Director Of Quality Assurance

• Jul 2021 - Present

Director of Addiction Services

• Jan 2020 - Jul 2021

Chief Compliance Officer

• May 2018 - Oct 2019

• Responsible for [all activities related to] the completion of an OASAS 822 clinic application (program policies, budget, linkage agreements, community outreach, needs assessment, job descriptions, etc.). • Oversaw entire HCBS division; developed policies, procedures and chart forms to ensure compliance with and adherence to regulatory/reimbursement standards and the delivery of quality clinical services; trained and supervised staff; performed utilization review and quality assurance chart reviews. Delivered CPST and Pre-Vocational services to clients. • Developed, monitored and managed company’s compliance policies and issues, internally and externally. Show less

Associate Vice President of Behavioral Health

• May 2017 - Nov 2017

• Oversaw operations of OASAS 822 and OMH 599 clinics and CIRT program with oversight of approximately 63 staff • Managed all areas of substance use program in absence of a program director including daily operations, supervision of staff, running multi-disciplinary team meetings, review and approval of treatment plans and case notes. Oversee all prep for OASAS site review leading to a three-year license. Obtained approval to operate as a certified OASAS Education & Training Provider. Revised entire policy and procedure manual. • Co-chair of Critical Incident Review Committee • Developed forms and workflow for Accumed EHR implementation in OASAS Part 822 clinic Show less

Director of Clinical Operations / Chief Compliance Officer

• Mar 2015 - Mar 2017

• Provided leadership for three OASAS 822 and OMH 599 clinics including supervision of 40+ staff, heading the Quality Improvement and Incident Review committees, investigating incidents, and developing policies, forms, and trainings that ensured compliance with regulatory / reimbursement standards • Prepared all sites for regulatory inspections by performing audits and monitoring compliance of all regulatory standards including documentation, adherence to policy and procedure, quality improvement, utilization review, incident review and patient satisfaction • Provided staff training in Justice Center Reporting, Confidentiality, Ethics & Boundaries, Individualized Care Planning, Cultural Competence and Documentation Standards • Implemented and oversaw all aspects of an effective corporate compliance program • Performed clinical work as needed; comprehensive psychosocial evaluations; impaired driver assessments; individual and group psychotherapy Show less

Behavioral Health Regulatory Compliance Consultant

• Dec 2016 - Jan 2017

• Assisted outpatient substance use program in preparing for an Office of Alcoholism and Substance Abuse Services state program site review by conducting a mock audit of open, closed and assessment only records • Provided staff training on Documentation and Individualized Care Planning • Assisted outpatient substance use program in preparing for an Office of Alcoholism and Substance Abuse Services state program site review by conducting a mock audit of open, closed and assessment only records • Provided staff training on Documentation and Individualized Care Planning

Quality Assurance Coordinator

• Jul 2011 - Mar 2015

• Prepared all sites (detox, rehab, outpatient) for inspections (OASAS, Joint Commission, Medicaid, DOH, etc.) by developing policies, forms and trainings to comply with all regulatory / reimbursement standards and performing audits to monitor the compliance of all standards related to documentation, policy and procedure, quality improvement, utilization review, incident review and patient satisfaction • Headed Quality Improvement committee and oversaw all quality improvement activities • Provided staff training in DSM 5, Justice Center Reporting, Confidentiality, Treatment Planning, Gambling, Women’s Treatment Issues and Documentation Standards • Performed clinical work as needed; comprehensive psychosocial evaluations; impaired driver assessments; individual and group psychotherapy Show less

Quality Assurance and Compliance Consultant

• Oct 2007 - Mar 2015

• Prepared three OASAS and OMH outpatient sites for inspections (OASAS, Medicaid Managed Care, NYS Probation) by developing policies, forms and trainings to comply with all regulatory / reimbursement standards and performing audits to monitor the compliance of all standards related to documentation, policy and procedure, quality improvement, utilization review, incident review and patient satisfaction • Performed all quality assurance, utilization review and performance improvement activities for the programs • Provided staff training in DSM 5, Justice Center Reporting, Confidentiality, Developing a Useful Psychosocial, Individualized Treatment Planning, Documentation Standards and others Show less

Independent Monitor - Office of Alcoholism and Substance Abuse Services

• May 2014 - Dec 2014

• Responsible for ensuring that Phoenix House’s Shrub Oak Adolescent Residential facility adhered to an extensive corrective action report submitted to OASAS for numerous onsite infractions related to both administrative and clinical services • Prepared reports submitted to OASAS that included, but was not limited to the review of policies, procedures, forms, training manuals, census, service delivery reports, staff work schedules, clinical supervision, incident reports, and case records • Responsible for ensuring that Phoenix House’s Shrub Oak Adolescent Residential facility adhered to an extensive corrective action report submitted to OASAS for numerous onsite infractions related to both administrative and clinical services • Prepared reports submitted to OASAS that included, but was not limited to the review of policies, procedures, forms, training manuals, census, service delivery reports, staff work schedules, clinical supervision, incident reports, and case records

Sr. Quality Management Specialist

• Mar 2009 - Jul 2011

• Responsible for various performance improvement activities throughout organization including Universal Protocol • Led team of doctors, nurses, physical therapists, and educators to obtain Joint Commission Disease Specific Certification for total knee and hip replacement and spinal fusion; developed performance improvement metrics • Created a 24-page pocketsize Joint Commission Tip Guide for over 2000 Greenwich Hospital staff • Collected and analyzed performance improvement metric data from the Addiction Recovery Center, Radiology, Women & Children, Nutrition, and the Surgical Care Improvement Project • Assisted with preparation for Joint Commission surveys and CT Dept of Public Health site visits Show less

Acting Program Director – 822 OASAS Outpatient Clinic / Rehab

• May 2007 - Feb 2009

• Managed all aspects of day rehab and clinic services including budgeting, supervision of 15 staff, scheduling and reorganization of assessments and clinical programming, monitoring productivity, and ensuring compliance of all regulatory standards related to physical plant; documentation and policies and procedures • Performed clinical work as needed; comprehensive psychosocial evaluations; individual and group psychotherapy; parenting and recreation groups • Managed all aspects of day rehab and clinic services including budgeting, supervision of 15 staff, scheduling and reorganization of assessments and clinical programming, monitoring productivity, and ensuring compliance of all regulatory standards related to physical plant; documentation and policies and procedures • Performed clinical work as needed; comprehensive psychosocial evaluations; individual and group psychotherapy; parenting and recreation groups

Director of Quality Assurance & Utilization Review

• Aug 2002 - Feb 2009

• Developed and maintained program policies, procedures, staff trainings and documents that ensured compliance with regulatory/reimbursement standards and the delivery of high quality clinical services • Oversaw preparation of and managed all inspections/audits (Joint Commission, OASAS, OMIG) by monitoring compliance of all regulatory standards applicable to clinical and program operations for a 72 bed detox, 45 bed inpatient rehab, 15 bed crisis center and 6 outpatient sites servicing more than 30,000 patients yearly with all receiving the maximum 3 year OASAS license and 3 year Joint Commission accreditation • Managed the first Joint Commission OTP surveys for Detox & MMTP with scores above 90. Received the maximum 3-year accreditation on those and subsequent surveys. Managed Hospital survey for remaining behavioral health care facilities receiving 3-year accreditation Show less

Clinical Supervisor – 822 OASAS Outpatient Clinic / Rehab

• Aug 2000 - Aug 2002

• Supervised 6 staff members in 5 clinic tracks while maintaining a caseload of 26 clients; conducted assessments; performed individual and group psychotherapy; facilitated family education groups; chaired UR committee • Supervised 6 staff members in 5 clinic tracks while maintaining a caseload of 26 clients; conducted assessments; performed individual and group psychotherapy; facilitated family education groups; chaired UR committee

Administrative Assistant

• 1989 - 1992