Carlos A. Ayestas

Healthcare operations and program administration leader with 10+ years of experience across behavioral health, home- and community-based care coordination, patient intake, quality assurance, chart management, and regulatory compliance. Bilingual (English/Spanish) MBA candidate transitioning into healthcare operations leadership, with a track record coordinating complex healthcare workflows, reviewing clinical documentation for treatment-plan compliance, maintaining audit-ready patient records, and managing cross-functional service delivery.

Mental Health Professional – FACT Team | Care Coordination & Program Operations at Fellowship House (2023-12 – Present)

• Coordinate home- and community-based healthcare services for a caseload of 20 individuals with severe mental illness residing in assisted living and independent living settings, integrating psychiatric, medical, residential, and pharmacy services.
• Coordinate nursing visits for scheduled injections and medication administration, monthly psychiatry follow-up, medication changes, laboratory testing, and specialty medical appointments.
• Conduct regular in-person visits to ALF/ILF settings to assess living conditions, quality of care, service delivery, and unmet physical or behavioral health needs.
• Complete intake assessments for new patients transitioning from state hospital settings when needed, ensuring required clinical and administrative information is captured for service initiation.
• Perform quality assurance (QA) review of progress notes and clinical documentation for accuracy, completeness, treatment-plan alignment, timely signatures, and required follow-up.
• Maintain complete, audit-ready patient charts for the assigned caseload, verifying required records are current and resolving missing or incomplete documentation.
• Develop and maintain individualized service and treatment plans; track milestones, referrals, hospital and discharge follow-up, and continuity of care across providers.
• Attend daily multidisciplinary coordination with team leader, psychiatrist, nurses, case managers, while maintaining HIPAA, Medicaid, Medicare, and internal compliance requirements.

Healthcare Administrative Operations & Human Resources at Mental Health Kaizen Mindset Services LLC (2021-02 – 2023-11)

• Led day-to-day administrative and workforce operations supporting employee services, behavioral health programming, compliance, and organizational continuity.
• Supervised a team of 4, assigned workflow responsibilities, monitored completion of operational tasks, and provided day-to-day guidance and performance support.
• Coordinated employee onboarding, staff training, leave administration, personnel documentation, and internal administrative workflows.
• Partnered with organizational leadership on staffing needs, employee performance, operational concerns, and implementation of internal procedures while maintaining confidential workforce and healthcare-related records.

Behavioral Health Program Operations & Care Coordination at WestCare (The Village South) / Children's Home Society of Florida (2019-08 – 2021-01)

• Supported multidisciplinary program operations in collaboration with care coordinators, case managers, therapists, healthcare providers, and community partners.
• Coordinated delivery of behavioral health, substance-use, and family services while monitoring treatment requirements, referrals, follow-up needs, and continuity of care.
• Maintained program documentation and patient records for compliance reviews, quality monitoring, treatment-plan requirements, and audit readiness.
• Facilitated communication across clinical and administrative teams to resolve service gaps, barriers to care, outstanding documentation, and referral needs.

Intake & Behavioral Health Operations Specialist at New Horizons (2017-07 – 2019-07)

• Led bilingual intake and referral workflows for individuals entering behavioral health and substance-use programs, ensuring timely transition from initial contact to active services.
• Provided operational leadership to intake operations, directly supervising 2 staff members and coordinating workflow priorities to ensure consistent service delivery.
• Coordinated communication among patients, providers, case-management teams, and community organizations while overseeing intake documentation, eligibility information, referral records, and administrative compliance.

Master of Business Administration in MBA – Keiser University (2026-10)

Master of Science in Mental Health – Universidad Nacional Autónoma de Nicaragua, UNAN-León (2015)

Bachelor of Science in Psychology – Universidad Nacional Autónoma de Nicaragua, UNAN-León (2008)