Quality assurance expertise, skillful in executing effective operating rhythms and management systems structures. Expertise in analyzing, articulating and solving various problems. Analytical and organized professional comfortable working independently or as part of team.
Overview
8
8
years of post-secondary education
15
15
years of professional experience
Work History
Program Accuracy Specialist
Nebraska Department Of Health And Human Services
Lincoln, NE
05.2017 - 07.2020
Conducted quality assurance reviews of case management activities, including Individual Support Plans, post-payment financial claims, GER (general event reports) or critical incident reports, COVID-related GERs, ICAP (Inventory for Client and Agency Planning) assessments, participant eligibility, various targeted reviews, and any additional reviews requested by Developmental Disabilities administration.
Coordinated with division administration, management, and staff to develop and implement various strategies and initiatives to achieve the highest possible accuracy rate for Medicaid programs.
Consolidated and analyzed data from various case reviews to determine general category of error and suspected root cause of error.
Conferred with division administrators, supervisors and staff to discuss findings, errors, causes of errors, and recommended corrective actions to address current and future program errors.
Collaborated with policy and quality control teams to discuss identified problem areas, new regulations, and changes in procedures.
Coordinated with other Program Accuracy Specialists to develop program recommendations, develop and present formal or informal training.
Service Coordinator
Nebraska Department Of Health And Human Services
Lincoln, NE
06.2013 - 05.2017
Managed caseload of up to 40 individuals and families.
Designed individualized service plans and budgets that took into account clients' goals and preferences.
Completed referrals for individuals seeking service providers or community resources.
Obtained necessary information in order to complete assessments for the purposes of eligibility, state and federal Medicaid funding allocation for services, and individual goals, preferences, and plans.
Maintained accurate records and full compliance with government regulations and agency guidelines.
Monitored and evaluated the effectiveness and adequacy of services provided, including on-site observation and document reviews.
Served as a liaison for individuals, families, service providers, and community partners to ensure coordination of pursuing the individual's plans and goals.
Addressed any changes, including immediate or unanticipated, to the participant's life/support plan that required service coordination and/or team involvement.
Community Support Professional
Region V Services
Lincoln, NE
02.2010 - 06.2013
Supported clients in developing goals and social skills, improving individual wellness and productivity.
Assisted in implementation of community support services in alignment with needs.
Provided direct support to individuals in the areas of hygiene maintenance, basic medical care, feeding, medication administration, assistance in therapeutic interventions, employment attainment and retainment, behavioral redirection, community integration, educational endeavors, and advocacy of personal needs and goals.
Communicated and collaborated with family, as well as state and federal entities to ensure both compliance and efficacy of individual services.
Provided transportation for individuals in order to feasibly access home, the service provider, medical and therapy appointments, and community environments.
Provided ongoing feedback and collaboration with agency management and administration to develop and improve service delivery for individuals.
Attended ongoing trainings to enhance professional development and competency.
Canvass Director
Hudson Bay Company Of Illinois
Lincoln, NE
01.2005 - 01.2010
Participated in management activities for a national non-profit canvassing organization
Supervised up to 20 employees at a time, providing ongoing support, mentoring, and training.
Participated in the ongoing processes of recruitment, hiring, and training of new employees.
Assisted, coordinated, and led office staff activities at national conferences.
Organized and facilitated in-office trainings and speakers for staff development and education.
Provided ongoing techinical and professional assistance to staff with regard to job performance and expertise of client needs and services.
Performed phone canvassing activities along with staff.
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