Summary
Overview
Work History
Education
Skills
Timeline
Generic

JASMINE FOREMAN

Missouri City,TX

Summary

Management professional offering over 15 years in administrative operations, quality assurance, human resources, sales and marketing, training and development, and case management initiatives and over 10 years in healthcare administration. Facilitated management of policies and procedures to federal and state compliance regulations. Provided trainings for staff to introduce new policies and procedures. Facilitated interviews and recruitment of new hires and managed staff through evaluations, surveys and performance achievements. Maintained retention and effective leadership through creating a growth development tracking system among staff. Organizing meetings, workshops, seminars and conferences with providers and community leaders to improve goals and objectives. Monitoring and managing quality assurance, debt management, and account payables. Proven ability to work with clients with severe psychosocial and developmental problems and needs are extreme therefore require a high degree oversight accretive problem-solving skill. Established experience in supervising staff, fiscal management, time management and customer service. Veteran Director of Quality Assurance with 10 years leading inspection and validation efforts for healthcare companies. Equally comfortable overseeing massive team efforts or going hands-on to serve critical client representatives. Dedicated to maintaining both superlative final release quality and excellent employee morale. Thorough Quality Assurance Manager creates successful quality assurance strategies and processes. Accomplished at identifying deficiencies and initiating solutions to problems. Experienced performing both process and outbound inspections. Precise Quality Assurance Manager proficient in all QA operations, policies and procedures. Experience hiring and developing individual team members. Committed to thoroughly assessing product quality and manufacturing processes to achieve excellent results and customer satisfaction. Quality Management professional with successful career delivering efficiency and standardization, and maintaining all ISO and QS 9000 and Six Sigma Quality Systems. Drives smooth operation of production and manufacturing lines, coordinate efforts of employees and facilitate communication between management and production departments. Apply creativity in improving manufacturing process to achieve higher productivity and quality of finished goods. Experience in reviewing and interpreting regulatory and programmatic guidance, implementation of corporate compliance, risk management and corrective action programs. Outgoing Quality Assurance Manager with 10 years of managerial experience in healthcare industry. Adept at collaborative with various departments for comprehensive quality control.

Overview

15
15
years of professional experience

Work History

Director of Quality Assurance & Training & Development

My Support System
02.2022 - Current
  • Training all case managers on their role, policies and state regulations for case management
  • In addition to managing auditing and building community relations partners while working with operations on staff concerns and issues with regarding clients
  • Hiring and interviewing candidates for case managers and therapists
  • Manage a caseload providing mental health counseling, intensive care management and skills training
  • Work with diverse demographics and cultural groups to design and implement stability and improve overall quality of life for clients
  • Coordinate treatment plan for addressing the client's psychosocial and support system issues
  • Accomplishments: Organized and created corrective action plans for quality assurance system for documentation
  • Developed and implemented intake checklist system
  • Conducted and received 100 percent rating on provider site visits.
  • Established and oversaw company-wide Quality Management System (QMS), maintaining compliance with Texas Reliance Recovery and enhancing internal outcomes.

Director of Quality Assurance & Training & Development

Exceptional Wellness
02.2021 - Current
  • Training and scheduling all Case managers and LPCs on their role, policies and state regulations for case management according to Texas Resilience and Recovery
  • In addition to managing auditing and building community relations partners while working with operations on staff concerns and issues with regarding clients
  • Hiring and interviewing candidates for case managers and therapists
  • Manage a caseload providing mental health counseling, intensive care management and skills training
  • Work with diverse demographics and cultural groups to design and implement stability and improve overall quality of life for clients
  • Coordinate treatment plan for addressing the client's psychosocial and support system issues
  • Accomplishments: Organized and created quality assurance system for documentation review and checklist
  • Developed and implemented intake checklist system
  • Conducted and received 100 percent rating on provider site visits.
  • Directed quality assurance teams, shortened validation turnaround times and reduced customer complaints.
  • Authored documentation for internal use by QA personnel, setting guidelines for review activities and reporting requirements.

Investigator/Case Worker

CHILD PROTECTIVE SERVICES
03.2017 - 02.2021
  • Managed a caseload of over 500 cases investigating reports of abuse/neglect timely
  • Work and develop community contacts for clients' specific needs while conducting in -home therapy, organizing hospital discharge planning with families and acting as a liaison for client with community resources
  • Ensured confidentially per HIPPA guidelines regard client information
  • Accomplishments: Conducted forensic investigations of abuse/neglect reports to children, which determined abuse or neglect occurred while conducting assessments for mental health, substance abuse, financial hardships and domestic violence to determine the current or future risk of harm to the children.
  • Conducted thorough face-to-face interviews with employers, families, neighbors, friends, and suspects, and documented investigative findings.
  • Collected, analyzed and interpreted information, documentation, and physical evidence associated with investigations.
  • Collected information pertaining to criminal proceedings and performed investigations to resolve cases.

Provider Relations Manager

AMERIGROUP
11.2011 - 08.2013
  • Liaison for physicians providing support to ensure compliance with state policies and medical billing projects
  • Supported operation manager in executing staff meetings, recruitment and hiring activities for departments
  • Coordinated budgeting and cost controls meeting all regulatory compliance and staff conferences meetings
  • Directed staff by providing data, market trends, forecasts, account analyses, new product information, relaying customer service requests of members, and potential members, and conducted trainings with staff
  • Facilitated the accurate and timely processing of contracts up to 20,000 invoices ($4M) per month for large, multi-site hospitals, clinics, facilities, and private practice offices throughout the state of Louisiana utilizing Quickbooks and other expense management software
  • Generated solid community, corporate, and government relations partners for Amerigroup, enabling awareness to over 10,000 potential members and over 20,000 existing members
  • Led community outreach programs, including Healthcare fairs with the City of Louisiana and established relationships with community resource leaders
  • Accomplishments: Built succession planning programs to support new hire career growth and improved customer service
  • Recognized for reducing turnover, obtaining members and successful at recruiting network providers through leading events and conferences.
  • Managed provider relations mailbox by triaging inquiries, facilitating resolution of incoming requests and forwarding requests to appropriate parties.
  • Increased provider satisfaction scores 40 % by collecting and credentialing demographic updates, investigating claims and inquiries and overseeing network integrity.

Director of Training and Quality Assurance

ABIDE HOME HEALTH
10.2009 - 11.2011
  • Managed office staff of 22 and staff performance evaluations which included supervising, coaching and disciplinary actions
  • Handled and managed billing such as auditing inconsistencies and payment rejections from providers and clients
  • Developed and provided Human Resources to all employees such as payroll, benefits, policy and employee relations
  • Accomplishments: Implemented strategies to maintain fiscal management for cost effective policies and procedures including credit and collections, office purchasing and efficient space planning
  • Increased customer satisfaction by 50% through customized program retention based on client's individual needs
  • Managed marketing and new patient lead by management.
  • Collaborated with legal and compliance teams to review paperwork, obtain feedback, and procure available information for new training processes.
  • Assessed skill gaps for employees and developed training courses to meet identified needs.
  • Partnered with external vendors to source relevant industry expertise for specialized workshops and seminars.

Education

Ph.D. - Psychology

University of Arizona Global Campus
Arizona City, AZ
11.2026

MBA - Business Administration And Management

University of Phoenix
Marietta, GA
11.2008

Bachelor of Arts - Mass Communications

Clark Atlanta University
Atlanta, GA
05.2005

Skills

  • Budgeting /Accounts Payable
  • Staff Development/Reporting/Recruiting
  • Quality Management/Process Improvement
  • Disciplinary Action, Morale Building
  • Auditing Expertise
  • Quality control tools
  • ISO standards knowledge
  • Industry-Specific Regulations
  • Quality assurance methodologies
  • Teamwork and Collaboration
  • Quality control tests
  • Employee Supervision
  • Task Prioritization
  • Performance monitoring

Timeline

Director of Quality Assurance & Training & Development

My Support System
02.2022 - Current

Director of Quality Assurance & Training & Development

Exceptional Wellness
02.2021 - Current

Investigator/Case Worker

CHILD PROTECTIVE SERVICES
03.2017 - 02.2021

Provider Relations Manager

AMERIGROUP
11.2011 - 08.2013

Director of Training and Quality Assurance

ABIDE HOME HEALTH
10.2009 - 11.2011

Ph.D. - Psychology

University of Arizona Global Campus

MBA - Business Administration And Management

University of Phoenix

Bachelor of Arts - Mass Communications

Clark Atlanta University
JASMINE FOREMAN