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Manager Mental Health

Barnstable, MA
March 18, 2018

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**** ******* ****

Barnstable, Massachusetts *****




• 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


• Simmons College, Graduate School of Social Work, Boston, MA Masters of Social Work (1994)


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)


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


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


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


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


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


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)


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


Hyannis, MA

• Intensive home-based habilitation service providing individual/family treatment

• Clinician/Out Patient Therapist


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


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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