Keri Hanrahan
Middletown,NY
Summary
Dedicated and highly organized Associate Director, knowledgeable about business practices in the Intellectual/ Developmental Disabilities and Mental Health support industries. Adept at supporting and enhancing service provision with a decisive leadership style and strategic approach to decision making.
Overview
15
15
years of professional experience
Work History
Associate Director of Care Management
LIFEPlan CCO NY
10.2020 - Current
- Train and develop management staff for specific projects and ongoing operational needs.
- Assist senior leadership in managing all aspects of operations, including onboarding new staff while maintaining compliance with Equal Employment Opportunity and Affirmative Action Programs.
- Lead teams of up to 30 personnel, supervising daily performance, training and improvement plans, and caseload management, including assigning new referrals.
- Prioritize tasks and allocate resources appropriately to keep teams focused, productive, and successful in meeting deadlines.
- Supports outreach to the community (schools, outside agencies, etc.) and links with Family Liaisons to market services to the community, ensuring members are connected to LIFEPlan and their needs are met through care coordination.
- Monitors EHR and Quality Assurance audits to analyze performance, services, timeliness of work, opportunities, and trending issues; makes recommendations for improving and tracking services.
- Ensures compliance with all pertinent government regulations, and LIFEPlan CCO policies, procedures, and operating standards, completing internal and external audits.
- Works with our Incident Management team to ensure safety of our members and compliance with reporting of incidents, allegations, and other sensitive situations.
- Meets and communicates with individuals, families/representatives to ensure quality services and to resolve any potential concerns.
- Monitors, manages, and participates in the on-call services.
- Attends in services and interactive training courses to develop and strengthen leadership skills.
- Assists care managers and supervisors to support crisis situations.
Supervisor of Care Management
LIFEPlan CCO NY
02.2019 - 10.2020
- Educated and evaluated staff (up to 6 care managers) regarding quality, regulations, standards of care, and accurate documentation.
- Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing, and other assessments.
- Interpreted regulations to identify criteria to be monitored and establish systems to achieve compliance for internal and external audits done by OPWDD and the Department of Health.
- Communicated with members and families to assist with questions, provide literature and direct to community resources.
- Worked with insurance carriers to obtain authorization approvals for medications, supplies, services and equipment.
- Completed monthly department reports for leadership, ensuring monthly billing standards were consistently met.
- Maintained team compliance with guidelines relating to HIPAA.
- Maintained a small caseload of Willowbrook Class Members.
- Monitored and approved time and attendance of direct reports to ensure compliance with applicable labor laws and company policies.
- Assumed on call responsibilities for the region as needed.
Senior/Willowbrook Medicaid Service Coordinator
Independent Living Inc
01.2013 - 01.2019
- Provided leadership, guidance and support to both new and seasoned staff members.
- Referred members to appropriate community agencies and organizations to meet treatment needs.
- Ensured all documentation for individuals new to the program was completed as per OPWDD requirements prior to the first month of billing.
- Reviewed a random sampling of at least 12 case notes of other MSCs per month to help ensure compliance and identify training needs.
- Maintained a full caseload of Willowbrook Class Members, including protecting their rights under the Permanent Injunction.
- Worked closely with the Consumer Advisory Board for Willowbrook Class members to collaboratively ensure their needs were met (including social, emotional, and medical)
- Participated in community events to promote services and engage with public.
- Assisted MSC supervisor to review ISPs and cover on call responsibilities as needed.
Medicaid Service Coordinator
Independent Living Inc
10.2008 - 01.2013
- Wrote Individualized Service Plans and monthly case notes to maintain services for billing and continuously monitored health/wellbeing.
- Coordinated available and appropriate services for individuals with intellectual disabilities.
- Assured that the Individualized Service Plan and any other Habilitation, Medical, and Behavior Plans complement each other and outline the needs and goals of each individual.
- Ensured each individual is at optimal health, safe, and in an appropriate environment at all times.
- Conducted monthly visits with each individual at their home or day program,
- Reported all allegations of abuse/neglect and other reportable incidents to the Justice Center/Supervisor.
- Maintained complete and accurate records with required documentation including forms, referrals, reports, reviews, and evaluations,
Education
Bachelor of Arts - Human Services And Psychology
Mount Saint Mary College
Newburgh, NY05.2008
Skills
- Train Employees
- Critical Thinking
- Work Planning and Prioritization
- Quality Standards
- MS Office, Electronic Health Records
- Project Management
- Community Outreach
- Communication
Languages
Spanish
Limited Working
American Sign Language
Limited Working
Timeline
Associate Director of Care Management
LIFEPlan CCO NY
10.2020 - Current
Supervisor of Care Management
LIFEPlan CCO NY
02.2019 - 10.2020
Senior/Willowbrook Medicaid Service Coordinator
Independent Living Inc
01.2013 - 01.2019
Medicaid Service Coordinator
Independent Living Inc
10.2008 - 01.2013
Bachelor of Arts - Human Services And Psychology
Mount Saint Mary College
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