Jennifer Rose
Slingerlands,NY
Summary
As a seasoned PIE Quality Auditor with over a decade of experience, I have consistently monitored staff interactions, assessed adherence to protocols, and ensured quality standards are met. I excel in evaluating calls for safety, clinical effectiveness, productivity, and customer service, implementing improvements to enhance program effectiveness and participant satisfaction. My background includes conducting comprehensive mental health assessments, developing personalized treatment plans, and collaborating with interdisciplinary teams to ensure holistic care approaches. I have a proven track record of maintaining accurate clinical documentation, overseeing cases for behavioral health support, and managing clinical care operations to guarantee quality care and timely interventions.
Overview
23
23
years of professional experience
Work History
PIE Quality Auditor
01.2015 - 05.2025
- - Monitor and evaluate staff interactions with participants
- - Assess adherence to protocols and clinical interaction
- - Evaluate calls for safety, clinical effectiveness, productivity, and customer service
- - Ensure quality standards are met during program interactions
- - Implement improvements to enhance program effectiveness and participant satisfaction.
Anthem Behavioral Health Clinician
04.2008 - 01.2015
- - Conduct comprehensive mental health assessments for patients
- - Develop personalized treatment plans and provide therapy sessions
- - Collaborate with interdisciplinary team to ensure holistic care approach
- - Monitor patient progress and adjust treatment plans accordingly
- - Maintain accurate clinical documentation for patient records
Behavioral Health Specialist/Clinical Case, Reed Group Inc
10.2006 - 03.2008
- - Manage Disability Benefits for Johnson and Johnson employees
- - Specialize in Behavioral Health as a Clinical Case Manager
- - Oversee cases for Team-STD and Workers Compensation
- - Provide behavioral health support to employees
- - Collaborate with Johnson and Johnson for employee wellness
Clinical Care Manager, Value Options/Behavioral Health Management Company January
01.2006 - 01.2006
- - Manage precertification department and Crisis Referral Line (CRL)
- - Coordinate clinical care operations and ensure adherence to regulatory standards
- - Conduct assessments, develop care plans, and provide crisis intervention services
- - Collaborate with healthcare providers, insurance companies, and community resources
- - Monitor and evaluate patient outcomes, ensuring quality care and timely interventions
Director of MICA Program/Administrative Director, Baywood Center
04.2002 - 05.2004
- - Directed, oversaw, and managed internal health of agency logistics
- - Managed office operations, communications, and human resources
- - Developed and implemented referral policies and record management
- - Ensured administrative integrity, compliance with laws, and excellence
- - Maintained capacity and excellence, meeting deadlines and ensuring communication integrity and compliance with regulations.
Education
Associates Degree - Applied Science
Adirondack Community College
Master’s Degree - Social Work
State University of New York at Albany
Albany01.2007
Bachelor’s Degree - Social Work
State University of New York at Albany
Albany07.2005
Bachelor - undefined
Saint Joseph’s College of Maine
01.2003
Skills
- Oversaw quality assurance initiatives to elevate service standards Directed clinical documentation efforts to ensure regulatory compliance Managed monitoring activities to uphold treatment fidelity Fostered interdisciplinary collaboration to optimize patient care strategies Led evaluations of treatment plans to drive continuous improvement Championed adherence to protocols through strategic training programs Enhanced behavioral health support services through team leadership
Timeline
PIE Quality Auditor
01.2015 - 05.2025
Anthem Behavioral Health Clinician
04.2008 - 01.2015
Behavioral Health Specialist/Clinical Case, Reed Group Inc
10.2006 - 03.2008
Clinical Care Manager, Value Options/Behavioral Health Management Company January
01.2006 - 01.2006
Director of MICA Program/Administrative Director, Baywood Center
04.2002 - 05.2004
Associates Degree - Applied Science
Adirondack Community College
Bachelor’s Degree - Social Work
State University of New York at Albany
Bachelor - undefined
Saint Joseph’s College of Maine
Master’s Degree - Social Work
State University of New York at Albany