Dana Handy
Summary
Health Services Administrator with over 15 years of experience overseeing healthcare services for Department of Corrections, and a number of treatment and recovery facilities. Coordinates clinics, blood drives and other program activities to increase community wellbeing. Detail-oriented, hardworking and knowledgeable leader with excellent organizational and communication skills. Well-qualified Health Services Administrator effective at developing and implementing service policies to meet changing needs. Decisive manager with 15 years' experience in the field. Pursuing a new professional opportunity with long-term potential.
Overview
10
10
years of professional experience
Work History
Health Service Administrator
YESCARE
05.2021 - Current
- The Health Services Administrator (HSA) is the chief administrative manager of the on-site health services department
- Accountable for the delivery of the contract services and ensuring that Corizon is in compliance with all aspects of the client contract
- Responsible for recruiting and hiring all personnel and accountable for interviewing and selecting contractual staff
- In addition to managing the site budget, constructs and supervises an annual operational plan
- Develop and maintaining positive, professional, collaborative relationships with clients (warden, supervisor, and/or equivalent client role) and ensuring customer service
- Manages the healthcare delivery system and coordinates with the other functions within the institution
- Manages the budget and financial performance of the site
- Submits timely and accurate reports to supervisor and/or corporate office
- Develops and/or supervises the facility operational plan
- Directs the activities of the assigned staff
- Actively recruits new staff
- Arranges interview process for potential staff including necessary collateral colleagues
- (i.e., director of nursing) and departments
- Interfaces with Corizon Human Resources for the hiring and termination of all site staff
- Manages labor ensuring the site is staffed according to contractual commitments and supervises staff scheduling
- Coordinates or participates in the interviewing and selection of Independent Contractor's
- Ensures orientation of new Corizon personnel by conducting or coordinating all initial new hire and annual orientation and training activities
- Ensures site utilization and compliance with all Corizon and applicable client systems and applications
- Coordinates the Medical Audit Committee and facilitates the monthly meetings
- Ensures compliance with ACA and/or NCCHC standards and Corizon clinical services and administrative policies and procedures
- Coordinates with Hospital Administrators and other external providers the delivery of services at hospitals or other eternal health services locations outside the institution
- When appropriate, negotiates third party contracts for the institution
- Adheres to and enforces all safety and security policies and procedures and participates in and ensures compliance with applicable safety/emergency drills
- Follows and enforces all security regulations, including but not limited to keys, sharps, and controlled medications
- Ensures annual performance evaluations are conducted ad competed with all personnel, including peer reviews
- Manage over 100 staff members both clinical and administrative
- Oversaw accounting, budgeting, and financial reporting.
- Analyzed current programs to determine effectiveness.
- Assisted with regulatory issues such as compliance.
- Created and implemented organizational policies and procedures.
- Coordinated activities with to align planning processes with targeted project outcomes.
- Recruited, oriented and trained healthcare staff members.
- Tracked and evaluated statistical data on healthcare activities to make effective program decisions.
- Organized and managed contracts directly related to strategic mission of healthcare system.
- Consulted with healthcare professionals on business decisions.
- Managed team schedule and workflow between jobs.
- Provided in-depth support to executive staff in regards to healthcare programs and administration.
- Monitored status of individuals with chronic health concerns.
- Maintained credentialing and immunization logs for employees and providers.
- Developed and maintained electronic record management systems to analyze and process data.
- Reviewed requests for expenditures and determined if such applications were justified and within budget.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Spearheaded and implemented new projects to expand scope of engagement.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Collaborated with store manager to maintain daily operations.
- Discussed medical histories with patients in effort to provide most effective medical advice.
- Created customized care plans, working with hospital staff and families to assess and meet individual needs.
- Trained pharmacy interns and newly hired pharmacy technicians.
- Defined testing protocols, quality assurance initiatives and clinic policies and procedures.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Ordered all pharmacy supplies and kept check on inventory levels.
- Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
- Developed policies and procedures for effective pharmacy management.
- Removed trash and straightened counters to keep pharmacy area clean and neat.
- Successfully negotiated client contract renewals to create increased revenue.
- Communicated with patients, ensuring that medical information was kept private.
- Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility.
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
Clinical Trainer
Versant Health
09.2019 - 05.2021
- For the utilization management department conducts staff knowledge and skills assessments, develops training modules, and conducts training sessions
- Documents UM task processes to evaluate alignment with accreditation and Maryland regulatory requirements
- Monitors and documents employee performance of both documented tasks and team collaboration skills including handoffs, document filing, and communication
- Develops and maintains a formation training program to ensure best practices, compliance, adherence, and quality goals and objectives of the department
- Establishes and conducts orientation, induction of training programs to prepare Utilization Management associate employees for assignments
- Deliver effective training in multiple modalities (classroom, virtual, self-learning, to adult learners)
- Develop training aids, curriculum of criteria to support a sustainable training program
- Continually evaluate effectiveness of training programs, recommends and or develops revisions as needed
- Develops reporting mechanisms to gauge training effectiveness
- Maintains formal training activities and employee's programs and develops reporting mechanisms to gauge effectiveness of training effort both individual associate and department level
- Assists management with development of quality audit programs based on training metrics
- Assists management in developing and implementing corrective action plans (CAPS) via training needs as appropriate
- Support external CAPs related to Utilization Management activities as required
- Maintains high level of understanding of Medicare and Medicaid regulation to support education of staff
- Instructed and coached students to help overcome academic issues and personal challenges.
- Incorporated instructional aids and motivational strategies to eradicate learning gaps.
- Provided educational lectures and facilitated discussions on weekly basis.
- Updated instructional materials, ordered equipment and supplies and utilized various learning modalities to enhance instruction.
- Implemented instructional presentations to communicate coursework goals.
- Delivered individualized instruction on observation, assessment, decision-making and patient health teaching.
- Provided nursing skill demonstrations for medication administration, dressing changes and clinical logs.
- Instructed students on how to perform head-to-toe assessments on patients and how to intervene in medical emergencies.
- Improved student performance by defining clear goals and communicating performance metrics.
- Worked with department heads, staff and faculty to develop engaging curriculum and advance instruction for nursing programs.
- Provide clinical instruction to Providers, nurses and administration students in clinical settings.
Director of Admissions and Utilization
Maryland Centers for Addiction Treatment
02.2018 - 09.2019
- Admissions and Utilization - Evaluated clinical and non-clinical departmental functions according to changing state, federal and accrediting body requirements
- Develop and instruct training curriculum for 100 staff members, CEO, Medical directors and non-clinical and clinical staff
- Provided both on-boarding and current employees with multiple training settings such as classroom, synchronous online, and 1 on 1 training
- Managed UM requirements of health plan contracts to ensure UM processes aligned with the negotiated fees
- Reviewed and verified utilization compliance and determine corrective action
- Evaluated clinical audits conducted by health plans, State of Maryland and corporate entities
- Prepared procedures to adhere to both clinical and non-clinical safety policies and procedures of facility
- Managed Admissions and Utilization activities through, planning scheduling and of supervisors
- Responsible for continuous training and retraining for all staff to ensure current and future business objectives are met
- Trained 4 departments on safety, policy, procedure and new roll outs in preparation for getting our accreditation with Joint Commission
- Ensured admissions & utilization management staff is properly trained in relation to level of care assessments based on ASAM criteria, with training aids and certain curriculum to support training program
- Developed reporting programs to gauge training effectiveness
- Collaborated with senior management team with corporate operations team to develop, implement, and evaluate screening, assessment and admissions process, as well as the overall quality of the clinical program
- Prepared and audited charts for review to meet compliance adherence and the objectives of the company
- Designed and implemented procedures and policies to ensure high bed occupancy and to control bed availability
- Knowledge of case management, health record review, and monitoring procedures
- Worked closely with other departments to improve cross organizational relationships, morale and productivity.
- Performed prior authorization review of services requiring notification.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Performed admission reviews based for medical necessity based upon criteria specification.
- Supervised and maintained all utilization review documentation through Salesforce.
- Supervised and maintained all utilization review documentation through various software programs
- Devise or identify solutions for irregular requests and issues.
- Facilitated workgroup meetings with medical personnel to find effective solutions to issues.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Communicated with patients, ensuring that medical information was kept private.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
- Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility.
- Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
- Discussed medical histories with patients in effort to provide most effective medical advice.
- Created customized care plans, working with hospital staff and families to assess and meet individual needs.
- Spearheaded and implemented new projects to expand scope of engagement.
- Ordered all pharmacy supplies and kept check on inventory levels.
- Defined testing protocols, quality assurance initiatives and clinic policies and procedures.
- Scheduled surgeries, managed pre-certifications and verified insurance coverage.
- Developed policies and procedures for effective pharmacy management.
- Collaborated with store manager to maintain daily operations.
- Successfully negotiated client contract renewals to create increased revenue.
- Trained pharmacy interns and newly hired pharmacy technicians.
- Removed trash and straightened counters to keep pharmacy area clean and neat.
Regional Service Business Development Officer, Mobile Clinical Assessor, Admissions and Utilization Coordinator
Acadia HealthCare
07.2013 - 02.2018
- As a mobile clinical assessor, established relationships with hospitals, court systems, attorneys, and colleges to evaluate and admit persons with substance addiction and psychiatric dual diagnoses
- Responsibilities included:
- Insured admissions to the facility occur in a timely and seamless manner; Supervision of additional Admissions personnel as needed; Ensuring analytical reporting to appropriate corporate staff
- Responsible for all aspects of admission; Screening, Intake, Assessment, Insurance Verification, finalizing single case agreements
- In depth knowledge of alcohol and substance abuse, dual diagnosis and rehabilitation programs
- Reviewed pre-admission assessments –clinical, financial and qualification of clients for appropriate admission
- Conducted coordination of benefits (COB) verification, identification of financial guarantor and payment arrangements
- Insured internal communications with the CEO, Medical Director, Director of Nursing and Clinical Director were completed
- Was point of contact for client, family members, referents and all arrangements for admission including travel/transportation
- Supported director to develop processes, procedures and systems that contribute to the development of strategic business development
- Compiled statistics and data relevant to admissions and marketing
- Maintained current reference book for appropriate community resources
- Compiled monthly report of contacts identifying trends and patters within calls
- Interpreted and implemented policies, procedures and regulations.
- Maintained appropriate progress notes for supervision hours and inputs.
- Provided caregiver training on implementation of individualized treatment plans.
- Conducted regular home and community visits based on clinical needs.
- Remained current regarding new research, latest trends and developments related to autism, special education and other fields.
- Performed prior authorization review of services requiring notification.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Served as subject matter resource, providing information related to all situations.
- Performed admission reviews based for medical necessity based upon specification.
- Devise or identify solutions for irregular requests and issues.
- Facilitated workgroup meetings with medical personnel to find effective solutions to issues.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Teamed with other physicians, specialists, and health care providers to provide well-rounded care for complex cases.
- Provided emergent medical care and treatment for life-threatening injuries and illnesses.
- Met with patients to discuss medical histories and current complaints.
- Ordered and executed various tests, analyses, and diagnostic images to provide information on patient condition.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Admitted and treated patients as part of hospital's 24-hour on-call services.
- Created and managed social media campaigns to increase brand engagement.
- Communicated with patients, ensuring that medical information was kept private.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Reviewed patient records, medications and immunization statuses.
- Collaborated with healthcare team to support continuity of care and coordination of services.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Conducted physical assessments of relevant body areas and performed standardized tests to check responses.
- Conducted market research to identify new opportunities and target markets.
- Oversaw preparation of marketing copy, images, videos, emails, and other collateral.
- Developed appropriate treatment plans for patients, both in written and oral formats.
- Continually maintained and improved company's reputation and positive image in markets served.
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
- Established, initiated and optimized business development strategies based on company targets, product specifications, market data, and budget factors.
- Devised content strategy to effectively engage target audiences.
- Coordinated with design and media teams to develop high-quality creative assets.
- Launched successful digital marketing campaigns that achieved goals for increased website traffic.
- Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility.
- Executed comprehensive marketing plans that consistently achieved targets for increased revenue.
- Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
Education
MBA - MBA
University of Maryland
Baltimore, MD06.2021
Bachelor of Science - Business & Management-Organizational Administration
Pensacola State
Pensacola, FL12.2015
Associate - Arts in Criminal Justice
Pensacola State
Pensacola, FL05.2013
Skills
- Strong Regulatory and Accreditation
- Staff Management
- Organizational
- CARF accreditation
- Sales Force (patient management software
- Training & Planning Presentation
- Joint Commission
- Strong SoftDent EMR
- Physician training
- NCQA UM/Quality/Behavioral Health
- VPA (admissions EMR)
- ServiceNow (SNOW)
- NCCHC
- Cares
- DPSCS
- URAC accreditation
- Ultipro (timekeeping)
- MS Office Suite
- CMS
- ADP (timekeeping)
- Kronos
- Maryland health care regs
- Shift Hound (time & schedule)
- EPHR
- FL, NC, VA health care regs
- Concur (e-receipts/expenses)
- CCHP Certified
- People Staffing Control Document
- Citrix
- Train Employees
- Code Compliance
- Nursing Operations Management
- Continuous Improvement Planning
- Inquiry Research
- Managing Medical Practices
- Staff Reviews
- Diagnostic Services Monitoring
- Seasoned in Medical Clinical Procedures
- Healthcare Delivery Systems Management
- Community-Based Educational Programs
- Policy Development
- Organizational Goal Development
- Contract Development
- Health Information Systems (HIS)
- Administration and Management
- Business Operations
- Operational Policy Planning
- Workflow Planning
- Social Media Tools
- Floor Assignments
- Strategic Business Planning
- Hiring Medical Personnel
- Accreditation Coordination and completion
- Routine Inspections
- Medicare Compliance
- Logistics Project Management
- Facility Oversight
- Evaluations and Analysis
- Organizational Policies
- Client Consulting
- Federal Guidelines
- Interpersonal and Written Communication
- Rehabilitation Programs
- Employee Health Services
- Behavioral Health Services
- Operational Policies and Processes
- Quality Assurance Controls
- Recruit Well-Qualified Staff
- Policy Implementation
- Strategic Consulting
- Electronic Medical Record Software
- Medical Programs Implementation
- Website ToolsPolicy and Procedure Development
- Effective Customer Communication
- Resource Monitoring
- Quality Control
- Utilization Management
- Profitability Strategies
- Clinical Staff Management
- Instructional Materials Development
- Clinical Quality Program Standards
- Administrative Staff Supervision
- Resource Allocation
Accomplishments
- Supervised team of 200 staff members.
- Achieved national accreditations for many of the facilities that I was responsible for
- Effectively lowered over time by 23% within the first quarter
- Used Microsoft Excel to develop inventory tracking spreadsheets.
Timeline
Health Service Administrator
YESCARE
05.2021 - Current
Clinical Trainer
Versant Health
09.2019 - 05.2021
Director of Admissions and Utilization
Maryland Centers for Addiction Treatment
02.2018 - 09.2019
Regional Service Business Development Officer, Mobile Clinical Assessor, Admissions and Utilization Coordinator
Acadia HealthCare
07.2013 - 02.2018
MBA - MBA
University of Maryland
Bachelor of Science - Business & Management-Organizational Administration
Pensacola State
Associate - Arts in Criminal Justice
Pensacola State