Ursula P. Cornwell
Rock Hill,USA
Summary
Highly motivated and results driven professional seeking a position with your organization that will allow me to use my extensive knowledge and experience as well as one that will provide opportunities for personal contributions and professional growth.
Goal-driven, compassionate, and accountable professional with over 22 years of administrative and direct support experience with Mental Health, Developmental Disability, and Substance Abuse Adaptable professional accustomed to the integration of new health care delivery systems, restructuring of work, and an increasingly complex regulatory environment Proven track record of successfully managing personnel, facility operations, and clinical services for consumers Excellent verbal and written communication, organizational, problem solving, and decision making skills Detail oriented and resourceful in the completion of tasks with ability to multi-task effectively. Demonstrated ability to function effectively in a team as well as work independently to achieve objectives. Successfully provided staff training and development to promote quality delivery of services A strong knowledge of state and federal rules, requirements and practices related to the delivery of Mental Health, Developmental Disability and Substance Abuse services
Overview
30
30
years of professional experience
Work History
QUALITY MANAGEMENT SPECIALIST
Cardinal Innovations Healthcare Solutions
Charlotte, NC
04.2014 - Current
- Conduct provider monitoring reviews, billing audits, and investigations for community behavioral healthcare agencies and licensed independent practitioners that provide services to individuals with Mental Health, Intellectual/Developmental Disability and/or Substance Abuse services to ensure compliance, efficiency and accountability.
- Develop and implement monitoring systems to include focused reviews, performance reviews and investigations of provider agencies to ensure compliance with applicable rules, regulations, and best practice models as well as assisting with detecting and preventing fraud, waste and program abuse.
- Review provider agencies to ensure reimbursed services are consistent with funding requirements, provider contracts and federal/state rules and regulations.
- Review audit results to identify trends/patterns that impact service/system quality, and then implement interventions aimed at addressing these trends/patterns with the outcome of services delivered to consumers at the highest degree of quality.
- Provide technical assistance to provider agencies as needed.
CARE COORDINATOR
Mecklenburg County Managed Care Organization
Charlotte, NC
11.2012 - 03.2014
- Provide Managed Care Coordination to individuals with intellectual and developmental disabilities in conjunction with the participant, legally responsible person, providers, and others to improve outcomes with NC Innovation Waiver services.
- Educate participant/family/providers about services/supports, waiver requirements, eligibility, appeals/grievances, processes, other MH/SA/DD services and supports.
- Assessment of support needs (completing, arranging for, obtaining) ex: SIS, Level of Care determination.
- Linkage to needed psychological, behavioral, educational and physical evaluations.
- Complete Risk Assessment, Community Guide Need Survey.
- Linkage to needed MH/DD/SA resources (includes ensuring provider choice).
- Facilitation of Planning/Development of Individual Support Plan.
- Monitor plan implementation and delivery of services, including health and safety.
- Coordination of Medicaid eligibility and benefits.
CLINICAL SUPERVISOR/QUALIFIED PROFESSIONAL
Autism Services of Mecklenburg County
Charlotte, NC
09.2004 - 11.2012
- Coordinated Clinical Services for consumers with Autism, Traumatic Brain Injury, and other related Intellectual and Physical disabilities to include medical, dietary, behavioral, vocational, daily living, and social needs.
- Provided on-going staff development and monitoring to ensure programs adhered to all Federal and State regulatory standards.
- Facilitated Annual Habilitation Plan Meetings and Quarterly Reviews with Multidisciplinary Team.
- Developed and Implemented Individual Treatment Plans/Training Programs.
- Completed monthly progress documentation according to state guidelines.
- Provided Clinical Supervision to Direct Support Professionals and Supervisors.
- Conducted periodic observations of all shifts to ensure staff performed job duties as required.
- Maintained contact with Guardians, Multidisciplinary Team Members, and Professional Consultants.
- Conducted internal investigations of alleged abuse and/or neglect of consumers.
- Participated as member of the Performance and Quality Improvement and Risk Management Committee.
- Reviewed and Administered agency policies and procedures.
- Assisted Senior Managers in the planning and implementation of clinical protocols and standards.
- Ensured residential programs met standards for Council on Accreditation and State Licensing Reviews.
RESIDENTIAL COUNSELOR III
New Hope Carolinas
Rock Hill, SC
08.2008 - 10.2012
- Primary member of a Multidisciplinary team involved with the development and implementation of patient treatment plans in a mental health residential setting.
- Completed daily treatment goal progress notes on assigned patients.
- Observed patients in the residential setting.
DIRECTOR OF RESIDENTIAL SERVICES
York County Board of Disabilities and Special Needs
Rock Hill, SC
01.1997 - 01.2000
- Directed all administrative and personnel matters for six (6) residential programs providing 24/7 care for consumers with disabilities.
- Designed, implemented, and maintained a variety of systems and guidelines to ensure and monitor compliance of all program regulations.
- Addressed and resolved consumer complaints.
- Maintained a highly productive, efficient, and quality driven environment with a focus on providing excellent consumer care.
- Developed and implemented treatment plans.
- Developed and implemented training goals.
- Provided individual and group counseling to consumers.
- Monitored behavioral and clinical services monthly and as needed.
- Responsible for recruiting, interviewing, hiring and evaluation of staff.
- Provided ongoing staff development training to direct-care staff and supervisors.
- Conducted investigations of alleged abuse of consumers.
- Conducted periodic observations of all shifts to ensure staff performed duties as required.
- Assured residential programs operated within the allotted budget.
- Certified Defensive Driving Instructor.
- Assisted in the development and revision of agency policies and procedures annually and as needed.
- Ensured residential programs met the established guidelines outlined by the South Carolina Department of Disabilities and Special Needs.
COMMUNITY TRAINING HOME/SUPERVISED LIVING PROGRAM COORDINATOR
York County Board of Disabilities and Special Needs
Rock Hill, SC
01.1997 - 01.1999
- Directed all administrative and personnel matters for 6 residential programs providing 24/7 care for consumers with disabilities.
- Supervised 25-30 employees.
- Responsible for recruiting, interviewing, hiring and training of staff.
- Assisted in the opening of a new Community Training Home including screening potential consumers, recruiting/training staff, furnishing home, and completing required inspections.
- Developed and implemented treatment plans.
- Developed and implemented training programs.
- Monitored expenditures to remain within allotted budget.
- Monitored residential programs to ensure safety and cleanliness according to program standards.
- Ensured residential programs met the established guidelines outlined by the South Carolina Department of Disabilities and Special Needs.
RESIDENTIAL SUPERVISOR
York County Board of Disabilities and Special Needs
Rock Hill, SC
01.1996 - 01.1997
- Supervised 7-8 employees for an Intermediate Care Facility providing 24/7 care for consumers with disabilities.
- Responsible for recruiting, interviewing, hiring and training of staff.
- Monitored facility expenditures to ensure program operated within allotted budget.
- Assisted Qualified Professional with developing and implementing treatment plans.
- Provided on going monitoring and training to ensure appropriate implementation of training programs.
- Ensured facility met DHEC regulations.
Education
Certified Investigator/Inspector -
Clear National Certified Investigator/Inspector Basic Training Program
Certificate of Gerontology Health Care -
University of Phoenix
Phoenix, AZMaster of Business Administration -
University of Phoenix
Phoenix, AZBachelor of Arts - Psychology
Winthrop University
Rock Hill, SCSkills
- Goal-driven
- Compassionate
- Accountable
- Adaptable
- Excellent verbal communication
- Excellent written communication
- Organizational skills
- Problem solving
- Decision making
- Detail oriented
- Resourceful
- Multi-tasking
- Teamwork
- Independent work
- Staff training
- Staff development
- Knowledge of state and federal rules
- Knowledge of requirements and practices related to Mental Health services
- Knowledge of requirements and practices related to Developmental Disability services
- Knowledge of requirements and practices related to Substance Abuse services
Community Service
Former Board Member of HPC Christian Academy, Chester, SC
References
Available at request
Professional Development
- CLEAR National Certified Investigator/Inspector
- Certified Brain Injury Specialist
- Human Resource Risk Management
- Fundamentals of Human Resource Management
- Person Centered Thinking
- Employee Development
- Positive Behavior Supports
- Responsive Management
- Traumatic Brain Injury issues in the LTC Setting
- Managing Behaviors Following a Brain Injury
- TEACHH Model-Structured Teaching
- NC SNAP Certified
- Systems of Care
- Supports Intensity Scale
- CPR/1st Aid, NCI, NVCI Certified
Timeline
QUALITY MANAGEMENT SPECIALIST
Cardinal Innovations Healthcare Solutions
04.2014 - Current
CARE COORDINATOR
Mecklenburg County Managed Care Organization
11.2012 - 03.2014
RESIDENTIAL COUNSELOR III
New Hope Carolinas
08.2008 - 10.2012
CLINICAL SUPERVISOR/QUALIFIED PROFESSIONAL
Autism Services of Mecklenburg County
09.2004 - 11.2012
DIRECTOR OF RESIDENTIAL SERVICES
York County Board of Disabilities and Special Needs
01.1997 - 01.2000
COMMUNITY TRAINING HOME/SUPERVISED LIVING PROGRAM COORDINATOR
York County Board of Disabilities and Special Needs
01.1997 - 01.1999
RESIDENTIAL SUPERVISOR
York County Board of Disabilities and Special Needs
01.1996 - 01.1997
Certified Investigator/Inspector -
Clear National Certified Investigator/Inspector Basic Training Program
Certificate of Gerontology Health Care -
University of Phoenix
Master of Business Administration -
University of Phoenix
Bachelor of Arts - Psychology
Winthrop University