Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
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Michelle Totin

Eastvale

Summary

Experienced and results-driven Quality Assurance professional with 10+ years in behavioral health and juvenile rehabilitation. Specialized in Medi-Cal billing compliance, forensic case management, residential mental health programs, and regulatory audits across state and county contracts. Recognized for implementing compliant billing systems, driving operational audits, and securing program certifications. Collaborative leader with strong analytical and training capabilities.

Overview

9
9
years of professional experience

Work History

Quality Assurance Specialist – Mental Health Department

Boys Republic
07.2016 - 02.2022
  • Directed QA operations for Medi-Cal billing and compliance across two county contracts (LA and San Bernardino).
  • Supervised staff managing documentation, billing entry, Medi-Cal eligibility, and EHR data integrity.
  • Conducted internal audits and quality reviews; led annual state and county compliance inspections.
  • Submitted and tracked monthly Medi-Cal claims; monitored real-time diagnosis updates and eligibility reports.
  • Spearheaded staff onboarding and training in DMH documentation, time management, client care, and service delivery protocols.
  • Maintained Uniform Method of Determining Ability to Pay (UMDAP) reporting systems.
  • Participated in Medi-Cal recertifications and contract site visits ensuring continuous program approval.
  • Key Achievements:
  • Secured State Medi-Cal Certification for core program and Sub Residence.
  • Designed and implemented billing systems for dual Medi-Cal contracts.
  • Co-developed operational plans for Mental Health Department under Short-Term Residential Therapeutic Program (STRTP).

Needs and Assessment Support Specialist

Boys Republic
12.2015 - 07.2016
  • Managed assessment data for nine units serving up to 24 juveniles per unit.
  • Led quarterly licensing readiness reviews for multiple California counties.
  • Trained new hires on needs and assessment documentation and discharge summaries.
  • Scheduled MDTs and coordinated case activities with law enforcement and probation agencies.
  • Key Achievement:
  • Delivered compliance oversight for needs/assessment reports for 149 juveniles across multiple jurisdictions.

Juvenile Caseworker

Boys Republic
12.2012 - 12.2013
  • Managed caseload of six minors (ages 14–18) with dual roles in case planning and direct therapeutic engagement.
  • Led individual and family counseling sessions; created and facilitated NA groups.
  • Drafted case plans and quarterly reports; conducted crisis interventions.
  • Key Achievements:
  • Developed evidence-based court-ordered case plans tailored to juvenile rehabilitation.
  • Designed weekly counseling rubrics for addiction recovery support.

Education

Master of Arts - Forensic Psychology

The Chicago School of Professional Psychology
01.2015

Bachelor of Arts - Sociology, Concentration in Criminology

California Polytechnic University
01.2012

Skills

  • Quality Assurance & Audit Readiness
  • Medi-Cal & DMH/DBH Billing Compliance
  • EHR & Client Tracking Systems
  • State Licensing & Certification
  • Assurance of Mental Health Client File Integrity
  • Staff Training & Leadership
  • Behavioral Health Administration
  • Mental Health Documentation Standards
  • Program Development
  • Analytical thinking
  • Detail-oriented
  • Team collaboration
  • Quality improvements

Accomplishments

  • Collaborated, executed & achieved Medi-Cal certification for two county Medi-Cal Mental Health contracts for a Short Term Residential Treatment Program.

Timeline

Quality Assurance Specialist – Mental Health Department

Boys Republic
07.2016 - 02.2022

Needs and Assessment Support Specialist

Boys Republic
12.2015 - 07.2016

Juvenile Caseworker

Boys Republic
12.2012 - 12.2013

Bachelor of Arts - Sociology, Concentration in Criminology

California Polytechnic University

Master of Arts - Forensic Psychology

The Chicago School of Professional Psychology

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Michelle Totin