Nicholas Bailey Email & Phone Number

United States

- Direct the Quality Management leadership team in developing and implementing the operational infrastructure of systems, processes, and initiatives to accommodate the changing needs in Medicaid Direct and Medicaid Managed Care.- Provide governance and oversight of Health Plan Quality outcomes, initiatives, and alignment to State and National standards.- Develop the North Carolina Quality Strategy, which outlines NC Medicaid's roadmap in meeting DHHS broad aims, goals and objectives while enhancing the quality of care for Medicaid members, reducing disparities, and driving health equity for nearly 3 million beneficiaries. - Work in collaboration with other Divisional Leadership to leverage, refine, and improve processes which engage members in care, reduce gaps in care, and advance health outcomes through evidenced-based decision making or policy creation which enhances Quality.- Improve State and National collaborations which aim to improve public health, reinforce provider infrastructure, drive equity, access, and quality of care.

Boone, North Carolina, United States

Instructed Undergraduate and Graduate level courses.- Social Work Practice Across the Profession - Undergraduate BSW, Fall 2023- Human Behavior and the Social Environment II - Graduate MSW, Spring 2024

Boone, North Carolina, United States

High Country Community Health is a Federally Qualified Health Center in North Western NC bringing high quality integrated care to underserved communities.- Behavioral Health integration with members from a Person Centered Medical Home Model with a wholistic focus on patient directed care.- Consulted with Primary and Specialty Care providers in reducing disparities, increasing quality outcomes, and closing gaps of care while supporting patient experience in the process.- Consulting on quality metric performance, process improvement activities, and risk management.- Healthcare analytics and lean methodology utilized to improve provider efficiency in corrective coding and billing of services to ensure compliance to Federal regulations.- Reduced administrative burden by informing on potential inclusion of automation processes and leveraging electronic medical records vendor options.- Enhancing leadership oversight by providing context to clinical dashboards, rework/corrective action needs, and analytical outcomes from internal audits. - Provided education to executive leadership on potential for value based payment incentives and care gap closure in relation to examination of healthcare and finance analysis.- Provided cost of quality metrics for identifying potentially new or lost revenue generation for sustainability in FQHC clinical operations.

United States

Provided multiple workshops and presentations for clinicians engaging with Military, Veteran, and Military Family populations employing Solution-Focused therapeutic strategies.2016 - Halifax, Nova Scotia2017 - Santa Fe, New Mexico2018 - Boulder, Colorado

Boone, North Carolina, United States

Wilkes County, North Carolina, United States

- Provided direct clinical interventions to Pediatric and Adult patients with complex needs.- Advocated for Maternal Mental Health, Integrative Behavioral Health, Program Creation, and Provider Support.- Advocated for the protection of Children in Foster Care, Adoption, Aging out of Foster Care, School Based Crisis Intervention, School Based Restorative Justice Mentorship Programs, and ID/D inclusion Policy.- Worked with members in the ID/D Community, Autism, Department of Juvenile Justice, Domestic Violence Shelters, and Sexual Assault Forensic and Advocacy Centers. - Significant volunteering completed to improve Local and State policy to support vulnerable populations, increased Behavioral Health funding, and increasing accountability of Medicaid PHPs in the Behavioral health space.- Certified Court Custody Evaluator trained in trauma informed comprehensive clinical evaluation, family dynamics, and family law.

Appalachian State University

- Working with MSW peers, Local, State, and National partners in development of Appalachian State Universities Collegiate Recovery Community through grant writing, strategic planning, and community advocacy. - Gained State and National support for increasing North Carolinas expansion of Collegiate Recovery Communities by providing substance free activities, individual and group support, and peer to peer supports. - Hosted training from Policy Advocacy leaders in North Carolina and Addiction Professionals of North Carolina for professionals in the High Country Community.- Executed multiple 3-year strategic planning sessions with key leadership and advocacy groups to ensure grant success in addition to the quality of outcomes for the members it serves and sustainability of the program at the end of the grant period.

Boone, North Carolina

As a Graduate Research Assistant to the Department of Nursing, I assisted Nursing Faculty in various research activities to include literature reviews, compiling relevant articles for further exploration, examining clinical and community based data, and conducting surveys. During my time at Appalachian State University, I supported 3 Nursing faculty members. Research topics included Nursing Retention, Community Based Diabetic Interventions for reduction of HbA1c, and Advancing Nursing roles in Chronic Health Management.

West Jefferson, North Carolina

- Worked with Adults from Early through Late Adulthood with ID/D, TBI, and Restrictive communication disorders in Alternative Family and Community Living setting. - Increased activity in the Developmental Day Program, Supported Employment, and use of Less-Restrictive Crisis Interventions.- Conducted Person Center Plans for members served by the organization. - Assisted in coordination of outings and community inclusion activities such as the Walk for Awareness in Ashe County NC.- Engaged with patients to develop Sensory Integration Room to assist staff in reduction of crisis’s common to population served.

Jacksonville, North Carolina Area

Worked in a Dual Diagnosis Intensive Out-Patient Therapy program for Marines and Sailors aboard Camp Lejeune.- Co-facilitated group therapeutic interventions under supervision of Program PsyD.- Provided program enhancement feedback for future cohorts.- Conducted evaluation and feedback of member findings to treatment team meeting for the treatment of the member in the program.- Honed facilitation skills, program evaluation knowledgebase, increased strategic communication, and quality improvement based on evidenced based treatment interventions.- Developed foundational skills in various clinical psychology treatment models (CPT, DBT, PE, TF-CBT, SFBT, ACT, Art Therapy, & EMDR)

- Significant development in Healthcare Leadership and Operational Planning to the healthcare and military mission space.- Experience in developing clinical education and training, mentorship programs, and military leadership courses.- Drove quality management, strategic planning, supply chain management, and risk management initiative/operations in high risk high paced environments. (Hospital and Operational)- Participated in and provided leadership during multiple multi-national collaborations, strengthening international partnership and trust in global environment.- Multiple directorate responsibilities to include Emergency Room Manager, Emergency Management Operations Manager, PCMH Model Manager, Dental Leader, Quality Improvement Manager, and Training & Education Manager across multiple commands.- Previous clinical experience in Cardiac Management, Laboratory Functions, Pediatric Care, Neonatal Care, Dental including Oral Maxillofacial, Surgical (Hospital and Field), Pharmacy, Family Medicine, Emergency/Ambulatory Care, Wound/Burn Management, Prevention, Population Health, and other specialty care experience resulting in 14,000+ hours of direct clinical care and leadership.- Healthcare financial lead in reducing total operational cost across multiple Hospital and Operational commands increasing funding available to other critical operational needs. - Maintained Operational Readiness above the 90% status through well coordinated Dental, Immunization, and Preventive Screening Clinics with teams ranging from 20-60 enlisted staff for 2000+ Marines and Sailors across multiple Marine Corps Units.- Ensured adherence to regulatory and compliance standards set be the Department of Naval Medicine and National guidelines leading to Joint Commission Accreditation for two Hospital Systems.

Master Of Science - Ms, Healthcare Administration, 3.977

Activities and Societies: ACHE of Greater Charlotte Student Member- Honed skills in Executive Healthcare Leadership through research.

Master Of Arts - Ma, Intelligence Collection

- Primarily focused on various Trend Models of asymmetric threat actors with historical responses by various U.S. and international based.

Master Of Arts - Ma, Intelligence Analysis, 3.93

- Explored INT analytic challenges in the 21st century in the OSINT, SIGINT, and CTI fields. - Examined data saturation issues.

Master Of Social Work (Msw), Individuals And Families, 3.92

Activities and Societies: Graduate Research Assistant Vice-Chair of Graduate Student Social Work Association MSW Student Faculty.

Bsw, Social Work, 3.86

Activities and Societies: - Phi Alpha Honor Society - Student Social Work Organization - Solution Focused Brief Therapy Association.

Pre-Nursing Studies