Regina Phillips
Beaumont,CA
Summary
Well-versed Quality Assurance Manager with relevant experience in overseeing the production process, identifying and resolving issues, and ensuring products meet company standards. Strengths include strong communication skills, strategic planning abilities, and comprehensive knowledge of quality control procedures. Previous roles highlighted ability to improve product quality by conducting thorough analysis and implementing effective solutions.
Overview
11
11
years of professional experience
Work History
Regional Quality Assurance Manager
Stars Behavioral Health Group
Long Beach, CA
05.2021 - Current
- Provide expertise in reviewing internal incident reports to identify trends and potential liability.
- Contribute to the preparation of SBHG affiliated program licenses and certifications including Medi-Cal and LPS certifications.
- Assist in coordinating response to external reviews, citations, plans of correction. Assure all LPS-designated facilities are maintaining required processes related to detention and treatment of involuntary clients.
- Perform regular audits of program charts and client documentation to maintain adherence to SBHG Annual Audit Calendar.
- Generate consultation reports to assist with implementing corrective action plans for adherence to Joint Commission, Medi-Cal, and DHCS standard requirements.
- Facilitate the implementation of quality assurance measures by supporting the integration of data-driven care into SBHG programs.
- Support Continuous Quality Improvement including Rapid Cycle Improvement Process resulting in CQI council meetings; evaluate and support efficient and effective Quality Assurance and Control processes across agencies and programs.
- Demonstrate expertise in conducting Quality Assurance Audits while supporting the development/revisions of Audit Tools, Probes, along with other TQM Tools such as Utilization Review and Peer Review methodologies.
- Assist with investigations of the HELP LINE complaints such as fraud and abuse.
- Conduct comprehensive orientations for new Department Heads regarding compliance regulations related to TQM practices along with Joint Commission and QA matters.
Program Manager
Stars Behavioral Health Group
San Bernardino, CA
03.2017 - 05.2021
- Directed provision of Program Services to CRT clients. Implemented a recovery based psychosocial program to optimize patient strengths, skills, and partnerships with family, community and staff. Assured that client needs were met through program activities.
- Selected, trained, supervised, and evaluated direct care staff in various disciplines.
- Assisted in the coordination of all discharges from the facility.
- Maintained staff competency through regular in-service training and continuing education for social services and clinical personnel.
- Established and maintained relationships with county agencies, healthcare facilities, placement centers, and other necessary resources to ensure continuous care for clients returning to the community.
- Assisted in revising and maintaining policies and procedures for the social services department.
- Collaborated with team members to incorporate social services and rehabilitation into the therapeutic program, administering individual and group therapy to clients.
- Ensured that social services and rehab interacted and communicated with other non-clinical departments in the facility.
- Represented social services and rehab on various facility committees, including Utilization Review, Peer Review and Quality Assurance.
- Assisted with discharge planning including: assessing client's readiness for discharge and coordination planning with treatment team; making appropriate referrals for placement, case management and aftercare services; coordinated benefits (Medi-Cal) with Business Office personnel; and maintained knowledge of community resources.
Quality Assurance/Medical Records Coordinator
Stars Behavioral Health Group
San Bernardino, CA
04.2013 - 03.2017
- Supported Quality Assurance Programs to assure quality care was provided in compliance with Community Services, policies and regulatory standards.
- Selected, trained, supervised and evaluated assigned direct care staff.
- Coordinated data collection activities and procedures for quality assurance with Administrator/Clinical Director.
- Successfully oversaw data collection efforts for all required evaluations and outcomes within county jurisdiction.
- Provided accurate documentation of county-required evaluations, outcomes, and client tracking reports.
- Completed written documentation in the client record.
- Coordinated chart auditing functions with the Clinical Services Coordinator.
- Closed Medical records in appropriate chart order
- Audited charts for deficiencies and forwarded to appropriate department for correction.
- Maintained a consistent turnaround time of 14 days for responding to requests for Release of Information.
Education
Bachelor of Science - Behavioral Sciences
University of La Verne
La Verne, CA05-2017
Associate of Arts - Liberal Studies, Humanities And Fine Arts
San Bernardino Valley College
San Bernardino, CA06-2013
Skills
- Regulatory Compliance
- Operation Monitoring
- Quality Systems
- Process Analysis
- Audit Coordination
- Quality assurance experience
- Analytical thinking
- Verbal and written communication
Timeline
Regional Quality Assurance Manager
Stars Behavioral Health Group
05.2021 - Current
Program Manager
Stars Behavioral Health Group
03.2017 - 05.2021
Quality Assurance/Medical Records Coordinator
Stars Behavioral Health Group
04.2013 - 03.2017
Bachelor of Science - Behavioral Sciences
University of La Verne
Associate of Arts - Liberal Studies, Humanities And Fine Arts
San Bernardino Valley College
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