Sara Onsomu
Troy
Summary
Strategic thinker with great memory and efficiently organizes vast amounts of data. Great at performing internal audits, conducting investigative reporting, and transcribing information.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Healthcare Compliance Investigator Supervisor
Public Consulting Group
03.2022 - Current
- Trains, coaches, and evaluates up to 6 team members' productivity, monitoring their progress, performance, and accuracy
- Monitoring case tracking and assignment of new investigations
- Evaluates investigator case evidence to assure it clearly supports a conclusion of substantiated or unsubstantiated fraud, waste, and abuse
- Assures compliance with protocols for investigations and routine review
- Responsible as resource for review of relevant documentation: credentials of staff, aide logs, supervisor visit notes, service authorization, clinical notes, communication notes, nurse's notes, and provider billing claims
- Performs quality assurance reviews for investigative reports
- Assists with investigations as needed
Lead Healthcare Compliance Investigator
Public Consulting Group
09.2021 - 03.2022
- Trained new staff and completed reviews of their investigative notes prior to their submission into incident reporting system
- Continued to investigate full caseload
- Designated as point of contact for times when supervisor was not working
- Monitored assignment of new cases to investigators
- Sent inquiries to Attorney General's office on behalf of teammates
- Collected data of teammates productivity to report to supervisor
Healthcare Compliance Investigator
Public Consulting Group
06.2018 - 09.2021
- Reviewed, documented and investigated allegations of suspected wrongdoing such as Medicaid Fraud, Misappropriation, Abuse, Neglect, and Provider Violations to ensure health and welfare of waiver individuals enrolled on programs: MyCare and Ohio Home Care Waiver
- Completed Medicaid Fraud referrals to Ohio Attorney General
- Researched issues and laws related to investigations while educating providers regarding waiver rules
- Conducted thorough investigations of all incidents and violations including reviews of all relevant documentation, billing, and interviews with all individuals, documenting all investigative activities in incident reporting system
- Completed referrals to protective and regulatory bodies such as law enforcement, Adult and Children Protective Services, County Board of Developmental Disabilities, Ohio Department of Medicaid and Ohio Department of Aging
- Assigned new cases to investigators
- Investigated more complex cases (multiple cases at a time involving 1 individual or 1 provider)
Care Manager/Assessor/Community Resource
Catholic Social Services
03.2010 - 06.2018
- Assessed individuals in community for PASSPORT waiver, Assisted Living waiver, ComCare, and Caregiver Support programs, including Level of Care evaluations and linkage to community resources/Adult Protective Services if not appropriate for programs
- Pre-Admission Review process completed for nursing facility placement or referrals to other community programs
- Managed full caseload of individuals, who are enrolled in one of the above programs, tracking services provided to them, and assuring their health and welfare
- Consulted with supervisors to assess cases and plan strategies for enhancing care
Health Emergency and Admissions Crisis Therapist
Behavioral, Upper Valley Medical Center
05.2007 - 10.2013
- Responsible for managing multiple lines of Crisis Hotline, and linking individuals with community resources
- Performed mental health evaluations for inpatient and outpatient treatment on walk-in and referral basis
- Utilized DSM-IV in developing diagnoses for mental health and chemical dependency individuals
- Leveraged strong critical thinking skills to manage complex psychiatric cases
- Helped families understand treatment options
- Demonstrated excellent communication skills in working with hospital staff, patients, families, law enforcement and referral agencies
- Provided emergency response in crisis situations to diffuse tensions and prevent violence
Education
Master’s of Social Work -
University of Cincinnati
Cincinnati, OH06.2010
Skills
- Strong leadership skills with ability to motivate and manage staff
- Ability to foster teamwork with all levels of management and staff
- Experience with developing collaborative case strategies and preparing factual analysis of healthcare fraud schemes
- Ability to think critically, incorporating multiple factors into larger concepts
- Strong organizational skills with ability to simultaneously manage multiple investigations and supervisory tasks
- Ability to work well independently and as a team, taking into account customer relation techniques, professionalism, and with respect for other cultures
Certification
Licensed Social Worker as of May 2007
Timeline
Healthcare Compliance Investigator Supervisor
Public Consulting Group
03.2022 - Current
Lead Healthcare Compliance Investigator
Public Consulting Group
09.2021 - 03.2022
Healthcare Compliance Investigator
Public Consulting Group
06.2018 - 09.2021
Care Manager/Assessor/Community Resource
Catholic Social Services
03.2010 - 06.2018
Health Emergency and Admissions Crisis Therapist
Behavioral, Upper Valley Medical Center
05.2007 - 10.2013
Master’s of Social Work -
University of Cincinnati
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