Alexandra Moore

Results driven leader, responsible for the strategic direction of programming, establishment of the organization as well as the operational excellence of the substance abuse, mental health, and dual tracks. Executed comprehensive plans to improve client experience, deliver high-quality client centered care, while ensuring financial sustainability and prosperity as well as regulatory compliance.

Led multidisciplinary teams-designed to foster a healthy, safe and supportive work environment that encourages collaboration, accountability, and professional growth.

Audited, recorded, and measured data related to process and program innovation-identifying trends in admissions, attendance, billable services, length of stay, and retention.

• Exercised appropriate cost control to meet budget restrictions and maximize profitability.
• Aligned department vision, goals, and objectives with company strategy to achieve consistently high results.
• Developed and implemented organizational strategies to achieve set goals and objectives and secured long-term success.
• Fostered work culture of collaboration and inclusion to increase morale and reduce turnover.

• Responsibilities include reviewing PAA's to determine appropriate clinical and medical placement for substance abuse and mental health treatment admissions for 6 states and 13 facilities at all levels of care.
• Developed a department from scratch and implemented new policies, procedures, and protocols for the department to be successful.
• I record and analyze data from all facilities to track what areas need improvement and provide solutions for a successful operational outcome
• Spearheaded innovative approaches to resource allocation and strategic planning.
• Leveraged professional networks and industry knowledge to strengthen client relationships.
• Reduced operational risks while organizing data to forecast performance trends.

• Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
• Obtained authorizations from multiple insurance carriers for various levels of care.
• Submitted cases for criteria failures and helped facilitate resolutions and approvals.
• Devise or identify solutions for irregular requests and issues.
• Facilitated workgroup meetings with medical personnel to find effective solutions to issues.

• Worked collaboratively with corporate to make sure all communications, advertisement and collateral materials, supported corporate branding
• Create, update, and maintain policies and procedures
• Assisted with internal and external audits to confirm compliance with applicable laws and regulations.
• Successfully received licensing for 2 facilities to be able to operate under state regulations.
• Managed financial, operational and human resources to optimize business performance.
• Included constant contact and meetings with governing body officials
• Coordinated with creative team to generate dynamic marketing content and communication tools for promotional campaigns.

Responsibilities include EMR chart auditing, addressing any complications within any department, and all administrative and office management duties.

• In addition, I managed internal and external communications as well as community engagement strategies
• Verified client information by analyzing existing evidence on file.
• Determined appropriateness of payers to protect organization and minimize risk.
• Made contact with insurance carriers to discuss policies and individual patient benefits.
• Assured timely verification of insurance benefits prior to patient procedures or appointments.

• Primary responsibilities included monitoring ICD service codes and medical billing codes
• Screening for intakes/admissions, insurance verifications, and clinical chart auditing
• Accountable for overseeing the nursing schedule and staff as well as ensuring staff is properly trained per DCF/JCAHO regulations
• Achieved team goals through formalized training plans, coaching, and performance management.
• Oversaw day-to-day production activities in accordance with business objectives.
• Worked collaboratively with functional leaders to implement new procedures and corrective actions to improve quality.
• Defined, implemented, and revised operational policies and guidelines.

Led operations across two behavioral health facilities to ensure effective program delivery.- Managed pre-assessments, admissions, insurance verification, physician billing, and EMR audits.- Prepared the organization for state and accrediting body audits (DCF, JCAHO).- Strengthened interdepartmental collaboration to improve patient care and staff performance.

• Defined clear targets and objectives and communicated to other team members.
• Collaborated with various teams to uncover issues, identify applicable solutions, and offer guidance.
• Developed and implemented marketing strategies to promote program awareness and participation.