Experience

Sandstone Care

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Director of Utilization Review

  • Dec 2020 - Present

  Colorado, United States



The Recovery Village at Palmer Lake, CO

• United States
• Individual and Family Services
• 1 - 100 Employee

• Utilization Review Manager

  • Mar 2016 - Dec 2020

  Palmer Lake CO

• Utilization Review Specialist

  • Oct 2015 - Mar 2016

  Palmer Lake Colorado Review clinical diagnostic information at admission for pre-certifications and throughout stay to determine appropriateness for the level of care indicated and the prescribed length of stay in accordance with established norms. Open cases with multiple managed care review agencies and review cases daily for medical necessity. Develop a thorough understanding of each clients clinical presentation prior to each concurrent review to ensure quality patient advocacy. Conference with psychiatrists… Show more Review clinical diagnostic information at admission for pre-certifications and throughout stay to determine appropriateness for the level of care indicated and the prescribed length of stay in accordance with established norms. Open cases with multiple managed care review agencies and review cases daily for medical necessity. Develop a thorough understanding of each clients clinical presentation prior to each concurrent review to ensure quality patient advocacy. Conference with psychiatrists and the treatment team when indicated. Participate in the clinical outcomes review process and make requests for lower levels of care, as requested by the treatment team.



Strategic Behavioral Health

• United States
• Mental Health Care
• 100 - 200 Employee

• Therapist and Utilization Review Specialist

  • Nov 2013 - Oct 2015

  Colorado Springs, Colorado Reviewed clinical diagnostic information at admission and throughout a stay to determine appropriateness for the level of care indicated and the prescribed length of stay in accordance with established norms. As the Utilization Review Team Lead of 4 case managers - opened cases with multiple managed care review agencies and reviewed cases daily for medical necessity. Developed a thorough understanding of each patient's clinical presentation prior to each review to ensure quality patient… Show more Reviewed clinical diagnostic information at admission and throughout a stay to determine appropriateness for the level of care indicated and the prescribed length of stay in accordance with established norms. As the Utilization Review Team Lead of 4 case managers - opened cases with multiple managed care review agencies and reviewed cases daily for medical necessity. Developed a thorough understanding of each patient's clinical presentation prior to each review to ensure quality patient advocacy. Conferenced with psychiatrists and the treatment teams when indicated. Participated in the clinical outcomes review process and made requests for lower levels of care, as requested by the treatment team. Show less



Career Step

• Medical Transcription Editor

  • Sep 2011 - Aug 2013

  Career Step In addition to improving typing skills and GWPM there has been a focus on technology and the Medical Professional. The areas of training include Key Board Kinetics, Medical Word Building, Grammar and Punctuation, Anatomy, Pathophysiology, and Disease Processes, Mastering Medical Language, Pharmacology, Healthcare Documentation, Completing Diagnostic Reports, Focus on Medical Specialties, Basic Transcription, Transcription Clinic Notes, transcription basic acute care, Transcription advanced… Show more In addition to improving typing skills and GWPM there has been a focus on technology and the Medical Professional. The areas of training include Key Board Kinetics, Medical Word Building, Grammar and Punctuation, Anatomy, Pathophysiology, and Disease Processes, Mastering Medical Language, Pharmacology, Healthcare Documentation, Completing Diagnostic Reports, Focus on Medical Specialties, Basic Transcription, Transcription Clinic Notes, transcription basic acute care, Transcription advanced acute care, Editing Theory, Editing techniques, clinic, and acute Notes. Show less



USAF Academy, Behavioral Sciences and Leadership Dept

• Civilian Instructor (Temp Hire)

  • Feb 2011 - May 2011

  US Air Force Academy, Colorado Springs, CO Undergraduate university instructor; developed/delivered core-course curriculum for approx. 90 cadets per semester. Advised and mentored cadets; modeled and assessed cadet AF core values, academic performance and military bearing. Provided admin oversight for department active-duty hiring and sponsored graduate student placement. Facilitator and speaker for USAF Academy programs including the Center for Character Development and Cadets Leadership Enrichment Seminar.



Assistant Professor in Behavioral Sciences Dept, USAFA

• Assistant Professor (as military officer)

  • Jul 2008 - Feb 2011

  United States Air Force Academy Undergraduate university instructor; developed/delivered core-course curriculum for approx. 90 cadets per semester. Advises and mentors cadets; models and assesses cadet AF core values, academic performance and military bearing. Personnel Officer and Curriculum Review Team member. Provided admin oversight for dept active-duty hiring and sponsored graduate student placement. Provided Anti-Terrorism and security training to the department. Conducted essential research for and provided support to… Show more Undergraduate university instructor; developed/delivered core-course curriculum for approx. 90 cadets per semester. Advises and mentors cadets; models and assesses cadet AF core values, academic performance and military bearing. Personnel Officer and Curriculum Review Team member. Provided admin oversight for dept active-duty hiring and sponsored graduate student placement. Provided Anti-Terrorism and security training to the department. Conducted essential research for and provided support to AF and DoD organizations worldwide; supported diverse Academy operations; ethical development. Show less



United States Air Force

• United States
• Defense and Space Manufacturing
• 700 & Above Employee

• Sexual Assault Response Coordinator

  • Jun 2006 - May 2008

  Managed the sexual assault prevention and response office, complied with Congressional and DoD program mandates. Developed and administered prevention & support prgms for a base population of over 7,440 active/reserve personnel. Interviewed, selected, and trained victim advocates. Developed activities for awareness and prevention. Maintained 24/7 hotline and provided crisis intervention.

• Squadron Section Commander

  • Jan 2005 - Jun 2006

  2nd Communications Squadron Directly supervised 2 NCO's and 1 Airman in the admin office. Ran personnel and programs for a squadron of over 320 personnel. Ensured accuracy and timely processing of performance reports, decorations, summary pkgs, and admin disciplinary actions. Oversaw all squadron leave, temporary duty orders, fitness, formal training, and sponsorship prgms. Government Travel Card monitor, and Unit Fitness program manager.

• Adjutant, Executive Officer

  • Jun 2003 - Jan 2005

  Barksdale AFB, LA Supervised 1 NCO and 1 Airman in admin of personnel prgms for a squadron of 120 personnel. Oversaw squadron leave, temp duties, weight and body fat mgmt., sponsorship, and unit formal training programs. Directed functions of commanders immediate staff, researched and prepared official correspondence for the commander, long range planner: tracked and coordinated suspense's and tasks.