Experience

Empire BlueCross BlueShield HealthPlus

• United States
• Insurance
• 1 - 100 Employee

• Behavioral Health Care Manager

  • Oct 2015 - Present

  • Oversee the Behavioral Health Case Management and Utilization Management teams in their performance of activities to support of over 7800 members with chronic medical, mental health and substance abuse diagnoses, throughout the continuum of care. • Supervise, train and support team associates in the completion of all daily tasks, and analyze data and metrics to ensure established individual, team and corporate goals are met. • Collaborate with Human Resources to screen and recruit… Show more • Oversee the Behavioral Health Case Management and Utilization Management teams in their performance of activities to support of over 7800 members with chronic medical, mental health and substance abuse diagnoses, throughout the continuum of care. • Supervise, train and support team associates in the completion of all daily tasks, and analyze data and metrics to ensure established individual, team and corporate goals are met. • Collaborate with Human Resources to screen and recruit skilled talent who include licensed professionals and administrative support. • Increase support for mental and physical health services by coordinating and managing partnerships with community based and health care organizations and providers, to support membership needs. • Achieve more support and improved outcomes for clients by reviewing and granting community agency proposal requests for program funding. • Collaborate with stakeholders to manage team projects that establish goals, timelines and identify resources. Monitor the progress to deliver the completion of all tasks. • Complete quality reviews and audits on client case records and projects. • Analyze claims and utilization management data to identify over- and/or under-utilization of services and benefits, to propose interventions to address utilization and achieve cost savings. • Increase customer satisfaction by overseeing and addressing member satisfaction surveys and complaints. Identify trends and establish plans of actions to address client complaints. Show less • Oversee the Behavioral Health Case Management and Utilization Management teams in their performance of activities to support of over 7800 members with chronic medical, mental health and substance abuse diagnoses, throughout the continuum of care. • Supervise, train and support team associates in the completion of all daily tasks, and analyze data and metrics to ensure established individual, team and corporate goals are met. • Collaborate with Human Resources to screen and recruit… Show more • Oversee the Behavioral Health Case Management and Utilization Management teams in their performance of activities to support of over 7800 members with chronic medical, mental health and substance abuse diagnoses, throughout the continuum of care. • Supervise, train and support team associates in the completion of all daily tasks, and analyze data and metrics to ensure established individual, team and corporate goals are met. • Collaborate with Human Resources to screen and recruit skilled talent who include licensed professionals and administrative support. • Increase support for mental and physical health services by coordinating and managing partnerships with community based and health care organizations and providers, to support membership needs. • Achieve more support and improved outcomes for clients by reviewing and granting community agency proposal requests for program funding. • Collaborate with stakeholders to manage team projects that establish goals, timelines and identify resources. Monitor the progress to deliver the completion of all tasks. • Complete quality reviews and audits on client case records and projects. • Analyze claims and utilization management data to identify over- and/or under-utilization of services and benefits, to propose interventions to address utilization and achieve cost savings. • Increase customer satisfaction by overseeing and addressing member satisfaction surveys and complaints. Identify trends and establish plans of actions to address client complaints. Show less



FEGS

• United States
• Non-profit Organizations
• 500 - 600 Employee

• Senior Project Coordinator

  • Dec 2014 - Apr 2015

  • Oversaw 9 case managers and 2 case management supervisors serving over 1000 clients, applying for disability benefits/ services. • Completed daily audits to ensure compliance with all New York City Human Resource Administration requirements. • Responded to and sought resolution to all client complaints. • Collaborated with physicians and mental health providers on behalf of clients, to complete applications for disability benefits/services. • Managed client discharges and case… Show more • Oversaw 9 case managers and 2 case management supervisors serving over 1000 clients, applying for disability benefits/ services. • Completed daily audits to ensure compliance with all New York City Human Resource Administration requirements. • Responded to and sought resolution to all client complaints. • Collaborated with physicians and mental health providers on behalf of clients, to complete applications for disability benefits/services. • Managed client discharges and case transfers to ensure the continuation of services, as a result of program/agency closure Show less • Oversaw 9 case managers and 2 case management supervisors serving over 1000 clients, applying for disability benefits/ services. • Completed daily audits to ensure compliance with all New York City Human Resource Administration requirements. • Responded to and sought resolution to all client complaints. • Collaborated with physicians and mental health providers on behalf of clients, to complete applications for disability benefits/services. • Managed client discharges and case… Show more • Oversaw 9 case managers and 2 case management supervisors serving over 1000 clients, applying for disability benefits/ services. • Completed daily audits to ensure compliance with all New York City Human Resource Administration requirements. • Responded to and sought resolution to all client complaints. • Collaborated with physicians and mental health providers on behalf of clients, to complete applications for disability benefits/services. • Managed client discharges and case transfers to ensure the continuation of services, as a result of program/agency closure Show less



American Red Cross

• United States
• Non-profit Organizations
• 700 & Above Employee

• Disaster Response Manager

  • Apr 2013 - Nov 2014

  • Provided individual and group supervision to 10 case managers simultaneously serving over 500 clients affected by Super Storm Sandy in New York and Connecticut. • Monitored and reviewed requests on clients’ behalf to access financial assistance from non-profit organizations and private donors, as well as mental health, medical and legal services. • Responsible to interview, hire and orient new employees to the American Red Cross, including developing training curriculum for disaster… Show more • Provided individual and group supervision to 10 case managers simultaneously serving over 500 clients affected by Super Storm Sandy in New York and Connecticut. • Monitored and reviewed requests on clients’ behalf to access financial assistance from non-profit organizations and private donors, as well as mental health, medical and legal services. • Responsible to interview, hire and orient new employees to the American Red Cross, including developing training curriculum for disaster response case managers for national not-for-profit. • Responsible for resolving and following up on grievances presented by clients and government officials. Show less • Provided individual and group supervision to 10 case managers simultaneously serving over 500 clients affected by Super Storm Sandy in New York and Connecticut. • Monitored and reviewed requests on clients’ behalf to access financial assistance from non-profit organizations and private donors, as well as mental health, medical and legal services. • Responsible to interview, hire and orient new employees to the American Red Cross, including developing training curriculum for disaster… Show more • Provided individual and group supervision to 10 case managers simultaneously serving over 500 clients affected by Super Storm Sandy in New York and Connecticut. • Monitored and reviewed requests on clients’ behalf to access financial assistance from non-profit organizations and private donors, as well as mental health, medical and legal services. • Responsible to interview, hire and orient new employees to the American Red Cross, including developing training curriculum for disaster response case managers for national not-for-profit. • Responsible for resolving and following up on grievances presented by clients and government officials. Show less



Community Options, Inc.

• United States
• Non-profit Organizations
• 700 & Above Employee

• Program Manager

  • Sep 2010 - Dec 2011

  • Provided direct supervision to over 150 clients receiving case management and other rehabilitative services rendered under the Traumatic Brain Injury Waiver and Office of People with Developmental Disabilities Waiver. • Managed 24-hour emergency assistance for all clients. • Recruited, trained, and provided clinical supervision to all members of staff. • Chaired Incident Review Committee. • Oversaw fundraising events. • Provided direct supervision to over 150 clients receiving case management and other rehabilitative services rendered under the Traumatic Brain Injury Waiver and Office of People with Developmental Disabilities Waiver. • Managed 24-hour emergency assistance for all clients. • Recruited, trained, and provided clinical supervision to all members of staff. • Chaired Incident Review Committee. • Oversaw fundraising events.



Allwell Behavioral Health Services

• United States
• Mental Health Care
• 1 - 100 Employee

• Program Supervisor

  • Sep 2007 - Sep 2010

  • Monitored service provision to clients who have traumatic brain injuries, to ensure adherence to individual service plans. • Provided clinical direction/ supervision and training to direct care staff members, to ensure quality rendering of services. • Oversaw the timely and appropriate completion and maintenance of all agency documents, including participant service plans, clinical case notes, and client files, to ensure agency compliance with Department of Health Regulations… Show more • Monitored service provision to clients who have traumatic brain injuries, to ensure adherence to individual service plans. • Provided clinical direction/ supervision and training to direct care staff members, to ensure quality rendering of services. • Oversaw the timely and appropriate completion and maintenance of all agency documents, including participant service plans, clinical case notes, and client files, to ensure agency compliance with Department of Health Regulations. • Oversaw Incident Review committee and participate in Quality Assurance committee. • Participated in the development of and implementation of effective staff training tools. Show less • Monitored service provision to clients who have traumatic brain injuries, to ensure adherence to individual service plans. • Provided clinical direction/ supervision and training to direct care staff members, to ensure quality rendering of services. • Oversaw the timely and appropriate completion and maintenance of all agency documents, including participant service plans, clinical case notes, and client files, to ensure agency compliance with Department of Health Regulations… Show more • Monitored service provision to clients who have traumatic brain injuries, to ensure adherence to individual service plans. • Provided clinical direction/ supervision and training to direct care staff members, to ensure quality rendering of services. • Oversaw the timely and appropriate completion and maintenance of all agency documents, including participant service plans, clinical case notes, and client files, to ensure agency compliance with Department of Health Regulations. • Oversaw Incident Review committee and participate in Quality Assurance committee. • Participated in the development of and implementation of effective staff training tools. Show less