Experience

AbsoluteCARE Medical Center & Pharmacy

• United States
• Medical Practices
• 1 - 100 Employee

• Manager of Care Management

  • Oct 2020 - Present

  • Lead a diverse group of staff members, setting performance goals and work deadlines while proactively coaching and mentoring care team in meeting individual and organizational goals• Evaluates effectiveness of care management services and initiate quality and performance improvement initiatives to improve and advance care• Collaborate with medical director and primary care providers to effectively manage individual member needs and health outcomes• Serves as a liaison between AbsoluteCARE staff, practice leadership, national team and senior executives



Aetna

• United States
• Appliances, Electrical, and Electronics Manufacturing
• 1 - 100 Employee

• Clinical Liaison

  • Jan 2020 - Oct 2020

  • Clinical leader of the Medicaid plan focusing on integrating member care, clinical coordination and development and implementation of programs and initiatives • Represent the health plan and collaborate with State Governments, key stakeholders, and community organizations• Partners with executive leadership to manage and oversee the Care Management Program within the health plan• Provide clinical oversight of the Integrated Care Plan team and the Children’s Health Insurance Program (CHIP)• Partner with Behavioral Health Managed Care Organizations on new initiatives to effectively integrate physical health and behavioral health care across the health plan



Beacon Health Options

• United States
• Mental Health Care
• 700 & Above Employee

• Clinical Manager

  • Sep 2016 - Jan 2020

  • Provide oversight of clinical operations for Integrated Care Management staff, Utilization Management staff and Clinical Service Assistant staff for Specialty Populations and Medicaid Populations• Provide clinical oversight of clinical policies, procedures, goals and workflows• Develop and implement new workflows to enhance program development• Monitor program performance and identify areas of improvement through data analysis• Participated in the development and implementation of the NJFC Benefit Expansion • Monitor Follow-Up After Hospitalization HEDIS metrics • Lead the Health Care Disparities: Elderly and Depression workgroup development



Family Service Association of Bucks County

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

• Case Manager Supervisor

  • Sep 2012 - Sep 2016

  Case Manager Supervisor• Provide daily oversight and consultation to case managers regarding progress or problems with cases and administrative tasks.• Ensure that training and development is provided to staff as required and needed.• Prepare and present reports as required including progress of program and problems with recommendations for program improvements. • Represent the agency to the community and other organizations through activities of public speaking, education and networking. Case Manager• Provide case management services for adults living in the community with mental health challenges• Demonstrate and understanding and knowledge of DSM IV and DSM V diagnostic criteria• Complete assessments for each client opened in case management and develop treatment plans determined by client need and client strengths.• Demonstrate skills in motivational interviewing and strengths-based practice• Connect clients to services and resources to help support achievement of goals (domains of housing, health care, transportation, employment, legal assistance, education, drug and alcohol etc.)• Advocate for client access to resources to improve their quality of life and successfully achieve their goals• Demonstrate knowledge and skills with Motivational Interviewing techniques and strengths based perspective• Attend weekly Treatment Team meetings with team psychiatrist Macro Level Internship for MSW• Participate in developing and implementing electronic medical records in agency• Participate in implementing case management program in Doylestown office• Participate in development of events and marketing strategies for growth of Teen Center Program• Participate in developing and implementing a temporary housing assistance program for case management clients• Participate in Program Quality Improvement meetings • Experience in proposal writing • Participate in preparation for up-coming audits • Analyze program outcomes



Hampton Behavioral Hospital

• Mental Health Associate/ Admissions Associate

  • Apr 2010 - Sep 2012

  • Utilized clinical expertise in effectively managing full cycle of admission to inpatient care for patients in crisis• Answered crisis calls and successfully referred callers to appropriate level of care. • Provided education around mental illness to patient and family members upon admission into the hospital• Provided crisis intervention skills for patient family members to utilize upon patient discharge• Facilitated a Mental Health group one time per week with patients on adult unit with focus on symptom management, increase in independence and self-care skills.• Ensured patient safety and milieu safety on unit