Motivated Director, brings strong leadership and planning talents. Proven skills in building and directing strong teams to achieve challenging objectives. Deep understanding of Health Care practices and market conditions.
Overview
18
18
years of professional experience
Work History
Center Director- Operations
Trinity Health- PACE
Wilmington, DE
11.2022 - Current
Direct the daily operations for two locations, as well as supervising the day center managers, nurse managers, home care supervisor, rehabilitation therapists, dietitians, transportation supervisor, recreation therapists
Supports Executive Director in financial and contractual relationships with health care organizations within MCO network
Lead daily morning communication meetings and facilitate the IDT in their role of addressing participant needs, implementing a plan for services, and evaluating effectiveness of results
Facilitate interdisciplinary team I & A and reassessment meetings, assuring that plans are followed-up and that all staff are accountable for high quality service delivery and that all decision documentation requirements are met
Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health PACE Corporate Integrity Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior
Communicate on a regular basis with senior operation and clinical leaders, the medical staff, and other identified stakeholders regarding achievements and concerns related to member safety, quality, member loyalty, colleague engagement and physician satisfaction.
Conducted regular staff meetings to discuss department objectives and goals.
Developed and managed annual operating budget for center.
Sales and Enrollment Manager
Trinity Health PACE
Wilmington, DE
09.2012 - 11.2022
Performing all evaluation and assessment to determine eligibility and enrollment into LIFE PACE Program
Hire, manage and train the Sales Team to achieve sales targets
Build and modify territory sales plans to achieve annual budgeted census goals
Oversee Medicaid and Medicare applications for participants seeking Community-Based Long Term Care Services
Develop and review strategic marketing plans and spreadsheet
Perform individual mid-year and annual evaluations of all direct reports
Complete regular reviews of KPI’s and CRM analytics for workflow improvement
Knowledge of billing of Medicaid and Medicare claims
Oversee the use of CRM and electronic health records for accuracy and timeliness
Work with Director of Finance in billing of Medicaid benefits
Work closely with CMS and the Department of Medicaid and Medical Assistance.
Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
Intensive Case Manager
Fellowship Health Resources, Inc.
Phoenixville, PA
01.2009 - 01.2011
Provided case management services for 25-30 clients ranging from young adults to geriatric age with severe and persistent mental illness or substance abuse
Case management services included helping with housing, social service support, medication management, accessing financial support, referrals for vocational training, advocacy plus other support services
Assisted mental health therapist with running women's groups for mental health clients.
Developed individualized service plans for clients, including goals and objectives tailored to their needs.
Provided crisis intervention and supportive counseling services to clients in a variety of settings including home visits and group sessions.
Senior Medicaid Service Coordinator
A Very Special Place, Inc.
Staten Island, NY
01.2006 - 01.2009
Co-supervised a staff of 12 Medicaid Service Coordinators
MSC coordinated and maintained programs, appointments, and work schedules for mentally disabled/challenged adults and children
Duties also included processing and maintaining documentation that complies with having Medicaid and Medicare
Also completed monthly face to face visits and quarterly home visits for a 25-person caseload
Case management services included helping with housing, social service support, medication management, accessing financial support, referrals for vocational training, advocacy plus other support services.
Coordinated with other agencies and community resources to ensure that clients received necessary services.
Organized outreach events such as educational seminars or group activities in order to inform potential beneficiaries of available programs or services.
Education
Master of Health Science - Medical Pharmacological Science and Business
Thomas Jefferson University
Philadelphia, PA
01.2025
Master of Healthcare Administration - Management
Wilmington University
New Castle, DE
01.2015
Bachelor of Health Science - Health Science
Drexel University
Philadelphia, PA
01.2006
Skills
Medicaid
Medicare
Third Party Insurance
PACE
LTC Medicaid
Money Follows the People
SSI/SSD Benefits
Dual Diagnosis Counseling
Certification- Recognizing Alzheimer's and Dementia Cert
Veteran’s Coordination
Kronos
Truchart
QuickBase
PASRR
Enquire- CRM
CPR
First aid
Adult/child AED trained
Microsoft Office Suites - All Apps
Healthy Families America
Emergency Response
Logistics Coordination
Staff evaluations
Medicaid Service CORE Training
Facility Management
Related Experience
Center director, Trinity Health -saint francis healthcare-LIFE, 11/2022, Present, Direct the daily operations for two locations, as well as supervising the day center managers, nurse managers, home care supervisor, rehabilitation therapists, dietitians, transportation supervisor, recreation therapists. Supports Executive Director in financial and contractual relationships with health care organizations within MCO network. Lead daily morning communication meetings and facilitate the IDT in their role of addressing participant needs, implementing a plan for services, and evaluating effectiveness of results. Facilitate interdisciplinary team I & A and reassessment meetings, assuring that plans are followed-up and that all staff are accountable for high quality service delivery and that all decision documentation requirements are met. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health PACE Corporate Integrity Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior. Communicate on a regular basis with senior operation and clinical leaders, the medical staff, and other identified stakeholders regarding achievements and concerns related to member safety, quality, member loyalty, colleague engagement and physician satisfaction.
Sales and enrollment manager, Trinity Health-saint francis healthcare-LIFE, 9/2012, 11/2022, Performing all evaluation and assessment to determine eligibility and enrollment into LIFE PACE Program. Hire, manage and train the Sales Team to achieve sales targets. Build and modify territory sales plans to achieve annual budgeted census goals. Oversee Medicaid and Medicare applications for participants seeking Community-Based Long Term Care Services. Develop and review strategic marketing plans and spreadsheet. Perform individual mid-year and annual evaluations of all direct reports. Complete regular reviews of KPI’s and CRM analytics for workflow improvement. Knowledge of billing of Medicaid and Medicare claims. Oversee the use of CRM and electronic health records for accuracy and timeliness. Work with Director of Finance in billing of Medicaid benefits. Work closely with CMS and the Department of Medicaid and Medical Assistance.
Resource case manager, Children and families FIRST, 2011, 2012, Providing outreach, assistance with accessing healthcare and social services for Prenatal and Post-Partum clients. Supporting at risk prenatal clients, and low-income mothers with any presenting problems. Conducting referrals and intakes regarding the client's well-being. Providing Early Intervention for children from birth to 36 months old.
Intensive case manager- ACTt TEAM, FELLOWSHIP HEALTH RESOURCES, 2009, 2011, Provided case management services for 25-30 clients ranging from young adults to geriatric age with severe and persistent mental illness or substance abuse. Case management services included helping with housing, social service support, medication management, accessing financial support, referrals for vocational training, advocacy plus other support services. Assisted mental health therapist with running women's groups for mental health clients.
Medicaid Service coordinator/senior case manager, a very special place, inc., 2006, 2009, Co-supervised a staff of 12 Medicaid Service Coordinators. MSC coordinated and maintained programs, appointments, and work schedules for mentally disabled/challenged adults and children. Duties also included processing and maintaining documentation that complies with having Medicaid and Medicare. Also completed monthly face to face visits and quarterly home visits for a 25-person caseload. Case management services included helping with housing, social service support, medication management, accessing financial support, referrals for vocational training, advocacy plus other support services.
References
References available upon request.
Timeline
Center Director- Operations
Trinity Health- PACE
11.2022 - Current
Sales and Enrollment Manager
Trinity Health PACE
09.2012 - 11.2022
Intensive Case Manager
Fellowship Health Resources, Inc.
01.2009 - 01.2011
Senior Medicaid Service Coordinator
A Very Special Place, Inc.
01.2006 - 01.2009
Master of Health Science - Medical Pharmacological Science and Business
Thomas Jefferson University
Master of Healthcare Administration - Management
Wilmington University
Bachelor of Health Science - Health Science
Drexel University
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