Olga I. Keber
Long Pond,USA
Summary
Dedicated and clinically trained with a solid background in the chemical dependence field; excel administratively at multi-tasking in a fast paced environment, appropriately delegating responsibilities and completing projects within time and budget constraints.
Overview
38
38
years of professional experience
Work History
Director of Managed Care
Harlem United Adult Day Health Center
New York, NY
10.2014 - Current
- Responsible for overseeing and managing day-to-day operations of Managed Care Department and supervising Managed Care Authorization Associate
- Work with VP, Billing and Managed Care to develop, implement and improve protocols and processes for managed care work flows
- Primary contact with Managed Care Organizations on authorizations and related issues
- Work with VP, Billing and Managed Care and Managed Care Organizations to resolve coverage or claims-related issues
- Coordinating with programs to obtain all necessary information on intakes, reassessments and as otherwise necessary to obtain authorizations from Managed Care Organizations
- Overseeing dissemination of information to Managed Care Organizations by Managed Care Authorization Associate
- Work with VP, Billing and Managed Care and programs to develop strategy for Managed Care contracting
- Develop working knowledge of managed care contracts
- Communicating with programs regarding authorizations
- Updating, monitoring and tracking of data regarding approvals and insurance status
- Ensure the integrity and confidentiality of all patient information
- Provide supervision to Managed Care Authorization Associate
- Monitor and evaluate staff performance
- All other duties as assigned by Vice President, Billing and Managed Care
Director of Operations
Harlem United Adult Day Health Center
New York, NY
12.2010 - 10.2014
- Review group log notes to determine if consistent with group protocols.
- Review progress notes to determine if they are consistent with care plan interventions.
- Produce Monthly DDS documents.
- Meet monthly to review DDS with Case managers, CASAC, RD and Nurses.
- Help manage crisis interventions.
- Respond to crisis intervention calls.
- Provide daily group service schedule.
- Communicate changes in ADHC Schedule.
- Manage admissions and discharges.
- Report discharges to billing/administration.
- Purge all discharged files.
- Ensure billing ledgers and progress notes match.
- Conduct in-house audits on all charts (care plans, psychosocial, consistent writing on groups notes, progress notes, etc…)
- Assist in facilitating, moderating and mediating at behavioral case conferences to address client conflicts.
- Investigate conflict mediation initiative.
- New staff training on behavioral protocol.
- Review group log notes to determine if consistent with group protocols.
- Facilitate morning rounds in absence of the Managing Director, Clinical Director or the Nurse Coordinator.
Case Manager/Counselor
Harlem United Adult Day Health Center
New York, NY
01.2007 - 01.2010
- Responsible for providing supportive counseling and crisis intervention around a host of issues integral to living with mental illness, substance abuse issues, and HIV/AIDS.
- Perform psychosocial assessments for new clients assigned to caseload.
- Develop and facilitate psycho educational/support groups in English and Spanish.
- Establish, maintain, and document weekly meetings with clients based on assessment needs.
- Responsible for coordinating communication amongst other providers.
- Develop treatment plans as part of an interdisciplinary approach to providing counseling services as necessary.
Senior Counselor
Addiction Research Treatment Corporation – ARTC
New York, NY
01.2006 - 01.2007
- Responsible for a caseload of 55 patients.
- Providing individual and group counseling, case management, crisis intervention and record keeping.
- Train staff on all 'Technical Support' and assist on record keeping.
- Submit on a quarterly basis treatment plans, weekly progress notes and groups sessions.
Director of Methadone To Abstinence Residence (MTAR)
Lower Eastside Service Center/Su Casa
New York, NY
01.2005 - 01.2006
- Responsible for planning and executing all aspects of a clinical treatment program servicing 100 male and female adults.
- Trained all supportive staff before a caseload.
- Submit all required reports and documents to regulatory agencies and to Executive agency management; attend all middle management agency meetings, participate on agency committees; network with external resources and agencies, such as ACS,HRA, TASC, Drug Courts and other pertinent organizations.
Program Director
United Bronx Parents/La Casita
Bronx, NY
01.2002 - 01.2005
- Oversee program operations and clinical treatment services for 60 women residents and up to 104 children in two residential facilities.
- Supervise clinical staff and administrative/maintenance/security support staff on 24 hour, seven day a week basis.
- Develop and implement program planning.
- Submit required reports and documents to regulatory agencies and to Executive agency management.
- Attend all middle management agency meetings, participate on agency committees (including HIPAA and Staff Development Committees); network with external resources and agencies, such as ACS, HRA, TASC, Drug Courts and other pertinent organizations.
- Represent the agency per direction from Executive Supervisor.
Assistant Director
United Bronx Parents/La Casita
Bronx, NY
01.2001 - 01.2002
- Provided supervision to fifteen (15) Clinical counselors and eight (8) Social workers in record compliance, scheduling, referrals, and external agency relationships.
- Maintained small client caseload, providing individual and group counseling, case management, and record keeping.
- Compiled and produced annual reports for clinical and budget purposes under direction of Program Director.
- Coordinated workshops to recruit new clients.
- Represented the director and organization, as assigned.
- Facilitated communications between clinical and clerical staff by initiating conferences and providing data on client status.
- Arranged recreational activities for residents and children.
Facility Administrator
01.1999 - 01.2001
- Supervised forty-eight (48) childcare staff.
- Monitored Early intervention services, maintained records and followed up on assessments/evaluations on all children in the program.
- Responsible for overall functioning of building, supervising maintenance and building code compliance.
- Served as liaison to agency Fiscal Dept. in areas of purchasing equipment and supplies.
- Gathered and generated program monthly reports for the following: GPRA, CSAT, CACFP, PAS 48 (PRU), HUD, Daily Census.
- Assisted Clinical Director in Preparation of annual work scope goals for the Office of Alcoholism and Substance Abuse Services of NY State.
Executive Secretary
01.1994 - 01.1999
- Prepared all new staff policies and procedural manuals via MS Word.
- Handled multiple assignments under pressure situations and met all deadlines.
- Prepared weekly population reports and generated all monthly reports.
- Typed all memos and correspondence pertaining to the agency.
- Screened all incoming calls for the executive director.
- Entrusted by the executive director to represent her at various functions and meetings in her absence.
- Liaison between parent/child agencies and department managers to schedule all departmental meetings.
Office Manager
Target Cities Project
New York, NY
01.1991 - 01.1994
- Monitored all inventory control via data entry.
- Generated statistical reports and printed for management review.
- Attended all staff meetings.
- Prepared and logged minutes from all meetings.
Dedicated Service Manager
Accurate Processing Consultants Corp.
New York, NY
01.1987 - 01.1991
- Explained policy and procedure according to their specific package (i.e. explanation of benefit allowance, claims and forms, etc…)
- Reversed and reprocessed claims after researching issues brought forward by corporations and or employees.
- Issued new cards after record maintenance.
- Created authorizations for request of service, approving or denying according to benefit eligibility.
- Enroll newly eligible dependants and or spouses, termination of members who are no longer eligible for coverage and reinstate members with coverage continuation.
Education
Master’s Degree - Social Work
Hunter College
New York01.2007
Notary Public -
National Notary Association
New York01.2007
CASAC Certificate -
Office of Alcohol and Substance Abuse Services
01.2001
Bachelor’s Degree - Psychology
College of New Rochelle
New Rochelle01.2000
References
Available upon request
Timeline
Director of Managed Care
Harlem United Adult Day Health Center
10.2014 - Current
Director of Operations
Harlem United Adult Day Health Center
12.2010 - 10.2014
Case Manager/Counselor
Harlem United Adult Day Health Center
01.2007 - 01.2010
Senior Counselor
Addiction Research Treatment Corporation – ARTC
01.2006 - 01.2007
Director of Methadone To Abstinence Residence (MTAR)
Lower Eastside Service Center/Su Casa
01.2005 - 01.2006
Program Director
United Bronx Parents/La Casita
01.2002 - 01.2005
Assistant Director
United Bronx Parents/La Casita
01.2001 - 01.2002
Facility Administrator
01.1999 - 01.2001
Executive Secretary
01.1994 - 01.1999
Office Manager
Target Cities Project
01.1991 - 01.1994
Dedicated Service Manager
Accurate Processing Consultants Corp.
01.1987 - 01.1991
Master’s Degree - Social Work
Hunter College
Notary Public -
National Notary Association
CASAC Certificate -
Office of Alcohol and Substance Abuse Services
Bachelor’s Degree - Psychology
College of New Rochelle