Experience

Confidential Psychotherapist

• Provide individual and family counseling to children and adults.
• Devise individualized treatment plans in collaboration with clients.
• Collaborate with collateral contacts to coordinate services.
• Perform case management services, as needed, including providing referrals to community organizations.

Confidential

Director of Quality Management and Compliance

• Fulfill roles of Compliance Officer, HIPAA Privacy Officer and HIPAA Security Officer.
• Conduct internal quality assurance audits and Medicaid self-assessments of clinical records at ten residential, outreach and recovery programs to ensure compliance with regulatory requirements and to ensure the highest clinical quality.
• Conduct inspections of facilities, including apartments, to ensure compliance with regulatory requirements.
• Take the lead in preparing programs for external audits and investigations.
• Develop and monitor corrective action plans in response to deficiencies found during external audits.
• Develop and update program policies and procedures.
• Coordinate utilization review to determine if consumers meet criteria for admission to a program as well as for continued stay in treatment.
• Develop and conduct trainings with program staff including but not limited to Compliance HIPAA Privacy and Security Child Abuse and Neglect Diversity Engagement and Documentation etc.
• Chair the Quarterly Incident Review and Utilization Review Committee, and Compliance Committee.
• Chair the Housing and Urban Development meetings for an OMH Licensed Level II Residence.
• Maintain the Office of Mental Health web-based incident reporting system.
• Conduct special investigations when an incident requires it and make recommendations to improve service delivery e.g. in the case of a homicide, suicide, death, assault etc. .
• Maintain the Compliance Hotline and Compliance Log for reports of non-compliance, fraud and abuse.
• Conduct investigations into Compliance complaints and make recommendations to the Executive team and the Board of Directors.
• Update job descriptions and interview potential candidates for vacant managerial positions.
• Serve as the IT liaison with our external IT provider and take the lead for various IT related projects.
• Coordinate consumer satisfaction surveys.
• Provide clinical and administrative oversight in the absence of the Chief Operating Officer and the Managing Director of Residential Services.
• Member of the Coordinated Behavioral Care Health Home Quality and Reporting Committee.
• Supervise graduate student intern.

Confidential

Psychotherapist

• Conducted psycho-social assessments.
• Provided individual, family and couples counseling.
• Devised individualized treatment plans in collaboration with clients.
• Performed case management services, as needed, including providing referrals to community organizations.

Child Center of New York, Quality Assurance/Risk Management

Confidential

• Conducted clinical chart reviews to determine if the patient meets criteria for admission to a clinic treatment program as well as for continued stay in treatment.
• Conducted quality assurance reviews and Medicaid self-assessments of clinical records to ensure that clinic treatment services are provided in compliance with regulatory standards.
• Provided quality assurance feedback and data to Clinic Administrators for the purpose of correcting errors and improving documentation through chart supervision.
• Managed database of quality assurance indicators and analyze performance indicator data against defined agency parameters.
• Documented and reported billing errors to the Billing Coordinators at the clinics and to the Central Billing Department.
• Investigated reasons that billing was suspended and resolve the issues to ensure payment.
• Collected reported incidents from agency departments and determine if the incident warrants a report to a regulatory body or funding source.
• Maintained the Office of Mental Health web-based incident reporting system.
• Served as a member of the Incident Review Committee.
• Trained clinicians and provide ongoing support in clinical documentation and in the use of Anasazi Software, the electronic health record.
• Trained and supervised an employee hired to assist with quality assurance reviews.

Confidential

Social Work Administrative Intern

• Coordinated Performance Improvement Committee meetings for the Department.
• Facilitated preparation for the Joint Commission tri-annual survey including following up on Corrective Actions Plans from previous surveys and conducting tracers at various outpatient programs.
• Monitored Corrective Action Plans for the Transplant Program which entailed reviewing charts and compiling statistical data.
• Collaborated with interdisciplinary personnel to update departmental policies and procedures including the Prescription Drug Policy, Transportation Policy, and Job Description Policies.
• Assisted with the coordination of the Social Work Grand Rounds including speech writing, advertising, and facilitating arrangements with presenters.
• Facilitated the development and implementation of Social Work trainings.
• Evaluated resources shown on Department website and made necessary updates.
• Assisted with planning for the 2010 National Cancer Survivor's Day at Mount Sinai.
• Attended various departmental and multidisciplinary meetings to enhance professional development.

Confidential

Social Work Intern

• Provided weekly in-home individual psychotherapy to homebound elderly clients.
• Conducted psycho-social assessments at intake to determine eligibility for counseling.
• Performed case management services including providing referrals to community organizations and connecting seniors to various entitlement programs.
• Devised individualized treatment plans in collaboration with clients.
• Worked with managed care agencies to gain authorization for multiple clients.
• Assisted nursing staff with the coordination of a project to improve client nutrition.