Experienced administrative professional with 4+ years in provider credentialing services. 11+ years in Behavioral Health/Substance Abuse services. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Organized and dependable candidate successful at managing multiple priorities with a positive attitude.
Overview
7
7
years of professional experience
Work History
Recruiter/Credentialing Specialist
Canyonlands Community Health Care
Page, AZ
05.2016 - Current
Received and evaluated applications to look for missing and inaccurate information.
Conducted primary source verifications such as background checks and board certifications.
Prepared records for site visits and file audits.
Obtained NPI numbers for providers and facilities and updated existing profiles.
Enrolled providers and Medicaid, Medicare and private insurance plans.
Collaborated with managers to identify and address employee relations issues.
Partnered with departmental managers to ascertain hiring needs and subsequently provide candidate recommendations.
Assisted with writing job postings and job descriptions for boards.
Developed and implemented onboarding and orientation programs for new employees.
Pre-screened resumes prior to sending to corporate hiring managers for consideration.
Substance Abuse Program Director
Canyonlands Community Health Care
Page, AZ
05.2016 - Current
Developed Substance Abuse program from ground up, laying out framework, and defining roles.
Scheduled and supervised staff meetings to discuss new ideas and update participants on program details and milestones.
Developed and implemented marketing strategies to promote program awareness and participation.
Conducted fiscal and program monitoring to ensure compliance with program standards.
Monitored program performance to identify areas for improvement.
Supervised program staff, managing and evaluating performance provide high-quality services to program participants.
Developed and implemented program goals and objectives, establishing specific and measurable outcomes aligned with organization's overall mission.
Coordinated budgeting, scheduling and resource allocation to facilitate smooth flow of operations.
Provided ongoing evaluation of the quality and effectiveness of education activities to ensure compliance with Grant, Policies, State and Federal requirements.
Facilitated programming by coordinating resources and deliverables between departments.
Collaborated with various teams to uncover issues, identify applicable solutions, and offer guidance.
Maintained and updated project related documents.
Provided ongoing direction and leadership for program operations.
Delivered program reports monthly to leadership team
Behavioral Health Program Coordinator
Canyonlands Community Health Care
Page, AZ
05.2016 - Current
Created and implemented a Behavioral Health Program into a Primary Care setting.
Collaborated with Behavioral Health staff to implement and maintain daily processes and work flows.
Participated in multidisciplinary team meetings to discuss progress and needs of the Behavioral Health Program.
Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
Spearheaded and implemented new projects to expand scope of engagement.
Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility.
Assisted counselors assess, screen and schedule patients.
Provided patients with triage with any crisis situation and connected them with a local crisis team.
Education
Bachelor of Science - Psychology
Northern Arizona University
Flagstaff, AZ
05.2001 - 05.2001
Master of Science - Counseling: Human Relations
Northern Arizona University
Flagstaff, AZ
08.2008 - 08.2008
Skills
Insurance credentialing processes
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Timeline
Recruiter/Credentialing Specialist
Canyonlands Community Health Care
05.2016 - Current
Substance Abuse Program Director
Canyonlands Community Health Care
05.2016 - Current
Behavioral Health Program Coordinator
Canyonlands Community Health Care
05.2016 - Current
Master of Science - Counseling: Human Relations
Northern Arizona University
08.2008 - 08.2008
Bachelor of Science - Psychology
Northern Arizona University
05.2001 - 05.2001
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