In-depth Quality Assurance Specialist with success in prioritization and multitasking. Exceptional communication and organizational skills. Committed to paying impeccable attention to reviews and auditing procedures.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Quality Assurance Specialist
Department Of Human Services
09.2015 - Current
Assess and evaluate reports conducted by the Office of Investigations regarding incidents concerning the safety of service recipients
Asses, review, and evaluate reports or allegations of abuse, neglect, exploitation or incidents which may impact service recipients’ safety and well-being
Analyze plan of corrections submitted by providers to ensure corrective actions have been implemented to promote optimum support and care for service recipients
Run data reports to ensure provider compliance with Division standards regarding incident reports and appropriate follow up
Maintain coverage on the DDD abuse/neglect hotline and submit incident reports as needed.
Recorded findings of inspection process, collaborating with quality team to implement corrective actions.
Analyzed quality and performance data to support operational decision-making.
Reported problems and concerns to management.
Reviewed production processes and identified potential quality issues.
Liaised between quality control and other departments and contractors, providing project updates and consultation.
Purchase of Care (POC) Supervisor
Division Of Developmental Disabilities
11.2014 - 09.2015
Ensure that case management services are provided to individuals in an effective and efficient manner
This includes the supervision of programmatic proposals, evaluations, and fiscal related services
Monitoring of activities or programs that impact any changes related to State or federal laws and regulations
Ensure case managers are knowledgeable about available resources to assist eligible individuals
Develop policy and procedures related to purchase of care case management
Audit case files assigned to POC Coordinators to ensure compliance with Division policies and procedures
Review and approve ALA reports for quality of care and ensure services are being rendered to persons served
Provide recommendations regarding any programmatic issues related to the health and safety of person served
Document and follow up on unusual incident reports
Other related job duties include: Arranging for orientation and training of new staff
Development of needed skills for case managers through the Performance Assessment review (PAR)
Conduct quarterly audits on individuals’ official records
Coordinate and facilitate team meetings
Review and submit Payment Vouchers regarding individuals’ medical services.
Principal Community Program Manager
Division Of Developmental Disabilities
12.2012 - 11.2014
Supervise the coordination of individuals being transitioned from out of state residential facilities back to community residential placements in the state of New Jersey
Work closely with other units within the Division and provider agencies in a collective effort to insure the health and safety of individuals transitioning back to community residential placements in New Jersey
Other related job duties include: Delegation of tasks to appropriate Support Staff
Supervise the evaluation and approval NJ provider program descriptions and proposals to insure the appropriate clinical care, support, and administrative services are provided to the person served
Tour residential programs and adult training facilities for appropriateness of the person served
Coordinate and facilitate team meetings and trainings for RHNJ Staff
Review and submit funding request that impact programmatic services for persons served
Review and approve residential proposal and program descriptions
Create excel spread sheets to collect and maintain databases on the Unit’s productivity
Review and respond to correspondence received from parents, guardians, and attorneys
Review and approve staff required tasks, pars, and timesheets.
Mentored and supported six DDD department employees to create strong workplace culture.
Devised tools and benchmarks to improve team performance and monitor production.
Performed program research and analyzed data collection to develop cost estimates and budgets.
Established team priorities, maintained schedules and monitored performance.
Evaluated employee performance and conveyed constructive feedback to improve skills.
Defined clear targets and objectives and communicated to other team members.
Engaged with customers, partners and constituent groups to create positive, trusting and professional relationships.
Habilitation Plan Coordinator
Division Of Developmental Disabilities
01.2006 - 12.2012
Managed system for secure storage, transmission and manipulation of clinical data.
Followed up on outstanding clinical items within established timelines for optimal care delivery.
Developed comprehensive data dictionary for efficient and accurate data tracking.
Upheld critical security standards when managing user access actions such as setting up and removing accounts.
Enforced strict data validation rules to maintain accuracy and completeness of clinical data.
Participated in quality assurance reviews to verify accuracy and reliability of data.
Reviewed missing assessment reports and analyzed issues for leadership team.
Set schedules for staff to start and complete MDS assessments and care plan meetings.
Verified prompt and accurate completion of MDS activities for billing.
Assessed electronic medical record for required documentation to support MDS coding.
Complied with federal and state regulations for completion and coordination of RAI process.
Residential Service Coach
Easter Seals
12.2002 - 01.2008
Provided coaching and mentoring to consumers.
Established and maintained quality control standards.
Analyzed and evaluated training effectiveness and program outcomes.
Purchase of Care (POC) Coordinator
09.2005 - 06.2006
Monitor, evaluate, and coordinate the placement planning of individual who are currently placed in an out of state facility, either funded by the Division or through the Local Education Authority (LEA)
Create excel charts to monitor clients who are aging out of their Local Educational Authority (LEA) entitlements
Work with Support Coordination Agencies to assist clients in out of state residential placements to find appropriate residential and day program placements in the state of New Jersey
Prepare, submit and monitor referral packages on behalf of clients to prospective residential placements
Prepare budget forms detailing requested funding cost regarding clients for a particular residential placement and other services being requested
Conduct audits of individuals on the community care waiver residing in out of state facilities
Other Responsibilities include: Supervise the assembly and distribution of documents for meetings of the interdisciplinary team
Coordinate, monitor, and audit the individual's progress in following with the Service Plan
Recommend, approve, and monitor Service Plans through the interdisciplinary team and see that these changes are carried out
Keep abreast of federal and state regulations as they pertain to services being rendered by qualified agencies
Visit assigned individuals residing in alternate living arrangements
Perform monitoring and assessments of assigned individual's residential, program, training, behavior, social, and health needs
Review and submit Payment Vouchers regarding clients’ medical billing., Provided supervision and support for individuals diagnosed with various mental health disorders
Assisted consumers with maintaining stable mental health by providing one to one interaction, educational group sessions, and transportation to various community settings
Participated in the development and implementation of comprehensive service plans by evaluating and monitoring consumers on their progress within the program.
Community Support Assistant Manager
Community Options, Inc
06.2004 - 09.2005
Essential functions included maintaining and monitoring Developmentally Disabled clients’ finances, medical needs, and routine activities
Assisted clients with building a support network within their community
Completion of staff evaluations, maintenance of residential budget, and submitted monthly reports outlining clients’ progress and residential concerns
Participated in the development and implantation of comprehensive service plans by evaluating and monitoring consumers on their progress within the program
Evaluated and monitored clients’ quality services to assure that the individual was healthy, safe and enjoying a high quality of life
Audited client’s files to ensure compliance with DDD standards.
Community Support Staff
Allies Inc
03.2003 - 08.2003
Assisted developmentally disabled individuals with everyday life activities, such as helping with preparation of meals, daily house chores, personal hygiene, and community interaction
Responsibilities also included administering and documenting medication and monitoring behavioral progress.
Community Support Staff
Allies, Inc.
12.2002 - 08.2003
Assisted individuals diagnosed with a developmental disability and/or dually diagnosed with a various mental health disorders with everyday life activities, such as helping with preparation of meals, daily house chores, personal hygiene, and community interaction
Responsibilities also included the administration and documentation of various medications and monitoring behavioral progress.
Supported clients in developing goals and social skills, improving individual wellness and productivity.
Participated in community events and activities to increase awareness of available social services.
Assisted in implementation of community support services in alignment with needs.
Cassroom Teacher's Aid-Internship
Health Care Commons
01.2003 - 05.2003
Assisted professional, with counseling children ages three to five years old that were diagnosed with a severely emotional disturbance disorder.
Delivered personalized educational, behavioral, and emotional support to individual students to enable positive learning outcomes.
Assisted teachers with classroom management and document coordination to maintain positive learning environment.
Supported student learning objectives through personalized and small group assistance.
Set up visual aids, equipment, and classroom displays to support teacher's lesson delivery.
Maintained safety and security by overseeing students in recess environments.
Supported classroom maintenance and upkeep, organizing books and materials.
Facilitated activities in small groups to reinforce concepts taught by class teacher.
Partnered with teacher to plan and implement lessons following school's curriculum, goals, and objectives.
Education
Masters of Science - Psychology
Kaplan University
Bachelor of Liberal Arts and - Science, Psychology
Rowan University
2003
Skills
Audit Reports
File Management
System Inspections
Database Maintenance
Customer Service
Compliance Certifications
Quality Improvement
Communication Proficiency
Project Management
Internal Audits
Quality Assurance
Analytical Thinking
Verbal and Written Communication
Collaboration Skills
Problem-Solving Skills
Word Processing
Certification
CPR and First Aid Certification
Certified in Therapeutic Crisis Intervention
Certification in Loan Processing
Introduction to Developmental Disabilities
Certified in Person Centered Thinking
and Essential Lifestyle Planning
Certified in Medication Administration
Additional Information
Licensed Life Producer in NJ
Timeline
Quality Assurance Specialist
Department Of Human Services
09.2015 - Current
Purchase of Care (POC) Supervisor
Division Of Developmental Disabilities
11.2014 - 09.2015
Principal Community Program Manager
Division Of Developmental Disabilities
12.2012 - 11.2014
Habilitation Plan Coordinator
Division Of Developmental Disabilities
01.2006 - 12.2012
Purchase of Care (POC) Coordinator
09.2005 - 06.2006
Community Support Assistant Manager
Community Options, Inc
06.2004 - 09.2005
Community Support Staff
Allies Inc
03.2003 - 08.2003
Cassroom Teacher's Aid-Internship
Health Care Commons
01.2003 - 05.2003
Residential Service Coach
Easter Seals
12.2002 - 01.2008
Community Support Staff
Allies, Inc.
12.2002 - 08.2003
Masters of Science - Psychology
Kaplan University
Bachelor of Liberal Arts and - Science, Psychology
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