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JC
Jessica Claire
Montgomery Street, San Francisco, CA 94105 (555) 432-1000, resumesample@example.com
Summary

Program Supervisor and Operations Manager with more than six years of management experience in the health industry. Applies strong analytical and critical thinking skills to solve complex operational problems. Proactive in flagging and developing solutions for process inefficiencies. Seeking to apply management talents to drive long-term company growth.

Highlights
  • Strategic planning
  • Procedure development
  • Lean manufacturing and design
  • Process improvement strategies
  • Dedicated
  • Relationship building
  • Systems implementation
  • Personable
  • Analytical
Accomplishments
  • Participation in the Central Oregon Coordinated Care Organization System Development with PacificSource and other partners focusing on Strategic Initiative Development.
  • Participation on Early Learning HUB application's tri-county and data analysis teams.
  • Grew revenue by $100,000 in the first year by spearheading development and management of Medicaid Administrative Claiming reimbursement program.
  • Successfully applied for and coordinate National Public Health Accreditation activities.
  • Developed and implemented first Quality Improvement/Assurance policy and procedure for Crook County Public Health Department.
  • Successful grant writing and development.
  • Member of CHIP(Community Health Improvement Partnership) Advisory Board since 2007.
Experience
2011 to Current National Public Health Accreditation Coordinator Bancroft | Paulsboro, NJ,

The Accreditation Coordinator is responsible for furthering the mission of the National Public Health Accreditation Board:

  • Accreditation through PHAB provides a means for a department to identify performance improvement opportunities, to improve management, develop leadership, and improve relationships with the community. The process is one that will challenge the health department to think about what business it does and how it does that business. It will encourage and stimulate quality and performance improvement in the health department. It will also stimulate greater accountability and transparency.
  • PHAB’s public health department accreditation process seeks to advance quality and performance within public health departments. Accreditation standards define the expectations for all public health departments that seek to become accredited. National public health department accreditation has been developed because of the desire to improve service, value, and accountability to stakeholders.
  • Documents the capacity of the public health department to deliver the three core functions of public health and the Ten Essential Public Health Services. Thus, accreditation gives reasonable assurance of the range of public health services a department should provide. Accreditation declares that the health department has an appropriate mission and purpose and can demonstrate that it will continue to accomplish its mission and purpose.
  • Responsible for focusing the Strategic Plan to match Accreditation standards, facilitating completion of activities and improvements.
07/2009 to Current Medicaid Administrative Claiming Program Manager Amikids | North Miami Beach, FL,

Ensure that Intergovernmental Agreements with DHS and MESD are in place.

All communication with DHS, local partners and federal officials.

Compile, produce and disseminate all claiming reports.

Work as a conduit between DHS and local operations regarding questions, inquiries of state or federal guidance and other pertinent communication.

Ensure accurate interpretation and provide clear instructions of CMS and DHS policy.

Ensure all local applications (time study process, cost pool development, claiming calculation and training) of MAC are appropriate and in compliance with federal and state guidelines.

Develop and interpret quality assurance protocols for local MAC.

Develop guidelines for establishing and maintaining supporting documentation and agency wide Audit Files that are consistent with procedures outlines by DHS.

Act as primary trainer.

Maintain all documentation necessary to substantiate appropriate program management.

09/2008 to Current WIC Nutrition Manager Ecmc | Buffalo, NY,

Supervisor, coordinate, manage, and implement WIC program.

Maintain the staff's required training for the program.

Conduct caseload management and assessment and adjust clinic flow.

Schedule and plan clinic throughout the year.

Create and schedule nutrition classes.

Create and implement clinic policies and procedures.

As a member of local coalitions, plan local events for the public.

Prepare yearly self review and nutrition education plan

Attend WIC coordinator meetings and state WIC meetings

Educate staff on required WIC policies and procedure changes.

Assess and counsel participants on information collected in medical and nutrition assessment which may impact nutritional status.

07/2007 to Current Grant Writer County Of Merced | Merced, CA,

Successful completion of grants for multiple programs including USDA, WIC, Northwest Health Foundation for QI Activities, Tobacco Prevention, and Healthy Communities.

07/2007 to Current Quality Improvement and Assurance Manager Crook County Health Department | City, STATE,

Monitor four program budgets each month.

Develop and share best practices regarding Quality Management with all fifteen health department program areas:

  • WIC(Womens, Infants and Children)
  • Reproductive Health
  • Maternal Child Health Home Visiting Programs(Healthy Start, Nurse Family Partnership, Cacoon, Babies First, Maternity Case Management)
  • Healthy Communities and Tobacco Prevention
  • Preparedness and Communicable Disease
  • Fiscal
  • Administrative
  • My Future My Choice
  • Oregon MothersCare
  • Immunizations

Facilitate and coordinate Quality Improvement activities for all programs.

Recruit, hire and train new employees for various health department programs.

04/2002 to 06/2003 Therapist New Leaf Academy-Therapeutic Boarding School | City, STATE,

Supervise and maintain therapy caseload of up to ten girls age 11-17.

Provide weekly individual and group therapy sessions.

Case management and coordination of care with other medical providers, family and law enforcement as needed.

05/2000 to 01/2002 Psychiatric Case Manager Albertina Kerr SubAcute Psychiatric Facility | City, STATE,

Case management of multiple bed psychiatric inpatient hospital.

Facilitate care coordination meetings between psychiatrist, medical providers, family, law enforcement, health insurance provider and DHS.

All utilization review for re-authorization.

Supervise hospitalized children age six to seventeen as needed.

08/1999 to 05/2000 Alcohol and Drug Counselor New Directions Northwest | City, STATE,

Provide individual and group therapy to inpatient women.

Maintain caseload up to ten, responsible for entire medical file tracking and data entry.

Coordinate service in conjunction with law enforcement and child welfare.

Testify in court regarding parental reunification issues.

Education
Expected in 2014 Master of Arts | Executive Leadership Liberty University, Lynchburg, VA GPA:

Completion will be in first quarter 2014.

Expected in 2000 Bachelor of Science | Social Science Portland State University, Portland, OR GPA:
Expected in transfer | Psychology Eastern Oregon University, LaGrande, OR GPA:

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School Attended

  • Liberty University
  • Portland State University
  • Eastern Oregon University

Job Titles Held:

  • National Public Health Accreditation Coordinator
  • Medicaid Administrative Claiming Program Manager
  • WIC Nutrition Manager
  • Grant Writer
  • Quality Improvement and Assurance Manager
  • Therapist
  • Psychiatric Case Manager
  • Alcohol and Drug Counselor

Degrees

  • Master of Arts
  • Bachelor of Science
  • transfer

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