This document provides a summary of Barbara A. Kashinski's experience and qualifications. She has over 12 years of experience in healthcare quality management, utilization management, risk management, and program development. Currently she holds the Certified Professional in Healthcare Quality credential and has worked in several director roles ensuring compliance with various healthcare standards and regulations.

1. Barbara A. Kashinski
Rio Rancho, NM (505) 803-3643 barbarakash@gmail.com
________________________________________________________________________________________
SUMMARY
CPHQ - Certified Professional in Healthcare Quality
An energetic healthcare professionalwith over 12 years extremely diversified experience in the healthcare
industry utilizing acquired skills in quality management, utilization management, risk management, and
program development.
SKILLS
• Behavioral Health • Treatment • Mental Health Counseling • Case Management
• Healthcare • Health policy • Management • Project Management
• Training • Quality Management • Managed Care • Change Management
• Accreditation • Healthcare Management • Budget • Team Leadership
• Human Resources • Supervision • Medical Records • Compliance
________________________________________________________________________________________
EXPERIENCE
Haven Behavioral Hospital ofAlbuquerque,Albuquerque, NM
Director ofRisk Management / Performance Improvement
02/2015 to 05/2015
Perform all day-to-day activities of Risk Management, Performance Improvement, Safety and accreditation
procedures, to ensure compliance with State,Medicaid, Medicare, and The Joint Commission standards, and
providing appropriate and necessary staff training.
Kashinski Consulting,Rio Rancho, NM
Owner/Consultant
05/2002 to 02/2015
Focus of consulting services include creation or updating clinic forms, policies, procedures, plans, and HR
procedures, to ensure compliance with State,Medicaid, IOP,DOH,CYFD and CARF standards, and providing
appropriate and necessary staff training.
 Assisted two programs to create behavioral health billing program, registration forms & set up medical
records system
 Provided daily on site chart audits for an inpatient behavioral health program, briefing CEO and upper
management, ensuring they passed and were certified by Medicare
 Submitted behavioral health claims for two different programs resulting in 95% payment accuracy rate
 Familiar with a variety of Accrediting bodies, State, Federal, and Medicaid
 Able to create and provide presentations on a variety of topics to groups as small as one to as large as 100
Central NewMexico Treatment Center,Albuquerque, NM
Program Director
09/2014 to 02/2015
Oversees all day-to-day activities of substance abuse treatment program including Front Desk, Counseling Staff,
Nursing, Pharmacy,and Medical Director. Ensured compliance with all appropriate accrediting bodies (CARF,
State of New Mexico, DEA, and Board of Pharmacy) regulations and standards.
 Implement Medicaid Billing per CMS and NM Medicaid Standards
 Perform all Human Resources activities including recruiting, training, disciplinary action, maintaining
personal files and staff terminations when necessary

2. Agave Health Inc.,Albuquerque, NM
UM/QM Manager
11/2013 to 04/2014
Created and maintained a Quality Management program for a newly created behavioral healthcare company.
This included reports to CEO, VP,and Leadership Council on documentation and forms completion. Created
appropriately needed trainings on documentation and Waste,Fraud, Abuse, Compliance and policy compliance
with DOH/BHSD and CYFD regulations.
 Conducted and presented outcomes from the first company-wide client satisfaction survey, documented
findings and presented to appropriate staff
 CPI and CPR / First Aide Certified
Albuquerque Treatment Center/Services,Albuquerque, NM
Clinical Director/Director ofOperations
07/2007 to 10/2013
Oversaw all day-to-day activities of substance abuse treatment program including Front Desk,Counseling Staff,
Nursing, Pharmacy,and Medical Director. Ensured compliance with all appropriate accrediting bodies (CARF,
State of New Mexico, DEA, and Board of Pharmacy) regulations and standards.
 Continually review and update all forms to reduce redundant information gathering
 Continually review and update all policies and procedures to ensure they meet yearly accreditation
requirements updates
 Create and implement employee training program to meet all accreditation requirements
 Monthly review of all expenses to ensure clinic meets projected monthly and yearly budget requirements
 Marketing to find new contracts and business for clinic
 Perform all Human Resources activities including recruiting, training, disciplinary action, primary source
verification, reference checks,maintaining personal files and staff terminations when necessary
 Manage contract with OPTUM New Mexico,including billing, registrations, and attending all scheduled
meetings with OPTUM New Mexico
ValueOptions NewMexico,Albuquerque, NM
Field Provider Liaison
06/2005 to 07/2007
Acted as a source of information for all contracted providers in Bernalillo County, provided support in moving
to a one payer system, understanding the one payer system, training to understand CPT and HCPCS coding,
claims submission, registration and understanding why claims were denied, and how payments are processed.
 Team Leader for all Regional Provider Liaisons, including organizing and facilitating monthly meetings,
and acting as the point person for dissemination of information to each Liaison
 Trained all providers contracted to VONM within Bernalillo County regarding coding and billing using
electronic billing submission, paper CMS-1500 and UB-92 forms for all contracted funding sources
 Trained all providers contracted to VONM within Bernalillo County regarding enrollment procedures and
requirements
 Provided training to staff and providers training on differing payment sources and individual contracts held
by Single Payer
 Member of Clinical Home Project Team within ValueOptions and worked directly with providers on
Readiness Surveys
 Essential in creation of provider handbook which taught all providers how to enroll patients, use electronic
billing software,obtain authorizations and research claims status
________________________________________________________________________________________

3. EDUCATION
CPHQ, Certified Professional in Healthcare Quality
NAHQ
Began work on PHD in Psychology – will be continuing in the future
North Central University (2007 – 2008)
Bachelor ofScience (B.S.) in European History
The University of New Mexico
1992