Teresa M. Keenan

*A Cambridge Road 518-***-****

Albany, New York 12203 ab9u6z@r.postjobfree.com

Objective To utilize my work experience and education in the business field and to work with staff,

as well as independently to promote team unity and growth on a successful career path.

Experience New York State Department of Health/OHSM Albany, NY

Division of Assisted Living / Bureau of Licensure and Certification 2010-2013

Project Manager

Review and process Certificate of Need (CON) applications for Adult Care Facilities

and Assisted Living Program (ALP) licensure and certification.

Monitor and resolve problems connected with legal proposals and documents that are

complex or sensitive in nature with the House Council of New York State.

Interact with applicant’s attorneys, healthcare consultants, architects, engineers and

financial consultants to ensure all contracts and projects are developed in accordance

with current policy and existing facilities are in compliance with New York State

regulations.

Review and score Solicitation of Interest (SOI-1 & 2), HEAL NY Phases and Request

for Grant Applications (RGA) totaling over $175 million in State and Federal

contracts, ensuring they meet eligibility criteria.

Research the Character and Competency that must be completed for an owner,

operator, and Board of Directors based on the information submitted on Schedule 2A

of the Adult Care Facility (ACF) Certificate of Need (CON) application.

Committees and Special Projects consist of the Architectural Workgroup, Unlicensed

Facility Initiative, and the Opportunity For Development (OFD) Initiative.

Empire BlueCross BlueShield Albany, NY

Utilization Management Rep I / Legal Assistant 1999-2009

Appeals NY Executive Services

Research and process 65 cases per day for retrospective claim reviews, appeals and

grievances requiring medical review within the department’s appropriate timeframes.

Collect the pertinent information electronically from computer systems needed to

render a decision on a case. Document information as appropriate for the clinical

review staff.

Responsible for approval outcome decision on specific reviews. Apply necessary

criteria and Corporate Medical Policy when applicable to determine if a case is

reviewed as an appeal or a grievance.

Respond and maintain all Authorizations, Subpoena Duces Tecums and Information

Subpoenas for release of medical claims records to attorney, Appellate Division of

New York State or the administrative law judge served to Empire BlueCross

BlueShield – Albany Office.

Liaison between NYC law office and Albany law office.

Secretary for the Assistant Vice President and Associate Counsel.

Generate quarterly Strategic Management & Implementation annual plan reports.

Albany Medical Center Hospital Albany, NY

Executive Administrative Assistant 1994-1999

Department of Perinatal Outreach and Childbearing Family Education Programs

Organize and maintain all Perinatal Outreach education seminars through PeopleWare

software.

Registrar of the Childbearing Family Education Programs.

Liaison between NYS Department of Health, Central New York and NENY RPDS.

Create process to expedite all Transport Letters to corresponding physicians and

regional hospitals.

Construct database to generate quarterly and yearly expense/revenue spreadsheet

reports for both Perinatal Outreach and Childbearing Family Education Programs.

Supervise and train part-time secretarial support person on a regular basis.

Manage all office responsibilities.

Education State University of NY at Albany Albany, NY

Graduate Education Program (12 credits hours)

State University of NY at Buffalo Buffalo, NY

B. A., English Literature

Hudson Valley Community College Troy, NY

A. A. S., Business Administration

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