TATIANA MORALES
LODI,NJ
Summary
Methodical Compliance Director with hands-on experience in developing quality assurance programs. Offering intermediate risk assessment and management skills. Proficient in QA operations, policies and procedures, with superb problem-solving and analytical abilities. Keeps meticulous records and identify and troubleshoot problems. Specialties include operational improvements, program implementation and documentation. Strong knowledge of federal and state regulations of New York.
Overview
6
6
years of professional experience
Work History
AVP/Director of DD Fiscal & Accountability
Saint Dominic’s Family Services
10.2022 - Current
- Revise & implement program policies and procedures to enforce compliance with OPWDD/OMH/DOH/OMIG
- Track, assess and interpret performance outcomes, compliance and fiscal trends
- Oversee software provision of end user services
- Manage deployment, maintenance and security of software systems
- Security Software Administrator
- Oversee the data trends of departments petty cash & fiscal submissions
- Track and assess budget expenses, trusts, SSI/SSA accounts for over 250 clients
- Oversee census vacancies, screenings, intakes, on-boarding and eligibility
- Monitor program quality and billing mandates
- Collab with interagency departments (Fiscal/HR/OLED/CQI/Admin)
- Track and assess risk and incident management, and investigations
- Monitor Medicaid billing compliance and revise fiscal policy and procedures
- Collaborate with intake on software submissions of new staff/clients
Treatment Coordinator
Adapt Community Network
08.2021 - 10.2022
- Supervise all Manhattan Clinicians
- Oversee over 150 treatment recipients Insurance claims and referral source
- Monitor all billing codes and insurance claims compliance
- Create weekly and monthly trend reports
- Tracked compliance of claims and referrals for all patients
- Oversee continuum of clinic individual records and monitor clinicians’ productivity
- Successfully negotiated client contract renewals to create increased revenue.
Case Manger (Head)
Adapt Community Network
12.2018 - 08.2021
- Coordinate treatment plans and protocols
- Participate in the Human Rights & Incident Committee
- Monitor budget expenses and documentation of services provided
- Conduct monthly internal audits for all residences
- Assess efficacy of risk-management plans for residents
- Collaborate with medical team of medical management
- Software admin for specified programs
- Monitor proper data collection through observation and in-service training
- Supervised over 65 staff employees in the residence
Education
Master of Public Administration -
Kean University
Union, NJ05.2022
Bachelor of Social Work - Sociology, Spanish
Mansfield University
Mansfield, PA05.2018
ISEP STUDY ABROAD PROGRAM - Spanish Language, Culture & History of Civilization
Academia Latino-Americana De Español
CUSCO, PERU & QUITO, ECUADOR05.2018
Skills
- Policy/Risk Analysis
- Budget Management
- Software Security Admin
- Training & Compliance Management
- Information Systems
- Audit management
- Compliance procedures
- Quality systems
- Continuous improvement
- Trend analysis
Timeline
AVP/Director of DD Fiscal & Accountability
Saint Dominic’s Family Services
10.2022 - Current
Treatment Coordinator
Adapt Community Network
08.2021 - 10.2022
Case Manger (Head)
Adapt Community Network
12.2018 - 08.2021
Master of Public Administration -
Kean University
Bachelor of Social Work - Sociology, Spanish
Mansfield University
ISEP STUDY ABROAD PROGRAM - Spanish Language, Culture & History of Civilization
Academia Latino-Americana De Español
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