Manager Management

Rosemary Walton

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

Address: **** ******* *****

City: Columbus

State: OH

Zip: 43212

Country: USA

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

Skill Level: Management

Salary Range: $50,000

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

Rosemary Walton

1052 Parkway Drive Phone: 614-***-****

Columbus, Ohio 43212 Cell: 614-***-****

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

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 back ground in case management and advocacy skills for individuals with disabilities.

Core Qualifications

Policy/program development Provider Training

Service Quality Improvement Provider Compliance

Interpersonal Skills Quality Management

Customer Relations Problem Resolution

Community Outreach Mediation Skills

Cross-Cultural Communication Policy/program development

Analytical Skills Organizational Skills

Investigative skills Liaison to Beneficiaries and State

Advocacy background Departments

Professional Experience

State of Ohio Department of Job and Family Services September 2001 to Current

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

Columbus, Ohio

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.

Ohio Department of Job and Family Services August 1998 to September 2001

Contract Manager: Bureau of Long Term Care Services and Supports

Columbus, Ohio

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.

Ohio Department of Job and Family Services January 1991 to August 1998

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

Columbus, Ohio

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.

Association for the Developmentally Disabled July 1986 to December 1989

Habilitation Specialist

Columbus, Ohio

Supervised services for individuals living in an Intermediate Facility for Developmental 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.

Ohio Department of Health June 1981 to December 1989

Case Manager/Hospital Coordinator: Bureau for Children with Medical Handicaps

Columbus, Ohio

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

Ohio Department of Health January 1987 to August 1989

Intake Coordinator: Ohio Employee Assistance Program

Columbus, Ohio

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

Elementary and Special Education

Bachelor of Science

Youngstown, Ohio

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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