Melissa Gault

Experience

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  Rocky Mountain Autism Center

  May 2003 - Aug 2003

  Therapist

  - Provided 1:1 therapy to children with ASD- Created communication boards and books using PECS- Provided behavioral supports- Followed behavior plans and collected data- Communicated with family members/caregivers

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  Creative Perspectives

  Aug 2003 - Feb 2005

  Program Manager

  - Provided 1:1 intervention for children with ASD- Created behavior plans, collected and analyzed data- Responsible for staffing patterns and intervention schedules- Communicated with families/caregivers - Provided in home and community supports for children with ASD and their families/caregivers

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  Developmental Pathways

  Feb 2005 - Mar 2007

  Case Management Program Manager

  - Supervised team of 8 case managers responsible for supporting individuals receiving waiver and State General Fund services. Ensured case managers were facilitating interdisciplinary teams (IDT) meetings to coordinate services to meeting individual's needs and implemented IDT meetings as appropriate to modify services.- Ensured case managers were verifying eligibility and developing, monitoring, and assuring implementation of Service Plans (SP). Ensured accuracy of data to ensure continuity of services and funding for individuals receiving services.- Supported case managers to engage with community resources such as law enforcement and medical personnel to obtain additional information, coordinate services, or secure their assistance- Coordinated support in emergency and crisis situations- Ensured the accuracy and timely entry and distribution of required documentation to all necessary team members, including, but not limited to providers, individuals, and family members.- Monitored targeted case management activities; evaluated the need and effectiveness of services requested and delivered. Show less

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  COTTONWOOD COMMUNITY ALTERNATIVES INC

  Mar 2007 - Jun 2012

  Program Manager

  - Managed approximately 20 residential support staff providing support to individuals on the DD waiver. - Managed new intake referrals and collaborated with Community Center Boards to ensure placement needs and supports were in place for transfer to our agency. - Communicated regularly with stakeholders including family members, conservators, Healthcare Policy and Finance Department, Community Center Boards, Advocates and Healthcare professionals. - Developed person centered programs and goals to ensure increased independence and support for individuals receiving services. - Managed oversight of caseload to ensure activities of daily living, healthcare practices, community engagement and employment were implemented in daily life. - Participated in EHR and environmental audits to ensure regulatory compliance within 3-bed personal care alternative settings, host home settings, individual apartment settings and family caregiver settings. - Completed staff evaluations and disciplinary action when necessary. - Participated in management meetings to ensure quality of care across all settings and ensure compliance within regulatory statutes. - Reviewed and submitted timecards and overtime for processing by payroll department. Ensuring accuracy for billing submission for individuals receiving services. Show less

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  Wiltshire Farm Foods

  Feb 2014 - Jul 2016

  Marketing Manager

  - Engaged with hospital staff including Speech Therapy, Occupational Therapy and Registered Dieticians to ensure patient care after discharge with appropriate food texture in relation to the IDDSI dietary levels and information.Penetrated new markets and channels through strategic planning, analysis, advertising, promotions, trade shows, and communications. - Boosted advertising exposure by negotiating demonstrations in various settings. - Compiled comprehensive reports for distribution and recording potential and previous success and distribution. - Collaborated with advertising and promotion managers to promote products and services. Show less

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  COTTONWOOD COMMUNITY ALTERNATIVES INC

  Jul 2016 - Aug 2018

  Program Manager & Training Mentor

  - Managed approximately 20 residential support staff providing support to individuals on the DD waiver. - Managed new intake referrals and collaborated with Community Center Boards to ensure placement needs and supports were in place for transfer to our agency. - Communicated regularly with stakeholders including family members, conservators, Healthcare Policy and Finance Department, Community Center Boards, Advocates and Healthcare professionals. - Developed person centered programs and goals to ensure increased independence and support for individuals receiving services. - Managed oversight of caseload to ensure activities of daily living, healthcare practices, community engagement and employment were implemented in daily life. - Participated in EHR and environmental audits to ensure regulatory compliance within 3-bed personal care alternative settings, host home settings, individual apartment settings and family caregiver settings. - Completed staff evaluations and disciplinary action when necessary. - Participated in management meetings to ensure quality of care across all settings and ensure compliance within regulatory statutes. - Reviewed and submitted timecards and overtime for processing by payroll department. Ensuring accuracy for billing submission for individuals receiving services. - Developed and implemented a training program for new Program Managers. Responsible for overseeing completion of training requirements and implementation of job duties. Show less

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  Colorado Department of Public Health and Environment

  Aug 2018 - Jul 2023

  Health Compliance Inspector

  - Completion of compliance investigations of licensed and certified healthcare facilities including ICF, RDF, HCBS, BHE (ATU, CSU, walk-in clinics & outpatient behavioral health centers/clinics) and outpatient PT in accordance with federal and state statutes, rules and regulations. Investigations include initial, re-certification, re-licensure and complaints. - Reviewing policy and procedures for Acute Treatment Units (ATU's), Crisis Stabilization Units (CSU's), walk-in treatment services and outpatient behavioral health services. - Provides technical assistance and expertise on enforcement and deficient practices to consumers, advocates and healthcare professionals to minimize risk and ensure regulatory compliance.- Ensuring corrective action plans have been implemented resulting in the resolution of non-compliance. Reporting violations to ensure enforcement procedures are implemented.- Developed a training program for new hires to ensure consistency and efficiency of survey processes. - Developed systems to track and report survey timelines and improve management of survey processes and ensure regulatory timelines were met. - Writing legally defensible deficiency reports based on analysis of investigations.- Extensive knowledge of laws, regulations and guidelines.- Participated in the development of the Behavioral Health Entity (Chapter 3) regulatory statutes. - Utilize electronic health records including but not limited to: Therap, Smartcare and TherapyNotes.- Training new Health Compliance Investigators to ensure consistency and efficiency.- Managing program systems to include up to date regulatory requirements and guidelines for Health Compliance Investigators to utilize during the auditing process. - Managing databases and establishing high quality organizational process for the behavioral health and community services section.- Participating in an auditing efficiency group within the department to streamline processes and improve quality of care. Show less

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  Eating Recovery Center

  Apr 2023 - now

  - Organize and implement system wide compliance/QA initiatives to support safety, quality and compliance.- Organizes and directs communication from the field and within the compliance team. Fields answers and/or directs compliance and advocacy related inquires. - Leads project management of compliance related initiatives, including system and other PI projects.- Partners with VP of Quality Assurance to monitor for ongoing compliance. - Utilizes project management processes to ensure completion and follow up of tasks. - Identifies and initiates policy work. Analyzes policy requests from the field and manages policy management system.- Leads the Limited English Proficiency Program to ensure interpretation and translation is available for non-English speaking patients. - Maintains licensing oversight for renewals and applications, including state licensing, CLIA waivers and Joint Commission requirements. - Serves as a liaison to the Patient Advocate Program- Partners with HR compliance to administer and address issues reported on the Ethics Hotline- Ensures all facilities are operating within TJC standards and state regulatory requirements.- Ensures company policies/procedures are in line with regulatory requirements/TJC standards.- Developed and maintains licensing and forms library. - Developed and maintains regulatory crosswalk for state regulations and TJC standards. - Audit client records for compliance (admission, treatment and discharge).- Participates in FMEA meetings to identify risk and develop strategical plans to ensure patient safety.- Assists with post-survey plans of correction to ensure compliance.- Ensures timely reporting of complaints/grievance and track investigations.- Prepares Board of Directors quarterly reports to include all compliance related information (Sentinel events, Ethics Point data, etc). Show less

  • Senior Compliance Generalist

    May 2024 - now

  • Compliance Generalist

    Apr 2023 - May 2024
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  COTTONWOOD COMMUNITY ALTERNATIVES INC

  Jun 2023 - now

  Quality Assurance Specialist Contractor

  Ensuring healthcare services and processes meet established standards and regulations to deliver safe, effective and high-quality care to patients. Responsibilities include conducting audits, reviewing patient records and identifying areas for improvement in patient care. Providing training in areas of regulatory standards and providing support to develop strategies for improving operation efficiency, reducing errors, and enhancing patient outcomes.