaker. Experience December 2014 - Present Clinical Consultant – Hospice and Palliative Care  Independent sub-contractor - Hospice and Palliative Care o Perform clinical eligibility reviews for compliance as well as purchase and acquisition due diligence. o Review and answer Medicare ADR’s March 2013 – December 2014 Director of Access for Hospice and Palliative Care Services MJHS Hospice and Palliative Care 39 Broadway NY, NY 10006  Oversee access, admissions and day to day operations for hospice and non-contract community palliative care services for one of the largest hospice and palliative care programs in New York State  Responsible for growing the census and maintaining budgeted census in contracted facilities  Responsible for 20 field staff who perform evaluations and admissions to hospice  Achieved 35% Hospice census growth from March 2013 – September 2014; 21% census growth for 2014.  Reported directly to the Senior Vice President of Business Development and Long Term Care Services  Collaborated with the Senior Vice President, Executive Vice President and Director of Business Development on a regular basis for the purpose of evaluating current processes and establishing new systems to coincide with the program’s growth and development  Directed and administered access of quality comprehensive care through efficient admissions to hospice as well as the non-contracted, community based Palliative Care Program  Ensured compliance with legal, regulatory, and clinical policies and procedures  Collaborated with system finance team regularly regarding eligibility, authorization, compliance with commercial, managed care and CMS guidelines  Met regularly with Associate Chief Medical Officer to discuss issues related to improving clinical excellence and educational needs of admissions field staff  Direct oversight of Access Center Manager, Admissions Manager and Business Support Supervisor. Guide them to develop their staff, assess staff competence and maintain accountability.
  • 2. Maureen McCarthy 14 Rowell Lane Wappingers Falls, NY 12590 email: mccuty@optonline.net ph: 845-298-0245  Participated in outreach and education in the community and within the MJHS Health System.  Participated in strategic planning and budget development with the Executive Vice President and the Senior Vice President of Business Development  Ensured that departmental/agency operates within established financial guidelines May 2010 – March 2013: Director, Palliative Care Program – MJHS Hospice and Palliative Care  Responsible for the day to day management of the most innovative palliative care program in the country  Reported directly to the Chief Medical Officer  Participated in strategic planning with Executive Vice President, Chief Medical Officer and Director of Business Development  Monitored census and planned growth to anticipate staffing needs.  Demonstrated creative and productive use of staff in during program growth  Worked directly with finance department for budget planning, program billing  Provided ongoing evaluation of process and procedures related to patient, vendor and customer service  Collaborated with and made recommendations to the Chief Medical Officer and Executive Vice President related to unresolved issues and areas that required improvement  Met regularly with Director of Business Development and Chief Medical Officer to assess and review any areas of concern related to program, growth opportunities.  Ensured compliance with legal, regulatory, and clinical policies and procedures  Oversight of Clinical team members in Palliative Care in their duties o Focus on pain management and symptom management related to acute and chronic illness as well as the progression of terminal illness  Clinical resource for field staff o Focus on pain management, symptom management in acute and chronic care settings  Met regularly with Associate Chief Medical Officer to discuss issues related to clinical excellence of the team and educational needs  Ensured that departmental/agency operates within established financial guidelines.  Participated in outreach and education in the community and within the MJHS Health System.  Successfully answered Medicare ADR for 83 community based palliative care service inquiries.  December 2009 – May 2010: Manager, Palliative Care Program – MJHS Hospice and Palliative Care  Responsible for the ongoing evaluation of Palliative Care operations through oversight of the Palliative Care team.  Directed and administered access of quality end of life care, through efficient admissions to the Palliative Care program.  Managed Clinical team members, developed their leadership abilities including their team building and knowledge regarding all Hospice regulations.  Participated in strategic planning with Director of Patient Services and Director of Business Development
  • 3. Maureen McCarthy 14 Rowell Lane Wappingers Falls, NY 12590 email: mccuty@optonline.net ph: 845-298-0245  Reviewed documentation standards for quality of clinical records, justification or services and reimbursement requirements in accordance with all regulations and quality improvement standards.  Participated in outreach and education in the community and within the MJHS Health System.  Reported directly to the Executive Vice President of Hospice and Palliative Care  Participated in outreach and education in the community and within the MJHS Health System.  Clinical resource for field providers and telephonic RNs o Pain management o Symptom management o Coordination of care  December 2007 – December 2009 - Metropolitan Jewish Hospice (MJHS) Brooklyn, New York Clinical Consultant  Developed inpatient documentation tool to ensure Medicare documentation quality and compliance related to Dementia patients TMR  Targeted Medicare Review – responsible for reviewing documentation for quality and compliance, collaborating with interdisciplinary team members regarding documentation, plans of care, preparing responses to Medicare inquiries  Provided in-service/education to IPU staff regarding documentation guidelines to ensure Medicare compliance, quality, organization and time management assessment and education to improve efficiency October 2009 – December 2009 Acting Palliative Care Consultation Team Leader – oversight of Palliative Care Consultation Team collaboration with team members related to plans of care, facilitation of weekly IDT meetings, ongoing review of effectiveness of interventions, documentation, and compliance with CMO requests May 2005 – December 2009 The Dyson Center for Cancer Care at Vassar Brothers Medical Center Poughkeepsie, NY Staff Nurse  Infusion Center; work independently and as member of team providing patient care in a hospital based out patient setting administering IV antibiotics, inotropes, vasodilators, chemotherapy, hydration, blood products 2003 - 2005 Hospice Inc. Hyde Park, New York Inpatient Hospice Nurse 2001 -2003 Gentiva Health Services Middletown, New York Visiting Nurse 1989 – 2001 Private duty nursing - homecare settings Provided direct patient care to patients in their homes directly for families. 1985 – 1989 White Plains Hospital Medical Center White Plains, NY  Staff Nurse ICU step down 1983 – 1985 Newton Wellesley Hospital Newton Massachusetts  Staff nurse ICU Education
  • 4. Maureen McCarthy 14 Rowell Lane Wappingers Falls, NY 12590 email: mccuty@optonline.net ph: 845-298-0245 1981 – 1983 Newton Wellesley Hospital School of Nursing Newton MA Graduated from this hospital based nursing program in 1983 – Registered Nurse 1979 -1981 Boston College Newton, Massachusetts Certifications: CHPN, CHPCA HPCANYS Interdisciplinary Pediatric Palliative Care (HIPPC) Faculty Trainer Licensure: MA, NY, CT Publications: Dhingra, L, Dieckmann, N., Knotkova, H., Chen, J., Riggs, A., Breuer, B., Hiney, B., McCarthy, M., & Portenoy, R. A High-Touch Model of Community-based Specialist Palliative Care: Latent Class Analysis Identifies Distinct Patient Subgroups. Journal of Pain and Symptom Management In Press. Other Leadership Experience 2004 – 2010 Councilwoman for the Town of Wappinger (elected position – pop. approx. 35,000)  Organized an Inventory and Audit Committee to review Towns infrastructure, liabilities, compliance with policies and procedures within Code Enforcement Department  Led the re-organization of Towns Code Enforcement Department to improve efficiency and customer service; ongoing evaluation of departments, performance  Responsible for oversight and management of multi-million dollar budget, departments within Town Hall  Member of team responsible for hiring professional services, negotiating contracts with CSEA, Highway employees  Provided regular, pro-active communication with constituents and prompt communication regarding employee and residents concerns 1998 – 2004 Board Member - Wappingers Central School District (elected position – approx . 12,000 students, 10 schools)  Member Logistics Committee, Redistricting Committee  General oversight of 135+ million dollar budget