Manager Management

Rosemary Walton

Email: ********@************.***

Address:

City: Columbus

State: OH

Zip: 43212

Country: USA

Phone: 614-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

Over 31 years professional experience with the State of Ohio working with people with disabilities, including 20 years of supervisory and program management of home and community-based waiver programs. Strong background in case management and advocacy skills for individuals with disabilities.

Educational Background:

High School Dipolma from Youngstown State University, Youngstown OH 1/2001 to 12/1980 (Elementary and Special Education)

Job History / Details:

Executive Summary

Over 31 years professional experience with the State of Ohio working with people with disabilities, including 20 years of supervisory and program management of home and community-based waiver programs. Strong background in case management and advocacy skills for individuals with disabilities.

Core Qualifications

Policy/program development

Service Quality Improvement

Interpersonal Skills

Customer Relations

Community Outreach

Cross-Cultural Communication

Analytical Skills

Investigative skills

Advocacy background

Provider Training

Provider Compliance

Quality Management

Problem Resolution

Mediation Skills

Policy/program development

Organizational Skills

Liaison to Beneficiaries and State Departments

Professional Experience

September 2001 to Current

State of Ohio Department of Job and Family Services Columbus, Ohio

Provider Compliance Manager for Contract Manager: Bureau of Long Term Care Services and Supports

Managed and directed provider activities for the Ohio Department of Job and Family Services Administered Home and Community Based Waiver Programs to assure the health and welfare of the beneficiaries receiving services. Sanctioned agency and non-agency providers who violated the Ohio Administrative Code rules for the program. Initiated proposed adjudication to terminate provider agreements. Provided expert Medicaid witness testimony in provider hearings and Medicaid Fraud court proceedings. Launched and managed the program's Incident Management Program, including death investigations of beneficiaries who died under suspicious circumstances. Worked directly with the Attorney General Medicaid Fraud Control and the Health and Human Services Section, the Ohio Department of Developmental Disabilities, Ohio Department of Aging, and the Ohio Department of Health to assure the welfare of consumers receiving services in their homes. Reviewed contractor performance for compliance with the program rules and contract requirements.

August 1998 to September 2001

Ohio Department of Job and Family Services Columbus, Ohio

Contract Manager: Bureau of Long Term Care Services and Supports

Implemented and supervised contracted case management of beneficiaries receiving home and community based waiver programs administered by the Ohio Department of Job and Family Services. Provided technical assistance for contractors of case management, including participation in case conferences with participants to resolve conflicts through mediation. Provided specialized training for contract management staff.

January 1991 to August 1998

Ohio Department of Job and Family Services Columbus, Ohio

Regional Operations Manager: Bureau of Long Term Care Services and Supports

Managed program operations of the Disability and Medically Fragile Waivers. Conducted agency appeals for enrollee eligibility on the program. Participated in conflict mediation and intake and referral for individual with disabilities. Developed and implemented quality assurance activities for providers of Medicaid home care services, producing written reports, and reviewing plans of corrections submitted by providers.

July 1986 to December 1989

Association For the Developmentally Disabled Columbus, Ohio

Habilitation Specialist

Supervised services for individuals living in an Intermediate Facility for Developmentally Disabilities on weekends. Provided assistance with programming and recreational activities. Spearheaded case management and program development for several individuals living in this home. Mentored these individuals to exercise their rights.

June 1981 to December 1989

Ohio Department of Health Columbus, Ohio

Case Manager/ Hospital Coordinator:Bureau For Children With Medical Handicaps

Provided case management services for children with disabilities with an interdisciplinary team. Assisted children and their families with assessing Bureau for Medical Handicaps Services and available community resources to meet their specific needs for services. Provided technical assistance to physicians, social workers and other staff at Columbus Children's Hospital about available resources for children and their families.

January 1987 to August 1989

Ohio Department of Health Columbus, Ohio

Intake Coordinator: Ohio Employee Assistance Program

Provided intake and referral for State of Ohio employees and their families needing assistance with handling personal programs. The scope of these issues included emotional, family, alcohol/drug dependency, financial, legal and job related. Conducted trainings for State Employees about Employee Assistance awareness and stress management. Participated in alcohol and drug interventions for state employees. Monitored employee behavioral contracts with their agencies.

Education

Youngstown State University Youngstown, Ohio

Bachelor of Science Elementary and Special Education

Professional Development:

Conflict Mediation and Resolution

Medicaid Program Integrity Institute for the Investigation of Medicaid Fraud and Testifying in Court

Team Facilitation

Incident Investigation Training (MUI) through the Department of Developmental Disabilities

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