Mental Health Program Manager

Objective

Seeking position utilizing analytical and organizational experience.

Experience

June 2014-Present – South Carolina Department of Mental Health

Director of Credentialing and Privileging - 12-2021- present

Job duties remained the same

Director of Managed Care Organization Contracts- 12-2022-present

Work with Insurance companies and Medicaid to determine whether their services are needed with our agency across the state.

Program Manager I-Office of Credentialing and Privileging for Quality Management- 11-2021

Responsible for managing the SSA Death Master File

Works closely with Contracts agencies to assure that Doctors and APRNS are credentialed in a timely manner to meet the contractor’s needs

Program Coordinator II-Office of Credentialing and Privileging for Quality Management

Responsible for managing the Credentialing Department and Supervisory Duties

Responsible in keeping the office up to date with state and federal regulations

Responsible for entering receipts of employees into the database for Procurement office

Responsible for reviewing Managed Care Organizations, Medicare and Medicaid Accreditation applications for Community Mental Health Centers

Responsible for running monthly reports for the Medical Director

Assist in running background checks for all clinicians being credentialed

Prepares agenda and minutes for the Credentialing Committee monthly

Responsible to verify the credentialing files are complete and accurate to present to Credentialing Committee

Responsible for writing office procedures, revising forms and policies/procedures

Serves as the Accounts Approver for SCEIS for Department of Quality Management

Knowledge of Purchase Card for State of South Carolina

Responsible for Accreditation with NCQA for Department

Responsible for lead contact for RLDatix for Agency

Works closely with RLDatix staff to ensure that all staff are credentialed properly for agency

Administrative Coordinator - Office of Credentialing and Privileging for Quality Management

Responsible for pulling reports monthly from database for those due for recredentialing

Assist in running background checks for all clinicians being credentialed

Prepares records for approval by Director of Credentialing and Medical Director

Responsible to verify the credentialing files are complete to present at Board meeting

Responsible to use State Procurement Credit Card to complete background checks

Responsible to send receipts to Procurement office on daily basis for checks run

Assists Director of Office of Credentialing with writing office procedures, taking notes at Credentialing Committee meeting and designing/revising forms for use for department

August 2014- June 2015 – South Carolina Department of Mental Health

Administrative Assistant -Telepsychiatry ED Department

Assist Securing Credentials and Privileges at Private Hospitals

Conducted Accounts Payable Portion in SCEIS

Conducted Purchasing equipment and writing purchase orders with contracts using OnBase

Maintained sensitive files, collection and storage of Credentials in Digital and Hard Copy

Communicated daily with the Hospitals and Psychiatrist

Completed Universal Applications

Assisted Telepsychiatrist in Medicaid/Medicare

March 2006- August 2014 South Carolina Department of Agriculture, Columbia, SC

Administrative Specialist II

•Billing and invoicing for Fruit and Vegetable Inspections

•Accounts Receivables and Collections for Inspections

•Answering multi-line phones for Inspections and Conference Center

•Extensive filing, faxing, emailing and copying

•Microsoft Word, Excel and Access

•SCEIS Time Manager (imputing time for 85 plus employees)

•Running Monthly Reports for USDA

•Writing Requisitions for supplies for department

•Showing the building to prospective clients

•Schedule all events for the building

•Keeping up with the Calendar and paperwork for all events for the Conference Center

•Do all Invoicing and Collections for Market Center

•Setting up for Multiple Events

•Training Interns to work in building for events

1997–2004 Pennington Seed Company, Inc. Columbia, SC

•Data entry for Chain Stores and Independent customers

•Extensive billing and customer service.

•Performing multiple reports daily.

•Maintained inventory adjustments, researching inventory problems.

•Performed collections on all chain Stores; e.g. Wal-Marts, Lowes, Home Depot.

•Performed extensive filing, typing, and credits for Columbia and Virginia Divisions.

•Answered multi-line phones when needed and heavy faxing and copying.

•Evaluated deductions for all chain stores.

•Responsible for purchasing various products for company.

•Controlled inventory quantities and year end inventories.

•Communicated directly with vendors.

•Handled questions and concerns regarding delivery dates and orders.

•Created multiple reports daily.

•Performed inventory adjustments and researched inventory problems.

Education

•University of South Carolina Allendale, SC

Associate of Arts, Business, May 1992

Limestone University

Bachelor’s Degree, Business Management, May 2019

Computer Skills

•Microsoft Windows

•Microsoft Office

•Microsoft Outlook

•Excel

•Access DBase

References

•Available upon request

Contact this candidate