Quality Assurance Service
Resume:
Dena Johnson
*** ******** **** ***** *******, Alabama 35758
abk5yp@r.postjobfree.com
PROFILE
. Management professional with expertise in developing, expanding, and
managing social service agency programs.
. Demonstrated ability to lead and motivate individuals and teams to
achieve organizational goals.
. Expert communication skills and a history of building positive
professional relationships.
. Proposed and managed annual program budgets.
. Maintained annual program contracts with State of Florida Department
of Children & Families, Agency for Persons with Disabilities, Area 1.
. Qualified Mental Retardation Professional.
. Medicaid certified Targeted Case Manager.
PROFESSIONAL EXPERIENCE
Delmarva Foundation Pensacola, Florida 2005-2008
Quality Improvement Consultant
. Team member of Florida Statewide Quality Assurance Program assigned to
provide quality assurance and promote quality improvement for Waiver
Support Coordinators and Community Service Providers participating in
the Home and Community Based Services, Medicaid Waiver Program in the
State of Florida.
. Demonstrated ability to establish a collaborative and consultative
approach with WSC's and Service Providers during consultation review
process.
. Performed Personal Outcome Measure (POM) interviews for individuals
receiving Medicaid Waiver funding during consultation review process.
. Determined if person-directed goals and health/safety issues were
addressed, as well as determined per the individual, if services
rendered were appropriate and adequate.
. Maintained POM reliability with The Council for Quality and
Leadership.
. Reviewed central records, to include but not limited to: support
plans, prior service authorizations, billing, daily service logs,
monthly reports, medical records, Medicaid Claims data and agency
personnel files.
. Demonstrated ability to identify potential health/safety/behavioral
issues and referred to appropriate professionals.
. Participated in problem identification and resolution as part of
quality assurance activities.
. Evaluated agencies organizational practices to identify Best Practices
and to provide technical assistance for needed improvements.
. Participated in internal and external focus groups, to include
meetings with The Agency for Persons with Disabilities, to provide
feedback on identified trends related to WSC's and Service Providers
systems and methods of service delivery.
WestCare Florida Pensacola, Florida 2004-2005
Targeted Case Manager
. Provided mental health case management services to children and
adults involved in behavioral health treatment.
. Developed and assess individual service plans.
. Coordinated members mental health treatment with Medicaid providers
to include psychiatrists, licensed therapists, pharmacists, and
various in-patient and out-patient treatment programs.
. Accompanied members to medical and mental health appointments.
. Conducted monthly face-to-face visits with members to provide social
support for adherence to prescribed treatment.
. Empowered members to improve quality of life by linking to
appropriate community resources and assisted members to utilize
services available through community resources.
. Coordinated transportation for various medical appointments.
. Performed quality improvement peer reviews to ensure service delivery
is adequate and appropriate, and adheres to Florida Medicaid TCM
standards, along with program related policies and procedures.
. Generated quality assurance reports on a quarterly basis.
. Maintained confidential documentation of all contacts in case notes.
Lakeview Center, Inc. Pensacola, Florida 2000-2003
Residential Program Specialist, CIRCLE Program and TAP Program, Special
Populations Network
. Co-developed and implemented a program designed to create specialized
mental health treatment for consumers with developmental disabilities
receiving Medicaid Waiver HCBS in DC&F, Agency for Persons with
Disabilities, Area 1.
. Secured funding to finance consumer's specialized community based
treatment services.
. Negotiated daily reimbursement rates for services through Medicaid
Waiver Support Coordination agencies and DC&F, Agency for Persons with
Disabilities, Area 1 Program Managers.
. Daily consultation with consumer(s) and his/her individualized
treatment team, to include, but not limited to family members,
Medicaid Waiver Support Coordinator, psychiatrist, therapist, and day
program staff.
. Promoted to "Team Leader" for program.
. Co-developed/presented "Dual Diagnoses" training programs for medical
and mental health professionals.
. Co-developed/presented TAP Program training for Area 1 Medicaid Waiver
Support Coordination agencies.
. Compiled monthly program data to complete program outcome measurements
to submit to DC&F, Agency for Persons with Disabilities Area 1.
. Performed quality improvement peer reviews. Participated in JCAHO
audit and Delmarva Foundation site review of program.
. QMRP team member.
. Processed residential program referrals submitted by Area 1 Medicaid
Waiver Support Coordination agencies.
. Coordinated consumer's residential placement in a Therapeutic Foster
Home.
. Facilitator, Residential Placement Committee, for CIRCLE program.
. Responsible for therapeutic foster home development, to include foster
parent recruitment, trainings and licensing actions required by
Licensing Unit, DC&F, Agency for Persons with Disabilities Area 1.
. Administered and tracked consumer satisfaction surveys.
Resources for Human Development, Inc. Walton County and Okaloosa County,
Florida 1997-2000
NW Florida Program Director
. Developed Medicaid Waiver HCBS programs in Walton County and Okaloosa
County, Florida.
. Generated consumer enrollment in NRSS, ADT, and Respite programs.
. Negotiated annual program contracts with DC&F, Agency for Persons with
Disabilities Area 1.
. Supervised 12 employees.
. Responsible for daily administrative operations for programs.
. Facilitated staff development trainings on monthly basis.
. Developed "Program Management Plan" and "Quality Assurance Plan" for
programs.
. Developed/assessed person centered service plans for consumers
enrolled in programs.
. Maintained professional relationships with DC&F, Agency for Persons
with Developmental Disabilities Area 1 Program Managers and Area 1
Medicaid Waiver Support Coordination agencies.
. Responsible QMRP for programs.
. Compiled monthly program data to complete program outcome
measurements.
. Administered and tracked consumer satisfaction surveys.
EDUCATION
B.S. Rehabilitation Services Troy State University Troy,
Alabama
PROFESSIONAL REFERENCES
Promptly supplied upon request.
Contact this candidate