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Employee Relations Medical

Location:
Mechanicsburg, PA
Posted:
January 10, 2021

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Resume:

DIANNE M. BERTUZZI – LAMERTINA B.S. Ed., M.A. Ed.

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

Mechanicsburg, Pennsylvania 17055

adjbmw@r.postjobfree.com / Cell Phone: 814-***-****

PROFESSIONAL OBJECTIVE:

Organizational Leadership ... Outcome Achievement … Accountability…Strategic Planning…Contract Mgnt.

Organizational Operations

Health Care Administration

Physician & Health Care Education

Patient Education/training

Strategic Planning – KPI’s, BDP’s and QA/RM

Certified Investigator for Area of Aging and Dept. of IDD

Workforce Management

Community Liasion

New Program Launch

Experience

Policy / Procedure Development

Licensing / Regulation Compliance

EPIC System

Staff Development

Medicade & Medicare Mgt.

Creating a Positive Work Environment, Mentor, Trainer and facilitator

Director of Multidisciplines

JACHO & OSHA Regulation Compliance

Medical Records Supervision/ Medical Billing

Protected Health Care Trainer

CMS guidelines – medical billing, coding, Utilization Review and Education

Quality Improvement

Quality Assurance

Clinical / Rehabilitation Counselor, D&A, MH/ MR specialties, Crisis Intervention, Stress Management, etc.

Recruiting / Contract development with Physicians, Therapists, Nursing, etc.

Leadership Development – Leadership at all Levels & Empowerment strategies.

Incident Management / Risk Management

Organizational Annual Planning

Labor Relations

Fiscal Management / Operations

Multidisciplinary Team Coordination

Employee retention

Serves as liasion networking & building relationships within the community

To use my professional knowledge and expertise in an Administrative Capacity with a focus on Healthcare Operations, Intellectual Disabilities, Juvenile and Adult Correctional Treatment, Best Practice Compliance, Leadership Development, Accountability, Program Implementation, Strategic Improvement, Staff Training, Evaluation and Development.

To expand and ensure Quality services are provided in a healthcare setting with an emphasis on Exceeding Regulations, Increasing Program Development, Rehabilitation Opportunities, Improving Employee and Consumer relations, Patient & Physician Education and the Improvement of overall Corporate Operations.

I am a Results oriented Healthcare Administration professional with a unique combination of operational and interpersonal skills. Extensive experience in programmatic operational design, implementation and evaluation. Systems thinking and learning organization style organizational administration. Effective short and long term strategic planner resulting in system/culture change and outcome achievement. Extensive Background in Rehabilitation Management.

EDUCATION:

May 1994 M. A., Ed., Indiana University of Pennsylvania, Indiana, Pennsylvania 15701

Major 1: Master of Education in Adult Education and Community Education

Minor 2: Healthcare Administration, Employee Relations/Employment Training

Emphasis: Healthcare Administration, Employee Relations, Human Resource Development

May 1990 B.S., Ed., Indiana University of Pennsylvania, Indiana. Pennsylvania 15701

Major: Bachelor of Science in Education: Rehabilitation Counseling/Social Services/Psychology

Emphasis: Transition of exceptional persons into the work force, case management/social

Service coordination, Employment training and job site modification.

PROFESSIONAL CREDENTIALS:

Certified Rehabilitation Counselor/Licensed CRC

Member of the National Association for Healthcare Quality, NAHQ: 4700 W. Lake Avenue, Glenview, IL. 60025-1485 Membership #: 00074118

Certified Investigator for the Department of Area of Aging and the Department of Intellectual Disabilities for the Commonwealth of Pennsylvania.

PROFESSIONAL EXPERIENCE:

April 2017 to January 2019

Facility Administrator, CEO

DaVita Healthcare Services, WestShore Clinic, Lemoyne, PA.

Supervisor: Mohamed Elnour, MD, Medical Director C: 717-***-**** /adjbmw@r.postjobfree.com

Employment Verification: Employers Unity PO Box 173836, Denver Co. 80217-3836

Phone: 877-***-****

Responsible for all aspects of center’s operations to include caring for patients, teammates, and fiscal management.

Coordinates all home health care needs for dialysis patients in PD & Home modalities. Overseer’s coordination of services with Social Workers and Case Managers.

Provides and coordinates training and education of Medical Professionals and Clinical Teammates at multiple sites.

Demonstrate improved clinical outcomes, continuous quality improvement, exceeding accreditation standards, and patient satisfaction.

Multi-disciplinary oversight.

Proven strategic planning in a results driven atmosphere conducive to patient care and wellbeing.

Create a vision and set goals for continuous team improvement for the patients’ quality of life.

Develop, mentor and inspire a cohesive team.

Create a thriving, sustainable community for teammates who are in turn inspired to help others.

Lead a clinical /medical team of physicians, nurses, technicians, UR specialists/insurance professionals, and Social Worker, etc. by incorporating DaVita’s core values within all aspects of care with in the clinic’s culture.

Ensure fiscally sound operational management which drives bottom line results to ensure complete operational and performance of the clinic. Manage budgets, forecast expenses, communicate with vendors, order supplies, and ensure overall program compliance.

Lead a growing and socially responsible business that strives to be a role model for American Healthcare.

Teammate and contract training and coaching on BDP’s, new initiatives.

Monitors contract deliverables and negotiates contracts prn.

People management not limited to teammate relations, mentoring, hiring, termination, performance and professional development, and annual reviews.

Responsible for CMS and accreditation guidelines.

Medicaid & Medicare reimbursement oversight.

Demonstrates the ability to adapt, and to move at a rapid pace to get things done, innovate and lead others in an environment where change is common and promotes positive outcomes & improvements.

Oversight of multiple clinics as needed.

August 9, 2016 to March 31, 2017

Executive Director, CEO, Johnstown Community Corrections Center

PA Department of Corrections / Bureau of Community Corrections

301 Washington St. Johnstown, PA. 15901

Supervisor: Morris Richardson, ROD 412-***-**** or 412-***-**** / adjbmw@r.postjobfree.com

Placed approximately 200-300 + reentrants back into vocational training, apprenticeship programs, and/or employment settings.

Responsible for all business operations, budgeting, strategic planning, growth, administrative oversight, accountable to Boards of Directors, Commonwealth Leadership, Deputy Secretary within Commonwealth, and Bureau leadership.

Provides and coordinates training and education of Medical Professionals, Clinical & Residential teammates at multiple sites.

Advisory Board participation: PA Career Link, the Tristate employment advisory committee, Probation & Parole advisory committee in Laurel Highlands, Communities –in schools board of directors, local representative advisory committee, various Community Colleges and Universities boards of directors & advisory committees, local Vocational schools advisory and boards, Office of Vocational Rehabilitation consultant for offenders in the Laurel Highlands & Tri-State areas, local member of the Cambria and Somerset counties Chamber of Commerce, and but not limited to both the Cambria and Somerset County local judges advisory committee.

Multi-disciplinary oversight.

Oversight of multiple programs throughout geographical region.

Teammate and contract training and coaching on BDP’s, education of team re: new initiatives.

Monitors contract deliverables and negotiates contracts.

Directly responsible for the entire 24 hour operation of the facility to include security, facility maintenance, emergency services, medical services, rehabilitative services, counseling services, and the care, custody, and control of the offenders in a comprehensive community based correctional program.

Directly responsible for the oversight of all AOD treatment services inpatient and outpatient, relapse prevention, family reunification groups, etc.

Methadone treatment & clinical coordination. Intervention services, assessments, evidence based trials and outcomes.

Physician and Clinical management of staff and monitors.

Oversees/assists with the overall development, implementation and enforcement of departmental policies and procedures affecting community corrections.

Services as a liaison between the community legislative entities and the bureau to ensure collaboration with the community and positive relationship development and communication.

Serves on multiple community boards and chambers of commerce.

Develops, implements and enforces local policy and procedures regarding administration, operations, and treatment.

Manages all fiscal operations of the Johnstown CCC and the deployment of staff based upon operational needs.

Direct administration and supervision and monitoring of the facility business operations to include facility overtime, budget, facility general fiscal accounts, record keeping and other legislative fees regarding offender accounts.

Develops programming and enforces protocol/regulations for offenders regarding pro-social behavior, socio-economic development, accountability, community service, employment opportunities, educational opportunities and program based incentives.

Ensures the implementation, delivery and oversight of various DOC and Community programs.

Service as the accreditation manager such as ACA and PREA.

Directly and indirectly supervises all facility employees including treatment, security, mid-level managers/supervisors and administrative personnel.

Responsible for the planning of staffing patterns and scheduling of treatment and security personnel on a 24/7 basis.

Directs Drug interdiction, security threat group and search processes while gathering intelligence to support departmental and local law enforcement efforts in these areas.

Responsible for crisis management and handling all of the emergency situation (medical, security, operational, etc.) occurring inside the center. Can serve as the on-site incident commander in the event of an emergency, in accordance with departmental policies.

Responsible for updating the facility emergency plan and the residential handbook.

Responsible for supervising and approving transfers.

Promotes the understanding of community based correctional programming through regular community meetings, news releases, speeches, guided tours and other public relations opportunities/activities.

Enlists community service organizations, community leaders and local employers and educators to consider offenders for employment, educational, and housing opportunities.

Makes announced and unannounced inspections of department operated community programs, evaluating the operations for effectiveness and for quality of the operations, security and treatment programs to ensure compliance within departmental policy and procedure and accreditation standards.

Identified deficiencies and necessary improvements through the development of strategic planning and follow-up within the organizational leadership network.

Conducts regular facility multidisciplinary meetings.

Conducts offender disciplinary hearings, handles grievance procedures, etc.

Ensures offenders are provided rehabilitative services such as AOD, SO, Social skill, vocational skill development, etc. and medical services such as dental, psychological, recreational, PT, OT, etc. as needed.

Ensures facility remains in compliance with accreditation, local codes and laws, and department policy.

Responsible for the coordination of all phases of therapeutic/vocational placement and training programs.

Client workshops, payroll, job training, piecework, job shadowing, developing community employment opportu nities, and on Statewide Employment Adviosory boards Employment /leadership initiatives.

activities services into the total treatment/habilitative process.

Participates in the development of policies and procedures regulating the conduct of all such services, continuously evaluates their effectiveness, and promotes staff improvement.

Initiates corrective disciplinary action for minor misconduct by

employees and recommends major corrective disciplinary actions or

Dismissals, works collaboratively with labor management in all cases.

Interprets contractual and administrative rights and obligations for

employees and modifies work environment or processes to conform to

Changing conditions.

Receives grievances and complaints, conducts initial investigation

Into causes and conditions, discusses with employee, and resolves or

Recommends resolution to grievance or complaint.

Prepares employee performance evaluation reports.

Supervision of Medical Professionals/Specialist.

Ensure ACA & PREA Regulation Compliance

Contract development.

Community resource development & networking.

Staff Development and Training responsibilities.

November 9, 2014 to August 7, 2016

Administrative Officer: Director of Rehabilitation, Training, Therapeutic & Clinical Services

& Regional Lead for Commonwealth of Pennsylvania Department of Public Welfare

Office of Developmental Disabilities (IDD).

The Ebensburg Center (State Hospital) - OMR, PO Box 600/Admiral Perry Hwy, Ebensburg, PA 15931

Terri Sechrengost, Supervisor 814-***-**** / adjbmw@r.postjobfree.com (transferred to DOC)

Oversaw 19 plus residential units and State Hospital.

Regional lead of 5 specific State operated centers for persons with IDD and Aging Populations with over 580 resident’s total.

Provides and coordinates training and education of Medical Professionals, Clinical and Residential staff at multiple Commonwealth of Pennsylvania facilities/locations.

Specialized Trainer for the Commonwealth of PA.

Facilitated Regional Projects and provided Regional Operations oversight for 5 state centers in various regions with in the Commonwealth of Pennsylvania.

Responsible for all business operations, budgeting, strategic planning, growth, administrative oversight, accountable to Boards of Directors, Commonwealth Leadership, Deputy Secretary within Commonwealth, and Bureau leadership.

Responsible for oversight of all Psychology, Social Services, Medical, Therapeutic Activity Services, Recreational/Program Services, special projects such as “money follows the person”, and community integration initiatives.

Monitored contract deliverables & negotiates contract needs with vendors.

Supervised directly and indirectly via my direct reports TO of over 500 plus employees.

Multi-disciplinary oversight.

Oversight of multiple programs throughout geographical region.

Teammate and contract training and coaching on BDP’s, education of team re: new initiatives.

Manages, coordinates, integrates and evaluates a variety of facility-wide activities services, including therapeutic recreation, vocational adjustment services, and self-employment programs for persons with Developmental Disabilities (MR/Autism specific).

Responsible for the ooordination of all phases of therapeutic

activities services into the total treatment/habilitative process.

Participates in the development of policies and procedures regulating the conduct of all such services, continuously evaluates their effectiveness, and promotes staff improvement.

Overall direction and guidance are given supervisory professional

personnel responsible for specialized areas of therapeutic

recreation, and vocational adjustment services.

Initiates corrective disciplinary action for minor misconduct by

employees and recommends major corrective disciplinary actions or

dismissals.

Interprets contractual and administrative rights and obligations for

employees and modifies work environment or processes to conform to

changing conditions.

Receives grievances and complaints, conducts initial investigation

into causes and conditions, discusses with employee, and resolves or

recommends resolution to grievance or complaint.

Prepares employee performance evaluation reports.

Supervision of Medical Professionals/Specialist.

Supervision of Volunteer Resource Coordinator/development.

Oversight of Benjamin Litigation activities; i.e. community placement coordination, long term planning, etc.

Responsible for the review of End of Life reports, Certified Investigations, Enhanced Supervision Committee oversight, Behavioral Support Committee oversights, and PICA Committee.

Ensure ICF/MR Regulation Compliance with in Division.

Self-Employment Contract development/ community resource development & networking.

Staff Development and Training responsibilities.

April 14, 2003 to November 9, 2014

Executive Director of Quality Assurance / Risk Management Director, Compliance, Contracts & Staff Development

Commonwealth of Pennsylvania Department of Public Welfare

Office of Developmental Disabilities

The Ebensburg Center - OMR, PO Box 600/Admiral Perry Hwy. Ebensburg, PA 15931

Terri Sechrengost, Supervisor 814-***-**** / adjbmw@r.postjobfree.com

Oversaw 19 plus residential units and State Hospital program.

Regional lead of 5 specific State operated centers for persons with IDD and Aging Populations and over 580 residents total.

Provides and coordinates training and education of Medical Professionals, Clinical and Residential staff at multiple Commonwealth of Pennsylvania facilities/locations.

Provided QA/RM and compliance oversight for 19 plus residential units and was the lead of 5 specific State operated centers for persons with IDD and Aging Populations with over 580 residents under our care.

Oversight of QA/RM, Utilization Review, Medical Records, Planning Education and Development Departments.

Facilitated Regional Projects and provided Regional Operations oversight of 5 state centers in various regions with in the Commonwealth of Pennsylvania.

Responsible for Regional oversight of special projects such as “money follows the person”, and community integration initiates. Monitored contract deliverables.

Supervised directly and indirectly via my direct reports over 200 plus employees.

Responsible for all business operations, budgeting, strategic planning, growth, administrative oversight, accountable to Boards of Directors, Commonwealth Leadership, Deputy Secretary within Commonwealth, and Bureau leadership.

Regional Operations responsibilities for State Wide Initiatives for 5 State Centers. Regionally facilitated ODP workgroups specifically focused in the following IDD areas: Education & Training Workgroups, Employment Workgroup, Community Transition Oversight, Altoona Consolidation, Money Follows the Person, IM4Q, Quality of Life, Quality Council, Board of Trustees, Governing Body, Policy/Procedure and MHSP Workgroup facilitator /chair in various intervals from 2003 to present date. 580 persons with IDD.

Multi-disciplinary oversight.

Oversight of multiple programs throughout geographical region.

Teammate and contract training and coaching on BDP’s, education of team re: new initiatives.

Monitors contract deliverables and negotiates medical & clinical contracts.

Responsible for the Direct Management and Supervision and Performance Evaluation of Multiple Disciplines under the PED Division such as Quality Management / Risk Management, Consents Officer, Social Services, Psychology, Medical Records/Utilization, Staff Training and Development, Volunteer resource Coordinator, etc.

Responsible for all DOH licensing and Corrective Action Plans.

CMS understanding and compliance.

Contract Management of Contract Providers.

Medicare Oversight.

Contract Compliance monitoring.

Center for persons with Developmental Disabilities (MR/Autism specific).

Supervision of Training & Staff Development

Physician & Contract Oversight of Clinical Services

Medical Records Department oversight

Medicare Reimbursement oversight/UR

Licensing & Regulation Compliance, JACHO & OSHA, ICF/MR Regulations.

Experience in Crisis Intervention with MH/MR, D&A and other developmental disabilities.

Certified n Crisis Intervention and Prevention, Trainer

Served as The Altoona Center Consolidation Manager for approximately 3.0 years transitioning consumers with developmental disabilities into community based settings, other ODP state centers, coordinated the delivery of services for individuals with support agencies to facilitate optimum services to individuals and their families. Coordinated community open forums and responded to public concerns, member of interdisciplinary team, experience developing individual program plans for persons with developmental disabilities.

Member of various Interdisciplinary teams at EC, planning individual services, facilitating program development, assessing / evaluating individualized programs, dealing with court ordered admissions, Licensing / Regulation Compliance.

Served informally as Acting Planning Evaluation and Development Director as needed.

Assists in facilitation of Health Licensure Reviews / DOH compliance activities and in the DOH plan of correction, assists in licensure reviews, and oriented staff to assure changes are implemented.

Knowledgeable of ICFMR 2567 Regulations and CYF 6400 Regulations, JACHO, etc.

Leadership Development and training responsibilities of both professional and para-professional staff, clear understanding of Millennial Generation Training needs to mentor and develop future leaders within both the private and state sector. Multifaceted Trainer in a variety of areas. Cultural Diversity, Walking in Our Shoes, Curriculum Development, Respect / Dignity, Effective Communication Skills, & QA/RM related topics, etc.

Design,Iimplement and Evaluate programmatic operations that preserve, protect and promote the health, safety and welfare of service recipients. Ie. Center risk management practices, center and system-wide Quality Improvement (QI) teams leadership

Convened/facilitated centerspecific focus teams to addresshigh risk / problem prone health and safety issues; e.g., abuse, fractures, pneumonia, skin integrity, etc. Certified Investigator for ODP for the Dept. of Aging and the Dept. of Intellectual Disabilities.

Monitor regulation compliance, policies and procedures for state, funding and licensure bodies.

Develop and revise programmatic policies and procedures to assure compliance and consistency with existing best practices.

Over sight of Medical Records Department & Utiulization Review process to ensure physician encounters / billing and Medical Records experctations were met, oversight of Utilization Review Process via Medical Records department.

Utilize identified risk factors, Department of Health citations and staff input to make improvements to clinical, behavioral, and environment of care services. Implement continuous improvement of services, e.g. by interpreting incident data to identify opportunities to enhance the health and safety of those residing in centers serving people with MR/DD.

Altoona and Ebensburg Consolidation Manager: responsible for tracking, coordinating, and facilitating all aspects of the Altoona Center Closure and Consolidation activities.

Serves as a liaison between Regional, County & DPW-OMR bureau officials and center management.

Developed the Process / systems necessary for State Center Closure Activities. Responsible for the Development & Blue Print Strategy of the Implementation and Protocols necessary throughout the entire Altoona Center Closure and Consolidation activities into the Community and to other State Centers. Announcement Phase, Planning / Organizational reporting Structure, Transition Planning, Physical Plant preparation activities and follow-up Coordination.

Responsible for all lines of Communication and Education between Teams, Families, Advocacy Groups, OMR, County Agencies, Employees, and multiple others. Serves as a liaison between government agencies and community providers. Public Relations, newsletters, strong verbal & written communication skills.

Participate in Labor Management activities with specific departmental Bargaining Units

Serves as a Member of the Executive staff at the Ebensburg Center.

Serves as a Member of the Board of Trustees for the Ebensburg Center.

Serves as a Member of the Bureau Quality Improvement Council.

Quality Improvement Manager / Quality Assurance Director responsible for the overall management of the Quality Management Department at the Ebensburg Center for ODP –DPW.

Responsible for the facilitation of Quality Management Practices in leading a Mission Driven organization. Responsible for the implementation and support of the organizations framework for Quality Management / Risk Management.

Reads and Interprets Federal and State accreditation / regulation standards to ensure all divisions meet and exceed Compliance standards, regulations, policies, procedures.

Responsible for the overall Quality Management Department, staff, job functions, assignments and responsibility for all quality management activities within the department.

Advises Facility Director and Administrative Team members in all aspects of Quality Management / Risk Management Issues, Measurement Activities, Quality Control and Quality Improvement initiatives and Clinical Best Practices, Mental Health, and habilitative services delivered to the facility.

Develops and Implements services consistent with the philosophies and practices of the DPW and ODP.

Ensures Center Services promote health, safety and welfare of the individuals we support.

Formulates, interpret and apply policies and regulations; delegates responsibilities, analyze and evaluates administrative activities.

Directs the development, implementation, and evaluation of the individualized care and treatment programs for those we support at EC.

Plans, Develops, Directs, Evaluates, and Monitors a facility wide and regional interdisciplinary clinical and non-clinical QA/RM support program.

Monitor and ensure the safety, security, and appropriate programming activities for a population of 370 persons with profound Mental Retardation for the Pennsylvania Department of Public Welfare, Office of Mental Retardation.

Collects, Interprets, Reviews, and Educates Staff on Performance Indicator Outcomes, Areas of Improvement, and consistent Quality Assurance / Risk Management Standards.

Responsible for Center wide Strategic Planning Initiatives, Quality of Life Practices/ Monitoring, & Initiatives, and overall Facility & Program Improvement Facilitation Activities. Develops and Implements systems for Quality Assurance, Quality Improvement, and Risk Management.

Charged with the role of coordinating and facilitating multiple Bureau DPW-ODP Center Level Committees in the areas of: Mental Health Support Process’, Assistive Technology, Curriculum Development, Staff Training and Education, Marketing and Communications, Employment, Community Resource Networking & Coordination, etc.

Responsible for the Development of Specialized Training Programs for Medical Personal, Nursing, other Staff and related Community Resource Providers & Consumers, ADA accommodations, and assistance in meeting learners’ special needs. Served as a liaison between other Social Service Agencies in order to ensure quality service delivery for individuals.

Responsible for the TQM Team to Statistically Track, Analyze and Educate Staff on Trends as Identified by the Annual Plan and by Center Specific Initiatives and Performance Measures monitoring and evaluating both Quality Assurance and Risk Management program components.

Responsible for the Development of Utilization Management / Quality Improvement Tools and Transfers Data for Practical purposes into Strategic Team Planning, Annual Program Plans, New Initiative Roll out Time lines, Operational Plans, DOH Plan of Corrections, Quality Improvement / Risk Management Monitoring Tools / Indicators, Data Collection Samples, etc.

Chairs or Serves as an active member of multiple center Multidisciplinary Teams such as Executive Staff Member, Member of the Center Board of Trustees, Quality of Life, Behavioral Support, Enhanced Supervision, Altoona Consolidation Management Team, IM4Q, Training / Advisory Committee, Safety Committee, Policy Committee, PT&F, Falls, PICA, Incident Management, both Center and Bureau Quality Management Committee Councils, etc.

Serves as a Liaison with the Center Staff to aid in training and facilitation of activities and to assist them in achieving common or established goals toward continued QI/QA and Risk Management performance improvement.

Directs and reviews Reportable Incidents, liability and investigation of problems and complaints with appropriate corrective actions and recommendations.

Continuous Networking and Collaboration with a variety of Bureau Committees, Community Service Provider agencies and State Centers on common initiatives toward goal achievement.

Facilitator and Coordinator responsible for the Center Risk Management Committee and Quality Improvement Council for the Ebensburg Center.

Active Committee Member of the ODP- OMR Bureau Quality Improvement Council.

Responsible for the Coordination, Review and Analysis of the Center Specific and Bureau Annual Plan Monthly and Quarterly Reports in the following Areas: Incident Management - Abuse, Risk Management – Restraints, Enhanced Supervision, ER/Hospitalizations, Pneumonia Tracking, Individual Support Process – Choice & Control, Quality of Life - Dietary Choices, Business Process – Over Time Reduction Goals, Transition Activities, Practitioner performance, etc.

Serves as an Educational Coordinator for Staff, Consumers, & Family Members in multiple discipline areas.

Trainer in multiple areas: ISP, Ethics/Professionalism, HIPPA, Quality



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