LAURA S.

MONTALVO, RN, BSN, COS-C, HCSD

16530 Redland Ranch~ SA, TX 78247~ lauramontalvo22@yahoo.com~(210) 412-4306

OBJECTIVE

Position Desired: Progressive Clinical Leadership/Quality nursing position in a

home health and hospice environment that provides superior clinical care
utilizing leading technology solutions.
SUMMARY OF QUALIFICATIONS

Over 15 years of nursing executive leadership experience emphasizing a

decisive yet team oriented style.
Executive clinical leadership roles
include: Chief Clinical Officer (CCO), Corporate Director of Nursing of
multi-line/multi-site home heath, and a Regional Director of Quality for a
multi-state home health and hospice chain.

Certified OASIS Specialist-Clinical (COS-C) credentialed. Certified Home

Care Coding Specialist-Diagnosis (HCS-D) credentialed. Over 20 years
multi-level home health experience, serving the full age spectrum from
elderly to pediatric patients as a field nurse, case manager, as well as
clinical director. AAPC Certified Professional Medical Auditor Graduate,
2014. Certified Care Transitions Coach obtained from the University of
Colorado.

Speaker 2015 & 2014 Decision Health Webinars; topic: Face-to-Face New
Requirements and Denial Prevention. Speaker 2013 National Home Health
Coding Summit (Decision Health); topic: Coding Compliance. Speaker 2011
National Quality Outcomes and OASIS-C Conference (Hosted by Decision
Health); topic: Home Health Face-to-Face Processes.

Frequent contributor to Home Care periodicals, Home Health Line,

Diagnosis Coding Pro, and OASIS-C Outcome and Solutions, 2012-2015.

Expert in medical necessity chart review, survey protocols, and advanced

trainer on home health and hospice benefit policies, OASIS, and ICD-9
coding. Dynamic transactional leader with proven ability to motivate and
inspire others to deliver productive, cost-effective, and exemplary health
care services.

Magna Cum Laude B.S.N. obtained from UT Health Science Center and
active Sigma Theta Tau International Honor Society member. Empower U
Leadership Awakening graduate.

PROFESSIONAL EXPERIENCE
Select Data, Anaheim, California
2014
to Present
Chief Clinical Officer
Clinical Thought Leader advancing coding and revenue cycle solutions to
the Home Health and Hospice industry.
Designed a proprietary OASIS-C review technology solution that
tracks/reports OASIS trends down to clinician level.

Designed a proprietary coding query category solution that tracks/reports

coding query trends down to clinician level.
Developed custom content as well as analyzed/purchased vendor
education content for new coder orientation/education solution delivered
via Learning Management System (LMS) to coders located throughout the
United States.
Developed coding competency program through advanced coding
assessments and daily complex code surveillance program revision. OIG
95% acceptable coding error rate maintained throughout employment.
Doubled coder base through innovative design of a Coding Bridge
program. This program transforms acute-care/outpatient coders into
successfully cross-trained home health and hospice coders after intense
education and multiple layers of competency verification. This talent
acquisition/preparation program has resulted in securing the largest
coding contract in the companys history 10,000 records per month.

CHRISTUS Continuing Care-HomeCare Division

2009
to 2014
Regional Director of Quality Management
Key member of CHRISTUS Leadership team responsible for all aspects of
clinical service quality for 16 home care and hospice offices located in
Texas and Louisiana.
Clinical quality leader with a proven track record of 50% of home health
agencies achieving Home Care Elite status, an independent rating of
home health quality and performance. The 2011 HomeCare Elite list,
compiled annually by OCS HomeCare and DecisionHealth, names the top 25
percent of home health agencies in the United States.

Successfully lead all home care and hospice offices through CHAP reaccreditation survey process with zero condition level deficiencies
throughout all regions. The corporate office received a perfect survey with
zero deficiencies cited in 2009 and 1 standard level tag in 2012.
Instrumental in the on-going remediation of IT software systems. Serves
as the chief nursing subject matter business expert for HomeCare and is
actively involved in process redesign, education/support, and overall
structure of point of care technology/SHP data mining solutions.
Developed a comprehensive coding education program to maximize
reimbursement and increased the number of certified home health coders
from 2 to 7 within 9 months.
Champion of two strategic initiatives: Improving OASIS inter-rater
reliability and compliance audit processes. Position reports directly to
Chief Nurse Executive.
Altegra Health
2012
to Present
Palmetto GBA Medical Claims Auditor (Contractor)
Remote auditor performing Palmetto GBA Home Health and Hospice ADR
on behalf of CMS
Restorative Healthcare, San Antonio, TX
2004
to 2009
Director of Nursing
Overall clinical operations for a Medicare-certified home health agency
with a patient census of approximately 400+; Lead OBQI/OBQM initiatives
for division; Supervising Nurse per licensure for all patients under license
which exceeds 1,000+ for all branches.
Successfully implemented Life Link Telemonitoring Program and decreased

acute hospitalization rates to below state and national percentages per

CMS Home Health Compare.
Superior OASIS and ICD-9 coding skills; COS-C and HCS-D certified with
increased HHRG/revenue for agency due to these expert skill sets.
Chosen by KCI Research for Wound Vac Clinical Trial Study Site
Clinical leader to over 55 licensed nurses
Also served as Pediatric Director of Nursing leading over 100 licensed
nursing personnel

CHRISTUS Santa Rosa Childrens Hospital, San Antonio, TX

2003-2004
Pediatric Registered Nurse

Emergency medicine nursing position delivering care to Code II/Code

III medical patients
Adjunct staff to the Respite Station serving the needs of medically fragile
children and their families in an acute care environment.
Technical experience providing all types of IV therapy, nebulizer
treatments, g-tube feedings, trach care, medication administration and
wound care.
Home Nursing & Therapy Services, San Antonio, TX
2001-2003
Corporate Director of Nurses

Managed over twenty-five licensed nurses, with overall clinical

responsibility for 750+ patients in the licensed home health division, plus
full responsibility for all aspects of market growth to further the
organizations goals.
Reported directly to the Chief Executive Officer of the company.
Performed all types of skilled nursing/OASIS visits for Medicare Home
Health division, various types of CBA/PHC assessments/supervisory visits,
and MDCP supervisory visits.
Willows Development Center, San Antonio, TX
1999-2001
Director of Nurses

Responsible for overall clinical operations of a

skilled nursing facility, with supervision responsibility
licensed nurses.
Implemented clinical competencies for licensed nursing
executive nursing report targeting medication error
developed in-depth orientation program.

104-bed ICF/MR
for over thirty
staff, developed
reduction, and

Brit-Tex Nursing Service, San Antonio, TX

1997-1999
RN Case Manager

CCP/MDCP program leader, with supervision responsibility for

licensed nursing staff performing pediatric private duty nursing care.
Performed Medicare home health visits, IV infusion, and complex wound
care visits.

EDUCATIONAL EXPERIENCE

University of Texas Health Sciences Center, San Antonio, TX

1996
Bachelor of Science in Nursing, MAGNA CUM LAUDE
Sigma Theta Tau International Honor Society of Nursing
University of the Incarnate Word, San Antonio, TX
1993-1995
Nursing Major
Endowed Scholarship recipient; Deans List 1993-1995
Brazosport College, Lake Jackson, TX
1990-1992
Nursing Major
Graduated top of Licensed Vocational Nursing Class 4.0 GPA

REFERENCES AVAILABLE UPON REQUEST