Rebecca Laney

Experience

• 

  Milestones Community Healthcare, Inc.

  Jan 2006 - Jan 2008

  Behavior Specialist Consultant and Mobile Therapist

  • Behavioral Specialist Consultanto Carried case load of clients with Autism and behavioral diagnoseso Met with clients weeklyo Developed quarterly treatment plans that outlined interventions to be completed to meet treatment goals and created benchmarks to ensure appropriate attainment of goalso Developed data tracking tools for each client based on goals and taught Bachelors level staff how to utilize this to track progress during their sessionso Provided intervention tools to Mobile Therapists assigned to work with the cliento Supervised Bachelors level staff working directly with the clients and provided them with tools to complete interventions towards goalso Prepared monthly and quarterly updates to MCOs, including data graphs of progress or regression of clientso Attended quarterly meeting with MCOs to present progress or regression and advocate for ongoing hours towards treatment for the upcoming quartero Held weekly supervision for all Bachelors level staff within the office• Mobile Therapisto Worked within the home setting with clientso Reviewed treatment plans developed by Behavioral Specialist assigned to the case to ensure working towards treatment goalso Utilized interventions and data tracking tools provided by Behavioral Specialist during weekly sessions with the client Show less

• 

  Family Behavioral Resources

  Jan 2008 - Jun 2009

  Clinical Supervisor

  • Provided clinical oversight of all cases and clients served out of the office• Held at least monthly individual supervision meetings with all Masters and Bachelors level staff to review clinical skills, interventions, and work towards their ongoing clinical development• Reviewed and audited clinical treatment plans, case notes, and monthly case reviews• Communicated monthly with MCOs to provide updates for all cases• Maintained my own case load of clients through home visits, development of treatment plans and interventions to be carried out by Bachelors level staff that were providing direct care• Ensured that all staff were maximizing the billable hours given for each client• Attended quarterly meetings for clients where data on progress was presented and ongoing treatment hours were authorized by the MCOs Show less

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  Mental Health Cooperative

  Jun 2009 - Apr 2010

  Child and Adolescent Case Management Supervisor

  • Supervise team of case managers working within a community mental health center through individual supervision and field supervision• Ran daily team meetings to review cases• Worked closely with on-site psychiatrist for the ongoing clinical management of the treatment each youth and family were receiving within the team• Reviewed documentation and provided clinical oversight to the documentation• Assisted team members with development of clinical interventions being utilized to address client’s treatment goals• Worked closely with MCOs to ensure ongoing receipt of services and treatment of clients Show less

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  Youth Villages

  Apr 2010 - Mar 2016

  Lead Clinical Counselor - Specialized Crisis

  • Complete mental health assessments with youth in community and home settings• Provide intervention strategies to help prevent future crises for youth and family• Make referrals for long term treatment• Work with community providers, key stakeholders, and MCOs for coordination of treatment• Provide on-call clinical support to Crisis Counselors• Assist leadership with preparation for audits from MCOs and Dept. of Mental Health• Attend monthly meetings within the community, including TSPN, and Region V Planning Committeeo Served as Committee Chair for Child and Adolescent Committee for Region V Planning Committee• Trained and mentored new staff• Served as Interim Program Supervisor in 2014 and 2015o Provide Clinical Review of staff documentationo Provide supervision of staff for their ongoing developmento Hold weekly staff meetingso Track statistics of crisis calls and develop monthly schedule to meet the needs of the youth and families Show less

• 

  Maximus

  Mar 2016 - now

  • Oversees the day-to-day functions of the Quality Analysts within the Quality Department that are responsible for performing quality control and quality audits of staff work at all levels• Oversees the development and maintenance of all quality tools that support the Clinical Services Division• Developed innovative strategies to maintain division-wide quality metrics for all leadership levels through internal SharePoint site that houses all quality data• Works with Leadership Team to address internal and external quality concerns• Analyzes data trends of quality activities and provide reports to Program Managers and Leadership• Develops Quality Management Plans for implementation of new business and update existing plans for current business• Led task force in review of PASRR NPRM review and response development• Worked with other clinical leaders in the division on updating the Level II assessment tool and Summary of Findings• Works closely with Risk Management Manager to ensure monitoring of any potential HIPAA incidents during the quality audit process• Works closely with Training Manager and Procedure Writers on staff training needs and procedure review based on quality audit results• Manage and oversee the development of Quality Reports for State Customers• Chairs the Quality Management Committee and responsible for ensuring ongoing Quality Improvement Projects within the Clinical Services Division• Assisted in content review and delivery of onsite provider trainings• Participated in company-wide Developing Consistent Quality Task Force• Assisted in successful efforts for Clinical Services Division in obtaining URAC HUM accreditation• Assists Quality, Training, and Risk Management Director in maintaining QIO-like Entity status through CMS Show less • Complete quality audits and quality control of Level II staff• Developed and refined existing quality tools for all lines of business• Complete data analysis of various quality metrics monthly through completion of Quality Dashboard• Identified as a Subject Matter Expert to participate in Pendulum Project • Led strategy sessions to update quality tools to capture Independent Contractor metrics• Assisted manager in developing quality metrics for new lines of business• Led internal meetings with leadership to ensure quality was being achieved• Worked with Program Managers to ensure quality needs for their contracts are met• Participated in QIO-Like Entity Board Meeting• Complete billing invoices for all MDs that we contract with on a monthly basis• Assisted in implementations of new lines of business• Provided analysis of internal and external quality performance • Assisted in completion of onsite provider trainings in Iowa with Program Manager and State Customer• Completed Quality Reports for State Customers at the frequency indicated within the contract• Completed ad-hoc projects for Clinical Director, Program Managers, Ops Directors, and other departments • Assisted with implementation of Corrective Action Plan for a contract to help improve the quality of the work• Assisted with ClickSoft software testing, development, and implementation Show less • Trained to complete Summary of Findings in multiple contracts through review of Level II assessments for PASRR • Completed and documented quality reviews of Level II assessments for accuracy for individuals seeking nursing facility admission• Worked closely with Clinical Director, Quality Improvement team, and State Officer to create Summary of Findings that meet contract obligations and provide the greatest clinical content for the individual• Provided customer service and support to nursing facilities and referral sources by answering questions regarding PASRR, Summary of Findings, and referral process• Collaborated with teammates on tips and clinical writing pointers to improve writing based on Best Practice Standards• Consulted with Level I clinicians on possible referrals for Level II evaluations• Communicated with Independent Contractors to improve assessments and highlight areas of growth and improvements noted within their assessments• Assisted with contract re-implementation activities to achieve success, as directed by manager Show less

  • Clinical Quality Manager

    Mar 2019 - now

  • Quality Analyst

    Jul 2017 - Mar 2019

  • Quality Coordinator

    Mar 2016 - Jul 2017