Summary
Overview
Work History
Education
Skills
Websites
Certification
Timeline

Tina Marie Cooke

Experienced Clinical Operations Leader
CAROLINA BEACH,North Carolina

Summary

Solution focused and a highly collaborative Behavioral Healthcare leader with 20 years of experience managing health regulations, perform patient care and further motivate talented staff. Enthusiastic professional with background affecting positive patient outcomes, finding creative solutions to administrative issues and interacting with diverse personalities.

Overview

25
25
years of professional experience
3
3
years of post-secondary education
6
6
Certificates

Work History

Director of Clinical Operations/Therapist

Ellie Mental Health
Wilmington , NC
09.2022 - Current
  • Formulated and executed strategic business plan, ensuring sustained success in the North Carolina Mental Health market.
  • Represented organization at community events, strengthening community ties and communication.
  • Oversaw day-to-day operations for multisite franchise start-up, ensuring seamless functionality.
  • Directed recruitment, training, and supervision of high-performing clinical team.
  • Established and maintained regulatory compliance, including statutory, regulatory, and federal guidelines.
  • Monitored industry trends, identifying growth opportunities and enhancing competitiveness.
  • Spearheaded and executed projects to expand engagement and service offerings.
  • Applied analytical and problem-solving skills to enhance overall operational efficiency.
  • Resolved claims disputes and managed payments promptly and accurately.
  • Ensured accuracy in pricing and information for incoming contracts and service agreements.
  • Created key performance indicators to measure and assess investment performance

Consultant Healthcare Practices/QI

Novant Health, Inc
Wilmington , NC
11.2021 - 12.2022
  • Led process changes in Medicaid initiative, coaching and mentoring teams for seamless integration.
  • Provided real-time technology coaching as a clinical subject matter expert, emphasizing best practices.
  • Identified and implemented operating processes and policies for new Medicaid market opportunities.
  • Consulted on budget development, assessed business needs for enhanced efficiency, productivity, and program effectiveness.
  • Actively participated in statewide Medicaid transformation program trainings.
  • Collaborated with teams, adapting methodologies to align with client objectives.
  • Managed client expectations, ensuring timely project delivery.
  • Guided teams in applying appropriate tools to understand and address client issues.
  • Integrated recommendations into comprehensive solutions, emphasizing continuous improvement.
  • Responded with urgency, accountability, integrity, and respect, ensuring exceptional client service.
  • Regularly communicated with client management, maintaining organized meeting archives.

Director of Intake and Utilization Management

Acadia Healthcare
Wilmington, NC
08.2019 - 10.2021
  • Planned and directed Intake and Utilization services for 245-bed substance use hospital, ensuring high occupancy within budget.
  • Managed access services, achieving 99.0% admission and authorization approval rate.
  • Developed and implemented strategic plans for department and organizational access, participating in process improvement.
  • Oversaw compliance with regulatory standards, standardized policies, and managed human resources.
  • Developed and administered policies and procedures for utilization control of inpatient and outpatient services.
  • Maintained and improved productivity and operations by identifying and resolving problems; preparing and completing action plans; improving system process improvement and quality assurance programs.
  • Utilized program operation knowledge with tools such as SharePoint, Best Notes, UltiPro, and Salesforce.
  • Supervised utilization review documentation, ensuring adherence to payer guidelines.
  • Contributed to high-quality work environment with positive employee satisfaction ratings.

Director of Clinical Operations

Daytop Village Inc
Mendham, NJ
06.2018 - 07.2019
  • Led clinical functions and provided administrative direction for Adolescent inpatient Residential and In-Community Supports programs.
  • Start up of Intensive In-Community (IIC) Program which includes responsibility to build and grow clinical service programming, and training for adolescent substance use and mental health program.
  • Business development, key account management, market branding, revenue generation, revenue collection, data base management, private and public relations, and service education, product management, seminar marketing and delivery.
  • Managed clinical policies, procedures, medical records, patient care information systems, and quality management.
  • Ensured program compliance with regulatory bodies, overseeing staff credentialing, training, and billing operations.
  • Supervised clinical staff, facilitated program development, and provided leadership for all clinical personnel. Fostered internal and external stakeholder relationships, collaborating with Director of Nursing, Medical Director, and Executive Team members.
  • Ensured evidence-based behavioral and pharmacologic approaches to treatment, aligning with recognized principles and practices.
  • Coordinated substance abuse counseling and In-Community Supports services as per clients' treatment plans for continuity of care.
  • Maintained systems for communication with families, referral sources, and regular evaluation of care systems.
  • Managed daily operations of Adolescent residential program, covering referral processes, staffing, caseload supervision, policy review, and regulatory compliance.
  • Provided clinical supervision for team of 20 direct therapists.
  • Planned and managed adherence to project budget, contracts, and contributed to scope change documents.
  • Developed effective systems and procedures for project management and clinical operations.

Therapist

Tri-County Behavioral Care
Sparta, NJ
04.2018 - 07.2019
  • Therapist in outpatient setting.
  • Conducted evaluations to help patients develop measurable treatment goals.
  • Guided clients in developing skills and strategies for dealing with problems.
  • Counseled individuals, groups, and families to bring awareness of problems, deal with crisis situations and develop action plans

Chief Executive Officer

Capitol Care Inc/ Capitol Care South /SCPA
Stanhope, NJ
09.1998 - 04.2018
  • Spearheaded the launch and leadership of a start-up, guiding a team of 25 Directors and overseeing 250 employees across multiple sites in New Jersey and Alabama.
  • Directed comprehensive treatment programs encompassing outpatient, residential, and day treatment settings for diverse
  • Developed key operational initiatives to drive and maintain substantial business growth.
  • Attained exemplary Licensing, CMS, and accreditation compliance in both New Jersey and Alabama.
  • Successfully negotiated contracts with the Division of Mental Health and Substance Use, as well as the Division of Developmental Disabilities in the State of New Jersey.
  • Ensured continuous growth and expansion of all agency programs while maintaining and improving operational procedures, mission, and vision.
  • Developed a diversified company portfolio, reducing dependence on a single funding source for the agency.
  • Implemented monitoring mechanisms for program effectiveness through site visits, staff meetings, and data-driven Quality Improvement Processes (QIP).
  • Established a Comprehensive Strategic Planning process to ensure the long-term sustainability of agency services.
  • Prioritized staff development through ongoing management team meetings, employing visual, oral, and professional consulting strategies to enhance leadership knowledge and improve company culture.
  • Assessed, purchased, and developed the agency's electronic health care records, collaborating with IT professionals for continual improvements.
  • Created crosswalk tools and assessments to achieve HIPAA, State, and Federal compliance.
  • Selected by the State of New Jersey as Intoxicated Resource Director, operating the program for six years.
  • Developed a housing program, including 13 group homes and 4 apartment program sites with 8 apartments each.
  • Cultivated and maintained excellent relationships with the community, county personnel, and State department leaders in both New Jersey and Alabama.
  • Maintained a hands-on leadership approach, visiting all locations to support staff, provide guidance, review records, and assess safety and physical appearance.
  • Coached and guided senior managers to enhance effectiveness and policy enforcement, resulting in improved employee job satisfaction and higher performance levels.
  • Balanced financial and operational obligations by maintaining effective staff and resource utilization rates.
  • Operated Outpatient Private practice included with portfolio of 15 Psychiatrists and 2 Office Managers.

Education

Master of Arts - Counseling

Montclair State University, Montclair, NJ
01.1991 - 1993.01

Bachelor of Science - Psychology, Criminal Justice

East Stroudsburg University of Pennsylvania, East Stroudsburg, PA
07.1987 - 12.1990

Skills

Compliance Management

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Certification

NC-Licensed Clinical Mental Health Counselor

Timeline

Director of Clinical Operations/Therapist - Ellie Mental Health
09.2022 - Current

Green Belt Lean Belt

05-2022
Consultant Healthcare Practices/QI - Novant Health, Inc
11.2021 - 12.2022
Director of Intake and Utilization Management - Acadia Healthcare
08.2019 - 10.2021
Director of Clinical Operations - Daytop Village Inc
06.2018 - 07.2019
Therapist - Tri-County Behavioral Care
04.2018 - 07.2019
Chief Executive Officer - Capitol Care Inc/ Capitol Care South /SCPA
09.1998 - 04.2018
Montclair State University - Master of Arts, Counseling
01.1991 - 1993.01
East Stroudsburg University of Pennsylvania - Bachelor of Science, Psychology, Criminal Justice
07.1987 - 12.1990
Tina Marie Cooke Experienced Clinical Operations Leader