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assistant vice president cqi rm privacy officer resume example with 19+ years of experience

Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Summary

Quality Improvement and Risk Management leader with demonstrated experience in risk mitigation, program evaluation, information management and continuous quality improvement for programs serving vulnerable populations. Dedicated to ensuring that processes, policies, and procedures support the safety and welfare of individuals served.

Skills
  • Data Analysis
  • Investigative Reporting
  • Incident Management
  • Records Management
  • Field Investigations
  • Corporate Compliance
  • Risk Management
  • Program Management
  • Performance Management
  • Mental Health Counseling
Education and Training
Long Island University Brookville, NY, Expected in 08/2019 Master of Science : Mental Health Counseling - GPA :
Mercy College Dobbs Ferry, NY, Expected in 05/2004 Master of Public Administration : Health Services Management - GPA :
Ramapo College of New Jersey Mahwah, NJ Expected in 05/2000 Bachelor of Arts : English Literature - GPA :
Rockland Community College Suffern, NY Expected in 05/1998 Associate of Science : Humanities & Social Sciences - GPA :
Certifications
  • HIPAA
  • Corporate Compliance
  • Investigation
  • Abuse/Risk Prevention
Experience
St. Dominic's Family Services - Assistant Vice President, CQI RM/Privacy Officer
City, STATE, 2015 - Current
  • Supervise Incident/Risk Management, Records Management and QualityAssurance/Improvement personnel. Provide strategic and tactical support to programs that are under contractual agreements with state oversight agencies such as the New York State Department of Health (DOH), Office for People with Developmental Disabilities (OPWDD), Office of Mental Health (OMH), Office of Children and Family Services (OCFS), New York State Education Department (NYSED) and Administration of Children Services (ACS)
  • Engage actively in coordination and implementation of procedures for licensing, certification programs and accreditation of the organization with Council on Accreditation (COA).
  • Collaborate with Administrators of Health Home, Community Based Services/Waiver and Nonpublic Schools on provision and delivery of optimal to youngsters with serious emotional disturbance and intellectual/developmental disabilities.
  • Review and ensure investigation reports are thorough and comprehensive.
  • Facilitate easy search and retrieval of records for audit purposes, or to satisfy authorized requests for protected health information.
  • Manage in conjunction with Human Resources the hiring process of staff for the Continuous Quality Improvement (CQI) Department.
  • Conduct job performance evaluations for CQI staff and participate in employment termination process when applicable.
  • Help facilitate audits conducted by oversight agencies including the Office of Medicaid Inspector General (OMIG).
  • Assist administrators of the Nonpublic schools and mental health services with efforts to meet the needs and satisfaction of the persons receiving services.
  • Provide coaching and performance management for quality assurance specialists, investigators, records management specialists and interns to optimize performance.
  • Coordinate training and seminars on various topics, including abuse prevention, risk assessment, incident reporting, investigation, confidentiality rules and corporate compliance.
  • Oversee compliance with regulations associated with Health Insurance Portability and Accountability Act (HIPAA) and Family Educational Rights and Privacy Act (FERPA).
  • Conduct thorough administrative investigations into complaints and policy violation reports involving senior level personnel.
  • Collaborates with IT, Fiscal and program staff to optimize management as well as utilization of electronic health records
Saint Dominic's Family Services - Assistant Director/CQI Risk Management
City, STATE, 2009 - 2015
  • Monitored team compliance with health and safety guidelines.
  • Coached and guided direct reports on day-to-day operations and company policies and procedures.
  • Generated reports to provide data for corrective actions and improvements.
  • Evaluated key business metrics and recommended adjustments to policies and procedures.
  • Oversaw recordkeeping and reporting efforts to satisfy document processing guidelines.
  • Trained relevant stakeholders on performance quality improvement, risk management, and compliance trends, gaps, and opportunities.
  • Analyzed performance and corporate compliance data and recommended policies and procedures regarding service provision and delivery.
  • Oversaw the execution of compliance reviews and performance analyses related to agency programs.
  • Coordinate and monitor the implementation and management of performance quality improvement plans.
  • Manage the development, establishment, and revision of policies and procedures.
Saint Dominic's Family Services - Quality Improvement & Risk Management Specialist
City, STATE, 2004 - 2009
  • Collaborated with cross-functional stakeholders to develop an audit instrument, which minimized program deficiencies and areas of vulnerability in accordance with regulatory requirements
  • Compiled, analyzed, and reported on program performance data to program directors and administrators with recommendations on improving corporate compliance standards
  • Conducted internal reviews of schools, day habilitation programs, therapeutic residential settings, foster care homes, preventive as well as case management and care coordination programs to identify gaps, mitigate risks, and improve operations performance
  • Collaborated with school administrators on strategies to continuously enhance education programs for students with serious emotional and/or learning disabilities
  • Monitored and assessed the implementation of service plans for individuals receiving services funded by NYSED OPWDD, OMH, OCFS and ACS
  • Facilitated focus group discussions among members in the Human Rights Committee, Safety Committee, and Incident Review Committee to ensure compliance and ensure the safety and well-being of individuals served
  • Conducted complex and objective investigations on allegations of harassment, abuse, and neglect incidents
Westchester ARC - Supervisor of Medicaid Service Coordination
City, STATE, 2002 - 2003
  • Provided leadership, training, coaching and performance management for Medicaid Service Coordinators to ensure the provision of adequate and quality Medicaid services for individuals with intellectual disabilities
  • Assessed the progress of individuals served in conjunction with cross-functional and -agency service providers and ensure quality of care
  • Contributed to completing incident reviews and forming appropriate safeguards to protect involved individual
Languages
French :
Native/ Bilingual
Negotiated :
English :
Native/ Bilingual
Negotiated :
Spanish :
Limited
Negotiated :

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Resume Overview

School Attended

  • Long Island University
  • Mercy College
  • Ramapo College of New Jersey
  • Rockland Community College

Job Titles Held:

  • Assistant Vice President, CQI RM/Privacy Officer
  • Assistant Director/CQI Risk Management
  • Quality Improvement & Risk Management Specialist
  • Supervisor of Medicaid Service Coordination

Degrees

  • Master of Science
  • Master of Public Administration
  • Bachelor of Arts
  • Associate of Science

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