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Manager Quality Assurance

Location:
United States
Salary:
$85000
Posted:
November 17, 2014

Contact this candidate

Resume:

Yaffa Cohen, MSSW, LICSW

Email: **********@***.***

Cell: 425-***-****

Objective: Seeking a managerial role in program development and service delivery within

healthcare. I will bring to your organization more than 20 years of Medical Social Work

experience, in-depth understanding of the healthcare system, management skills from the Foster

School of Business, and one-on-one coaching from the Center for Leadership and Strategic

Thinking. My objective is to assure positive patient outcomes are delivered through service

excellence at all levels of care in the healthcare industry.

K INDRED HOSPITAL – FIRST H I LL CA MPUS, SEATTLE, WA

Case Manager - Aug 2013 – Present

• Intervened as Director of Case Management for 10 months.

• 50-bed LTACH Territorial Care Facility.

• Comprehensive knowledge of healthcare principals and practices.

• Fluency in the compliance and regulatory standards governing health plans and patient care.

• Responsible for operations of daily case management and the delivery of services.

• Managed clinical caseload.

• Direct and daily accountability to CEO and CCO.

• Excellent critical-thinking, problem solving, analytical skills, and innovative solutions.

• Promoted and maintain positive relations with patients and their families as well as other healthcare

organizations and community resources.

• Reduced hospital operation cost by 52%.

• Increased direct margin revenue by more than 50%.

• Reduced GMLOS for Medicare patients from 118.40 to 52.

• Increased monthly direct referral feed into Kindred system-wide by 40%

• Strong self-initiative and interpersonal communication skills

• Responsible for InterQual and Commercial Insurance Admission Reviews.

• Responsible for weekly concurrent reviews and submissions.

• Responsible for communication and collaboration with Insurance Providers.

• Responsible for Social Work Services and oversight.

• Lead Discharge Planner and Case Manager

• Contact for Clinical Liaisons in both Kindred and Greater Seattle Market.

SWEDISH V ISIT ING NURSES SERVICES, SEATTLE, WA

M edical Social Worker - 2005 -2012

• Advance Certification in Palliative and Hospice

• Member of the Quality Assurance Performance Improvement team.

• Comprehensive knowledge of Center for Medicare/Medicaid Services guidelines for palliative and

end of life care.

• Collaboration with multi-interdisciplinary team.

• Development and implementation of Social Work Plan of Care.

• Refined in best practices for SW intervention and documentation.

• Knowledgeable in end of life stages and needs.

• Managed a 40 patient clinical caseload.

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• Initiated Advance Directives and Living Wills.

• Provided supportive counseling around living with chronic illness and loss.

• Facilitated coordination of care needs between facilities and next LOC.

ADOPT ION SERVICES OF WASHINGTON, LLC, ISSAQUAH, WA

Founder/Chief Operations Officer – 2000 – 2006

• Washington State DSHS licensed multi-service child placing agency.

• Domestic and International adoption services.

• Responsible for marketing management and outreach.

• Advanced strategies for on-line product development.

• Grew contracted services by more than 100% each year.

• Delivered product services to over 200 families in the Greater Puget Sound.

• Developed programs based on marketing segmentation.

• Managed customer relationships, daily operations and delivery of services.

• Direct report of multi-discipline team members.

• Knowledgeable in WAC and RCW requirements.

• Interfaced with US Dept. of Homeland Security Immigration & Naturalization.

• Drafted/implemented policy and procedures for the facilitation of adoption.

• Court Appointed Provider for the Home Study Assessment.

• Facilitated open adoption agreements between adoption triad members.

• Collaborated with attorneys for the termination of parental rights and finalization of adoptions.

PRIVATE PRACT ICE ISSAQUAH, WA

Clinical Social Worker, 1995 – 2007

• Coaching

• Supervision

• Expert Witness

• Assessment and Evaluation

• Task Oriented Counseling

LEAKE AND WATTS CHI LDREN’S HO ME, YONKERS, NY

Program Supervisor, 1990 – 1993

• First national pediatric HIV program.

• Federally funded grant program.

• Implementation of program objectives.

• Direct Report of a multi-discipline team.

• Analysis and assessment of goal outcomes.

• Responsible for annual budget management.

N EW YORK UNIVERSITY, HOSPITAL FOR JOINT DISEASES, NY, NY

Hospital Social Worker, 1987-1990

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Education:

E M HA, University of Washington, Class of 2016 -

MSSW, Columbia University, School of Social Work

BBA, City University of New York at Bernard Baruch College – School of Business

License & Certifications:

CC M – Certified Case Manager

HACP – Healthcare Accreditation Certified Professional

ACHP – SW – Advanced Certification in Hospice and Palliative Social Work

WA State Approved Clinical Supervisor

L ICSW – L icensed Independent Clinical Social Work

A CSW – Academy of Certified Social Workers

Certifications:

NASW – Clinical Supervision

NASW – Suicide Assessment and Intervention

Fordham University – Field Instruction & Supervision

Affiliations:

NASW – National Association of Social Workers

WSSCSW – Washington State Society of Clinical Social Workers

References:

Upon Request

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