Jennifer Taylor
Holland,MI
Summary
Accomplished in enhancing provider network quality at OnPoint, I leveraged strong communication skills and expertise in quality assurance to elevate service standards. Proficient in Microsoft Office 365 and adept at negotiation, my work significantly improved compliance rates. My background spans various roles, focusing on achievements like developing policy and procedure tracking systems, training programs and streamlining processes for efficiency.
Overview
26
26
years of professional experience
Work History
Provider Network Quality Specialist
OnPoint
11.2019 - Current
- Serve as a quality liaison between OnPoint and over 100 contracted provider network.
- Ensuring quality service delivery and monitoring adherence to Federal, State, and local standards.
- Conduct monthly quality reviews of contracted providers, ensuring compliance with performance plans and contract requirements.
- Track and maintain liability insurance coverage and credentialing records during onboarding and ongoing processes for individual and multiple organizational contract providers.
- Implement monitoring procedures to ensure contracted providers comply with quality standards.
- Develop and lead educational training for OnPoint staff, service providers, and the public.
- Serve as the key contact and subject matter expert for credentialing of provider network quality services.
- Track and maintain COFR authorizations, coordinating with Community Mental Health and Service Providers (CMHSPs).
- Present system improvement recommendations to enhance the quality of services delivered.
Residential Program Manager
Heritage Homes Inc.
11.2017 - 11.2019
- Supervised 13 staff to ensure quality care of residents and adherence to CMH contracts.
- Organized staff meetings, training sessions, and team-building exercises.
- Maintained compliance with county, state, and licensing requirements.
- Coordinated appointments, payroll, and staff schedules.
Office Manager
Canvas Innovations
05.2016 - 11.2017
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Prepared and implemented operational procedures.
- Managed and organized filing systems to streamline processes.
- Oversaw 60 account receivables and procurement operations.
Account Manager/Customer Service Delivery Team Member
SameDay Delivery Services
08.2015 - 05.2016
- Managed accounts, answered inquiry phone calls, processed forms, and tracked shipments using Xcelerator/AS400 systems.
Mortician Assistant
Melton Mortuary And Cremation Center
09.2012 - 07.2015
- Arranged funeral accommodations for over 100 families of deceased individuals.
- Made preparations for funeral services and assisted with grieving families.
- Worked with the medical examiners office and state for funding services.
- Assisted with cremations/embalming.
Substitute Teacher
Fayette County Board Of Education
09.2013 - 06.2015
- Taught 7th grade Math and English.
- Created and implemented lesson plans in compliance with state regulations.
- Encouraged children to explore levels of thinking. Maintained a positive learning atmosphere in the classroom.
Residential Program Manager
Heritage Homes, Inc.
06.2011 - 06.2012
- Supervised 12 staff to ensure they provided assistance to residents during daily living tasks and skills.
- Assisted with planning of IPOS for residents. Coordinated resident appointments, scheduling of staff and plan and facilitated staff meetings, training's and team building.
- Accurately documented according to regulatory requirements. Communicated efficiently with agencies, county, state and licensing officials, doctors, and guardians.
Crisis Recovery Advocate
Hope Network HNIR
03.2011 - 06.2012
- Supervised and provided assistance to consumers during daily living tasks and skills. Planned and facilitated individual treatment plans of service.
- Assisted with providing input and feed back during multiple crisis team meetings.
- Accurately recorded and documented information relating to over 100 consumers according to regulatory requirements.
Home Health Comfort Care Specialist
Hospice of Holland
07.2006 - 03.2011
- Provided comfort care for terminal consumers. Communicated efficiently with agencies, doctors, facilities and individuals.
- Coordinated comfort care, medication management, and reported observations.
Human Resource Assistant
Alliance Medical Staffing
03.2002 - 02.2005
- Operated and maintained primary office functions.
- Intake process and reference checks for potential employees.
- Completed payroll, developed, organized and performed in-service training's for 30 employees.
Residential Lead Aide
Ottawa County Community Mental Health
08.1998 - 03.2002
- Maintained a safe environment for MI/DD/SUD individuals.
- Managed house milieu, scheduling of 12 staff, budgeted monies within allotted budget. Communicated efficiently with consumers, doctors, and agencies.
- Monitored medications and doctors orders. Coordinated group and individual sessions.
- Help-line operator.
Education
Bachelor of Science - Business Management
05-2012
- Honoree of Magna Cum Laude
Skills
- Strong communication skills, verbal and written
- Negotiation and problem solving
- Planning, organizing, and detail-oriented
- Proficient in Microsoft Office 365 (Word, Excel, PowerPoint)
- CPR/FA, MANDT Certified
- Corporate Compliance, Cultural Compliance, Grievances and Appeals
- HIPAA, Recipient Rights, Personal Centered Planning & Self Determination
- Quality Assurance, compliance, and performance improvement
- Experience with Electronic Medical Records (EMRs)
Accomplishments
- Collaborated with team of 18 in the development of the PWG policy and procedure tracking system.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Achieved creating processes for Provider Quality Site Reviews by completing Provider Quality Review Tools and Performance Improvement Plans with accuracy and efficiency.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimeWork Location
HybridImportant To Me
Work-life balanceCompany CultureHealthcare benefits401k match"As water reflects the face, one's life reflects the heart"
life displayed is a reflection of the heart
Timeline
Provider Network Quality Specialist - OnPoint
11.2019 - Current
Residential Program Manager - Heritage Homes Inc.
11.2017 - 11.2019
Office Manager - Canvas Innovations
05.2016 - 11.2017
Account Manager/Customer Service Delivery Team Member - SameDay Delivery Services
08.2015 - 05.2016
Substitute Teacher - Fayette County Board Of Education
09.2013 - 06.2015
Mortician Assistant - Melton Mortuary And Cremation Center
09.2012 - 07.2015
Residential Program Manager - Heritage Homes, Inc.
06.2011 - 06.2012
Crisis Recovery Advocate - Hope Network HNIR
03.2011 - 06.2012
Home Health Comfort Care Specialist - Hospice of Holland
07.2006 - 03.2011
Human Resource Assistant - Alliance Medical Staffing
03.2002 - 02.2005
Residential Lead Aide - Ottawa County Community Mental Health
08.1998 - 03.2002
Cornerstone University - Bachelor of Science, Business Management
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