Mélisa Teglas
Erie,CO
Summary
Accomplished quality management professional with expertise in behavioral health and a passion for professional development and process improvement. Strategic, compassionate, and accountable leader. Proven cross-functional collaborator. Direct and transparent communicator. Adaptable and resilient problem solver with a curious mindset. Enthusiastic advocate for equitable care and continuous improvement.
Overview
21
21
years of professional experience
Work History
Quality Manager
Clinica Family Health & Wellness
03.2022 - Current
- Lead a team of quality coordinators and a clinical quality trainer to provide support to direct care staff for accurate clinical documentation and workflows.
- Program, process, and workflow development through a quality lens.
- Agency consultant for behavioral health rules and regulations, clinical best practices, coding and billing, and audit processes.
- Create quality presentations, guidance documents, and reports offered to direct care staff and leadership.
Manager, Quality Improvement and Compliance
Community Reach Center
05.2020 - 02.2022
- Led a team of quality coordinators, clinical trainers, and a clinical records supervisor.
- Policy and procedures development and refinement.
- Developed documentation resources and workflows and oversaw the development of an agency clinical supervision course.
- Directed annual compliance risk assessments and conducted compliance investigations.
- Devised an updated auditing process to identify issues and to improve clinical documentation to ensure accuracy with both internal and external audits.
- Developed a unique and useful peer review process to enhance clinical quality.
Quality Assurance Supervisor
Peer Assistance Services
08.2019 - 05.2020
- Responsible for hiring, training, and assessment of case managers, and to ensure protocols and administrative requirements were completed according to contracts.
- Tasked with developing and directing quality assurance program to improve services and to provide consistent and appropriate case management and recordkeeping.
- Represented the Peer Health Assistance Program at DORA licensing board meetings, networking events, and board of directors’ meetings, and imparted educational presentations to professional societies and healthcare graduate programs.
- Oversaw a team of 10 case managers and a quality assurance coordinator and provided both clinical and administrative supervision.
Peer Health Assistance Program Case Manager
Peer Assistance Services
04.2018 - 07.2019
- Engaged in comprehensive case management and ongoing monitoring of compliance for licensed healthcare professionals with behavioral health concerns.
- Determined appropriate levels of care and treatment recommendations for individuals based on assessed needs.
Therapist
Mental Health Partners
10.2016 - 04.2018
- Provided outpatient individual and group therapy to adults with mental health and addiction concerns.
- EHR consultant, trainer, and superuser.
Quality Assurance Manager
Mental Health Partners
01.2013 - 10.2016
- Developed quality assurance program, including auditing, education, and ongoing support, that continues to be utilized by the agency.
- Collaborated with leaders and provided expert consultation for program development.
- Supervised and provided professional development opportunities to quality assurance coordinators.
Quality Assurance Coordinator/UM
Boulder County Dept of Housing & Human Services
11.2010 - 01.2013
- (The IMPACT program transitioned from MHP to DHHS; similar job duties.)
IMPACT Placement Interventionist
Mental Health Partners
08.2008 - 11.2010
- Provided case management for adolescents receiving intensive behavioral health services.
- Audited case files and monitored contracted services for quality and prepared reports and maintained quality records in multiple databases.
Mental Health Associate III
The Menninger Clinic
04.2004 - 07.2008
- Provided individual and group therapy to adolescents and adults with behavioral health concerns.
- Developed preceptor program and served as chair of Preceptor Committee.
- Established procedures and training module for accurate Breathalyzer and urinalysis testing.
Education
Certificate - Data Analytics
University of Denver
Denver, CO03-2025
Master of Arts - Clinical Psychology
Sam Houston State University
Huntsville, TX08.2004
Bachelor of Arts - Psychology
University of St. Thomas
Houston, TX05.2001
Skills
- Continuous quality improvement
- Process improvement
- Audit processes
- Staff development and training
- Clinical documentation, data collection, and reporting
- EBPs and treatment modalities
- Coding, billing and revenue cycle
- Regulatory compliance
- Data analytics: Python, SQL, JavaScript, Tableau
Licenses
Licensed Professional Counselor Colorado, LPC.0015486
Licensed Addiction Counselor Colorado, ACD.0001350
Timeline
Quality Manager
Clinica Family Health & Wellness
03.2022 - Current
Manager, Quality Improvement and Compliance
Community Reach Center
05.2020 - 02.2022
Quality Assurance Supervisor
Peer Assistance Services
08.2019 - 05.2020
Peer Health Assistance Program Case Manager
Peer Assistance Services
04.2018 - 07.2019
Therapist
Mental Health Partners
10.2016 - 04.2018
Quality Assurance Manager
Mental Health Partners
01.2013 - 10.2016
Quality Assurance Coordinator/UM
Boulder County Dept of Housing & Human Services
11.2010 - 01.2013
IMPACT Placement Interventionist
Mental Health Partners
08.2008 - 11.2010
Mental Health Associate III
The Menninger Clinic
04.2004 - 07.2008
Certificate - Data Analytics
University of Denver
Master of Arts - Clinical Psychology
Sam Houston State University
Bachelor of Arts - Psychology
University of St. Thomas