Focused Compliance Officer bringing 5 years of expertise in regulatory compliance, audit procedures, project oversight and risk management. Excellent history of delivering effective leadership and training to support staff development. Driven and strategic with an aptitude for program management. Advanced knowledge of audit methodologies, functions and compliance teams.
Overview
10
10
years of professional experience
Work History
Compliance Officer
Minerva Park Behavioral Health
Columbus, Ohio
01.2023 - Current
Hold primary responsibility for implementing and maintaining an effective behavioral health compliance plan, complying with all federal and state regulations
Educate the management team and staff about compliance, operational compliance issues, risk issues related to the agency's lines of business and appropriate details of the compliance program
Serve as the agency's HIPAA Privacy and Security officer
Creates and maintains documentation systems and processes as needed to track, trend and manage compliance notifications, issues, corrective action plans, audit results, etc
Ensure corrective actions are adequate and have been implemented for all identified compliance deficiencies
Handle records compliance: be knowledgeable about state and federal regulations around behavioral health records
Ensure that the Board of Directors, management and employees are in compliance with the rules and regulations of regulatory agencies
Responsible for implementing policies and procedures, developing training programs and auditing/monitoring compliance related matters.
Administrative Manager
CRN Healthcare, Inc.
Columbus, Ohio
01.2021 - 11.2022
Responsible for managing the daily operations of the Columbus location, including supervising staff and agency admissions, coordinating clinical programming, nursing and client transportation schedules, and other strategic planning to ensure the delivery of quality services to our consumers
Responsible for generating financial reports designed to track and measure productivity and revenue management for 10 CRN locations
Responsible for creating and maintaining documentation systems and processes designed to track and manage the accurate submission of all billing claims for 10 CRN locations
Responsible for the interviewing, onboarding, and training of new employees and ensuring compliance in all human resource-related policies and practices for the Columbus location
Responsible for auditing of client charts to ensure accuracy of coding and quality of treatment notes
Serves as the agency’s Client Right’s Officer to address the needs and grievances, as well as protecting the rights of agency consumers.
Clinic Administrator
Global Wellness Center LLC.
Columbus, Ohio
10.2019 - 01.2021
Provided daily direction, supervision and coordination of the clinical and medical programs, business operations and financial performance of the clinic
Responsible for the development and implementation of all policies, procedures, processes, and strategic planning of behavioral health programs
Responsible for working with medical and clinical departments, as well as community stakeholders to successfully develop and implement quality treatment services for behavioral health consumers
Supervised and completed the insurance contracting and credentialing process for the company, as well as its’ providers while ensuring the accuracy of all claims and timely billing processes
Responsible for the development of employee job descriptions while ensuring compliance in all human resource practices, including the maintenance of personnel files.
Compliance/Human Resources Manager
Minerva Park Addiction Management
Columbus, Ohio
11.2018 - 10.2019
Responsible for the quality assurance of all clinical programming, including clinical charts auditing and ensuring that programs are providing quality services while documenting in accordance with state regulations and substance use disorder treatment standards
Provided guidance, support, and training to clinical and residential staff members to ensure documentation practices aligned with state regulations and overall compliance of treatment standards
Onboarded all new personnel, developed job descriptions, maintained personnel files, and ensured compliance with all human resource policies, practices, and procedures
Served as payroll administrator
Created and maintained documentation systems and processes designed to track and manage the submission of all billing claims throughout the agency.
Operations Manager
Eden Counseling Centers
Columbus, Ohio
05.2017 - 01.2018
Provided daily supervision of substance use disorder programming and staff to ensure facilities and program compliance, competency, quality of services, client engagement and implementation of written agency processes and protocols
Designed and utilized analytical management reports to assess agency trends and opportunities to implement new programming and special projects designed to maintain/improve client volume, access to care and gross revenue
Responsible for ensuring the completion of facility inspection reports and designed and implemented fire and safety protocols and procedures
Managed agency incident and crisis management reporting
Coordinated restructuring of intake/admissions, billing and UDS department processes to maximize accuracy of billing and coding procedures to significantly reduce insurance and other payment denials
Assisted in staff recruitment, development and the provision of agency training.
Program Manager
NeuroRestorative Ohio
Reynoldsburg, Ohio
06.2016 - 05.2017
Managed the delivery of in-residential therapies, treatments and behavioral interventions for behaviorally and medically complex adult populations while providing case management services to such populations
Monitored, developed and implemented progressive programming concepts that ensured compliance with Federal and State regulations
Communicated with funders to determine expectations, goal progress and guidelines governing programming reimbursements and related benefits
Organized and directed Interdisciplinary Team meetings, as well Utilization Reviews and Admissions Reviews to develop care plans, determine admissions eligibility and provide technical assistance on treatment interventions
Maintained and supervised operational budget, projected revenue and implemented cost-effective measures designed to adequately utilize all programming funds
Responsible for the hiring, specialized training, retention and evaluation off all staff and contracted personnel.
Program Manager, Navigator Program
Columbus Area Integrated Health Services, Inc.
Columbus, Ohio
05.2015 - 06.2016
Implemented and managed operations of housing and homeless grant programs while managing the delivery of supplemental community referral services to clients
Developed and implemented quality assurance measures designed to ensure grant compliance and regularly conducted utilization reviews to maximize employee productivity while monitoring employee performance
Provided technical assistance on progression of housing and behavioral health cases and supervised hiring and training of new staff
Prepared and monitored both grant budget reports and technical reports for agency executives and grant funders
Monitored employee productivity to maximize housing outcomes and client relationships
Maintained productive partnerships with landlords, vendors and local community partners.
Navigator/Case Manager, Navigator Program
Access Ohio, Mental Health Center of Excellence
Columbus, Ohio
09.2014 - 05.2015
Conducted program intakes and needs assessments (i.e
Vulnerability Assessments, Alcohol/Drug Screens, Mental Health Screenings, etc.) to facilitate the development of an Individualized Service Plan designed to address barriers to stable housing and appropriate, on-going mental/general health care advancement of clients
Facilitated client linkage to community resources (e.g
Benefits enrollment, employment services, peer support, children’s and veteran’s services, substance use disorder treatment, and other mental and general health-related needs) for the purpose of fostering housing stability and on-going community support
Monitored, evaluated, and documented client progress with respect to ISP-specific housing and mental health-related treatment objectives and goals and provided after-care services, as needed.
Education
Master of Arts in Forensic Psychology -
Argosy University
04.2014
Bachelor of Science in Psychology -
The Ohio State University
12.2011
Skills
Auditing & Compliance
Executive Management Reporting
Process & Productivity Improvement
Budget Management
Certification & Credentialing
Human Resources
Program Design/Implementation
Utilization Review & Management
Staff Training & Development
Microsoft Office (Access, Excel, Word, PowerPoint, Outlook)
Google Drive and Docs (Documents, Spreadsheets & Calendars)
Additional Systems (Columbus ServicePoint, Glenwood, NextGen, Care Manager, Dr Chrono, Zen Charts)
Certifications Trainings
Basic Life Support & First Aid for Healthcare Providers, AHA
Chemical Dependency Counselor Assistant, Ohio Chemical Dependency Professionals Board
Conflict De-escalation Training
Timeline
Compliance Officer
Minerva Park Behavioral Health
01.2023 - Current
Administrative Manager
CRN Healthcare, Inc.
01.2021 - 11.2022
Clinic Administrator
Global Wellness Center LLC.
10.2019 - 01.2021
Compliance/Human Resources Manager
Minerva Park Addiction Management
11.2018 - 10.2019
Operations Manager
Eden Counseling Centers
05.2017 - 01.2018
Program Manager
NeuroRestorative Ohio
06.2016 - 05.2017
Program Manager, Navigator Program
Columbus Area Integrated Health Services, Inc.
05.2015 - 06.2016
Navigator/Case Manager, Navigator Program
Access Ohio, Mental Health Center of Excellence
09.2014 - 05.2015
Master of Arts in Forensic Psychology -
Argosy University
Bachelor of Science in Psychology -
The Ohio State University
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