KEITH E. READMAN, MSS, LSW
Social Worker
Phoenixville,PA
Summary
Dynamic, accomplished social services professional with 14 years' progressive management experience in acute
inpatient psychiatric settings. Proven leader who excels in process design, process improvement, change
implementation and data analysis. Clinically skilled in level of care assessment, telephonic triage, crisis
intervention and utilization review. Excellent working knowledge of local mental health system's and managed
care companies.
Overview
33
33
years of professional experience
Work History
Hospice Social Worker
Crossroads Hospice
Plymouth Meeting, PA
02.2015 - Current
- Responsible for the psycho-social needs assessment and coordination of the individualized plan of care for terminally ill patients and their families.
- Offer counseling and community resources to patients and families in their homes, nursing home, or hospital setting.
- Serve as a resource for the interdisciplinary team, care staff, and community regarding end of life care.
- Complete discharge planning from all levels of care.
- Provide assistance navigating Veteran's benefits and application for Medical Assistance.
- Offer bereavement support.
- Provide crisis intervention and problem resolution.
Director of Assessment & Referral
Haven Behavioral Hospital of Philadelphia
Philadelphia, PA
10.2013 - 01.2015
- Original member of Sr. Leadership Team for new, start-up, acute inpatient geriatric psychiatry hospital.
- Served as Interim-CEO, as required.
- Actively worked with insurance companies to ensure completion of prior authorizations and concurrent reviews as necessary.
- Exceeded goal for rate of admissions, in hospital's first year, by over 5% Successful development and implementation of all Assessment and Referral Department processes, protocols, work flows, and forms.
- Ensured delivery of excellent customer service through-out department.
- Actively served on Quality Management Committee to monitor and improve performance and maintain high standards of care.
Director of Admissions
Belmont Center for Comprehensive Treatment
Philadelphia, PA
05.2001 - 06.2013
- Successfully developed and implemented centralized admission process across two inpatient psychiatric hospitals.
- Oversaw successful administrative and clinical functioning of hospital's Admission Department for 192 inpatient acute care psychiatric beds.
- Developed and implemented customer service training program for hospital admissions staff.
- Developed improved front-end systems to ensure efficient and effective revenue cycle that helped result in reduction of denial rate from 7% to less then 2%.
- Successfully implemented process and structural changes that significantly improved work flow, reduced referral time, enhanced patient care, improved patient safety and increased customer satisfaction.
- Provided detailed statistical analysis of admissions related data on regular basis.
- Networked with referral sources to build relationships and actively resolve customer service concerns in timely manner.
- Negotiated non-par agreements with third party payers.
- Actively interfaced with network-wide departments around information systems, revenue cycle, patient safety, and HIPAA compliance activities.
- Served as Member of Clinical Information System (CIS) Vision Task Force, CIS Project Selection Committee.
- Served as Subject Matter Expert for network Clinical Information System implementation.
Director of Admissions
Eastern Pennsylvania Psychiatric Institute
Philadelphia, PA
01.2000 - 05.2001
- Responsible for direct administrative and clinical functions of hospital's admissions department.
- Monitored timely and accurate completion of front-end registration process.
- Provided clinical supervision to bachelor and master level clinicians.
- Performed comprehensive statistical analysis of all admission data.
- Successfully developed and implemented necessary systems to ensure accurate and timely flow of information between management and inpatient units.
Senior Care Manager
Eastern Pennsylvania Psychiatric Institute
Philadelphia, PA
09.1996 - 01.2000
- At-risk reviewer, managing behavioral health benefits for managed care members.
- Triaged and referred each member to appropriate treatment facility.
- Authorized care based on medical necessity through concurrent review process.
- Completed all HEDIS reporting measures on routine basis.
- Intake coordinator for patients seeking behavioral health services at EPPI and referred to appropriate services.
- Performed face-to-face and telephonic assessments of patients seeking psychiatric admission into EPPI.
- Actively coordinated and facilitated admission process.
Social Worker
Horsham Clinic
Ambler, PA
05.1996 - 09.1996
Intensive Case Manager
PATH Community Mental Health Center
Philadelphia, PA
05.1989 - 05.1996
Education
Master of Social Service - Social Work, Social Service Management
Bachelor of Arts - Social Science, Psychology and Social Work
Skills
- Utilization Review
- Process Improvement
- Level of Care Assessment
- Process Design
- Telephonic Triage
- Change Implementation
- Crisis Intervention
- Data Analysis
- Customer Service Excellence
Timeline
Hospice Social Worker - Crossroads Hospice
02.2015 - Current
Director of Assessment & Referral - Haven Behavioral Hospital of Philadelphia
10.2013 - 01.2015
Director of Admissions - Belmont Center for Comprehensive Treatment
05.2001 - 06.2013
Director of Admissions - Eastern Pennsylvania Psychiatric Institute
01.2000 - 05.2001
Senior Care Manager - Eastern Pennsylvania Psychiatric Institute
09.1996 - 01.2000
Social Worker - Horsham Clinic
05.1996 - 09.1996
Intensive Case Manager - PATH Community Mental Health Center
05.1989 - 05.1996
Bryn Mawr College - Master of Social Service, Social Work, Social Service Management
Houghton College - Bachelor of Arts, Social Science, Psychology and Social Work