Kimberly Lyda Micklon
408 Cherokee Drive,NJ
Summary
My diligence to my work, shows that I would be the right person for this strong analytical work ethic and organizational skills would be a great ser DHS/OPIA CIMU. Lastly, all of my positions listed in my resume, I have g my knowledge and abilities. I hope I am granted an opportunity to show supervisor position within OPIA.
Overview
26
26
years of professional experience
Work History
Quality Assurance Specialist
State of NJ Department of Human Services OPIA-CIMU
11.2023 - Current
- Developed and executed comprehensive test plans to ensure software quality and compliance with state regulations.
- Collaborated with cross-functional teams to identify and resolve defects in applications, improving user experience.
- Conducted thorough documentation reviews to maintain accurate records of testing processes and results.
- Implemented quality assurance best practices, enhancing overall efficiency in testing procedures across projects.
- As a Quality Assurance (QA) Specialist, I am responsible for analyzing, evaluating, and monitoring quality assurance compliance for investigation reports (IR's) related to the State of NJ provider agencies serving individuals with Developmental Disabilities (DD).
- This process involves evaluating individuals receiving services (IRS) with DD, along with evaluating requested or provided health services records, and comparing them against the submitted Individual Habilitation Plan (IHP) or Individual Support Plans (ISP) in relation to the investigation report and supporting evidence/documentation.
- I also will evaluate the DD IRS plans and the agency’s clinical or behavioral health service records to ensure that accurate investigations are conducted and that relevant health records are collected and attached to the report.
- I also request additional information regarding IRS with DD service plans; this process enables us to oversee the implementation of the IRS' ISP/IHP by monitoring the requirements for the safe and effective care of the IRS by the provider within the Community.
- The quality evaluation of these investigations are finalized and can assist in identifying any additional needs, actions, or measures, the agency must implement to avoid recurrence, thereby ensuring the health and safety of the IRS.
- I ensure that all necessary information related to the incident is gathered and included in the incident report.
- I ensure State/Federal & protective services are contacted if necessary.
- I conduct a thorough evaluation of all relevant follow-up information to ensure that the closing criteria for IRs are accurate and that actions taken towards remediation have been documented.
- I identify and analyze factors that lead to inappropriate services or processes that affect the quality of care for IRS with DD.
- I assess Community Provider IRs for accuracy, completeness, and proper follow-up/investigations for pending cases, in order to make informed recommendations.
- I receive agency requests for NJIRMS Provider Portal access; I analyze and evaluate forms to ensure compliance.
- I conduct one-on-one agency training sessions for smaller providers to ensure adherence to the State of NJ A.O. 2:05 regarding investigation reporting requirements.
- Mentored junior QA specialists, fostering a culture of continuous learning and professional growth.
- Streamlined the documentation process, ensuring adherence to industry standards and regulatory requirements.
Quality Assurance Coordinator
State of NJ Department of Human Services OPIA-CIMU
06.2022 - 11.2023
- As a Quality Assurance Coordinator, I supervise QAS' with reviewing, evaluating, processes and monitor incident reports of all categories, including exploitation incidents to minimize risk, ensure compliance w/ Admin Office safety & wellbeing are being maintained at the DC facilities for the New Jersey Centers (DC) run by the Division of Developmental Disabilities & Programs, Homes, Day Programs and Supervised Apartments. In addition, to the I review and modify incident reports for the Field Safety and Services Unit work of my unit in addition to evaluations of employee’s performances. subordinates and assist in effective recommendations of hiring and pro
- As a Quality Assurance Coordinator(QAC), I supervise Quality Assurance review, analyze, evaluate & survey Quality Assurance (QA) compliance for 5 of the State of NJ Division of Disabilities Developmental Centers Community Investigation reports; this encompasses all reportable inc which include but are not limited to abuse, neglect & exploitation to Developmentally Disabled (DD) individuals served & ensure compliance
- I provide recommendations based on analysis and evaluation of clinical/administrative management and staff regarding client's health & efficiency, and assurance of client rights.
- Weekly reviews on the process includes a QA review of all incidents Quality Assurance Department, to ensures the incidents are coded c information correctly & all information/service plan needs that are pe been collected.
- I assign the work of my unit in addition to evaluations of employee’s discipline subordinates and assist in effective recommendations of hir
- Review QAS' requests for additional information regarding client's se review assessment is completed.
- This process allows us to monitor the implementation of the individu QA requirements for the safe & effective care of the clients at the DC compliance with federal & state accreditation & professional standards
- The QA of these incidents allows us to look at the maintenance & m ensure they are following the Individual Habilitation Plan and see if ac needed based on the evaluations of the incident.
- Ensure all necessary information pertinent to the incident is obtained QAS'.
- Refer incident reports & records to the appropriate investigative age & protective services are contacted if necessary.
- Request all pertinent follow-up information to ensure closing criteria actions towards remediation has been documented. Identify & analyz inappropriate services/processes that impact clients’ quality of care.
- Developed and implemented quality assurance protocols to ensure compliance with state regulations.
- Facilitated training sessions for staff on quality standards and best practices in service delivery.
- Analyzed performance data to identify trends, providing actionable insights for quality improvement initiatives.
- Evaluated accuracy of existing quality assurance measurement techniques, implementing improvements to increase efficacy and reduce errors.
Quality Assurance Specialist
State of NJ Department of Human Services OPIA-CIMU
09.2015 - 06.2022
- As a QAS, I was the State of NJ DHS OPIA/CIMU liaison for the New Je Centers (DC) run by the Division of Developmental Disabilities. I revi evaluate, process and monitor incident reports of all categories, includ exploitation incidents to minimize risk, ensure compliance w/ Admin Of safety & wellbeing are being maintained at the DC facilities. In addition, asked and review and modify incident reports for the Field Safety and S
Quality Assurance (QA) Specialist
STATE OF NJ DIVISION OF DEVELOPMENTAL DISABILITIES
11.2013 - 09.2015
- As a Quality Assurance (QA) Specialist, I analyze, evaluate, & monitor for unusual incident reports (UIR's) for the State of NJ Division of Dis Center's (DC's) for individuals with Developmental Disabilities (DD).
- This process includes an evaluation of IRS with DD& DC's health servi Habilitation Plan (IHP) against the incident reports submitted.
- Evaluate aspects of the DD individual's service plans and the facilities c records to ensure accurate reporting and pertinent information regard collected and attached to the report.
- I request additional information regarding IRS with DD service plans.
- This process allows us to monitor the implementation of the IRS's IHP for the safe & effective care of the IRS at the DC.
- The quality evaluation of these UIR's is completed and can help assist in needs of the IRS'.
- I also ensure all necessary information pertinent to the incident is obtai
- I refer incident reports & incident records to the appropriate investiga State/Federal & protective services are contacted if necessary.
- I complete an evaluation all pertinent followup information to ensure accurate & that actions towards remediation has been documented.
- I evaluate Community Provider UIRs for accuracy, completeness, & pro incidents and when needed make appropriate recommendations.
- I coordinate with the NJ DC's Risk Management and FSSU Supervisors documentation, clarification or information as needed based on the eva the UIR.
- After careful evaluation and coordination with the NJ DC's QA staff, I v necessary information has been provide by the facility and verbal conf of actions towards remediation has been completed/documented.
- I assist with DDD Community closure of UIRs; where I review and coo Provider Agency regarding their investigation reports that have been su to ensure accuracy, completeness, & proper follow up for pending inci
- I analyze incident to identify issues & make recommendations to the rep quality, timeliness, & appropriate actions for agency programs, NJ DC re
PLAN COORDINATOR LCRO
STATE OF NJ DIVISION OF DEVELOPMENTAL DISABILITIES
11.2013 - 09.2015
- Serve as an advocate and resource for individuals and their families asse by the Division of Developmental Disabilities which included planning
- As a Habilitation Plan Coordinator (HPC) for the Division of Develop maintained & monitored human services records of a caseload of up services (IRS) with developmental disabilities (DD) clients.
- I developed, implement, and monitored IRS's service records & suppo files.
- I ensured each individual received necessary medical, dental & psychiat
- I monitored agencies and sponsors regarding quality assurance compl all DD individuals on my caseload by conducting quarterly/monthly m individuals' records to ensure compliance with Federal and State regu
- I monitored, evaluated, collected & analyzed heath records for reside programs.
- I also evaluated & analyzed current and historical data regarding socia with DD services on my caseload to ensure areas of risk, quality of c were appropriate for the their (IRS-DD Services) needs.
- I provided evaluation and recommendations for the DD client's, med supervision, and/or programming needs on my caseload to the agency
- This was based on evaluation of clinical records to ensure client's hea efficiency, and assurance of the client's rights were being implemente
- I reported incidents such as abuse, neglect, and exploitation and advi incidents.
- Secured respite/emergency placements DD clients who were in need residential environment for care, treatment, or specialized training.
- I evaluated Self-care Assessments, service records for all IRS –DD se determined if individual met ICF/MR requirements for services under regulations.
- I planned, monitored, coordinated, approved and evaluated agencies t caseload regarding their Individualized Habilitation Plans.
Senior Clerk Typist
State of NJ Division of Developmental Disabilities
02.2004 - 11.2013
- Worked in tandem with DDD UIR Coordinators in reviewing evaluating incident reports in DHS's Incident Unusual Incident Management System (URIMs).
- Stand-in for Unusual Incident Report Coordinator (UIR) of LCRO for th Developmental Disabilities.
- Ensure compliance with statue, Division policy and regional procedures Unusual Incident Reports for developmentally disabled clients.
- Work in collaboration with the UIR Coordinator to streamline the UIR accurate, and timely.
- Guided, evaluated and counsel case managers on a daily basis to determine an agency programs incident is considered reportable.
- Co-trainer for new case managers in the policy, procedure, process and of NJ Administrative Order 2:05 for agency programs and Community C
- Co-trainer for contracted agencies on policy, procedure, processing and
- Utilize the Unusual Incident Reporting Management System to submit in throughout DDD and the Department.
- Provide consultation and guidance to contracted agencies and developm pertaining to questions, concerns, or changes to incident reports.
Fiscal Coordinator
COMMUNITY ACCESS UNLIMITED FISCAL CO
08.2007 - 02.2011
- As a Fiscal Coordinator for the Personal Preference Program (PPP) und Division of Disability Services (DDS), monitored a caseload of approxima monitored, evaluated, created, and ensured implementation of individuals’ plan who had developmental disabilities (DD) and physical a my caseload.
- As a Fiscal Coordinator for the Personal Preference Program (PPP) u Division of Disability Services (DDS), I monitored the health records approximately 30 individuals.
- I evaluated & created budget plan for each client with developmenta physical/other disabilities (DS) on my caseload.
- Based on a review of their records & an interview with the DD/DS c DD/DS client as a business in the State of NJ with Community Acces intermediary of their Medicaid monthly money/budget plan in the PPP
- I would evaluate human services record including their nursing assess & social services record, to assist them with choosing services with t would best meet their needs for the PPP program.
- I would conducted follow-up interviews with families & DD/DS clien discussed their needs & provide recommendations to assist in the ma budgets & services to identify services that would utilize the resourc my case load.
- I assisted & trained DD & DS clients in maintenance of their PPP prog
- After the initial set up, I would maintain program plan effectiveness b evaluations to ensure requirements for safe and effective care of clien Federal & State accreditation.
- I would monitor & evaluate QA requirements & coordinate the PPP p assessment reviews of DD and DS clients which included quality of ca timeliness of care to maintain program effectiveness.
- I would identify & analyze factors that contributed to inappropriate u consult with clients & families regarding the appropriate actions avail care for the client on my caseload.
- I requested nursing assessments and reevaluations of services through and/or DS clients in planning and coordinating their budgets and serv
Data Entry Supervisor & Human Resource (HR) point
DRIESSEN SERVICES
10.1999 - 10.2001
- My position as a Data Entry Supervisor & Human Resource (HR) point l Licensed Federal Aviation Association repair station (F.A.A.). In this rol staff regarding daily work, policies, procedures, and implementation of F Manual as well as the on-site HR supervisor for 25 workers at Driessen
- I was the onsite HR Manager/Data Entry Supervisor. In this roll was th our 25 employees as well as the Data Entry Supervisor where I directly regarding daily workload, additional, entries and implementation of our Aviation database.
- In addition to supervising the staff, I monitored, planned, implemented a Quick Aviation Database to ensure Federal Regulations were followed.
- Created, planned and implemented trainings to the Facility Manager, Ch Supervisor, and Inspectors on Quick Aviation Database.
- Scheduled staff or pulled staff to cover to ensure Federal Regulations we
- Approved time off, sick time and vacation time for the 2 technical staff t
- Reported and maintained daily inventory reports to ensure compliance Head Quarters.
- In tandem with being the Data Entry Supervisor, as mentioned above I w were part of my responsibilities were to count timecards, initiate workpl implement workers compensation claims.
- Managed 25-30 in the role as HR Manger and addressed staff concerns/a keeping, sick leave, vacation time and unpaid time off.
- Submitted payroll change notices to Head Quarters.
- Identified staff who were abusing time and would counsel them or requ
- Had to discharge staff as per our HR policy of no-call/no-show for thre
- Completed all new employee hire forms, W-4, I-9, timecards; in additio workplace violence, inappropriate workplace contact, appropriate time the workplace.
- Sat in on meetings with F.A.A. and worked with our Fiscal Manager reg regarding our Inspection Procedural Manuel.
Education
B.A. - Psychology
Thomas Edison State College
A.A. - Psychology
Burlington County College
A.S. - Liberal Arts and Sciences
Burlington County College
Skills
- Great computer skills
- People person
- Great communication skills
- Ability to handle difficult people
- Self-motivated & conscientious
- Hard worker
Timeline
Quality Assurance Specialist
State of NJ Department of Human Services OPIA-CIMU
11.2023 - Current
Quality Assurance Coordinator
State of NJ Department of Human Services OPIA-CIMU
06.2022 - 11.2023
Quality Assurance Specialist
State of NJ Department of Human Services OPIA-CIMU
09.2015 - 06.2022
Quality Assurance (QA) Specialist
STATE OF NJ DIVISION OF DEVELOPMENTAL DISABILITIES
11.2013 - 09.2015
PLAN COORDINATOR LCRO
STATE OF NJ DIVISION OF DEVELOPMENTAL DISABILITIES
11.2013 - 09.2015
Fiscal Coordinator
COMMUNITY ACCESS UNLIMITED FISCAL CO
08.2007 - 02.2011
Senior Clerk Typist
State of NJ Division of Developmental Disabilities
02.2004 - 11.2013
Data Entry Supervisor & Human Resource (HR) point
DRIESSEN SERVICES
10.1999 - 10.2001
B.A. - Psychology
Thomas Edison State College
A.A. - Psychology
Burlington County College
A.S. - Liberal Arts and Sciences
Burlington County College
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