Experience

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  CuraLinc Healthcare

  • United States
  • Health, Wellness & Fitness
  • 200 - 300 Employee

  • Director of Network Services

    • Jul 2019 - Present

    Accountable for all network development and contract management activities including negotiations and administering organizational policies and procedures. Develop tactical plans to align strategies and technologies with future needs. Manage Network Services staff. Develop staff skills and competencies.

  • Manager of Network Services

    • Jul 2018 - Jul 2019

    Ongoing development and maintenance of a qualified, quality-oriented, cost effective, clinical provider network. Administration of all aspects of the claims adjudication process. Manage Network Services staff.

  • Case Manager

    • May 2017 - Jul 2018

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  ComPsych

  • NBC Tower

  • Clinical Manager

    • Feb 2006 - Aug 2016
    • NBC Tower

    As Clinical Manager, supervised, on average, 25 Master’s level staff. Provided performance management of operations impacting the delivery of behavioral health and EAP services. Responsibilities included staff development and evaluation, queue management, oversight of quality of service delivery and regulatory compliance. Integral member of multidisciplinary approach to effectively prioritize consumers by levels of risk and coordinate care to optimize outcomes. Dedicated point person on multiple high-level accounts.Trainer for managed care processes including benefit review/access, pre-certification, patient education, applicable levels of care based on clinical presentation and strategies to resolve gaps in care.

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  Catholic Charities of the Archdiocese of Chicago

  • United States
  • Individual and Family Services
  • 700 & Above Employee

  • Supervisor

    • Jan 2001 - Jan 2006

    Managed eight Child Welfare Specialists in all facets of service delivery and regulatory compliance in the Foster Care services division of Catholic Charities.

  • Child Welfare Specialist IV

    • Jan 1997 - Jan 2001

    Received Award from Cook County Juvenile Court Drove high performance metrics through a strong focus on client service, planning and teamwork Consistently received exceeds expectations on performance evaluations

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  Illinois Department of Children and Family Services

  • Child Welfare Specialist

    • Jan 1993 - Jan 1997

    Received written commendation from IDCFS legal department for excellence Managed and provided services to 50 families Provided recommendations to Cook County Juvenile Court