Quality Assurance Mental Health

TRACY S HAMILTON

Charlotte, N.C. *****

Phone: 704-***-**** Email: ********.******@*****.***

Executive Summary

• Effective Compliance Officer/Program Director with 3 years of managerial experience and strong

ability to manage high level projects, multiple priorities and productively address unanticipated

challenges.

• Demonstrate the ability to launch a Mental Health Agency in Prince William County.

• Proven ability to turn around under-performing programs to create highly profitable programs

through marketing, training and partner relationships.

• Strong knowledge and ability to develop and revise Policies and Procedures and Medicaid billing.

• Excellent planning, organizing, directing, deadline oriented and facilitating skills as evidenced by co-

leadership in successful and comprehensive Agency wide records inventory efforts.

Professional Experience

Program Director/QMHP

June 2010- December 2012

Lifting As We Climb Community Services, LLC- Woodbridge, VA

• Provided oversight and consultative supervision of all direct care staff, including both administrative

and clinical supervision

• Provided direct support to the CEO and Clinical Director

• Designed and supported implementation of treatment protocols employed in service delivery

• Identified and monitored operational, service, and personal outcomes

• Ensured continuity of care through the development of strong collaborative relationships with other

agencies, providers and policy makers

Knowledge of Laws and Regulations Related to Records/Quality Assurance

• Reviewed Individualized Service Plans, Crisis Plans, Psychosocial Assessments and Clinical

Assessments to ensure compliance with state requirements

• Completed KEPRO authorizations and reauthorizations for Mental Health and Intensive In Home

clients that met requirements

• Developed and facilitated agency-wide records to ensure confidentiality and establish agency

protocol to align with Records Management regulations and guidelines, under DBHDS Records Act

870 and 12 VAC 35-115-80.C (2)

• Developed file plans for records management to provide guidance to staff in terms of the physical

location, record series, record description and disposition authority of records

• Managed and assisted with agency wide administrative quality assurance, risk management, and

practice management functions

• Developed and implements policies and procedures for the utilization review function to assure the

effective utilization of medical or psychiatric services, and appropriate service reimbursement

Case Manager /Qualified Mental Health Professional

September 2006- July 2010

Page 1 of 2

Tracy S. Hamilton 704-***-****

PCP, INC- Charlotte, N.C

• Coordinated the integration of social services/case management functions with other external service

organizations, agencies and healthcare/mental health facilities

• Assisted adults with persistent mental illness in drug court, local jail to ensure stability

• Collaborated with Mecklenburg County Jail Mental Health Liaison, Public Defenders, Judges,

Probation/Parole Officers

• Mobilized resources and interviews, as needed, to achieve expected goals in a desired time frame

• Conducted review for appropriate utilization of services from admission through discharge

Sixth/Seventh Grade Language Arts/Social Studies Teacher

August 2002-June 2006

Charlotte Mecklenburg Schools Charlotte, N.C.

• Taught Language Arts, Corrective Reading and Social Studies to 6 th grade inclusion students with

Behavior Modifications, IEP’s, 504 and 7th grade Social Studies

• Worked with parents to promote understanding of their child's growth, development and disability,

encouraged parents participation in school program, attend parent group and center functions,

provided support, understanding, and clinical interventions to students that struggled with daily

living pressures at home and school

Education

MS Human Services Specialization in Counseling Studies August 2008- June 2011

Capella University Minneapolis, Minnesota GPA 3.917

Bachelor of Arts, History August 1998- May 2002

Fayetteville State University Fayetteville, NC

Technical Skills

Microsoft Word, Microsoft Excel, Microsoft Access, Quickbook, Microsoft PowerPoint, Microsoft Outlook,

Adobe Professional, KePro, Alpha MCS, ADP, Pay Expert

Certifications/Trainings

First Aid/CPR/AED, Blood Borne Pathogens, NCI, Person Centered Thinking, Incident Reporting, System of

Care, Handle with Care, Confidentiality/HIPPA, Clients Rights, LOCUS, Alpha MCS, Mandate Reporting,

One Child One Plan, NCI, Motivational Interviewing, Cognitive Behavioral Therapy

Page 2 of 2

Tracy S. Hamilton 704-***-****

Contact this candidate