Experience

Foresight Mental Health

• United States
• Mental Health Care
• 200 - 300 Employee

• Manager Strategic Partnerships

  • Feb 2022 - Present

  • Leads the business development, referral partnerships growth efforts • Develops the strategic approach to drive revenue in expansion states through channel partnerships • Created cold call outreach strategy for large partnerships in healthcare with key prospective partners • Ensures that cost-effective treatment is provided, and patient’s-rights regulations are followed • Provides leadership and strategic delivered 3:1 ROI on department efforts and expenses in less then 90 days of joining the team • April-June delivered a 96% increase in new referrals from partnerships that came directly from my efforts • Partner with clinical leadership to develop key offerings to succeed in new markets • Work closely with the clinical team to ensure proper staffing when a new partnership is established Show less



UBH Denton

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

• Director of Military Program

  • Jun 2021 - Dec 2021

  Provides leadership and strategic planning for the Military Program ,ensuring delivery of clinical programs that meet the needs of the community and the facilities performance goals and objectives. Responsibilities include the overall administrative process of budgetary control ,management systems for all military program operations offered at the facility, including clinical, transportation coordination, intake and assessment activities, utilization review and business development. Provides leadership and strategic planning for the Military Program ,ensuring delivery of clinical programs that meet the needs of the community and the facilities performance goals and objectives. Responsibilities include the overall administrative process of budgetary control ,management systems for all military program operations offered at the facility, including clinical, transportation coordination, intake and assessment activities, utilization review and business development.



Sound Physicians

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Business Development Manager, Managed Care Services

  • Mar 2020 - Jun 2021

  Development, implementation and oversight of Sounds Physicians United Health Business development strategy. Initiatives include the establishment of indicators for monitoring and evaluating channel management plan, appropriateness, continuous improvement, key voice of customer (VOC) and pain points across the continuum of care. - Directs and provides leadership for developing and implementing business development methodologies to increase service line revenue - Collaborates with key health care professionals toward identification of opportunities for improvement, trend analysis, education and development of action plans to meet organizational goals - Establish and execute objectives and phased milestones to drive annual goals to meet internal initiatives - Identify areas where Sound can help our hospital partners improve their operations through solutions focused methodologies mapping key customer pain points - Foster teamwork and collaboration to ensure the sharing of information and best practices across the corporate structure - Manage successfully in a matrix model business environment which includes collaboration with HR, IT, Finance, Underwriting, Legal, Compliance/Risk Management and Shared Services Show less



Molina Healthcare

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Director of Health Homes

  • Mar 2018 - Mar 2020

  Responsible for leading and coordinating the pursuit of large scale strategic development for new business, including the development of high quality proposals to provide services, including contracts proposals, LOAs, or other written proposals; directs and executes the implementation and deployment of strategies and business objectives - Coordinates with the office of the Senior Vice President, corporate staff and peer managers to develop achievable milestones, monitor progress and results to ensure assigned programs/ projects meet desired targets - Works with key internal and external stakeholders to ensure growth strategies are effectively deployed and results are monitored; sought out for analysis and feedback to enable corporate leadership to make informed decisions and achieve strategic growth - Remains current with what is occurring, changing, developing, emerging in the industry and provides recommendations on how to pursue those opportunities and integrate into the company’s strategic goals - Fostering an environment that rewards accomplishment and encourages the advancement and retention of exceptional employees - Establishing performance expectations and overseeing activity of direct reports including adherence to policies Show less



NRC

• Program Director

  • May 2017 - Feb 2018

  Director for two comprehensive post-acute brain and spinal cord rehabilitation residential care facilities -Established performance expectations and overseeing activity of direct reports including adherence to policies -Case management to assist with insurance authorizations and approvals, psycho social issues and resources _ Utilization review -Streamline care process Created metrics to match organizational goals - Responsible and accountable for the management of both transitional inpatient brain injury programs designed for patients who are medically stable yet require 24-hour individualized rehabilitative care with the end goal of to return to their highest level of independence - Executes director level oversight of treatment care plans, rehabilitative therapies (Physical Therapy, Occupational Therapy, Speech Language Therapy, Behavioral Therapy) and coordinates the efforts of integrated rehabilitation team (nursing, certified caregivers and CNAs in coordination with supported physicians and specialists) - Responsible for driving profitable growth and expansion of services including: program and service development, profit and loss (P&L) management and optimal use of organic and agency staffing -Multi site management Show less



Cobalt

• Arizona, United States

• Director Of Case Management

  • Dec 2015 - May 2017

  Led a team of Case Managers in a 50 bed, for-profit acute rehab facility treating CVA's, traumatic brain injuries, orthopedics, neurological and other traumatic diagnoses - In a start-up setting, leveraged project management and business acumen to develop case management operating system/program (resulted in a zero deficiencies during Medicare audit for credentialing) - Consulted/coordinated with various internal departments, external plans, providers, vendors, to obtain information to meet departmental goals - Developed key performed indicators (KPIs) to actively monitor patient outcomes, efficiency of case management services and customer satisfaction - Fostered an environment that rewards accomplishment and encourages the advancement and retention of exceptional employees Show less



UnitedHealth Group

• Hospitals and Health Care
• 700 & Above Employee

• Senior Care Advocate/Case Management

  • Dec 2014 - Dec 2015

  As a Behavioral/Health Care Advocate, responsible for case management and utilization review of behavioral health and substance abuse cases - Created a patient centric care plan utilizing information provided during health assessment to identify problems, establish interventions and goals - Conducted health assessment interviews with patients/relatives to obtain social history relevant to medical problems and care planning - Collaborated with utilization management teams in care planning, analyzing community resources available and managing crisis intervention - Provided general education to patients and families to make informed personal health care decisions and facilitate communication between member, physician, health plan, and community Show less



Cigna Healthcare

• Hospitals and Health Care
• 700 & Above Employee

• Social worker/ Case Manager

  • Aug 2012 - Dec 2014

  Developed strategies, process and procedures to reduce costs and improve outcomes for Medicare patients - Developed process and procedures to streamline transitional and outpatient care - Leveraged expertise in counseling, identification of community resources, psychosocial concerns and discharge planning - Managed multi-disciplinary teams to optimize outcomes for patients and families Developed strategies, process and procedures to reduce costs and improve outcomes for Medicare patients - Developed process and procedures to streamline transitional and outpatient care - Leveraged expertise in counseling, identification of community resources, psychosocial concerns and discharge planning - Managed multi-disciplinary teams to optimize outcomes for patients and families



HealthSouth

• Hospitals and Health Care
• 700 & Above Employee

• Director Of Case Management

  • Mar 2011 - Aug 2012

  Led a team of 7 Case Managers in a 79-bed, for-profit acute rehab facility treating CVA's, traumatic brain injuries, orthopedics, neurological and other traumatic diagnoses - Evaluated and tracked delays in care, discharge plans, for opportunities/improvements of cost effective measures for patients with chronic diseases - Actively monitored patient satisfaction with case management services and case management outcomes, and responds accordingly to improve performance - Worked with insurance to verify benefits and assisted patient with documentation to receive benefits Show less



St. Francis Memorial Hospital

• 1 - 100 Employee

• Social Worker

  • May 2009 - May 2011

  Performed Behavioral/Social Work care for medium sized city hospital - Conducted general discharge planning for: vulnerable adults, victims of abuse or neglect, financially disadvantaged patients, long and short term nursing home placement, - Collaborated with multi-disciplinary team in providing additional clinical for DME, Home Care and other specialize needs - Provided psychosocial crisis intervention Performed Behavioral/Social Work care for medium sized city hospital - Conducted general discharge planning for: vulnerable adults, victims of abuse or neglect, financially disadvantaged patients, long and short term nursing home placement, - Collaborated with multi-disciplinary team in providing additional clinical for DME, Home Care and other specialize needs - Provided psychosocial crisis intervention