Quality Assurance Manager
Resume:
Bettyanne Zrinko, CSW, CALA, CDP, AIT, COS
** ******** ****** ****, *************, NJ 08648
************@*****.***
Objective: To provide excellence in service provided to Residents in Nursing Facilities, Assisted Living, Community and MLTSS programs
Experience: January 2017-May 2017
Public Consulting Group/Public Partnerships LTD.
Senior Program Manager
-Fiscal Intermediary for transition of State programs
-DDS (Personal Preference Program), DDD, DoAS (Veterans Program)
-Oversee 80 consultants in field in 3 regions
-Manage 5 Supervisors in three regions
-Supervisors to oversee 80 consultants
April 2015-January 2017
Springpoint Senior Living
Monroe Village Continuing Care Retirement Community
Director of Social Services and Admissions
-Perform Clinical Assessments & Quality Assurance Audits
-Counsel residents and family
--Oversee performance of Admissions Coordinator
-Identify fraud and abuse and gather information from clients
-Develop policies and procedures for the department
-Determine initial and continuing eligibility for assistance programs
-Prepare detailed reports, statistical data and maintain client files
-Market in hospitals and establish relationships with providers for referrals
January 2014-January 2015 Horizon NJ Health
Manager, Southern Region for MLTSS
-Managed 3 MLTSS Supervisors and 45+ Field Staff (Camden, Atlantic, Cape May, Gloucester, Salem and Cumberland Counties)
-Member of MLTSS Management Team for implementation of programs
-Daily MD collaboration team to discuss members and their services
-Provided training to staff for Global Options until implementation of MLTSS
-Member of testing team to identify errors in computer programming for MLTSS in testing environment which converted to live testing prior to July1
-Assigned cases and IDT’s to staff per county
-Attended State meetings for MLTSS program
-Interfaced with state representatives for IDT in Nursing Homes
Quality Assurance Audits for staff performance
-Reviewed daily interface with State systems and review pivot table for staff performance and production
-Hired and trained staff
-Reviewed staff performance, performed evaluations and provided action plans and disciplinary action as necessary
-Assisted with MDC/PCA calls from Provider Agencies
-On-call manager every 3rd week for after hours and weekend- member calls-troubleshoot issues and assist with resolution
-Interviewed for potential employees
-Reviewed and approve payroll
June 2011-January 2014-Department of Human Services/Division of Aging Services
County Liaison/Program Support Specialist 2 (Global Options Quality Unit)
-Attended and participated in MLTSS workgroups
-Trained MACC nurses for Global Options transfer cases for care management
-Monitored and evaluated clinical records in health services facilities as well as human services agencies
-Developed, reviewed and updated policies and procedures for quality assurance and for state and federal accreditation and or regulations
-Monitored quality assurance for safety, compliance and effectiveness for clients within state and federal accreditation and guidelines
-Monitored the use of quality assurance findings in the development and implementation of corrective action plans
-Liaison to remediate quality assurance issues between agencies, facilities and licensing
-Provided presentations (in person and via webinars) to over 60+ care management agencies as well as train new care management agencies
-Oversaw the administration of the Global Options and JACC programs in 5 Counties, provided technical assistance support and quality assurance in 60+ care management agencies statewide
March 2011- June 2011 Department of Health and Senior Services/Office of Community Choice Options
Acting Assistant Field Office Manager/Program Support Specialist 2
-Supervised 20 professional staff (Registered Nurses and Social Workers)
-Supervised field staff in their review of clinical/medical records and assessments
-Plan, organized and assigned the work of the professional staff and evaluated performance
-Conducted interim and annual professional staff performance evaluations
-Assigned field staff assignments in the community, hospitals and nursing homes
-Supervised and conducted interviews for potential staff
Department of Health and Senior Services/Office of Community Choice Options
Acting Assistant Field Office Manager/Program Support Specialist 2
Continued
-Monitored quality assurance requirements for the safe and effective care of clients in compliance with state and federal regulations and accreditation
-Prepared detailed reports and statistical data
-Processed staff time sheets via ECATS
April 2001-March 2011 Department of Health and Senior Services/Office of Community Choice Options
Community Choice Counselor/Program Support Specialist 2
-Conducted pre-admission screening assessments for clients to determine clinical eligibility for assistance programs
-Supervised staff in training and performance of their work
-Liaison between the Department and other public and private organizations
-Complied with federal and state regulations, policies and procedures as well as changes
-Maintained client’s files and evaluation for financial and clinical eligibility for programs and services
-Prepared concise reports for data tracking and case management tools
-Made presentations in meetings and training sessions
-Conducted site visits and investigations as required
-Prepared detailed reports and statistical data
1995-2001 Presbyterian Homes and Services Monroe Village Continuing Care Retirement Community, Director of Social Services and Admissions
-Monitored Federal and State regulations for changes and compliance
-Supervised four professional staff social workers and two support staff in performance of their work, hiring, firing and disciplining subordinates
-Identified fraud and abuse and gathered information from residents and staff and prepared reports
-Developed policies and procedures for the department
-Determined initial and continuing eligibility for assistance programs and performed clinical assessment
-Data tracking and resolution of issues
-Liaison between State and other public and private organizations
-Marketed in hospitals and established relationships with providers for referrals
1994-1995 Waters Edge Nursing Home, Social Worker
-Monitored Federal and State regulations for changes and compliance
-Identified fraud and abuse and gathered information from clients
-Determined initial and continuing eligibility for assistance programs and performed clinical assessment
-Data tracking and resolution of issues
-Liaison between State and other public and private organizations
-Prepared detailed reports, statistical data and maintained essential records and client files
1991-1994 Klockner Senior Citizens Housing, Social Services Coordinator
-Monitored State and Federal Regulations
-Processed HUD housing certifications and re certifications annually for section 8 HUD subsidies with HMFA
-Prepared detailed reports and statistical data
-Oversaw the maintenance of essential records and client files
-Represented the agency during inspections, meetings and conferences
-Identified and resolved tenant issues
Education:
Rider University, 1987-1991 Lawrenceville, NJ
-B.A. Psychology & History
Certifications:
Certified Social Worker, CSW
Certified Assisted Living Administrator, CALA,
Certified Dementia Practitioner, CDP
Certified Occupancy Specialist, COS
References: Amy Ancharski, Former DoaS Supervisor
Horizon, Manager of Quality
Leslie Alvarez, County Liaison DoAS
Jean Cochrane, LCSW
Phyllis Famularo, DCN, RD
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