Quality Assurance Management
Resume:
Bethany Maruzzi
Email: *********@********.***
Address: *** ********* **
City: Springfield
State: PA
Zip: 19064
Country: USA
Phone: 484-***-****
Skill Level: Management
Salary Range: $55,000
Primary Skills/Experience:
See Resume
Educational Background:
See Resume
Job History / Details:
Bethany Maruzzi
630 Maplewood Road
Springfield, PA 19064
Twelve (12)years of supervisory and project management experience coupled with proven history of increasing compliance and productivity rates by over 30%. A solid history of excellent relationships with public officials, licensing and contractual stakeholders, including internal personnel at all organizational levels. Proven success in handling multiple projects that ultimately increased the bottom-line. High level of initiative and energy with strong ability to exercise independent judgment. Excellent writing and editing skills. Trustworthy and discreet. Excellent computer proficiency skills. Key areas of expertise:
Medical Coding & Billing Specialist
Process redesign and reengineering
Process development, including process mapping and redesign analysis
Six Sigma
Program Design and Development
Author & Editor
Request for Proposals, Corporate Policy
Project Management
Regulatory Compliance Specialist
Management Information System Specialist
Quality Assurance Specialist
Systems Analyst
Corporate Compliance Program Design and Development
Policy & Procedure Development
Accreditation, Licensing, & Credentialing Specialist
Compliance Officer & Auditor
PROFESSIONAL EXPERIENCE:
Bethany Cauthen, Management Consulting Services, Springfield, PA (1998 - Present)
President & Management Consultant
Own and operate management consulting firm that specializes in regulatory compliance, quality assurance initiatives, process engineering, and accreditation projects for health care centers, insurance agencies, managed care organizations (MCO), community correction centers, residential treatment facilities (RTF), mental health, reintegration and work release programs; provided initial assessments of operations whether policies, procedures, and systems are in compliance with all Federal, State, City laws and such auditing agencies that license, accredit ate, credential, or manage community correction centers. I author and edit all policies and procedures, manage and coordinate accreditation projects, and implement effective operational systems and mechanisms.
Selected Accomplishments:
Currently receiving certification by the U.S. Career Institute for Medical Billing and Coding Specialist for compliance with the OIG, AMA, and Federal Medicare and Medicaid standards for medical insurance for HMO's, PPO's, and private insurance.
Awarded accreditation by the American Correctional Association for fourteen (14) programs with a minimum score of 98%;
Authored Corporate Compliance Program utilizing OIG Guidance for an MCO, and created regulatory compliance knowledgebase, including process redesign mapping and theories, Six Sigma quality assurance initiatives;
Conducted and spearheaded, Florida Quality Assurance Program for Department of Public Welfare (DPW), and compliance with Medicare and Medicaid with adherence to medical statutes, quality assurance, and medical billing compliance.
Created billing and employee productivity modules for RTF, MA, and State Reintegration programs. Forecasts, productivity assessments, tools, and statistical analysis proved valuable in final bottom-line.
Represented the Pennsylvania State community correction facilities on a State Board that managed the inspection and quality control process of over fifty centers;
Conducted training workshop for all Pennsylvania State vendors at an Annual Directors Meeting for over 100 Directors on the Accreditation process;
Provided market analysis, software compliance analysis, and models for a management information system (MIS) that monitors and manages more than a thousand parole offenders in the City of Philadelphia.
VisionQuest National, Inc., Downingtown, PA (Jan, 2006- March, 2011)
Director of Compliance and Outcomes
Report directly to the Executive Vice President and indirectly to the Executive Director of the Non-Profit Sector of the Company. Hired in 2006 as the Corporate Quality Assurance Manager with national coverage and oversight responsibilities for the Quality Assurance Departments for over thirty-four (34) juvenile detention centers, residential treatment facilities, mental health, and reintegration programs throughout the United States.
Selected Accomplishments:
Authored, designed, and implemented a pilot program for community-based reintegration program for juvenile offenders being discharged from youth forestry and detention centers. Designed initial management information system to capture all services by contract, which evaluated contract performance at all times for over an average census of 450 youth across the State. The management information system also had a billing component for invoicing, forecasting, and capturing actual revenues to evaluate program performance. Maintained compliance, productivity, and efficiency rates for four (4) community juvenile delinquent programs.
Increased compliance, efficiency, and employee productivity rates by over 50% for four residential treatment facilities (RTF) within a minimum of four (4) months. Completed baseline assessments to determine minimum thresholds, evaluated internal controls and monitoring mechanisms, implemented process redesign initiatives resulting in a 60% increase in compliance outcomes in seven (7) months for our Florida Madalyn program, resulting in an average outcome of 95% for all case management services provided to the Department of Juvenile Justice;
Created and authored technical manual for reducing consumer complaints, utilizing quality assurance initiatives for QA consumer calls, consumer surveys, and instituted Six Sigma culture to reduce complaints by 30%, and increase employee productivity by a minimum of 35% for Philadelphia based community health center with four (4) programs.
Increased morale, compliance, and employee productivity and efficiency rates by over 70% for three (3) juvenile delinquent programs within a minimum of four (4) months;
Authored a Corporate Compliance program and spearheaded a quality improvement initiative for the state of Pennsylvania, which improved compliance, employee productivity, and efficiency rates by over 40% for the State, including nine (9) residential treatment centers, juvenile detention, and community mental health and residential camps.
Created a computerized knowledgebase for monitoring and tracking external licensing and contractual corrective action plans, including automation of service logs with buffered deadlines for all deliverables and services through the use of Visual Basic Application (VBA) programming and macros to reduce duplicate processes, streamline process steps, and ultimately reduced licensing and contractual citations by 50% within a three (3) year period.
Spearheaded all licensing and contractual audits and inspections for the State of Pennsylvania and conducted monitoring audits, implemented quality assurance initiatives to increase efficiency, reduced systematic duplicity, and ultimately increased the bottom line. Provided process-redesign analysis and conducted baseline assessments to determine accurate thresholds comparable to industry standards. Authored company benchmarks and quality management plans to ultimately increase compliance thresholds reducing contractual liability and federal sanctions.
The Diagnostic and Rehabilitation Center/Gaudenzia DRC, Inc., Philadelphia, PA (2001 - 2003)
Director of Program Management
The Diagnostic and Rehabilitation Center is a community correction center that provides drug & alcohol and mental health treatment to offenders. The DRC has three programs, Inpatient, Outpatient, and the Dual-Diagnosis Program, with over 160 employees. The center is contracted with the Pennsylvania Department of Corrections. As Director of Program Management, I reported directly to the Vice President of Program Administration.
Selected Accomplishments:
Authored the company's policy and procedure manual that complied with three mandatory licensing and contractual agreements within one manual. Prior to hire, the center had three different manuals to comply with the auditing agencies;
Spearheaded and managed the accreditation process for all three programs; awarded accreditation within six months when normal process is one year and six months, which ultimately increased our referrals with the State and ultimately increasing the bottom-line by millions.
Coordinated and created a staff training and development program that increased productivity, efficiency, and morale by 40%.
Spearheaded a quality assurance program that reduced personnel costs, raised morale, and implemented effective systems to ensure compliance with all regulatory authorities and laws. Employee productivity and efficiency increased by 50%.
Food For Life, Inc., Philadelphia, PA (1999 - 2001)
Assistant to the President
Report directly to the President of a non-profit company that provided case management services to the underprivileged, including shelters, low cost housing, three community corrections centers, training and education, Meals on Wheels program, and a restaurant.
Selected Accomplishments:
Accreditation & Program Manager
Spearheaded a project mandated by the Department of Corrections, Bureau of Community Corrections, to comply with over 280 national standards of a quality program. Awarded accreditation by the American Correctional Association for three facilities within ten months of hire.
Created, implemented, and coordinated a formalized training program for three facilities.
Created and implemented a Quality Assurance program to maintain quality service given by all employees.
Recruitment & Retention
Recruited a new staff for the opening of a community corrections center for a capacity of 65 residents within three weeks.
Recruited and retained a staff for three community corrections centers including all levels of management and general line staff.
Certification(s):
March 2012-Current Medical Coding and Billing Specialist
USCI, 94%, current average
EDUCATION:
March 2004 - 2005 Eastern University, St. Davids, PA
Organizational Management and Management Information Systems, B.S.
Graduated with Distinction, December 2005, GPA 3.98
Accomplishments: Awarded Class Representative, Honor Roll, Best Thesis and Most Courageous Awards
Delaware County Community College, Media, PA (51 Credits transferred)
Computer Science Management; Business Administration, GPA 3.9
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