Manager Mental Health
Resume:
Barnstable, Massachusetts *****
***************@*****.***
KIMBERLY A. KIELY, LICSW
PROFILE
• Mastery of state and federal regulations for long term care
• Experience in clinical psychotherapy at outpatient clinics/ hospitals and private practice
• Well developed administrative,organizational, communication and supervisory skills
• Conducting psychotherapy groups for geriatrics, adults, adolescents, children and substance abuse
• Work with JACHO and other governing agencies ensuring the implementation of their regulations
• • Performing utilization review with managed care organizations and discharge planning
• Collaborate with various social service agencies: DSS, DYS, and DMH...
• Interact with psychiatrists, courts, DSS, DMH, educators and special education teachers
• Extensive experience working with Substance Abuse and dually diagnosed patients both in and out P.T. settings.
• Strong affiliation and knowledge of all 121 step programs
•
SKILLS • Coordinating Case Conferences • Managing Healthcare
• Knowledge of Managed Care / Insurance Issues • Data Collection & Analysis
• Coordinating Community Resources • Emergency P s y c h Triage
• Creating Policy & Procedure Manuals • Cost Benefit Analysis
• Admissions / Discharge Planning • Certified Guardian Ad Litem
• Extensive Knowledge in trauma, sexual abuse, and treatment of adolescents
• Traumatic Brain Injury
• Expertise in Long Term Care Regulations
• State and Federal Requirements
• Substance Abuse/Dual Diagnosis
• Inept Understanding of Medicare and Federal Guideline COUNSELING ISSUES
• Substance Abuse • Family/Team Interventions • Trauma/ Rape
• Child & Family • Medically Ill Psychiatric Clients • Transition
• Anger Management • Individual & Family Therapy • Managed Care
• Domestic Violence • Nursing Home Placement Issues • C a r d i a c Support
• Initial Assessment • Case/Resource Management • Psych Evaluations
• Custody Evaluations • Elderly/Alzheimer’s/Dementia • Cognitive Deficits
EDUCATION
• Simmons College, Graduate School of Social Work, Boston, MA Masters of Social Work (1994)
Internships
Beth Israel Hospital - Clinical Social Work Intern (Inpatient Medical Psychiatric Unit Faulkner Hospital - Social Work Intern (1992-93)
• Simmons College, Boston, MA
B.A. in Business Management (1983)
EXPERIENCE
07/17 - present McLean Hospital Southeast
• Inpatient adult unit social worker/case manager
• Do initial psychosocial assessments and organize appropriate treatment plans
• Work collaboratively with interdisciplinary teamFacilitate family meetings and community agency involvement
• Meet individually with clients on daily basis ad formulate effective aftercare plan
• Formulate and clinically assess most appropriate aftercare plan and initiate all appointments
• Personal involvement int discharge meeting with collaborative team and assure pt has good understanding and in agreement with all step down services 12/15 - 07/17 Correctional Psychiatric Services
Mental Health Clinician
Bristol and Barnstable County CorrectionalFacilities
• Oversee and manage all inmates suffering from Mental Health issues
• Evaluate all potential suicidal population and determine level of observation and safety precautions clinically indicated
• Determine and evaluate when psychopharm interventions required
• Provide group therapy for inmates who are dually diagnosed
• Collaborate with security regarding risks of placement in seclusion for disciplinary
HIGH POINT TREATMENT CENTER
06/14 - 12/15 Program Director (June 2013- Present) Out Patient Clinic, Taunton, MA
• Oversee Daily Operations of Out Patient Clinic for Substance Abuse and Mental Health
• Manage and Supervise all Clinicians and Doctors Servicing 500 Clients per Month
• Implementation and Training of New Electronic Medical Record For All Staff
• Co-Ordinate All Programming and Services For Population Served
• Monitor State, DPH and Bureau of Substance Abuse Regulations/Documentation
• Conduct Weekly Staff Meetings, Trainings and Personnel Files
• Participate in Policy and Procedure Committee
• Co-Ordinate Multi-Disciplinary Treatment Team Review of All Medical Records
• Provide Substance Abuse and Mental Health Treatment to Case load of 20 Clients/ wk
7/13 - 6/14 CAPE REGENCY REHAB AND NURSING CARE
Long Term Care/Sub Acute Rehab (06/2013- 12/2013 ) Director Social Services
Centerville, MA
• Responsible for all services and regulatory requirements for 120 residents Long Term Care
• Manage and supervise all Social Workers to ensure implementation of standards of care
• Oversee all admissions and transitions of care and discharge planning
• Facilitate family educational support groups for resident’s family members
• Monitor all DPH and Dementia regulations and documentation requirements
• Participate with QI projects and implementation
• Conduct weekly staff meetings and scheduling of all SS staff 08/10 - 12/12 NEURO REHAB CENTER MIDDLEBORO
Middleboro, MA
Director Social Services (08/10-1/2012)
• Manage Social Workers at 125 bed Skilled Nursing Facility for Brain Trauma Residents
• Supervise and Train all Staff on DPH/Federal and State Regulations for Long Term Care
• Admissions Coordinator
• Worked Closely with Office of Long Term Care for RFA Rollout
• Program Director of new Neuro Cognitive Behavioral Program contracted through Mass Health
• Participated in Safety Committee, Quality Improvement and Regulatory Task Forces
• Facilitated Resident Counsel Meetings and Coordinated Community Based Outings
2001- Present PRIVATE PSYCHOTHERAPY PRACTICE
Barnstable, Norwell, MA
• Individual, Family and Group Psychotherapy
• Specializing in Substance Abuse, Child/Adolescent and Family Treatment
• Certified Guardian ad Litem, Massachusetts Family and Probate Court,
• Bristol. Plymouth and Barnstable Counties
2007 - 2009 GOSNOLD TREATMENT CENTER
Falmouth, MA
Program Director (2008-2010)
• Manage day-to-day program operations for a 50-bed acute detox unit
• Ensure quality and delivery of all department services: RN, UR, Counselors, Residential Assistance and Admissions
• Manage staff hiring, termination and daily supervision of approximately 30+ employees
• Complete clinical reviews for any dually diagnosed (psychiatric) patients
• Authorize and pay all financial claims
• Schedule in collaboration with continuum care within Gosnold’s other sites
• Oversee clinical team and staff training as well as ongoing development
• Ensure compliance of guidelines and requirements of state licensing (JCAHO)
• Initiate and maintain effective relationships with community health and human service agencies
Director of Utilization Review (2007)
• Submit clinical criteria to insurance companies for inpatient detox/rehab authorization
• Institute appeals process in the event insurance companies deny continued coverage
• Assure compliance of parity laws, filing external reviews with OPP (as needed)
• Work with staff and insurance carriers in review of clinical criteria for appropriate level of care
• Review operational systems, identifying needs, problems and areas for improvement
• Provide direct clinical services and assist with contractual patients
• Work directly with the Bureau of Substance Abuse DPH and other agencies 2005 - 2007 BLUE CROSS BLUE SHIELD OF MASSACHUSETTS Quincy, MA
Telephonic Utilization Reviewer: Behavioral Health
• Perform reviews for all levels of psychiatric care
• Possess broad knowledge base of most effective course of treatments for psych patients
• Utilize McKesson guidelines/training methods
• Knowledge of JCAHO, NCQA, state/federal regulations and URAC
• Completed 6-month training program given by Allen Wartenburg, MD “Detox Protocols” concerning medical needs/ramifications of medical issues related to addictions
2000 - Present Therapist
• Oversaw the start-up of this private practice located on Main Street in Hyannis
• Provide individual therapy with strong focus on adolescents, family and case management coordination with schools
2004 - 2005 GOSNOLD TREATMENT CENTER
Falmouth, MA
Family Care Coordinator
• Implement Gosnold’s Project WAVE (Women Achieving Vital Empowerment) Grant
• Work with Independence House and Safe Harbor Battered Shelter
• Evaluate women who are victims of domestic violence
• Facilitate a safety group, empowering women to move beyond trauma and substance abuse
• Evaluate needs of the family, referring them with transitional assistance (CAC, DTA)
1999 - 2000 CAPE COD HOSPITAL
Hyannis, MA
Case Manager – Adult Psych Unit and Partial Hospitalization Program 1996 - 1999 PEMBROKE HOSPITAL
Pembroke, MA
Director of Social Work (1998-99)
• Developed and implemented treatment plans to the unit’s 80-bed facility
• Created individual unit’s daily programs, structuring the patients’ dayCase Manager
Adolescent Unit and Pediatric Unit (1996-98)
• Performed court-ordered evaluations on teens dealing with a variety of issues
• Treated conduct disordered teens incarcerated by the state
• Served as Access Clinician (Overnight), conducting emergency psychiatric evaluations and coordinating disposition of appropriate services
• Participated in improving resources between social service agencies and managed care
• Instituted hospital-based 12-Step Program
• Restructured the daily therapeutic schedule and reorganized the therapeutic privilege system
1996 - 1997 FAMILY CONTINUITY PROGRAM
Hyannis, MA
• Intensive home-based habilitation service providing individual/family treatment
• Clinician/Out Patient Therapist
1994 - 1996 BOSTON REGIONAL MEDICAL CENTER
Stoneham, MA
• Clinical Psychiatric Case Manager, Managed Care Team 1995-1996
• Therapist, Outpatient Department 1994-1996
• Clinician for Emergency Psychiatric Triage Team 1994-1995 KIMBERLY A. KIELY, LICSW
SEMINARS/CONFERENCES / TRAINING
Blue Cross Blue Shield of Massachusetts 2005 - 2007
• McKesson Intraqual Criteria Training for Appropriate Levels of Psychiatric Care
• Motivational Interviewing
• Change / Transitions in the Workplace
• Treatment Outcomes and Project in Outcome Treatments
• Addictions / Domestic Violence / Co-morbidity
• Leading/Facilitating Seeking Safety
Pembroke Hospital 1997
• Behavioral Management of Conduct Disorder in Adolescents
• Psychopharmacology for Dual Diagnosed Adolescents
• Bi-polar Disorder in Adolescents - Assessment/Treatment Beth Israel Hospital 1993-1994
• Rape Crisis Intervention Seminar
• Adult Diagnostic and Psychotherapy Conference
• Healthcare Conference
• HIV & Psychotherapy Conference
• General Psychiatry Seminar
• Brief Treatment Seminar
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