Teri Curtis
Laverne,OK
Summary
Detail-oriented Programs Assistant Administrator conveys proven leadership, organizational and communication skills. Independently solves problems and keeps teams on task. Dependable and successful at managing multiple priorities with a positive attitude and a high degree of accuracy. Willingness to take on added responsibilities to meet team goals.
Overview
24
24
years of professional experience
Work History
Programs Assistant Administrator
Oklahoma Human Services – Community Living, Aging and Protective Services
11.2019 - Current
- Utilizes working knowledge of the Oklahoma Administrative Code, Code of Federal Regulations governing Home and Community Based Services, all ADvantage Waiver Certification documents, and internal business rules and processes
- Monitors performance measure compliance of Providers contracted to provide case management, home care, adult day and assisted living services to approved Medicaid Members through Provider audits and collects Quality Assurance/Improvement (QAI) performance measure data for submission to Centers for Medicare and Medicaid Services
- Offers general oversight of QAI functions for the ADvantage and State Plan Personal Care Programs
- Provides direct supervision to Programs Manager III who oversees the growing Assisted Living Service Option
- Provides direct supervision to Social Services Inspector (SSI) II who serves as the only auditor for case management and home care Providers
- Provided direct supervision to Health Care Management Nurse III who completed all final audit report reviews and distributed all final audit reports, reviewed/approved all remediation documents, and conducted all follow-up audits; and to SSI III who served as lead auditor on all large (3-man) audits and conducted all QAI advisements with Providers
- Developed the Audit-Based Training and Support process to better support Providers in maintaining passing audit scores, as well as ultimately retaining their ADvantage Provider certification
- Assisted with the revision of the Conditions of Provider Participation and the Service Standards for all ADvantage and State Plan Personal Care services.
Health Care Management Nurse III
Oklahoma Department of Human Services - Aging Services
08.2004 - 11.2019
- Served as the QAI Advisor, a nursing/QAI resource available to QAI staff, regional, county and state office staff, as well as Medicaid provider agencies
- Conducted service specific advisement sessions with new Providers regarding the audit process and tools; with Providers removed from the Certified Agencies Report due to audit; and at Provider request or Lead Auditor recommendation
- Provided direct supervision to SSI III and SSI IIs, resolving administrative and personnel issues, directing and coordinating QAI activities
- (Supervisory duties began in 2012, directly supervising 5 SSI IIs; and providing supervision of 6 Health Care Management Nurse IIIs when the QAI Manager was on leave.) Provided nursing and QAI subject matter expert input into decisions re: audit processes, and conditions to be audited, as well as the scoring of conditions on ADvantage and State Plan Personal Care audits
- Assisted in development of the audit tools and worksheets, as well as established appropriate, uniform supporting evidence documentation to be used when identifying deficiencies by maintaining the User’s Guide for each service audited
- Developed quarterly annual audit schedule and monthly follow-up audit schedule; requested audit samples and provider activity reports from appropriate sources each month and forwarded information on to lead auditors
- Processed all completed audit reports by reviewing for accuracy and provided final audit reports to Providers, including remediation documents when required
- Reviewed and approved all remediation documents
- Provided QAI input into Harmony design
- Participated in MSU Regional Provider Trainings
- Assisted in creating “QA 101” Regional Provider Training, implemented in 2011
- Provided training for new and existing QAI staff
- Assisted in developing the ADvantage and Medicaid State Plan Personal Care Provider Report Card (Received DHS Employee Recognition - Honorable Mention – 2014)
- Assisted in developing the ADvantage Certified Agencies Report (on/off referral) Process
- Completed OU Geriatric Scholar Program.
Health Care Management Nurse I & II
Medicaid Services Unit
03.2000 - 08.2004
- Conducted comprehensive assessments to determine medical eligibility for individuals applying to receive services through the ADvantage Waiver and State Plan Personal Care programs
- Provided case management and developed care plans to meet the needs of State Plan Personal Care Members
- Provided interim case management to 38 ADvantage Waiver members during 3 month period (2003)
- Managed an entire caseload of individual personal care assistants (PCA) for over 4 years, including recruiting and orienting/determining competency of individual PCAs; sharing information, problem solving and being the “go to” person for other DHS nurses who managed IPCAs; developing a provider booklet
- Transitioned IPCAs to agency care 07/2004.
Education
Associate Degree in Nursing -
Mesa Community College
Mesa, Arizona05.1982
Skills
- Leadership
- Communication
- Teamwork
- Organization
- Detail oriented
- Problem solving
- Technology - Harmony/Word/Excel/Access
License
Registered Nurse, R0053029, Oklahoma
Timeline
Programs Assistant Administrator
Oklahoma Human Services – Community Living, Aging and Protective Services
11.2019 - Current
Health Care Management Nurse III
Oklahoma Department of Human Services - Aging Services
08.2004 - 11.2019
Health Care Management Nurse I & II
Medicaid Services Unit
03.2000 - 08.2004
Associate Degree in Nursing -
Mesa Community College
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