Juliet Skeete DHA lCSW
Forest Hills,NY
Overview
29
29
years of professional experience
Work History
Senior Advisor of Medicaid Services
New York City Administration for Children’s Services
01.2022 - Current
- Serve as a subject matter expert within ACS on Medicaid policy.
- Provide guidance to various departments regarding CMS compliance issues and implementation of new CMS and DOH requirements.
- Work closely with executive leadership, the Office of Child and Family Health and Family Permanency Services to implement new initiatives, update existing structures, and support efforts for ensuring accessibility to Medicaid and its wide range of services.
- Collaborate with ACS’ contracted provider agencies to provide strategic and systems guidance regarding behavioral health systems of care, Medicaid services and Medicaid Managed Care plan.
- Identify, evaluate, and analyze the impact of state and federal legislative and regulatory issues and advise management concerning impact.
- Develop strategic relationships with state partners including Department of Health, the Office of Children and Family Services, Office of Mental Health, Office of Addiction Services and Supports and Office for People with Developmental Disabilities., Managed care organizations, and assist with the development procedures concerning state insurance.
- Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements with respect to Medicaid.
- Support partners in navigating Managed Care Organizations
Director of Operation- Children’s Services
Healthfirst
01.2021 - 01.2022
- Plan, direct, and set the strategic direction of Children’s Medicaid initiatives including the foster carve in to manage care.
- Serve as a subject matter expert on all applicable Children’s regulatory requirements for reporting, marketing, enrollment, operations, billing, claims for Medicaid plan.
- Represent the health plan at regulatory meetings held by the NYS Office of Mental Health (OMH) Office of Child and Family Services (OCFS), the NYC Department of Health and Mental, Hygiene (DOHMH)
- Collaborate with other departments to implement new mandated initiatives or update existing program structure Responsible for quality clinical operations of the program.
Director of Children's Services
UnitedHealth Group
01.2018 - 01.2021
- Actively participate in all the State Department of Health services (SDOH) site visits, audits preparation, corrective actions, including review of survey documents and training departments
- Participate with planning and program development committees to facilitate the implementation of state guidance.
- Attend external meetings to promote community stake-holders involvement in shaping the system of care for children.
- Navigate and influence multiple cross functional teams in a complex, matrix work environment.
- Serve as a behavioral health clinical lead to the care management and utilization management department, the foster care Liaison, and the medically fragile Liaison.
- Responsible for oversight, tracking and reporting clinical requirements and performance standards set by the state DOH, OMH and OCFS
HARP Care Manager
Fidelis Health Care
01.2015 - 01.2018
- Perform clinical reviews to assess medical necessity of a broad range of outpatient mental services including Intensive Psychiatric Rehabilitation Treatment (IPRT) Personalized Recovery Oriented Services (PROS), Continuing Day Treatment (CDT) Assertive Community Treatment (ACT), and Partial Hospitalization
- Collaborate with Physician Advisor to assess appropriateness and efficacy of proposed treatment interventions.
- Ensure access to high quality care across a continuum for Health and Recovery Plan (HARP) members. Serve on committees such as Risk Management, Health Information Management, Operations Committee, and others as required.
- Collaborate with members, health homes, physicians, other interdisciplinary team members, to sustain the Members’ wellness and recovery goals.
Behavioral Clinic Director & Treatment Team Leader
OMH- NYCCC Brooklyn and Queens Campuses
01.2005 - 01.2015
- Direct and coordinate a psychiatric program tailored to the individual needs of children on inpatient psychiatric units, an outpatient clinic, a community residence, and a crisis residence.
- Collaborate with OMH OMH’s field office, NYC CSPOA, and other community partners to implement key mental health initiatives.
- Serve on committees such as Risk Management, Health Information Management, Operations Committee, and others as required.
- Gather quantitative and qualitative data to assess the performance of individual staff and programs through case record reviews, data analyses, environmental assessments, surveys, and consumer interviews regarding the quality-of-service delivery.
- Conduct regular individual and group supervision, to actively support staff development, and effectively utilize supervision and the performance evaluation process to promote staff accountability.
- Investigate incident and provide findings, contributing factor and resolution to incident review committee.
- Developed curriculum and trained psychiatry fellows on social work systems.
Primary Therapist
OMH- Brooklyn Children’s Center (NYCCC)
01.2001 - 01.2005
- Functioned as a member of an interdisciplinary treatment team in providing a full range of clinical services to children and families.
- Conducted assessments, developed treatment plans, provided individual, group and family therapy.
- Handled complex case management issues and exercised independent judgment in performing duties.
Social Worker /Supervisor Program Director
St. Joseph Services for Children and Families
01.1997 - 01.2001
- Hired, supervised, and assessed performance of social work staff.
- Completed assessments to determine service needs.
- Oversaw the development and implementation of all programming provided to the children in a residential setting.
- Provided intake and assessment for residents and coordinated all aspects of ACS requirements.
- Managed quality assurance of foster care programming and supervised direct care, clinical and management staff.
- Ensured timely and accurate reporting on boarding home related programming.
Education
Doctor of Arts - Healthcare Administration Management
Virginia University of Lynchburg
Lynchburg, VA09.2024
MSW - undefined
New York University
New York, NY05.1999
BA - Psychology
SUNY at Stony Brook
Stony Brook, NY06.1994
Skills
- Organizational development
- Relationship building and management
- Data analytics
- Policy analysis
Websites
- https://www.linkedin.com/company/78336269/
- https://www.linkedin.com/in/juliet-skeete-dha-lcsw-6628144b/add-edit/EDUCATION/?profileFormEntryPoint=PROFILE_SECTION&entityUrn=urn%3Ali%3Afsd_profileEducation%3A%28ACoAAAqe_6oBBTlppme4zPclagXSSzueNedgJCY%2C1013779145%29&trackingId=eOTGOkEtQw67rr89cWpzFg%3D%3D&desktopBackground=MAIN_PROFILE
Timeline
Senior Advisor of Medicaid Services
New York City Administration for Children’s Services
01.2022 - Current
Director of Operation- Children’s Services
Healthfirst
01.2021 - 01.2022
Director of Children's Services
UnitedHealth Group
01.2018 - 01.2021
HARP Care Manager
Fidelis Health Care
01.2015 - 01.2018
Behavioral Clinic Director & Treatment Team Leader
OMH- NYCCC Brooklyn and Queens Campuses
01.2005 - 01.2015
Primary Therapist
OMH- Brooklyn Children’s Center (NYCCC)
01.2001 - 01.2005
Social Worker /Supervisor Program Director
St. Joseph Services for Children and Families
01.1997 - 01.2001
MSW - undefined
New York University
BA - Psychology
SUNY at Stony Brook
Doctor of Arts - Healthcare Administration Management
Virginia University of Lynchburg
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