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My name is Kim Spence, and I am a Registered Nurse located in Plano, Texas. With over 18 years of diverse nursing experience, I currently lead the Customer Success Division at KanTime Inc., where I leverage my extensive knowledge in home health care and compliance. My career has included roles such as Home Health ADON and Clinical Supervisor, where I ensured adherence to regulations and optimized patient care services. I hold an Associate's degree in Registered Nursing from El Centro College, which laid the foundation for my clinical expertise. I am proficient in English and have developed strong skills in patient management, quality assurance, and software implementation, particularly with Brightree. Throughout my journey, I have consistently focused on enhancing patient outcomes and supporting healthcare teams in delivering exceptional service.

Experience

  • KanTime Inc.
    • Plano, Texas, United States
    • Customer Success Division Leader
      • Jun 2020 - Present
      • Plano, Texas, United States

  • American Home Care
    • Terrell, Texas
    • Home Health Alternate Supervising Nurse/ADON
      • Apr 2015 - Feb 2020
      • Terrell, Texas

      December 2017-February 2020: Home Health ADON, Home Health Alt Emergency Management Coordinator, Hospice HIS Coordinator, QAPI Director, Clinical Supervisor Mesquite and Rockwall, Branch Manager - Mesquite OfficeDemonstrate in-depth knowledge of, interpret and ensure the agency's daily operations conform to the requirements as defined in the agency's policies and procedures, HHS regulations and the Centers for Medicare and Medicaid Services (CMS) regulations relating to the operation of the agency. Promote compliance with fiscal intermediaries and assist in development of policies and procedures. Assure that all HHA services are provided in accordance with current clinical practice guidelines and accepted professional standards of practice. Oversight of all patient care services and personnel including making patient and personnel assignments, coordinating patient care, coordinating referrals, assuring that patient needs are continually assessed and assuring the development, implementation and updates of the individualized plan of care. Assist with supervision and direction of office and field personnel in an effort to ensure compliance with policy, procedures and applicable regulations. Assist Administration with interview and hiring of qualified personnel including orientation, in-service, continuing education. Monitor QAPI program and participate in QAPI activities-Perform/oversee various audits and review of all branches data with identification of adverse trends, develop plans of correction as needed for agency operations, generate reports to document findings, implement actions for correction and follow-up to analyze the effectiveness of corrective actions to comply with regulations. Staff education regarding modifications needed in documentation/processes/compliance. Assist in review of ADR’s received by the agency. ICD-10 Coding of OASIS and insurance assessments. 485/OASIS review of clinician documentation. Revise policies and procedures as appropriate.

    • RN/Case Manager/QA Coordinator
      • Mar 2001 - Apr 2015
      • Commerce, TX

      Implemented of use of Brightree software (2009) in the agency including computer set-up/imaging, coordination with Brightree staff for initial “Train the Trainer” sessions, trained agency staff to begin software use, coordinated and set-up account with SHP for OASIS scrubbing and later for HHCAHPS surveysActed as Administrator for Brightree set-up and data entry (including agency, staff and patient info), coordinated with Brightree for issues, tech support, use of electronic orders for physicians and all others aspects of system administrationWorked from AFO for audits, 485/OASIS review of clinician documentation once in “Ready for Review” status, responsible for OASIS file creation and transmission, HHCAHPS survey file creation and transmission, generation of reports/data extraction as needed for agency operations, performed/oversight for troubleshooting for agency staff with computer/software issues and coordination with Brightree for resolution of issuesWorked as clinician/case manager in the field utilizing CPOCRequired knowledge of current Medicare compliance/regulations/changes with implementation/education of staffPerformed various audits with identification of adverse trends, conferred with management to develop plans of correction as needed for agency operations, reviewed/revised clinical documentation and agency processes, conducted staff education on identified trends/issues, generated reports to document findings, implemented actions for correction and followed-up to analyze the effectiveness of corrective actions to comply with Medicare regulationsReviewed, processed and submitted ADR’s received by the agency in coordination with managementParticipated in State Survey as needed/designated by agency DON & Administrator

    • RN/Branch Manager
      • 1999 - 2001
      • Greenville, TX

    • Pediatric RN
      • 1992 - 1999
      • Rowlett, TX

      Responsible for patient triage, assisted in all office visits/procedures, oversight in-office labs & CLIA compliance/testing, implemented and coordinated low cost vaccine program with the Texas Department of Health, acted as liaison between the physician and parents of our patients

    • Staff RN
      • 1987 - 1992
      • Rowlett, TX

      Med/Surg, Endoscopy, Post Partum/Level I Newborn Nursery/L&DClinical Level II-Administrative Call/Staffing for OB/Gyn/L&D/Nursery Developed & taught Infant & Child Safety/CPR course for public

    • Staff Nurse/Charge Nurse Renal Transplant Unit
      • 1985 - 1987
      • Dallas, TX

Education

  • 1981 - 1985
    El Centro College
    Associate's degree, Registered Nursing/Registered Nurse

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