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Mental Health Quality Assurance

Location:
Phoenix, AZ
Posted:
January 30, 2024

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Resume:

Donyell Anderson

Behavioral, Mental Health, Substance Abuse, & DDD

San Tan Valley, AZ 85143

ad28o8@r.postjobfree.com

+1-510-***-****

I have been in the Healthcare, DDD, Mental Health and Substance Abuse field for 10+ years. Care coordinator, prior authorization and quality assurance. Willing to relocate: Anywhere

Authorized to work in the US for any employer

Work Experience

Intake Lead Analyst

Cigna - Remote

August 2022 to Present

• Complete authorizations for specialty injectable medications

• Complete referrals for alternate infusion and injection sites

• Claims review

• Find and calculate savings for patients and company

• Side by side work with Registered Nurses and Case Managers

• Research for alternate infusion sites

• Daily communication with Doctors, finance and pharmacist.

• Assign cases to Registered Nurses and Case managers

• Facilitate company events

• Trainings for onboarding

Community Living Coordinator

CHANDLER GILBERT ARC - Chandler, AZ

March 2021 to Present

• Plan, manage, and direct the operation of activities for a designated area regarding various support

• Prepares monthly reports utilizing quality indicators

• Tracks and updates HR vacancy reports

• Works with Managers to assure regulatory compliance

• Develop corrective action plans

• Develop and recommend policies, procedures, and programs for delivery of social services and provision of adequate staffing levels

• Develops, implements and evaluates programs and goals to ensure quality standards of care, self- determination practices, and fiscal requirements are met;

• Directs and evaluates investigations of complaints regarding care or support provided to Individuals

• Reviews all incident reports, takes corrective actions and forwards appropriate reports as necessary

• Develops, recommends, and implements improved policies, standards, support, and procedures for assigned programs

• Takes part in developing and implementing individualized support plans, behavior plans or person centered plans for individuals and ensures program directives are followed in compliance with State, Federal, and local standards

• Facilitates staff and administrative meetings as well as in-service training

• Assists in developing and administering budgets and participates in long range planning for the organization

• Writes/updates procedure manuals, monitors licensure standards, ensures certifications and continuing education requirements are accomplished for assigned staff, and facilitates the transfer of power from the system to Individuals

Supervisor, Quality Assurance

TOUCH ANGELS BEHAVIORAL HEALTH LLC - Gilbert, AZ

December 2018 to March 2021

• Coordinator and Quality Assurance for, four facilities including staff and clients.

• Quality Assurance

• Human Resources

• Insurance verification

• Intake and discharge of clients.

• Medication training & review

• Monitored court ordered residents

• Create documents, forms and company policies

• Staff trainings

• Interview potential staff

• Escalation

• ICD-9

• Coordinate discharge placement

• Conduct employee reviews and pay rate changes

• Create household budgets

• Client and company staff scheduling

• Approve/Decline time off request

• Run all staff agendas and meeting

• Meetings with clinical teams and case management

• Supervise residents and staff

• Approve notes and medication administrator

Direct Care Staff ( Foster Children)

MMP Group - San Tan Valley, AZ

May 2018 to December 2018

• Medication set up and observation

• keep track of all medication including controlled medication.

• Monitor all Children (ages7-17)

• Created healthy meal menus monthly

• Set psychiatric and other doctor appointments

• Monthly summaries on residents

• Held individual, meetings with clinical and case management teams, supervise residents.

(This was a second job on the weekends.)

Group Home Supervisor

Marc Center of Mesa - Mesa, AZ

September 2016 to November 2018

• Medication set up and observation

• Keep track of all medication including controlled

• Monitored court ordered residents

• Create healthy meal menus

• Set psychiatric and the Doctor appointments

• Monthly summaries for residents

• Health and wellness checks

• Create individual and household budgets

• Meetings with clinical teams and case management

• Supervise residents and staff

• Approve notes and medication administrator

Mental Health Technician

Villa Fairmont - San Leandro, CA

July 2015 to May 2016

• Minute resident checks

• Monitor daily active living

• One on one counseling for assault, abuse, sexual abuse, drug abuse, self harm and mental abuse.

• Assist with meal times

• Charting

• Vital signs

Certified Nursing Assistant

Hylond Health Care - Merced, CA

March 2013 to July 2015

• Bathing

• Ambulation

• Customer Service

• Assist with eating

• Continent/Incontinent Care

• Rang of motion

• Companionship

• Active daily living

• Charting

• Vital signs

Office Manager/ Senior Administrative Assistant

Biniam Mogos Wholesale - Oakland, CA

August 2004 to July 2011

• Managed and maintained executive schedules

• Set appointments and travel arrangements for team

• Arrange and coordinate company meetings and events

• Processed employ expense reports and reconciled expense reports monthly

• Supervised administrative assistant team

• Designed and implemented filing system

Education

Medical Office Administration

Heald College - San Francisco, CA

2010 to 2012

High school diploma or GED

Skills

• Mental Health (8 years)

• Behavioral Health Supervisor (6 years)

• Leadership (10+ years)

• Office Experience (10+ years)

• Behavioral Health (8 years)

• Event Planning (10+ years)

• Telemarketing (8 years)

• Case Management (6 years)

• Hospital Experience (1 year)

• Vital Signs (8 years)

• Medication Administration (8 years)

• Administrative Experience (10+ years)

• Supervising experience (10+ years)

• Employment & labor law (10+ years)

• Recruiting (8 years)

• Human resources (6 years)

• Clerical experience (10+ years)

• Microsoft Excel (8 years)

• Nursing home experience (5 years)

• English (10+ years)

• Microsoft Word (10+ years)

• Microsoft Powerpoint (6 years)

• Childcare (9 years)

• Management (10+ years)

• Medical Records (8 years)

• Crisis Intervention (8 years)

• Payroll (10+ years)

• Microsoft Office (8 years)

• Microsoft Outlook

• Caregiving (10+ years)

• Home care (10+ years)

• Customer service (10+ years)

• Time management (10+ years)

• HIPAA (8 years)

• Autism Experience (4 years)

• Applied Behavior Analysis (4 years)

• Medical Office Experience (7 years)

• Developmental Disabilities Experience (10+ years)

• Office Management (10+ years)

• Behavioral Therapy (7 years)

• Special Education (10+ years)

• Individual / Group Counseling (7 years)

• Research (10+ years)

• Meal Preparation (10+ years)

• Tutoring (10+ years)

• Addiction Counseling (5 years)

• Mental Health Counseling (6 years)

• Group Therapy (6 years)

• Crisis Management (8 years)

• Teaching

• Social Work

• Special needs (8 years)

• Management

• Senior care

• Management (10+ years)

• Experience with children

• Care plans

• Data collection

• Computer networking

• Employee evaluation

• Google Suite

• Management

• Team management

• Operations management

• Motivational Interviewing

• Program Management

• Behavior Management

• Documentation review

• Microsoft Outlook Calendar

• Conflict Management

• Cognitive Behavioral Therapy

• Program Development

• Patient monitoring

Certifications and Licenses

CNA

Present

Graduated from Northern California Nursing Academy CPR/AED

Driver's License

CPR

First Aid Certification

Assessments

Home health aide skills — Highly Proficient

March 2021

Providing care to patients in a home setting

Full results: Highly Proficient

Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.

Additional Information

Fingerprint Clearance for level 1 and children. Current TB



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