Behavioral Health Utilization Review

Taaliba H. Qaiyim MPC MHA

*** ****** ****** **, ******* GA 30313 215-***-**** *********@*****.***

HOSPITAL ADMINISTRATOR HEALTHCARE LEADER

Accomplished healthcare professional with Master's degrees in Healthcare Administration and Professional Counseling, and a strong background in behavioral health leadership and operational oversight. Actively seeking a leadership position in the Atlanta, Georgia area to leverage over a decade of experience improving patient outcomes, optimizing clinical workflows, and building high-performing teams within mental health and healthcare settings. Committed to driving strategic growth and delivering compassionate, patient-centered care in a dynamic healthcare environment.

CORE COMPETENCIES

Hospital Administration & Behavioral Health Leadership – Oversight of operations in inpatient behavioral health settings with a focus on quality care and organizational effectiveness

Admissions & Utilization Review Optimization – Reduced patient intake time by 35% through streamlined workflows and collaboration

Revenue Cycle & Financial Performance – Increased point-of-service collections by 20% through financial clearance initiatives

Regulatory Compliance (Joint Commission, CMS, DOH) – Maintained 100% audit compliance via rigorous adherence and staff training

Process Improvement & Operational Efficiency – Cut admissions backlog by 50% through workflow redesign

Team Leadership & Staff Development – Boosted retention by 25% with mentorship and training programs

Strategic Planning & Growth Initiatives – Led service expansion aligned with organizational goals and patient needs

PROFESSIONAL EXPERIENCE

Belmont Behavioral Health Systems – Philadelphia, PA

Supervisor, Admissions Department Nov 2021 – Present

Supervise and coordinate patient admissions, intake, and utilization review processes

Implemented workflow automation, reducing admission processing time significantly

Trained and mentored new staff, increasing departmental productivity

Ensured 100% compliance with Joint Commission standards and policies

Improved patient experience scores through communication enhancements

St. Christopher’s Hospital for Children – Philadelphia, PA

Practice Administrator/Manager, Emergency Medicine & Urgent Care Sep 2020 – Nov 2021

Oversaw daily operations for emergency and urgent care departments

Reduced patient wait times via optimized scheduling and workflow redesign

Streamlined billing processes, minimizing revenue loss and denial rates

Managed residency/fellowship programs for 30+ physicians

PA Mentor Network – Broomall, PA

Behavioral Health Technician Dec 2020 – Aug 2021

Supported pediatric patients with behavioral plans, achieving 90% compliance

Assisted in crisis situations, reducing behavioral incidents by 40%

Jefferson Health Northeast – Torresdale – Philadelphia, PA

Manager, Seamless Access Nov 2016 – Sep 2020

Led hospital access services for 1,000+ weekly patients

Increased patient satisfaction and revenue through training and POS optimization

Implemented department-wide performance improvement initiatives

Aria Health Torresdale – Philadelphia, PA

Supervisor, Patient Access Jul 2016 – Nov 2016

Supervised registration teams and implemented efficient access workflows

Promoted to Manager for performance in operational improvements

St. Christopher’s Hospital for Children – Philadelphia, PA

Lead Financial Clearance Specialist Aug 2010 – Jul 2016

Managed clearance for 500+ patients monthly, improving revenue capture

Identified denial trends and implemented strategies to reduce losses

EDUCATION

Master of Healthcare Administration (MHA)

Eastern University – St. Davids, PA 2014 – 2016

Master of Professional Counseling (Trauma Focus)

Eastern University – St. Davids, PA 2020 – 2023

Bachelor of Healthcare Administration (Cum Laude)

Gwynedd Mercy University – Gwynedd Valley, PA 2012 – 2014

CERTIFICATIONS & AWARDS

Leadership Award, Seamless Access Enterprise – Recognized for operational improvements and staff leadership

TECHNICAL & LEADERSHIP SKILLS

EHR/EMR Systems: Epic, Cerner, MedHost, Salesforce

Financial & Operational Analysis

Process Improvement & Change Management

Regulatory Compliance & Quality Assurance

Staff Training & Development

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