CJ Witherow
Chief Operating Officer at COMMUNITY MENTAL HEALTH PARTNERSHIP OF SOUTHEAST MICHIGAN- Claim this Profile
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Bio
Credentials
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Licensed Masters Social Worker (Micro and Macro)
MI Dept of Licensing and Regulatory Affairs (LARA)Sep, 1999- Nov, 2024 -
Certified Advanced Addictions Counselor
Michigan Certification Board for Addiction Professionals
Experience
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COMMUNITY MENTAL HEALTH PARTNERSHIP OF SOUTHEAST MICHIGAN
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United States
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Health and Human Services
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1 - 100 Employee
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Chief Operating Officer
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Feb 2020 - Present
The CMHPSM is one of Michigan’s ten Medicaid Prepaid Inpatient Health Plans and is responsible for the counties of Lenawee, Livingston, Monroe, and Washtenaw. We provide oversight of the management and integration of Medicaid mental health services for adults and children in the areas of persons with intellectual/developmental disabilities, mental illness/emotional disturbances, and substance use across the four county region. Services are delivered through the Community Mental Health Service Providers in each respective county: Lenawee Community Mental Health Authority, Livingston Community Mental Health Authority, Monroe Community Mental Health Authority and Washtenaw County Community Mental Health Agency. Our goal is to provide meaningful outcomes for the people we serve. The mission of the CMHPSM is to ensure and support the provision of high quality integrated care that is cost effective and focuses on improving the health, wellness and quality of life of people living in our region. Our vision is to strive to address the challenges confronting people living in our region by influencing public policy and participating in initiatives that reduce stigma and disparities in health care delivery while promoting recovery and wellness. The Chief Operating Officer performs complex project management responsibilities in the areas of policy, contracting, strategic planning and network management to address issues and further the goals of the CMHPSM Regional Board and the Chief Executive Officer. The position requires a high level of skill and expertise in the application of state and federal regulations across all levels of operations, and cultivating relationships on a multi-system level in fulfilling the region's mission and values.
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Monroe Community Mental Health Authority
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Monroe, MI
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Compliance Director
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Jan 2012 - Feb 2020
Compliance and risk manager for behavioral health care entity/community mental health system, including ensuring compliance with Medicaid, applicable federal regulations, and state requirements for the PIHP/community mental health system of care. Proficient in successful state, federal, and accreditation compliance reviews related to behavioral healthcare. Excellence in interpretation of state and federal laws including those relevant to healthcare and behavioral health Experienced in conducting and overseeing internal compliance audits. Proficient in the implementation and monitoring of successful performance improvement plans and data integrity. Experienced in the development, implementation and oversight of a Utilization Management and Utilization Review program for behavioral health care. Experienced in the supervision of Customer Services and Utilization Management/Utilization Review departments. Develop strategies for implementing an integrated health care system of care and enacting health care reform in the Monroe County community. Proficient in educating a variety of audiences on integrated health care, quality of care improvements for people with mental illness, intellectual/developmental disabilities, and/or substance use needs, and Medicaid service array requirements for the community mental health system of care. Experienced Fair Hearings Officer for Medicaid State Fair Hearings system for over fifteen years Develop, implement, and manage use of self-determination arrangements that ensures compliance with state and federal regulations
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Chief Compliance Officer
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Jun 2000 - Jan 2012
Initially a Recipient Rights Officer, promoted to Fair Hearings Officer for a four-county community mental health system, then promoted to Compliance Officer for a four-county community mental health system. Proficient in the interpretation and application of laws, regulations, standards, and policies to agency operations in ways that are successfully upheld by administrative tribunals, federal and state agencies of governmental oversight, and nation-wide accrediting bodies Proficient in the interpretation and application of laws, regulations, standards, and policies in ways that are easily understandable for staff, consumers, and the community Effective in cultivating collaborative relationships with multiple disciplines/interests at both local and state levels; trained in leadership skills including Learning Organization principles Experienced in supervisory and liaison roles with a wide array of staff and professional disciplines Departmental budgeting and planning in the non-profit sector Experienced in an array of program development in the fields of substance abuse and mental health Project management project leadership experience in the areas of service delivery, Medicaid waivers, and organizational processes in a Medicaid managed care system. Co-led the first clinical project management project for a four-county community mental health affiliation.
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Preferred Care HMO
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Rochester, New York Area
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Clinical Quality Coordinator Behavioral Health Care
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Nov 1994 - Jul 1999
Coordinated quality of care issues for behavioral healthcare in a managed care setting. Provided intensive case management for chemical dependency and mental health benefits. Administrative duties included cost accounting, consultation to multiple internal departments and external customers, provider performance improvement, network capacity, development of clinical pathways, program development, training. Coordinated quality of care issues for behavioral healthcare in a managed care setting. Provided intensive case management for chemical dependency and mental health benefits. Administrative duties included cost accounting, consultation to multiple internal departments and external customers, provider performance improvement, network capacity, development of clinical pathways, program development, training.
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SUNY Brockport
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United States
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Higher Education
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700 & Above Employee
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Independent Instructor
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1995 - 1999
Independent instructor for collaborative program with SUNY Brockport and Park Ridge Chemical Dependency for professionals wishing to obtain addiction counseling credentialing. Independent instructor for collaborative program with SUNY Brockport and Park Ridge Chemical Dependency for professionals wishing to obtain addiction counseling credentialing.
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Park Ridge Hospital/Unity Health
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Rochester, New York Area
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Addictions Therapist
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1985 - 1994
Participated in development of women's and dual diagnosis programming. Senior counselor position in a liaison role between chemical dependency and mental health providers to bridge the systemic and cultural gaps between the two disciplines. Provided prevention, assessment, and intervention services to clients in need of a bridge between the two systems of care. Supervised clinical staff and student interns Provided ongoing staff training and consultation. Involved in policy and program development to improve the provision of dual diagnosis services in the healthcare system.
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Education
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1990 - 1991
University at Buffalo
MSW, Child & Family, Addictions, Macro -
1985 - 1987
Nazareth College of Rochester
BSW, BS, Social Work, Sociology
Community
