Toby I. Pina
Wellington,FL
Summary
Director of Case Manager with over 25 years of functional case management leadership experience. Enacts strong and collaborative approach across care continuum and manages workflow to support dynamic teams. Spearheads operational effectiveness and efficiencies to develop quality improvement activities and achieve financial goals.
Overview
15
15
years of professional experience
Work History
Director of Case Management
Sunshine Health
Sunrise, Florida
12.2017 - Current
- Oversight of the Case Management Department for the Medicaid Child Welfare Specialty Plan
- Managed and monitored program activities and evaluated quality for improvement recommendations.
- Structured standardized case management processes to comply with regulatory agency statutes and standards.
- Collaborated with multidisciplinary teams to facilitate client care and reduce case management barriers.
- Developed and created programs and monitored effectiveness against individual participant needs.
- Oversaw staff development through in-depth trainings, workshops, seminars and other learning opportunities.
Director of Case Management
Cenpatico Behavioral Health
Sunrise, FL
06.2014 - 12.2017
- Led the Case Management Department for the Medicaid Child Welfare Specialty Plan.
- Managed and monitored program activities and evaluated quality for improvement recommendations.
- Streamlined, standardized and implemented case management processes and techniques to maximize revenue cycle.
- Structured standardized case management processes to comply with regulatory agency statutes and standards.
- Fostered professional networks and relationships with service and resource providers to promote continuity and quality of care for clients.
- Recruited, interviewed and hired staff members offering exceptional talent and brought great skills to team.
Managing Partner
Proactive Counseling Partners
08.2013 - 06.2014
- Private Practice providing services to women and children impacted by trauma, domestic violence, divorce and life transitions.
Director of Outpatient Services
Comprehensive Alcoholism Rehabilitation Programs, CARP
03.2013 - 07.2013
- Substance Abuse agency that provides a continuum of care, including detox, residential, halfway house, and outpatient services
- Gatekeeper” to the continuum of care, responsible for supervising assessments and recommendations for services
- Responsible for compliance with contract requirements with the Department of Corrections, Department of Children and Families, and Drug courts
- Improved productivity in the outpatient department from 45% to 70% in three months
- Assisted with implementation of electronic medical records
- Increased census in the adolescent program from 10 to 18 in 3 months
- Developed relationships with stakeholders in the community to collaborate with providing best treatment to substance abusers.
Chief Operations Officer
Child and Family Connections
West Palm Beach, FL
11.2010 - 10.2012
- Community Based Care Agency in Palm Beach County. Lead Agency for children involved with the Dependency System.
- Drove operational direction, administrative and cost efficiency and coordination of security program initiatives on behalf of clients.
- Built strategic relationships with federal, state and local law enforcement agencies.
- Managed teams of 30 professionals focused on improving initiatives to improve safety and well-being for children and families.
Director of Clinical Services
Family Connections
West Palm Beach, FL
01.2007 - 11.2010
- Oversight of Clinical services for children and families while working at the Community Based Care Agency in Palm Beach County. Lead Agency for children involved with the Dependency System.
- Built strategic relationships with federal, state and local law enforcement agencies, behavioral health providers, judges, stakeholders, guardian ad litems.
- Developed, implemented, revised and evaluated policies and procedures.
- Contributed to various facility committees focused on improving different areas of clinical services.
Education
Masters - Social Work
Simmons College – School of Social Work
Boston, MABachelor of Science - Human Services
Lesley College
Cambridge, MASkills
- Clinical Staff Management
- Interdisciplinary Care
- Project Implementation
- Health Care System
- Change Management Process
- Behavioral Intervention Plans (BIP)
- Case Management Proficiency
- Clinical Quality Improvement
Additional Information
- Awards , Voices of Hope 2010 Child Welfare Professional of the Year (October 2010), Licenses , LCSW Florida-license number SW 11209 Licensed Independent Clinical Social Worker, Massachusetts
Timeline
Director of Case Management
Sunshine Health
12.2017 - Current
Director of Case Management
Cenpatico Behavioral Health
06.2014 - 12.2017
Managing Partner
Proactive Counseling Partners
08.2013 - 06.2014
Director of Outpatient Services
Comprehensive Alcoholism Rehabilitation Programs, CARP
03.2013 - 07.2013
Chief Operations Officer
Child and Family Connections
11.2010 - 10.2012
Director of Clinical Services
Family Connections
01.2007 - 11.2010
Masters - Social Work
Simmons College – School of Social Work
Bachelor of Science - Human Services
Lesley College
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