Kathleen A. Enerlich
Kathleen Enerlich is Executive Director of PerformCare. Currently, this national, full-service behavioral health managed care company is ensuring access to treatment and achieving clinical outcomes through service excellence for approximately 530,000 children and adults in Medicaid, Medicare and commercial plans. Her primary role is to manage all aspects of the PerformCare system in New Jersey, including clinical, member services, operations, executive communications and quality improvement.
Ms. Enerlich, who earned her master's degree in behavioral sciences from Kean University, has served with PerformCare since 2009. Through strategic planning, strong community and associated provider relationships, and the building of cohesive proactive-management teams, she expanded the system access in 2012 to include an additional 16,000 developmentally disabled children and youth in need of substance abuse treatment. Ms. Enerlich is collaborating with the state on the implementation of several new programs under New Jersey's Comprehensive Medicaid waiver. These include behavioral health homes, individual support services, respite, intensive in-home services and crisis stabilization for youth with developmental disabilities.
Prior to joining PerformCare, Ms. Enerlich held several executive-level positions for the state of New Jersey. She was the Chief Executive Officer of the Arthur Brisbane Child Treatment Center, which at the time was the only state-run children's psychiatric hospital. In 2005, she successfully closed the center, transitioning youth to community-based treatment programs, and transferring more than 200 employees to new positions. Ms. Enerlich also served as Deputy Director for the Division of Family and Community Partnership, and for the Division of Children's System of Care, where she had oversight of $400 million in state contracts.
Ms. Enerlich began her career as a youth counselor, providing individual, group and family counseling at NewBridge Services. She went on to devote 18 years to SERV Behavioral Health System, where she held various roles while serving seriously mentally ill adults throughout New Jersey. Most notably, Ms. Enerlich assisted SERV in developing the first group home programs for the state, and consistently maintained high-occupancy rates. And she was instrumental in helping the organization obtain national accreditation from the Joint Committee for Accreditation of Healthcare Organizations (JCAHO). Some of her most meaningful work was helping to discharge men and women from Marlboro State Psychiatric Hospital, where many had been institutionalized for up to 20 years.
Today, Ms. Enerlich is fully engaged in working with PerformCare's stakeholders to collaborate across lines of services, and in guiding the dedicated PerformCare team in improving the quality of life for its members and their families by promoting recovery and resiliency.
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Gabriel Kaplan, M.D.
Dr. Gabriel Kaplan is the Medical Director for PerformCare's operations in New Jersey, which serves as the contracted systems administrator for the New Jersey Children's System of Care (CSOC). He is primarily responsible for the clinical oversight, training, and guidance of staff involved in phone triage assessments and utilization management reviews for behavioral health services provided through the New Jersey CSOC.
Dr. Kaplan is responsible for providing the clinical leadership for behavioral health, intellectual/developmental disabilities, and substance use for PerformCare. He provides direction and guidance for our Clinical Services and Quality Management departments, and his responsibilities include supporting the improvement of clinical outcomes for youth within the CSOC. Dr. Kaplan also helps establish policy and procedures that address the provision of behavioral health services, including the way that PerformCare integrates these services with physical health and social services. Dr. Kaplan serves as a key representative and spokesperson with respect to the external behavioral health community in the CSOC.
In addition, Dr. Kaplan is a board-certified adult and child psychiatrist and a Distinguished Fellow of the American Psychiatric Association. He earned his medical degree from the University of Buenos Aires School of Medicine in Argentina. He completed his psychiatric training at New York Hospital-Cornell Medical Center in New York and progressed in his academic career, currently holding an appointment as Clinical Associate Professor of Psychiatry at Rutgers New Jersey Medical School in Newark, New Jersey. Dr. Kaplan is well known for his work as a physician executive in the insurance and provider settings. Past duties include appointments as Medical Director for Value Options, the University of Medicine and Dentistry of New Jersey (UMDNJ) Managed Care Resources, Compcare, Qualcare, Bon Secours Health System, Hoboken University Medical Center, and New Bridge Medical Center — all New Jersey-based positions.
Dr. Kaplan served as a member of several New Jersey state committees addressing child psychiatry issues. For instance, he was appointed by former Governor, Christine Whitman, to the Children’s Initiative Implementation committee, which assisted in the development of New Jersey’s CSOC. He is also the recipient of excellence awards granted by Cornell University, UMDNJ, and the New Jersey Mental Health Association. As a researcher, Dr. Kaplan has presented at numerous national and international scientific meetings, and has published papers, books, and book chapters in the fields of substance use, ADHD, suicide, violence, autism spectrum disorder, and long-acting injectables. As a clinician, he has been recognized by Castle Connolly Top Doctors guide and the U.S. News & World Report Top Doctors list. In the community, Dr. Kaplan has been a frequent guest speaker in network and local cable broadcasts, commenting on current issues of impact to the population.
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Ankur Desai, M.D.
Dr. Ankur Desai is the medical director for PerformCare's operations in New Jersey, which serves as the contracted systems administrator for the New Jersey Children's System of Care. He is primarily responsible for the clinical oversight, training and guidance of staff involved with completing phone triage assessments and utilization management reviews for behavioral health services provided through the New Jersey Children's System of Care.
Dr. Desai is an integral member of the PerformCare Quality Improvement Committee, responsible for the Outlier Management Program and the enhanced care coordination initiatives. He is also involved in the ongoing maintenance and optimization of the inter-rater reliability assessment process for clinical decision making pertaining to behavioral health services provided through the New Jersey Children's System of Care.
Dr. Desai, who earned his Doctor of Medicine from Tufts University School of Medicine, joined PerformCare in 2009. Through strategic planning and collaboration, he developed a system-wide disease management model for children and adolescents with bipolar disorder. Dr. Desai is also actively involved in the development and maintenance of the Utilization Management program for behavioral health services provided through the New Jersey Children's System of Care.
Dr. Desai's behavioral health career began in 2001 at the University of Maryland/Sheppard Pratt Health Systems, where he served his residency in general adult psychiatry. He then entered a two-year fellowship program in child and adolescent psychiatry at Johns Hopkins University School of Medicine. Next, Dr. Desai became a staff psychiatrist at CPC Behavioral Healthcare, providing outpatient psychiatric services to children and adults. In 2008, he started work as a psychiatrist for Community Treatment Solutions, an agency that specializes in providing therapeutic residential services to adolescents with a history of trauma.
Dr. Desai continues to maintain a private practice — Premium Psychiatry Services of Central New Jersey LLC — where he provides outpatient medication management and psychotherapy services for children and adults, and performs school-based consultations and child study team evaluations for several local school districts. He also works as a direct provider of psychiatric services for a local therapeutic school.
Board certified in adult, child and adolescent psychiatry, Dr. Desai's expertise includes attention deficit hyperactivity disorder, and childhood anxiety and mood disorders. He has written and co-authored several articles on child and adolescent behavioral health issues, including psychotropic medications, medical marijuana and the effects of computer screen time on youth and families. Dr. Desai was ranked among New Jersey's "Favorite Kids' Docs" in NJ Family Magazine in 2012.
PerformCare is a national, full-service behavioral health managed care company, currently ensuring access to treatment and achieving clinical outcomes through service excellence for more than 1 million individuals. It operates Medicaid behavioral health managed care programs in five states.
PerformCare is part of the AmeriHealth Caritas Family of Companies. AmeriHealth Caritas is among the largest organizations of Medicaid managed care plans and related businesses in the United States, touching the lives of more than 6.9 million individuals covered by Medicaid, Medicare, Children's Health Insurance Program (CHIP) and other insurance.
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Director of Information Technology
Alfonsina Comune is the Director of Information Technology for PerformCare New Jersey. Ms. Comune works to advance PerformCare's operations by streamlining processes, increasing efficiencies, and implementing best practices. Ms. Comune oversees billing and eligibility, data reporting, and training functions.
Prior to joining PerformCare, Ms. Comune worked in New Jersey State government for over 25 years. During the last 10 years, she worked for the New Jersey Office of Information Technology in a number of leadership positions including Chief of Staff, where she was responsible for statewide IT telecommunications and vendor contracts valued over $70 million dollars, review and approval of statewide IT procurements valued at over $200 million, and large IT implementations valued over $10 million dollars.
Ms. Comune holds a master's degree from Rutgers University and a Bachelor's degree from Seton Hall in Public Administration.
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Lucas Dominica, M.B.A.
Director of Operations
Lucas Dominica is Director of Operations for PerformCare New Jersey, which serves as the contracted systems administrator for the New Jersey Children's System of Care. In this role, he uses research and analysis to solve operational problems. Mr. Dominica's experience lies in health care population reporting, risk stratification, and project management.
Mr. Dominica works to advance PerformCare's operations by streamlining processes, increasing efficiencies, and implementing best practices. His responsibilities include billing and eligibility; internal and external reporting; and communications, training, and
Prior to joining PerformCare New Jersey, Mr. Dominica served as Manager, Medical Economics supporting reporting for the Healthcare Effectiveness Data and Information Set (HEDIS®) at AmeriHealth Caritas. He managed a team of corporate data analysts responsible for programming, generating, and maintaining both production and ad hoc-based quantitative reporting. Mr. Dominica was responsible for aligning reporting strategies and synergies between health care quality measurement and revenue enhancement in 15 separate markets. In addition, he led corporate health care provider performance reporting efforts related to HEDIS and other standardized quality measurements.
Mr. Dominica earned a Master of Business Administration degree in healthcare administration from the University of Delaware. He also earned a Bachelor of Arts in psychology and political science from the University of Delaware. Currently, Mr. Dominica serves as the President of the Saint Marks High School Alumni Association in Wilmington, Delaware.
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Director of Clinical Operations
Laura Johnson is the Director of Clinical Operations for PerformCare New Jersey. She is responsible for the effective implementation of all clinical and utilization management programs, including the development of clinical policies and procedures, ensuring regulatory guidelines and standards are met, and identifying opportunities for quality improvement for service delivery and outcomes. She supervises all non-medical clinical staff at PerformCare New Jersey.
Ms. Johnson has over 20 years of experience in the behavioral health field, including direct care service, clinical leadership, and managed care for behavioral health and substance use. Previously, she worked for Magellan Health services supervising UM functions, developing new clinical initiatives, and implementing new programs while enhancing existing procedures.
Ms. Johnson is a licensed Clinical Social Worker and Certified Case Manager. She received her Bachelor's degree from Regents College and her master's degree in Social Work from New York University.
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Director of Member Engagement
Yolanda Mancari is the Director of Member Engagement for PerformCare's operations in New Jersey, which serves as the contracted systems administrator for the New Jersey Children's System of Care. She was appointed to this role in September 2015, having formerly served as the Director of New Business Activation since joining PerformCare in July 2013.
As director of the newly established Member Engagement department, her primary role is leading the implementation of the strategic vision for all services impacting individuals within the New Jersey Children's System of Care. Ms. Mancari's exceptional professional achievements align directly with PerformCare's focus on consumer advocacy, program development and implementation, safety and risk management, and regulatory compliance.
A talented, solution-oriented operations executive, Ms. Mancari began her career at the onset of deinstitutionalization in New Jersey. For more than 30 years she has been dedicated to improving lives through adherence to standard operating practices that ensure safe, high-quality therapeutic service delivery.
Prior to joining PerformCare, Ms. Mancari served as confidential assistant to the deputy commissioner of DHS' Services for People with Disabilities, and as chief of the Office of Public Safety and Risk Management for the New Jersey Department of Human Services (DHS), which included more than 15,000 employees and oversight of five hospitals and six developmental centers.
Her previous experience also includes serving as chief operating officer for South Jersey Behavioral Health Resources Inc., one of the largest mental health providers in southern New Jersey. Under her direction, the organization reduced overtime costs by 25 percent, implemented a 100 percent Medicaid-compliant electronic health record system, and developed risk management, safety and security plans to achieve full state and federal compliance. Most notably, Ms. Mancari was instrumental in designing an enhanced supportive housing program recognized as a model program for adult mental health consumers in New Jersey with serious medical conditions, leveraging more than $1 million in new operations for this initiative.
Ms. Mancari worked for SERV for 19 years in many roles, including Assistant Residential Coordinator, Residential Coordinator, Safety Officer, Quality Coordinator and Vice President of Quality. While she was Vice President of Quality for SERV Behavioral Health System, Ms. Mancari successfully developed and managed multiple residential sites, including group homes, respite programs, supervised apartment programs and supportive housing programs, throughout New Jersey. Her expertise in strategic planning and quality improvement ensured the sites satisfied regulatory compliance requirements for licensure, certification and accreditation.
A certified social worker and certified professional in health care quality, Ms. Mancari earned her Bachelor of Science in sociology from Pennsylvania-based King's College.
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