Mary Ross-Dubord Email & Phone Number

Escanaba, MI, US

Escanaba, Michigan

• Oversee and monitor the implementation of UPCAP's compliance program as a contractual requirement between MDHHS-OIG and a MI Choice Waiver agent.
• Develop and coordinate multifaceted educational and training programs focusing on HIPAA, Medicaid fraud, waste and abuse and cybersecurity along with all elements of the compliance program.
• Coordinate internal compliance review and auditing/monitoring activities to identify compliance risks.
• Prepare and share internal Compliance/Fraud report with the President/CEO, Compliance Committee and Governing Board.
• Develop policies and programs that encourage employees to report suspected compliance issues, fraud and other improprieties without fear of retaliation.
• Develop and maintain procedures and systems for prompt responses to compliance issues.

Escanaba, MI

• Knowledge of the mission, goals and requirements of the MI Choice program.
• Maintaining the COMPASS and MICIS systems for the Escanaba care management office, ensuring the accuracy of information entered such as participant information, work orders, case status changes and progress notes.
• Entering and verifying monthly Direct Service Provider invoices submitted to the Escanaba office for payment using MICIS and Vendor Billing.
• Supporting 4 care management teams in 3 counties with assessments, data entry and record keeping.
• Daily organization and operations of care management office in Escanaba.
• Entering and updating the Nursing Facility Level of Care Determinations in CHAMPS.

Michigan Association Of United Ways

• Engaged 175 individuals from 37 U.P. organizations to become MI Bridges Navigation Partners.
• Conducted 13 trainings for community-based organizations to become MI Bridges Navigation Partners.
• Assisted 17 low-income families face-to-face using MI Bridges to apply for multiple DHS benefits, check benefits, recertify and upload documents.
• Identified the needs of 3600 2-1-1 calls and utilized the ReferNet database to connect them with resources.
• Translated Medicaid and Medicare policies into understandable terms for 318 2-1-1 callers.
• Assisted Site Supervisor with updating/completing the Emergency Preparedness and Disaster Relief Plan.

• Scheduled and supervised 7 counselors-in-training during weekly check-ins of 100 campers.
• Evaluated and treated minor injuries/illnesses and secured higher-level care when required for 100 campers/ week and 20 staff members.
• Logged Health Center visits, reviewed medical forms for special alerts, completed forms for each illness/injury and updated progress notes as needed.
• Prepared and maintained 20 first aid kits for various on-site locations and off-campus trips.
• Safeguarded and administered camper’s medications as prescribed. Organized camper medications to be administered during trips and taught trip leaders proper administration.

• Ensured individuals and caregivers were fully and objectively informed about all long-term care options.
• Assisted with the Medicaid application process including gathering necessary documentation to support DHS in its determination of eligibility.
• Conducted MDCH Nursing Facility Level of Care evaluations for 6 nursing facilities and long-term care agencies.
• Provided information and community links to individuals who did not meet the LOC requirements.
• Assisted in the development and implementation of a person-centered plan to assist individuals in evaluating their preferences for long-term care needs.
• Translated Medicaid and Medicare benefits and payment policies into understandable terms for recipients.

Escanaba, MI

• Determined eligibility of approximately 100 applications each month for state and federal assistance programs such as cash grants, Medicaid, child care, food and emergency assistance.
• Reviewed eligibility of approximately 65 cases each month.
• Provided support and coordination to approximately 350 families working towards financial independence.
• Developed and implemented a Personal Responsibility Plan and Family Contracts with clients to identify aptitude, skills and barriers to training or employment.
• Monitored and re-evaluated family circumstances as they related to their long-term goals.
• Worked collaboratively with a variety of community resources such as MI Works, Michigan Rehabilitation, utility companies and non-profit agencies.

Master Of Science (M.S.), Psychology

Bachelor Of Science (B.S.), Psychology