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Quality Assurance Management

Location:
Virginia Beach, VA
Posted:
August 13, 2012

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Resume:

DONALD E. CHRISTENSEN, Ph.D., MBA

ValueOptions, Inc.

Corporate Chief Clinical Officer

Professional Experience

****-******* ********* ********* *******

Virginia Beach, VA

Adjunct Professor, School of Business

Course taught: Human Resource Management

2003-2010 ValueOptions, Inc.

Norfolk,VA

Corporate Chief Clinical Officer

• Responsible for corporate clinical and quality management functions

• Strategic planning

• Development of clinical policy, clinical criteria, practice guidelines and clinical standards

• Coordination of both clinical and quality management programs across Divisions, business lines and service centers

1999–2003

ValueOptions, Inc.,

Norfolk, VA

Senior Vice President, Clinical Services

• Responsible for: development of clinical policy, clinical criteria, practice guidelines, clinical standards, review procedures; accreditation/regulatory compliance; coordination of Clinical Program across business lines and service centers

• Clinical liaison with other corporate areas including Legal, Quality, Data Management, IT, Marketing/Proposals, Provider Relations, Claims, Finance

• Supervise Prevention and Wellness department

• Clinical implementation lead for large public sector and health plan contracts

1996-1998 OPTIONS Health Care, Inc.,

Norfolk, VA

Vice President, Clinical Services

• Responsible for clinical policy formulation for areas of clinical operations, utilization management and clinical practice

• Varied duties including utilization management and reporting, program development and design, provider training, marketing

• Managed implementation of clinical programs in large, at-risk contracts

1993-1995 First Home Care,

Portsmouth, VA

Chief Operating Officer and Clinical Director

• Responsible for P&L and all areas of administration and clinical operations of this community-based alternative behavioral services company: marketing, business development, program design and development, contracting, fiscal management, clinical operations and quality improvement

• Expanded product lines and brought in over $2 million in new contracts and programs

1991-1993 OPTIONS Mental Health,

Norfolk, VA

Vice President, Clinical Operations

• Responsible for government and commercial clinical operations, including all review activities, quality assurance, membership services, and utilization management

• Established and ensured compliance with quali¬ty management programs, clinical budgets, utilization review policy and clinical stan¬dards

1989-1991

1988-1989

1974-1988 FHC CHOICE

Norfolk, VA

Chief Operating Officer and Director of Clinical Management

• Directed all administrative and clinical activities of this $143 million government demonstration project for mental health care management, service provision, and claims payment for CHAMPUS beneficiaries in the Tidewater area

• Ensured full compliance with contract specifi¬cations and govern¬ment regulations, enforcing such policies as the Drug-free Workplace, Equal Opportunity and the Quality Assurance Program

• P & L responsibility

FHC CHOICE,

Norfolk, VA

Director of Clinical Management

• Directed all clinical management functions including intake, assessment, crisis interven¬tion, case management utilization review, and evaluation and approval of new clinical programs

• Supervised the development of all clinically related policies and procedures, including protocols/criteria and admission and discharge screens

Center Psychiatrists/FHC Hospitals,

Tidewater, VA

• Director, Phoenix Residential Program, Portsmouth Psychiatric Center

• Director, Testing and Evaluation Services of Tidewater, Center Psychiatrists

• Clinical Director, Pines Residential Treatment Center

• Director, Outpatient Services, Center Psychia¬trists

• Clinical Coordinator, Norfolk Psychiatric Center

• Director, Child Growth Center, Center Psychia¬trists

• Outpatient practice

• Chairman, Department of Psychology

Licensure

Licensed for practice of clinical psychology, Commonwealth of Virginia

Education

1986

1973

1972

1967

University of Richmond

M.B.A.

University of Illinois

Ph.D., Clinical Psychology,

Developmental and Special Education minor

University of Illinois

M.A., Clinical Psychology

University of Rochester

B.A., Psychology

Philosophy minor



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