Experience

United Behavioral Health

• Hospitals and Health Care
• 100 - 200 Employee

• Care Advocate - Behavioral Health

  • Nov 2012 - Present



United Behavioral Health/Optum

• Care Advocate

  • Nov 2012 - Present

• Compliance Clinical Consultant

  • Sep 2012 - Nov 2012

• Intensive Case Manager

  • Nov 2008 - Sep 2012



Texas NeuroRehab Center

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Admissions Specialist

  • Aug 2007 - Nov 2008

  Admissions Screening – fielding inquiry calls from potential clients and referring providers Utilization Review – benefit verification, pre-certification and recertification of substance abuse treatmentAftercare Planning – resources development for post facilty servicesDocumentation Training – assessment of current practices and development of Best Practices guidelines for clincial staffMultidisciplinary Team Participation – client case staffing



Cenpatico Behavioral Health/Centene

• Clinical Care Manager

  • Aug 2003 - Aug 2007

  Managed Care Review – utilization reviews for psychiatric and substance abuse treatment of public benefit plansQuality Improvement – assess quality and intensity of treatmentPatient Advocacy – working with providers to develop sound treatment and aftercare services in order to reduce re-admissions and improve treatment complianceTraining – clinical and technical Denials and Appeals – notification and coordination in accordance with timeline standards, report writingCase… Managed Care Review – utilization reviews for psychiatric and substance abuse treatment of public benefit plansQuality Improvement – assess quality and intensity of treatmentPatient Advocacy – working with providers to develop sound treatment and aftercare services in order to reduce re-admissions and improve treatment complianceTraining – clinical and technical Denials and Appeals – notification and coordination in accordance with timeline standards, report writingCase Management – collaboration with Intensive Case Management team to address resource development and aftercare services to facilitate treatment compliance and reduce re-admissions Show more Show less



The Oaks Treatment Center

• United States
• Hospitals and Health Care

• Clinical Case Manager

  • Nov 2002 - Aug 2003

  Clinical Services – residential and acute levels of care for commercial benefit plansCase Management – multidisciplinary team participation, resource development, liaison to community service providers, utilization reviews, treatment plan development



Value Options

• United States
• Telecommunications
• 1 - 100 Employee

• Clinical Care Manager

  • Jan 2001 - Jan 2002

  Managed Care Review - utilization review for psychiatric and substance abuse treatment of commercial benefit plansQuality Improvement – assess quality and intensity of treatmentPatient Advocacy – working with providers to develop sound treatment and aftercare services in order to reduce re-admissions and improve treatment compliancePhysician to Physician Reviews – coordinating Attending and Physician Advisor reviewsDenials and Appeals – notification and coordination in… Managed Care Review - utilization review for psychiatric and substance abuse treatment of commercial benefit plansQuality Improvement – assess quality and intensity of treatmentPatient Advocacy – working with providers to develop sound treatment and aftercare services in order to reduce re-admissions and improve treatment compliancePhysician to Physician Reviews – coordinating Attending and Physician Advisor reviewsDenials and Appeals – notification and coordination in accordance with timeline standards, report writing Show more Show less



Private Practice

• Professional Training and Coaching
• 1 - 100 Employee

• Consultant

  • Jan 2000 - Jan 2001

  Clinical ServicesProgram Assessments – on site program assessment for a national foster care organizationTraining – foster parent and provider training to prevent allegations of abuseReport writing

• Clinical Care Manager

  • Jan 1997 - Jan 2000

  Clinical Services – residential and acute level of care for public sector benefit plansCase Management – multidisciplinary team participation, court testimony, resource development, liaison to community service providers, utilization reviews, treatment plan development



Travis County Children’s Advocacy Center

• Clinical Director

  • Jan 1995 - Jan 1997

  Program Services – development and implementation of clinical services, grant reportsStaff Supervision – management and training of clinical staff, 4 direct reportsInteragency Liaison – collaboration and coordination of services with local government agencies and other non-profit organizations



Crosspoint, Inc

• 1 - 100 Employee

• Clinical Coordinator

  • Jan 1994 - Jan 1995

  Intake – review of referrals for program admissionProgram Services – oversight of case management and clinical servicesInteragency Liaison – collaborate and coordinate services with federal and state agenciesStaff Supervision – supervision of Case Managers, 8 direct reports



The Center for Health Care Services

• United States
• Mental Health Care
• 400 - 500 Employee

• Case Manager

  • Jan 1993 - Jan 1994

  Intensive Case Management – assessment, resource development and implementation for the seriously mentally ill, public sectorClinical Services – outpatient and in-home services



Community Counseling Services

• Mental Health Care
• 100 - 200 Employee

• Clinic Manager

  • Jan 1990 - Jan 1992

  Intake – review of referrals for program admission and schedulingAdministration – manage day-to-day operation of the agency