Open to opportunities

Mary Ann Zamora

@maryannzamora

Message

Experienced LVN QA supervisor specializing in home health and hospice documentation integrity.

United States

Message

What I'm looking for

I seek a role where I can lead QA and documentation integrity efforts in home health or hospice, coach clinicians, and improve audit readiness and denial outcomes.

I am a Licensed Vocational Nurse and hands-on Quality Assurance operations leader with 20+ years in Medicare-certified home health and hospice, focused on audit readiness, denial prevention, and clinician coaching. I build standardized documentation resources and GenAI-enabled workflows to strengthen medical necessity and hospice eligibility defensibility.

As a QA supervisor, I led daily QA operations while carrying an active production caseload, sustained a 96–98% affirmation rate on Skilled Pre-Claim Review, coordinated high-volume ADR preparation, and supervised up to 14 staff. I partner with clinical leadership to hardwire documentation integrity, produce quarterly QA reporting, and implement corrective education to improve compliance and outcomes.

Experience

Work history, roles, and key accomplishments

Current

Home Health & Hospice QA Supervisor

Current

Del Cielo Home Care

Mar 2002 - Present (24 years 3 months)

Lead QA operations and pre-claim review processes for Medicare-certified home health and hospice, maintaining a 96–98% PCR affirmation rate and managing ADRs, denials, and TPE appeal support for a ~$16M annual revenue operation.

Pre Claim Review (PCR)OASIS Accuracy

Education

Degrees, certifications, and relevant coursework

Bee County College

Licensed Vocational Nurse, Vocational Nursing

Completed vocational nursing education leading to Licensed Vocational Nurse (LVN) qualification; prepared for clinical practice in home health and hospice settings.