Cynthia Young
Chattanooga
Summary
Results driven healthcare professional with a history of meeting company goals utilizing consistent and organized practices. Skilled in managing the complex needs of a frail, dual eligible patient population to achieve effective outcomes while delivering quality care.
Overview
11
11
years of professional experience
Work History
Director of Center Operations
New Horizons Living PACE program
09.2021 - 08.2024
- Coordinated daily operations of the New Horizons Program of All-inclusive Care for Elders (PACE) program including medical/nursing care, social services, rehabilitation services, day center services, and dietary services.
- Developed and implemented the Quality Improvement Plan and developed key performance indicators for reporting to the PACE Board of Directors.
- Promoted a culture of accountability by setting clear expectations for staff performance, providing ongoing feedback, and addressing any areas requiring improvement promptly.
- Facilitated Interdisciplinary Team (IDT) meetings to develop plans of care for dual eligible PACE participants along with monitoring the delivery of care to these participants.
- Worked with leading-edge technologies such as home monitoring and medication dispensing technologies and continuously advanced knowledge and skills.
- Implemented data-driven decision-making processes to improve the efficiency of center operations.
- Maintained a safe and secure environment for staff, participants, and visitors through rigorous compliance with safety regulations and guidelines.
Director of Clinical Services/Director of Compliance/Quality Coordinator for all3 Ascension PACE programs
Alexian Brothers Community Services (ABCS)
01.2017 - 01.2022
- Implemented a quality based quality improvement plan for all clinical and nursing services delivered by Ascension PACE programs and improved clinic process to ensure all participants were seen by a PACE provider timely and followed up appropriately.
- Supervised all nursing care and clinical services for participants of the PACE program and coordinated care with other PACE interdisciplinary team members.
- Analyzed all outpatient appointments and implemented action plans to decrease unnecessary utilization.
- Updated the PACE compliance program to align with new PACE federal regulations and revised policy and procedures to reflect the new federal requirements.
- Implemented innovative technologies to enhance operational effectiveness and improve overall patient experience.
- Improved interdisciplinary collaboration, fostering strong working relationships among medical professionals for optimal patient outcomes.
- Conducted comprehensive audits to ensure clinical services adhered to established standards, maintaining a high level of accountability across the organization.
- Managed financial resources efficiently, optimizing budgets for maximum service delivery without compromising patient care quality.
Director of Quality and Compliance (Contracted Position)
Riverside PACE
01.2016 - 01.2017
- Assessed, revised, and implemented the annual Quality Improvement program for all 3 Riverside PACE programs.
- Coached each center manager with development of metrics for key performance indicators such as emergency room visits, hospitalizations, readmissions, and skilled nursing services along with establishing performance benchmarks.
- Worked with the Executive Management Team to implement a comprehensive compliance program.
- Coached Center Managers to help improve their clinical processes and re-designed the clinics to improve service delivery to the participants.
- Organized each PACE site’s corrective action plan in response to their audits to reflect detection and correction of their key processes and align them with state and federal regulations.
- Established clear performance metrics, monitoring progress to ensure continuous improvement in participant care and participant satisfaction.
Senior Director of Clinical Operations for PACE Programs
Ascension Senior Living
01.2014 - 01.2016
- Responsible for the clinical and quality oversight of 3 PACE programs within Ascension Senior Living Division.
- Reviewed each PACE site’s quality improvement program and provided oversight and coaching for an effective data-driven quality program.
- Standardized PACE onboarding process and continuing educational programs for all 3 PACE sites.
- Evaluated each PACE program’s adherence to PACE federal and state regulations by conducting audits to ensure each program remained audit ready.
- Assisted each PACE with their corrective action plans in response to any audit findings.
- Established a PACE specific dashboard of key performance indicators including quality and financial metrics for all PACE programs at Ascension for the Board of Directors.
- Developed board reports for quality and compliance issues to the PACE Board of Directors.
- Monitored all Federal and State regulations and their impact on PACE operations.
- Collaborated with the PACE CFO to educate all key PACE managers on PACE reimbursement issues and the impact of quality measures on their financial performance
- Researched quality metrics from other programs who provided care to frail elders to adopt into the PACE quality plan
Education
Associate of Science - Nursing
Chattanooga State Technical College
Chattanooga, TN05-1990
Bachelor of Science - Nursing
Western Governors University
02-2022
Skills
- Knowledgeable of complex case management needs for Medicare and Medicaid populations
- Knowledgeable of social determinants of health impacting frail elder populations
- Able to effectively communicate complex medical topics to the Medicare and Medicaid population
Timeline
Director of Center Operations
New Horizons Living PACE program
09.2021 - 08.2024
Director of Clinical Services/Director of Compliance/Quality Coordinator for all3 Ascension PACE programs
Alexian Brothers Community Services (ABCS)
01.2017 - 01.2022
Director of Quality and Compliance (Contracted Position)
Riverside PACE
01.2016 - 01.2017
Senior Director of Clinical Operations for PACE Programs
Ascension Senior Living
01.2014 - 01.2016
Associate of Science - Nursing
Chattanooga State Technical College
Bachelor of Science - Nursing
Western Governors University
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