Quality Assurance Manager

Quality Assurance Supervisor & Health Case Manager Available for Hire (campbell)

Date: 2012-09-27, 6:25PM PDT

********@*****.***

Kimberly J. Gruol

Campbell, Ca 95008

(813) 431- 2108

******@*******.***

Objective

To obtain a long-term position where I can utilize my skills and enthusiasm for my work to contribute toward building on the success of an established company.

Education

University of Tampa Tampa, FL

Bachelor of Arts in Sociology (05/00)

Skills

Computer Proficiency

Working knowledge of Search engine usage (Google, Bing), Windows, Microsoft Word, Excel, Powerpoint, Access, Evergreen Precision Care (Client and Systems Tracking and Case Maintenance Software), Home Safenet Tracking Systems (Client and Systems Tracking for Child Welfare Case Management), Medicaid Provider System, IDX Webcast/Centricity Group Management, Quality Assurance HIPAA Compliance Officer Training, Filemaker Database, NexTech EMR Training

Experience

Florida Orthopedic Institute Tampa, FL

Quality Assurance Department Supervisor (10/05-present)

Responsible for conflict resolution and process improvement implementation throughout all clinical subspecialty offices

Specializing in counseling difficult and disruptive patients with serious satisfaction concerns

Provided orientation and training including OSHA/ HIPAA compliance to clinical staff

Assisted with restructuring of departmental process improvement

Responsible for handling and documenting all major grievances that include potential risk and HIPAA violations

Provide weekly departmental statistics for the Director of Quality Assurance and Chief of Operations

Conduct employee evaluations and counseling on employee performance

Organized and managed quarterly blood drives with Florida Blood Services for the institute

Provided direct counseling to employees regarding company policies and procedures

Manage subpoenas as well as schedule and conduct depositions for the medical records department

Provide quality services, staff enhancement, and patient counseling for 35 physicians

Perform periodic site inspections by overseeing quality assurance of all 6 satellite offices

Children's Home Society- Hillsborough Kids Inc. Tampa, FL

Child Welfare Care Team Coordinator/ Lead Dependency Case Manager (05/05-08/05)

Prepared case reports and developed recommendations/ testified at courts regarding reunification, termination of parental rights or other permanency plans

Assessed client needs and developed service plans, Department of Children and Family Case Plans, and conducted child safety assessments

Coordinated the delivery of services, disseminated referrals and linkages to clients and families

Monitored service plan progress and evaluated reports from multiple service providers

Reviewed and ensured accuracy and completeness of assessments, treatment/service plans, progress notes, and termination summaries for case preparation

Provided support to children, and assisted family/caregivers regarding stable placement and timely achievement of permanency

Kept staff appraised of statutory mandates and agency policy and procedures

Demonstrated proper case management practices and assisted staff in making sound case decisions

Facilitated mediation staffing for reunification, termination of parental rights and detainment

Conducted monthly face to face visits with child, family or significant others involved specifically in the case

Scheduled and conducted supervision sessions with assigned staff, actively participated in the quality improvement process

Safe Children Coalition/ Family Continuity Programs St. Petersburg, FL

Child Welfare Case Manager (11/02-05/05)

Provided case management services for abused, abandoned, neglected children and their families

Assessed risk factors, reported suspected families of abuse and neglect, completed court documentation, and attended hearings

Conducted face to face contact with children and families, as indicated on case plans and met requirements as set forth by policy

Provided all appropriate referrals and necessary services for clients such as substance abuse counseling, and parenting courses

Coordinated and arranged for child placement with foster care, relative/caregiver or out-of-home situations

Filed Case Plans and completed Judicial/ Administrative Reviews with the court as defined by Federal and State Statute

Attended team meetings, supervisor conferences, trainings, and appropriate interagency and intra-agency meetings necessary for quality job performance

Prepared staffing and presented relevant information of cases to Administration

Concern for Independent Living Medford, NY

Mental Health Case Manager (10/00-10/02)

Provided case management services for adults with psychiatric disabilities which include service planning, overseeing, and monitoring medication, complete functional assessments, assistance in forming linkages and/or referrals to clinical services, day programs, and vocational/educational services

Provided individual counseling and support services to clients 3 to 4 times weekly minimum

Prepared monthly documentation regarding Medicaid billing purposes for specific client services

Participated in a variety of job essential training such as Behavioral Therapy, Chemical Abuse, and Psychiatric Rehabilitation

Coordinated monthly meetings with psychiatric professionals regarding client treatments

The Department of Children and Families Tampa, FL

Intern/Foster Care Counselor (12/99-05/00)

Assisted in Foster Care Unit, providing housing and family safety for abused, neglected, and abandoned children

Investigated troubled homes

Transported children to and from foster homes

Reported, filed, and processed cases for Hillsborough County

Ensured that sufficient medical treatment was available to clients

Organized treatment programs for parents and children

References Available Upon Request

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