Wilma Matthews RN MA

433 Torry Avenue

Bronx, NY 10473
Home 347-398-0605
wme90004@westpost.net
OBJECTIVE:
As a seasoned Registered Nurse, with 20+ years of varied clinical experiences, I
am seeking a position, which will allow me to utilize my inpatient/acute care,
outpatient/ambulatory, Home care, Hospice and other areas of expertise. While po
ssessing mastery in multiple managerial and clinical areas, as indicated below,
I am able to be an Outside the Box Practitioner, Successful Innovator, get the j
ob done and meet the bottom line. I am looking forward to locating a professiona
l home in which to practice, full time. I fit best, in an environment that provi
des excellent clinical care, embracing innovation and compliance. I am seeking a
n atmosphere that is positive, supportive, and committed to growth. I am skilled
at inspiring overall staff ability for performance improvement and professional
pride.
SKIILLS AND ACCOMPLISHMENTS:
a Award winning Program Designer, Developer, Inpatient/ Ambulatory Care/Outpatie
nt.
a Multiple Areas of Clinical /Managerial Expertise: Med/Surg Pediatrics/Adolesce
nt Medicine,
Mental Health/Psychiatry, Pathophysiology, Pain Management, Palliative-End of L
ife Issues,
a Case Management. Discharge Planning, Risk Management/Utilization Review,
a Education/ Training, Staff Development/Emergency to facilitate new regulatory
standards of practice, i.e. (Oasis re-education) to Maximize Compliance.
a Experienced Clinical Documentation Specialist/ knowledge of DRGs and ICD9 codi
ng
a Quality Improvement/Quality Assurance, Performance Improvement, Team Unity pro
motion.
a Implementation of Continuous Quality Improvement, Root Cause Analysis. Creati
ng, Evaluating Policies to enhance client care outcomes.
a Experienced Administrator Outpatient Ambulatory care/DPS, CHHA, Long-Term Care
, Case -Care\ Management, Hospice.
a Specialist in: Compliance Evaluation, Audit Preparation, Documentation Traini
ng.
a Enhancing/ Creating, Capturing Skilled Documentation Electronically in collabo
ration with MIS Team.
a Timely Submission of Billing / MD Orders/ Interim Updates, Oasis, Cash Flow/Fi
scal Management.
a Interdisciplinary Team Development, Operations/Systems streamlining. Microsof
t Office.
a Updating, Creating Policies/ Procedures, to enhance Compliance with Regulatory
Standards.
a Enhancing Physician Collaboration/ Buy-In with Agency Goals, Marketing, Referr
al, Growth.
a Expert in Multicultural, Family Centered Care. Able to communicate in Spani
sh.
EXPERIENCE:
93-present Health Care Consultation Services
CEO/President - Chief Consultant
Contractual provision of Organizational Consultation, to achieve overall Compli
ance. Strategic Business Planning and Development. Provide Clients with administ
rative, clinical, fiscal, operational, problem assessment. Corrective action pl
anning and implementation. Experienced Clinical Documentation Specialist/ knowle
dge of DRGs and ICD9 coding. Detailed Training to enhance appropriate skilled cl
inical Documentation. Design and implement customized Training modules, for Educ
ational, Staff Development needs based on mutual Agency assessment Quality Assu
rance, enhance timely submission of documentation for billing, prompt process
ing of Denials. Identification of all revenue generating skilled services provid
ed. Secure Fiscal viability and Cash Flow. Streamlining Policy/Procedure Design
.. Provide Agencies with hands on Preparation, Mock surveys, Compliance Audits.
Contracted with Pharmaceutical companies, to Design and Implement Interdisciplin
ary Onsite Training Programs.

`03-present Pro-Med Staffing Staff Relief / PRN Nursing Services

Provide temporary staff supplementation, ambulatory/outpatient/same day surger
y /recovery room services. Provided Case Management, Discharge Planning, Home
Care consultation, Utilization review, Managed care Geriatric/Adult/Pediatric
s outpatient, mental health/ /substance abuse services, blood donor services.
Per-Diem Nursing Home coverage, Short term Rehab, and other areas as needed.
Patient Assessments, Chart Review/ treatment analysis.
10/99-present One Call Staffing, Inc. Consultant/Director Quality/ Dev
elopment Training//Staffing RN
Collaborative consultation with RN Staffing firm. Ensure client satisfaction,
Quality Improvement. Staff Development/ Training Education and Documentatio
n training .RN supplementation, Recruitment, supervision. Dir
ect patient care, Per-diem staffing, in Medicine, Surgery, Re
covery Room, Maternal Child Health/ OB /Post Partum, Pediatrics HIV, Ambulatory
..
12/02- 2007 Access Medical Staffing/
Health Care Services Consultant / Staffing RN
Provide Agencies with consultation, assessment and hands on assistance. Review a
gency compliance re Medicaid, Medicare regulatory standards; compare compliance
in actual clinical practice and documentation. Case management, Coordination of
Medical, Community and Social Services, Assist in design and implementation of c
orrective action plan. Implement Correction Plan, via Staff Development/Training
and personnel administration. Provide staffing supplementation, direct Nursing
Care. Specialty areas in Med-Surg, Ambulatory/ Outpatient Services, Case- Manag
ement, Adult, Pediatric/Adolescent Med,, OB-GYN, Teen, HIV, Palliative Care, Pa
in Management, Substance Abuse, Mental Health, Womenas Health, Geriatric, Long
Term Care.
1/00-1/02 Long Island College Hospital Home Health Agency
Administrator/Director of Patient Services
Recruited to reconstruct, reorganize and revitalize hospital based CHHA and LTCH
HP with a census of 700. Participated in Hospital wide Discharge planning, Util
ization Review, Managed Care, Case Management. Utilized Documentation Speciali
st skills to recouped several million in denied or unbilled funds, from mult
iple payer sources such as Medicare, Medicaid and Managed Care providers, wi
thin six months. Set agency precedence by bringing billing current . Upgraded al
l electronic programs. In serviced all staff on appropriate use of DRG and IC
D9 codes, receivable recovery, submission and compliance, appropriate skilled
documentation. Hired and trained new Clinical, MIS and Billing Leadership.
Increased Timely submission of all Oasis, Clinical and Billing documentation.
Set up Prospective Payment System compliance. Created at Risk Program for all
Diagnostic Specialties especially Mothers and Children, identified as being at
risk in the community. Increased overall census and physician referrals.
St Maryas Hospital, Catholic Medical Center
9/87-12/00 Director Pain Management Program, National Award Winning
Designed, developed, implemented, wrote grant for funding, revenue generating pr
ogram, to address, long term management/follow-up of acute and chronic pain. As
Primary Care Provider, Collaborated with and trained, Interdisciplinary team and
Medicare /Medicaid/ Managed care agencies. To develop care plan / case manage,
coordinate/ inpatient/outpatient /home care, hospital based and community servic
es. Conducted diagnostic work-ups, and treatment assessments. Multicultural, F
amily Centered /Individual counseling to assist with coping skills. Made pharmac
eutical and treatment recommendations, utilizing appropriate combination of holi
stic approaches. Utilized therapeutic doses of opiates, adjuvant treatment/meds,
acupuncture. Minimized side effects. Serviced clients with Cancer, HIV, Fibro
myalgia, Arthritis, Post Trauma Injuries, Cord Injuries, Radiculopathy, Sickle C
ell Disease, and Degenerative/Joint Disease. Titrated doses prn, to prevent pai
n breakthrough.
Provided telephonic management between visits.

9/84-10/87 St Maryas Hospital, Catholic Medical Center

Pain Management Consultant
Inpatient Pain Consultation, Interdisciplinary Pain Management Team development,
training, proposal development, fee and contract negotiation. Organization and
training of medical staff, Director of Surgery, all attending/house staff, resid
ents, and physicians of SUNY Medical School Program. Program certified, for CMEs
, by NY State Ed. Dept. Included training of Interdisciplinary team, nurses, soc
ial workers, pastoral care, quality improvement, risk management, pharmacists, e
tc Improvement of Quality of care to all pts. Provided Case-Care management of t
heir most difficult in /out patients presenting with intractable pain.

6/98-10/99 We Care Certified Home Health Services

Administrator/Director Patient Services
Recruited after Medicare audit to reorganize, revitalize and redirect program in
to compliance with Medicare requirements. Provided overall corporate compliance
training to all Clinical and Billing staff. Streamlined all aspects of operatio
ns. Provided Performance Improvement in Case-Care Management. Appropriately subm
itted, denied and unbilled documentation, enhancing cash flow. Enhanced use of t
he team approach to care delivery, fostering staff unity and cohesiveness.
Improved quality of patient care. Improved timely submission of Oasis documentat
ion and Regulatory compliance. Expanded market share and referral base. Greatly
enhanced census to include appropriate clients with skilled needs.

5/83-9/88 Metropolitan Jewish Geriatric Center the Brooklyn Hospice

Education, Consultation, Corporate T raining Coordinator
Pain Management Specialist, Lecturer, Innovator in Pain/Palliative/ End of Life,
Hospice Interventions.
Created Award winning, Revenue generating, Interdisciplinary, Educational Prog
rams.
Conducted innovative Workshops in the Metropolitan Area and Nationally, addres
sing challenging end of life, care delivery issues.
Provided Comprehensive, Holistic training to Professional Groups; Physicians,
Nurses, MSWs, Pastoral Care and Administrators in the Metropolitan NYC area.

EDUCATION: MA New York University -Nursing Administration

BSN Long Island University- Nursing
AWARDS & ACHIEVEMENTS:
Interfaith Medical Center -Outstanding Compassionate Care, Pain Management Sick
le Cell Anemia Patient support network in care of Hematology Division.
National Hospice Organization -Award of Excellence, for Outstanding Achievement
in the Design of Education Program. St. Maryas Hospital. Outpatient Program
National Hospice Organization - Award of Excellence, for Outstanding Achievemen
t in the Design of an Education Program. St. Mary's Hospital, Inpatient Program
New York University - Health Education, Nursing Art and Professionals a" Schola
rship Award
Long Island University Division of Nursing - Anne E. Port Award for Outstanding
Performance in Nursing.