Joseph Chelales

** ****** ****

Queens, NY *****

646-***-****

Vice President Compliance/Quality 11/2014 – 03/2022

Praesum Healthcare

Lake Worth, FL 33461

Responsible for development of quality/compliance program for enterprise with over 700 employees in 26 facilities ranging from detoxification, residential and outpatient services. Directly responsible for operation of 13 counseling centers with over 100 FTEs.

Oversaw compliance programs for all 28 facilities across five states. Developed compliance program for all federal, state, CARF, TJC and DEA requirements.

Successfully lead compliance application process for new program development for 20 programs since 2014.

Lead team in software conversion for all 26 facilities from Citrix based system to 10e11 software, resulting in a standardized electronic medical record and billing platform suite in one solution.

Responsible for billing compliance for behavioral health and medical services, including billing creation, submission, collection and audit. Currently submit more than 4,000 claims per month.

Conducted due diligence reviews for potential acquisitions, compliance, licensing, and financials .

Responsible for oversight of 13 outpatient locations in five states. Supervises all clinical directors resulting in increased services and improved patient outcomes.

Oversees the credentialing for all allied health practitioners in all five states, including contract negotiation and annual recredentialing.

Vice President Quality Assurance & Regulatory Compliance 4/2011 – 1/2014

Vice President of Constructions Services

DAYTOP Village Inc.

Reported to the CEO. Managed quality assurance and regulatory compliance staff of seven. Managed 12 maintenance staff.

Provide compliance support for all 20 OASAS certified programs.

Developed policy and procedure manual for Part 819 Intensive Residential, Part 822 Outpatient Services and A28 Medical Services

Ran Quality Assurance and Quality Improvement Committee as chairperson.

Conducted Medicaid and HRA Audit readiness through review and mock audits. Shared results with staff for development and to ensure compliance.

Provided staff training on operating regulations, workplace violence sexual harassment and professional development.

Oversaw incident reporting and utilization review process.

Responsible for all phases of construction, food service, patient safety and inventory control.

Vice President Corporate Compliance 9/2010 – 3/2011

TenEleven Group, Inc.

Buffalo, NY

Ensured that software met regulatory requirements of CARF, TJC, OASAS, OMH, DOH and CMS.

Trained agencies on the use of software.

Trained TenEleven staff on regulatory requirements.

Developed reports for SAMSHA grant reporting and outcome data.

Audited customer software and case records once live to ensure agency and software compliance.

Technical Assistance Unit Manager 2/2004 – 9/2010

Office of Alcoholism and Substances Abuse Services

New York, NY

Supervised six Technical Assistance staff

Managed the Technical Assistance Database

Developed and presented workshops for Regulatory Compliance, Comprehensive Evaluations, Treatment Planning and Progress Note Documentation, Utilization Review, Level of Care Determination and ASAM Patient Placement Criteria with provision of CASAC hours.

Represented OASAS at regional coalition meetings to ensure communication between the provider community and the agency

Served as a member of the Gold Standard Partnership team with includes ASAP/OASAS and the provider community to develop regulatory changes and ensure quality service

Created OASAS Site Review instruments in conjunction with Program Review for all modalities

Education:

Xavier High School – Regents Diploma May 1986

30 West 16th Street, NY, NY,10011

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