624 Osterville W.

Barnstable Rd #S
Marstons Mills Massachusetts 02648
kk7c51de@westpost.net
508-280-2755 (508) 280-2755
KIMBERLY A. KIELY, LICSW
PROFILE * Experience in clinical psychotherapy at outpatient clinics/ hospitals
and private practice
* Well developed administrative ,organizational, communication and supervisory s
kills
* Conducting psychotherapy groups for geriatrics, adults, adolescents and childr
en
* Work with JACHO and other governing agencies ensuring the implementation of th
eir regulations
* Performing utilization review with managed care organizations and discharge p
lanning
* Collaborate with various social service agencies: DSS, DYS, DMH...
* Interact with psychiatrists, courts, DSS, DMH, educators and special education
teachers

SKILLS * Coordinating Case Conferences * Managing Healthcare Costs

* Knowledge of Managed Care / Insurance Issues * Data Collection & Analysis
* Coordinating Community Resources * Emergency Psych Triage
* Creating Policy & Procedure Manuals * Cost Benefit Analysis
* Admissions / Discharge Planning * Certified Guardian Ad Litem
Massachusetts Probate Court

COUNSELING ISSUES
* Substance Abuse * Family/Team Interventions * Trauma/Rape
* Child & Family * Medically Ill Psychiatric Clients * Transition
* Anger Management * Individual & Family Therapy * Managed Care
* Domestic Violence * Nursing Home Placement Issues * Cardiac Support
* Initial Assessment * Case/Resource Management * Psych Evaluations
* Custody Evaluations

EDUCATION Simmons College, Graduate School of Social Work, Boston, MA

Masters of Social Work (1994)
Internships
Beth Israel Hospital - Clinical Social Work Intern (Inpatient Medical Psychiat
ric Unit
Faulkner Hospital - Social Work Intern (1992-93)
Simmons College, Boston, MA
B.A. in Business Management (1983)

EXPERIENCE
2001- Present PRIVATE PSYCHOTHERAPY PRACTICE, Barnstable, Norwell, MA
Individual, Family and Group Psychotherapy
Specializing in Substance Abuse, Child/Adolescent
and Family Treatment
Certified Guardian ad Litem, Massachusetts Family
and Probate Court,
Bristol. Plymouth and Barnstable Counties
2007 - 12/2009 GOSNOLD TREATMENT CENTER, Falmouth, MA
Program Director (2008-Present
* Manage day-to-day program operations for a 50-bed acute detox unit
* Ensure quality and delivery of all department services: RN, UR, Counselors, R
esidential Assistance and Admissions
* Manage staff hiring, termination and daily supervision of approximately 30+ em
ployees
* Complete clinical reviews for any dually diagnosed (psychiatric) patients
* Authorize and pay all financial claims
* Schedule in collaboration with continuum care within Gosnold's other sites
* Oversee clinical team and staff training as well as ongoing development
* Ensure compliance of guidelines and requirements of state licensing (JCAHO)
* Initiate and maintain effective relationships with community health and human
service agencies
Director of Utilization Review (2007-Present)
* Submit clinical criteria to insurance companies for inpatient detox/rehab auth
orization
* Institute appeals process in the event insurance companies deny continued cove
rage
* Assure compliance of parity laws, filing external reviews with OPP (as needed)
* Work with staff and insurance carriers in review of clinical criteria for appr
opriate level of care
* Review operational systems, identifying needs, problems and areas for improvem
ent
* Provide direct clinical services and assist with contractual patients
* Work directly with the Bureau of Substance Abuse DPH and other agencies

2005 to 2007 BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, Quincy, MA

Telephonic Utilization Reviewer: Behavioral Health
* Perform reviews for all levels of psychiatric care
* Possess broad knowledge base of most effective course of treatments for psych
patients
* Utilize McKesson guidelines/training methods
* Knowledge of JCAHO, NCQA, state/federal regulations and URAC
* Completed 6-month training program given by Allen Wartenburg, MD "Detox Protoc
ols" concerning medical needs/ramifications of medical issues related to addicti
ons

2000 to Present Therapist

* Oversaw the start-up of this private practice located on Main Street in Hyanni
s
* Provide individual therapy with strong focus on adolescents, family and case m
anagement coordination with schools

2004 to 2005 GOSNOLD TREATMENT CENTER, Falmouth, MA

Family Care Coordinator
* Implement Gosnold's Project WAVE (Women Achieving Vital Empowerment) Grant
* Work with Independence House and Safe Harbor Battered Shelter
* Evaluate women who are victims of domestic violence
* Facilitate a safety group, empowering women to move beyond trauma and substanc
e abuse
* Evaluate needs of the family, referring them with transitional assistance (CAC
, DTA)
1999 to 2000 CAPE COD HOSPITAL, Hyannis, MA
Case Manager - Adult Psych Unit and Partial Hospitalization Program

1996 to 1999 PEMBROKE HOSPITAL, Pembroke, MA

Director of Social Work (1998-99)
* Developed and implemented treatment plans to the unit's 80-bed facility
* Created individual unit's daily programs, structuring the patients' day
Case Manager - Adolescent Unit and Pediatric Unit (1996-98)
* Performed court-ordered evaluations on teens dealing with a variety of issues
* Treated conduct disordered teens incarcerated by the state
* Served as Access Clinician (Overnight), conducting emergency psychiatric evalu
ations and coordinating disposition of appropriate services
Achievements * Restructured the daily therapeutic schedule and reorganized the
therapeutic privilege system
* Participated in improving resources between social service agencies and manage
d care
* Instituted hospital-based 12-Step Program

1996 to 1997 FAMILY CONTINUITY PROGRAM, Hyannis, MA

Intensive home-based habilitation service providing individual/family treatment
Clinician/Out Patient Therapist

1994 to 1996 BOSTON REGIONAL MEDICAL CENTER, Stoneham, MA

Clinical Psychiatric Case Manager, Managed Care Team 1995-1996
Therapist, Outpatient Department 1994-1996
Clinician for Emergency Psychiatric Triage Team 1994-1995