Dipti Joshi

• Serve as a point of contact, coordinating and collaborating with business partners to ensure compliance with regulatory and Health Plan quality of care and service requirements
• Maintain collaborative inter-departmental and cross-departmental working relationships
• Identify opportunities to manage and mitigate those risks
• Key contributor to development, oversight, and monitoring of processes for specific contract requirements regarding regulatory reporting and any related audits
• Compile information related to quality improvement and compliance monitoring activities to internal stakeholders on a regular cadence
• Provide guidance and oversight to audit functions to ensure ongoing regulatory and monitor corrective action plans (CAP's) relating to regulatory compliance
• Make recommendations to key internal stakeholders for improvement or remediation to regulatory compliance programs
• Support Director of Clinical Compliance and Regulatory reporting and/or Senior Compliance Manager for projects related to clinical compliance and regulatory reporting

In a short period of time that I have worked in Clinical Compliance:

• Started leading the daily huddle for the entire team
• Started an activity called “The water cooler chat” to decrease silos among the various teams of compliance and bring the team together for a fun activity twice a month as the entire team is remote
• Participating in training new managers and analysts that started after me in the past six months
• Assisting Associate Director of Compliance that I report to with streamlining the daily and monthly tasks for the team as well as new colleagues' orientation
• Submitted monthly Odag reports to various Health Plans
• Initiated a shadowing program on a quarterly cadence for those interested from other departments in Clinical Compliance role

As a WOM=N and DEI ambassador:

• Was invited as a guest speaker on a panel for the Elevate People Leader Orientation session on a topic of “How to create a brand and a lens on executive presence”.
• Responsible for developing content and messaging to advance DEI's mission and raise awareness about Colleague Resource Group's (CRG) activities on organization's website. This includes writing on the website.
• Monthly, promoting it to employees and receiving feedback and ideas
• Work closely with President, Vice President, Director of clinical operations, Executive Director, Strategy Principal, Director of Clinical Quality, and Colleague Communication and Engagement Program Manager to collaborate on the needs of the CRG, Book Club discussions related to DEI/Women's issues, vision of the CRG, and raising visibility of the CRG initiatives
• Partner and act as a liaison between the CRG council and various teams on major initiatives or announcements.

• Successfully built a new team of 9 care coordinators for the Tampa/St. Petersburg region to cover about 105 Skilled Nursing Facilities for new market launch from 02/2021
• Manage daily activities of 9 Care Coordinators as assigned
• Monitored colleague caseloads daily and recommended adjustments in assignments for equity
• Approved PTO requests ensuring adequate staffing is available to meet department's needs
• Provide coverage of PTO of assigned team members
• Reviewed and update CTM Managers Tab (facility assignments) daily
• Facilitated weekly rounds, including SNF and/or readmission
• Cultivated a strong internal culture designed around collaboration, feedback, motivation, and accountability
• Participated in the hiring process with Human Resources (HR) and Senior Clinical Manager (SCM)
• Participated in and conducted colleague performance reviews, 1-1s
• Ensured the successful onboarding of all new colleagues by completing the 90-day competency review
• Report any barriers to SCM and arrange for ongoing support as identified
• Ensured all required home office inspections are completed annually
• Functioned as a preceptor and/or mentor and collaborate closely with all colleagues until they can function independently
• Reviewed key metrics with Market Leadership including daily and weekly reporting reviews
• Participated in chart audit reviews (QAR) and provided support/coaching/training to improve performance for colleagues scoring below the acceptable threshold
• Monitored and measured the execution of the organization's clinical model with a focus on improving patient outcomes
• Recommended process and policy changes to SCM based on results from these measures
• Conducted weekly team meetings and Clinical Team Manager (CTM) rounds for members going over the expected length of stay
• Facilitated weekly 1:1 meeting with assigned colleagues performing both clinical record reviews and offering guidance/support on challenging cases
• Observed colleague performance via observations at set intervals, as determined by the market, by conducting onsite visits
• Collaborated with internal business partners/Shared Services area to achieve and maintain all contractual service language agreements.

• Successfully performed all duties of PSC since launch of UHC in July'2019
• Consistently have been identified as top leader, highest producer, excellent communicator, strong clinician with meticulous work asking for more; by CTM during one on ones
• Experienced with new launch of new health plan without experienced leadership in place
• Experienced with constant changes in job flow, processes, and documentation
• Selected for National accounts IRF/LTAC team
• Appointed to train PSC from another health plan to transition to UHC
• Successfully also managed continued stay for IRF patients for UHC
• Recipient of “Most Go to Person” award voted by peers/management during internal yearly celebration event
• Received colleague recognition through Quantum by teammates and Director of Clinical Operations
• Recipient of several complimentary emails from providers that were used by Network Operations President and Director of Provider Relations in executive JOCs
• Assisted CTM effectively in queue management
• Appointed as “CTM for the day” when all managers were at Kick-Off meeting for a day
• Appointed to lead new PSCs in training to successfully onboard to UHC workflow after their orientation; in day-to-day operations for completing authorizations, upon CTM request
• Assisted CTM in sending out daily emails on several occasions to team regarding daily focus and important messages
• Assisted SCM/CTM on project for third-party education review
• During COVID-19 successfully completed standalone project, working closely with a Director of Clinical Operations, field SCM, field CTM, Provider Relations Managers closing MDS records
• During COVID- 19 when pre-service was on hold, was identified by CTM as the most positive PSC providing motivation and accountability to the team
• Have been requested by CTM to coach newer colleagues scoring below the expected productivity/acceptable performance indicators
• Successfully developed relationships with providers, MDs, and colleagues from various departments

• Evaluation and treatment of outpatient population
• Responsible for documentation, communication with doctors
• Crucial conversation with patient regarding importance of home exercise program, care, and precaution as it pertains to the diagnosis, splints
• Effective management of approved authorization for client's visits towards the goals and progress.

• Evaluation and treatment of sub-acute rehab population located on a transient floor of an acute care hospital, occasionally worked in outpatient clinic of the hospital
• Provided supervision of COTA and level 1 and 2 OT students
• Initiated leadership in orientation and mentorship to new employees
• Responsible for documentation, interdisciplinary communication with PT, SLP, doctors, nurses, CNAs, social workers, utilization review manager, MDS coordinator
• Educated by in-servicing support staff and families regarding precautions for patients, transfer techniques, adaptive equipment use, progression of the patient to next level in preparation for discharge, splints etc
• Responsible for discharge planning from the day of evaluation, crucial conversation regarding the same with patient, family and other disciplines mentioned above
• Took leadership to ensure minimizing abuse and waste of skilled services, determining medical necessity of services and effective utilization of services to benefit the clients
• Assisted with occasional clinical audits for compliance
• Represented rehab by attending UR meeting twice a week.

• Worked mostly with geriatric population, responsible for evaluations and
  treatments of patients in a SNF, ALF and occasionally in independent
  living.
  Responsible for documentation, supervision of COTA, interdisciplinary
  communication, attend care plan meetings, discharge planning.

Supervised OT staff and OT aides in clinical areas, coaching for various
techniques/methods. Responsible for their performance appraisals.
In absence of supervisor, was an acting director of rehab for
approximately 2 months.
Responsible for screening, evaluation, treatment, and documentation of
inpatients for subacute unit, a managed care unit as well as long term
patients.
Conducted staff meetings, maintained inventory and budget of the
department, responsible for day-to-day operations, hiring and training new
therapists and aides, interdisciplinary communication etc.
Assisted level 1 and 2 OT students to complete their fieldwork
successfully.

Started as a staff therapist and then promoted to supervisory position. As
a staff therapist, worked at the acute care setting (inpatient and outpatient)
and did rotations at nursing and rehab centers within the system (AHM).
 Responsible for screening, evaluation, treatment and documentation of
inpatients, outpatients, and nursing home patients.

 Developed handbook for splinting program, new evaluation forms and
student program with supervisor’s assistance.
 Acted as a resource person to rehab department at Washington Adventist
Hospital in transitioning to extended care facilities.
 Worked on setting up rehab department at WAN & RC.
 Supervised OT staff and OT aides in clinical areas, coaching for various
techniques/methods. Responsible for their performance appraisals.
 Conducted staff meetings, maintained inventory and budget of the
department, responsible for day-to-day operations, hiring and training new
therapists and aides, interdisciplinary communication etc.
 Assisted level 1 and 2 OT students to complete their fieldwork
successfully.