Mary Anne Fielding

Develop and assist with external regulatory audit preparations and respond to performance evaluation finding and corrective action plans (NYS OASAS, OMIG, CARF, Article 28, DOH and OSHA), Develop, implement, and maintain internal auditing process applicable to NYS OASAS, OMIG, CARF, Article 28, DOH regulations through focused clinical and billing documentation review; reporting variances to the Executive Director and Leadership Team, Keep accurate variance records of chart reviews to be used for both staff-wide and individual training and supervision with clinical staff, Interface routinely with external agencies such as NYS OASAS, CARF, OMIG, and Article 28 who oversee the issuance of facility licenses/accreditation, Lead liaison for NYSJC and NYS OASAS Credentialing Unit investigations facilitating communication and coordination of activities, written investigation summary reports, Maintains strong skills in and working knowledge of conflict resolution, problem solving techniques, complaint screening, and witness interviewing, providing consultation and advice, and conducting investigations, generating strategies and/or recommendations for the resolution of complaints, Chairs Risk Management/Corporate Compliance Committee and actively participates on the Quality Assurance/Performance Improvement Committee and other targeted initiative planning and development meetings as needed, Identifies potential areas of compliance vulnerability and risk; develops/implements corrective action plans for resolution of problematic issues, and provides general guidance on how to avoid or manage similar situations in the future, Develop and review SCI’s Annual Compliance Work Plan through planned, systematic and ongoing process for monitoring and evaluating and improving the quality of care delivery, Reports Corporate Compliance Program operations, efforts, progress and challenges to SCI’s Board of Directors through quarterly reports and annual presentations, Evaluates existing training methods and content, and make suggestions for improvements and enhancements so that trainings are consistent with the organization’s overarching strategies, objectives, initiatives and regulatory requirements, Collaborates with Chief Human Resources Officer and the Leadership Team as appropriate to develop an effective compliance and education program, including various education, training, development, and quality initiatives and goals for all employees and managers, Works closely with the Chief Human Resources Officer to facilitate alternative resolutions and conduct formal investigation of complaints/grievances and reports filed by employees, Maintain knowledge of OMIG, OASAS, CARF and Article 28/DOH regulations through attendance at state meetings and other means and inform SCI of regulations and revisions, Maintain collaborative relationships with external stakeholders, and serve as liaison to State agencies and regulatory bodies regarding clinical quality and compliance as needed, Develops, revises and maintains policies and procedures for the general operation of the Corporate Compliance Program, Institute and maintain an effective compliance communication program for the organization, including promoting the Compliance Hotline; awareness of the Standards of Conduct, and understanding of new and existing compliance issues and related policies and procedures, Monitor, respond to, and investigate all incoming Whistleblower Hotline reports of unethical practices within the workplace, Ability to consult with and assist administrators, staff and faculty in assessing procedural, policy or ethical concerns in complex matters, Consultant to all departments on regulatory and compliance matters, Participation in webinars/teleconferences/in-person seminars to stay current on regulatory updates and compliance strategies. Seeks out learning experiences and incorporates new knowledge into practice, Ability to maintain confidentiality, be discrete, and maintain neutrality in the face of resistance, indifference or hostility. Commitment to principles of due process, fairness and respect.

Directed a staff of 20 in the daily operations and clinical practices of substance use disorder treatment services, under this program I coordinated and managed the treatment services of 5 programs: C.O.A., adolescent, and three adult programs including day rehab, evening clinic and a jail based program located at the WCDOC, training of all new staff on chart work compliance, provided in-service training on new updated information within the field of addiction, analyzed client satisfaction surveys, oversaw utilization review and compliance practices in-house, promoted program services to outside agencies at network and community meetings, monthly and annual statistical reports, financial monitoring and reporting, responsible for remaining updated on OASAS and OMIG regulations, remain updated on insurance reimbursement information to ensure proper payment of services in order to meet program financial goals, systems, coordinate and organize agency events and crisis interventions.

Criminal Justice Services/Community Link/YWCA Awakenings Program

Simultaneously ran both the Community Link jail based program at the WCDOC and the Awakenings program located at the YWCA in North White Plains, supervised a clinical staff of 5, providing drug treatment services in a sober living environment to women who are mentally ill, chemically addicted and released out of the WCDOC, facilitated early recovery treatment groups on site and individual psychotherapy, advocated for resident needs within the community, including schools, family and criminal court and welfare systems, responsible for on-going communication with resident mandates (i.e. TASC, probation, drug court, etc.), facilitated and attended case conferences with community service providers as needed, facilitated in-service trainings to staff on the disease concept of addiction, crisis intervention, developed treatment plans with residents and monitored progress, developed and implemented risk management and compliance plans, performed and tracked outcome studies, maintained regulatory compliance with OASAS and OMIG, responsible for monthly statistics and reports, promoted program services within the community.

HIV Services, Med/Surge

Supervised program in absence of senior staff for both in-patient and outpatient services, Maintained timely and accurate clinical reports per YGH, AIDS Institute and OASAS standards, Provided productive outreach to agencies and clients, Provided supportive counseling to patients and family members as needed, Crisis Intervention, Maintained knowledge of AIDS Institute (NY State Department of Health) and OASAS regulations and new developments in healthcare, Assisted in maintaining program's financial responsibilities, In charge of all in-patient discharge planning, including attending weekly interdisciplinary team meetings held both on and off site, Individual psychotherapy, facilitated didactic groups off-site, Assisted in running the ambulatory clinic as needed.