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Quality Assurance Service

Location:
Tucson, AZ, 85704
Posted:
October 12, 2010

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Resume:

Krista L. Pears

Current address: *** ******** *****, ************, ** 28540

Cell: 252-***-**** Work: 910-***-****

E-mail address: abjoke@r.postjobfree.com

Objective: Seeking employment as a medical social worker allowing for the application of such techniques in a

hospital setting as well as advocating for patients.

Education: Master of Social Work: East Carolina University, Greenville, NC: GPA 3.8, May 2005

B.A. Psychology: West Virginia Wesleyan College, Buckhannon, WV: GPA 3.52, May 2003

Experience:

Clinical Social Worker, Onslow-Carteret Behavioral Healthcare January 2007-Current

Ensure services provided to individuals within the catchment area meet the standards of quality and best

practice by monitoring and managing service utilization

Provide management of care that offers easy and immediate access to the most appropriate, quality service to

consumers while determining eligibility and medical necessity

Provide service coordination, care coordination and community collaboration

Developed process for Jail Diversion requirements, reviewed referrals, follow-up with assessments and refer

inmates to appropriate services and providers, coordinate process with multiple organizations

Conducted Post Payment Clinical Reviews following state guidelines while applying clinical judgment and

following service definitions and requirements

Screen, triage, and facilitate referrals of consumers via telephone contact to crisis or community services

Perform Utilization Reviews on longer-term services to ensure that care functions are being carried out

according to the PCP and treatment guidelines

Meet with families and perform state dollar appeal hearings

Work interdepartmentally along with providers, clients and families and other agencies to problem solve

difficult problems, meet for treatment teams, or to find needed serves to meet clients needs

Attended treatment team meetings at Cherry Hospital and assist with discharge planning and care

coordination

Clinical Consultant, Supportive Living Concepts Spring 2006-January

2008

Providing part-time quality assurance for Medicaid service notes for DD/MR and MH/SA clients out of the

Five County LME region in Rocky Mount.

Provide individual therapy on a contract basis to consumers bi-monthly.

Provide clinical assessments and Diagnostic Assessments as required for enhanced services of Community

Support.

Human Services Clinical Counselor II, Tideland Mental Health Center Fall 2005-January

2007

Provide crisis assessment and intervention, outreach stabilization, and referral assistance to mental health,

developmental disability, and substance abuse consumers and their families

Conduct interviews to obtain MH/SA status as well as ascertain type and level of impairment through the use

of the Diagnostic and Statistical Manual IV criteria.

Provide case support such as arranging for hospitalization, residential placement, support services available in

the community, and referrals to other appropriate and needed service providers.

Develop treatment plans and measurable goals for the consumer and/or family.

Utilize counseling modalities, consumer medication education, substance abuse detoxifications modalities as

appropriate for the individual consumer.

Responsible for “1st responder” after hours crisis phone bi-weekly to meet new service definitions for the

state with the LME

Community Based Service Professional Provider, Family Preservation Coordinator,

Dixon Social Interactive Services, Greenville, NC Fall 2004-

Current

Currently providing quality assurance for Medicaid service notes of PPs, APs, and QPs in Greenville, New

Bern, and Washington Counties

Provided supportive counseling and adaptive skills training to help children with behavioral problems

function in all environments

Teach and model self-help and living skills training for youth

Conducted Family Preservation with a family working on parenting skills, behavior monitoring and

establishing healthy family relationships.

Establish alternative parenting skills to help family build skills for coping with children’s behavioral disorders

Attended bi-monthly team meetings and supervision as well as weekly supervision with Barry Dixon

pertaining to Family Preservation.

Graduate Internship, Mary Frances Center, Tarboro, NC Fall 2004-Spring

2005

Assisted substance abuse counselor with caseload and various paperwork and documentation.

Facilitated/co-facilitated primary groups and assessment and evaluation groups.

Attended patient review, treatment team and case management meetings and provided input and feedback on

patients’ progress and attitudes.

Completed common assessments and orientation for new patients.

Graduate Internship, Methodist Home for Children, Greenville, NC Spring 2004

Assisted with foster parent licensure procedures including M.A.P.P., training and mutual home assessments.

Attended treatment team and placement meetings for foster children.

Did various office work tasks around the agency to complete projects.

Community Based Service Professional Provider, NC Family Guidance Center,

Greenville, NC 2003-

2004

Provide supportive counseling and adaptive skills training to help children in all functional domains.

Model behavior; provide positive reinforcement, redirection, and de-escalation to children to help them to

learn positive alternatives to acting out with undesirable behaviors.

Work with the children in the home, school, community, and exclusive day programs (places vary as needed)

providing functional support through a therapeutic relationship.

Residential Service Worker, Bell Socialization Services, York, PA 2003

Provided “hands on” direct services and supports to help individuals with mental retardation live quality lives

within their communities.

Assisted with personal care and dressing as well as transportation and nutritional meals.

Implemented intervention plans, and monitored goal plans that would increase consumer’s skills and

independence, and helped minimize the regression of skills.

Ensured all household operations for the site were completed to uphold the highest level of standards.

Therapeutic activity aid, Mercer County Association for the Retarded, Hermitage, PA 2002

Provided direct supervision of up to fifteen individuals in a work activities area.

Provided job training and instruction to individuals with disabilities as necessary to

complete sub-contract work, and to advance them to a higher vocational placement and/or

competitive employment, also insured quality control and documented any problems, concerns,

or incidents.

Completed charting, goal sheets, payroll and attendance sheets, while creating and

maintaining a safe work site.

Exercised adaptive skills in order to aid, adjust, and work effectively with specific

problems or disabilities of clients.

Internship, Mercer County Association for the Retarded, Hermitage, Pa 2002

Observed and assisted a program specialist during her daily activities, such as writing evaluations and

attended the review meetings that coincided with the evaluations.

Worked in accordance with established regulations, policies and procedures.

Phlebotomist, UPMC Horizon Hospital Systems, Greenville, PA 2000-2001

Exercise well defined organizational skills to draw blood specimens from

various in-patients and out-patients at hospital supervised nursing homes, while receiving

and processing other specimens that are delivered to the laboratory daily.

Display excellent verbal communication and interpersonal skills while

working with multiple departments, co-workers and patients within the hospital system.

Utilize quick understanding of laboratory system to work with patients

explaining the phlebotomy process and the various laboratory tests.

Other Related Experience:

Graduate Student assistant for Dr. Lena Carawan 2004-2005

Student Work-study Psychology Tutor 2002-2003

Student Work-study Assistant for Dr. Ruth Ann Calef 2002-2003

Student Work-study for the Student Academic Support Services 2001-2002

Student Work-study for the Housing and Residence Life Office. 2001

Student work-study at college physical plant. 2000-2001

Wesleyan Ambassador for perspective students visiting WV Wesleyan. 2000-2002

Student leader/mentor for incoming freshmen. 2000,’01, ’02

Coach a co-ed 3rd and 4th grade basketball team for Stockert Youth Center 2001, ’02,‘03

Tutor for 3rd grade boy and girl at Stockert Youth Center. 1999-2001

Volunteer at Upsher County Humane Society 1999-2001

Tutor for mentally handicapped junior high student at Stockert Youth Center. 1999-2001

Volunteer at St. Paul Homes, Greenville, PA. 1992-1999

Volunteer at Greenville Community Shelter 2003

Volunteer at Children’s Day, Town commons, Greenville, NC1 2003

Special Skills and Certifications:

Windows ME, Windows XP, Microsoft Office 97-2000, SPSS. CPR-Certification, First Aid

and Blood Borne Pathogen training, Client’s Rights Training, Medical Administration, Non-violent Crisis

Intervention Certification

Clubs, Sports, and Organizations

College: Outstanding Psychology

Student Award winner

Zeta Tau Alpha (Nat’l. Women

Fraternity) Pi Gamma Mu (Nat’l. Social

Sciences Honorary)

Psi Chi (Nat’l. Psychology

Graduate School:

honorary) Vice President and Secretary

Read Aloud Program Graduate Association of Social

Workers student representative (GASW)

Mortar Board (Nat’l. College

OSHO- Outstanding Student

Senior Honorary)

Honor Organization

Who’s Who Among American

Phi Alpha (Nat’l. Social Work

Colleges and Universities

honorary)



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