Responsible for the growth and profitability of the practice.Establishes quarterly and annual goals and objectivesEducates and motivates staff on the effective use of the proprietary model of care to deliver and provide efficient clinical careExecutes the practices strategic plan in a coordinated manner with administrative and clinical teams to accomplish these aims.Chief clinical architect and company culture champion for the practice; amplifying the practices values of professionalism, pride, and quality of care through visibility and accord of both internal and external stakeholders

Worked closely with SOMOS Community Care, Evolent's physician-led network of Performing Provider Systems, to maintain optimum levels of communication to effectively coordinate and complete projects. Served as subject matter expert representing the department in larger BH company wide risk management strategy Completed formal Project Management education requirement enabling attainment of PMP certification (Project Management Professional)Assisted senior management with monitoring performance measures and design methods for improving quality of care and services delivered by care management agencies. Aided in the development, review and revision of standard operating policies and procedures in collaboration with senior management. Responded to regulatory agencies regarding population health initiatives and clinical concerns. Supervised coordinators with program specific caseloads of over 2000 enrollees with co-occurring disorders.Educated and evaluated clinical and support staff regarding care quality management regulations and standards of care.

Promoted within 12 months for achieving 94% (overall average) on NCQA audits vital to program and plan accreditation. Served as Project Manager for behavioral health teams pilot project for restricted recipient high utilization members, resulting in lower per-member, per-month costs for value-based care contracts.Aided in increased patient satisfaction scores by 1% within PY 2019 with improvement above industry average two years consecutively; WellCare's best performance to dateFacilitated workgroup meetings with Medical Directors to find effective solutions to members’ social determinants of health resulting in a collaborative agreement with AbleTo, a clinically validated virtual behavioral health care provider, expanding access to careAnalyzed key performance indicators through interdisciplinary team partnership to assess and manage risk, evaluating member care and creating procedural changes to increase efficiency. Managed care from admission to discharge, including oversight of member assessments, care planning, health education and discharging support to over 20 reports daily. Performed ongoing review to evaluate mental health needs, working with multidisciplinary team to initiate, develop, manage, and modify individualized plans of care. Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting inappropriate behaviors and helping members regain or improve coping abilities to prevent further disability. Interpreted regulations to identify regulatory requirement criteria and established systems to achieve compliance. Engaged in strategic corporate practice, enabling attainment of the following programmatic credentials of CCM and C-ASWCM

Served as project lead in consultative, administrative, and supervisory capacity on implementation of MTM value-based services contractor increasing service delivery data into actionable information that both clinicians and administrators used to make objective decisions about models of care. Consistently complied with applicable laws and regulations ensuring viability for unique dually licensed OMH/OASAS Integrated outpatient clinic, adhering to Medicare and Medicaid regulations. Facilitated communication between office team of 10 technical and clinical professionals. Increased automation and workflow efficiencies through qualitative and quantitative documentation and data collection to eliminate time and resource waste.