Experience

Elevance Health

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

• Social Worker

  • Apr 2016 - Present

  • Responsible for providing comprehensive telephonic medical and behavioral health care planning services to members who qualify for managed long-term care in the state of New York • Co-led Transitional Team Workgroup which developed the workflows, criteria, policies, forms and IT platform changes to create a new team responsible for managing inpatient levels of care • Sole organizer and facilitator for monthly social work meetings for a staff of 40 social workers • Conducted bi-weekly social work orientations for onboarding of new clinical staff • Selected as only social worker of an executive level workgroup to review vendors for electronic health record platforms- Mediture, Altruista, ZeOmega and Trizetto • Created an original power-point entitled “Depression: Overview and Treatment” with a focus on ECT treatment and presented the in-service training to over 100 staff members • Executive management submitted a case managed by this social worker to the Health Plan Association as an exemplary example of coordination of care • Lead liaison for Clinical Directors regarding social worker concerns/issues • Selected as sole social worker for the Pain Improvement Project Committee • Conduct monthly assessment calls, assist with end-of-life care decision planning, review and monitor inpatient hospitalizations and subacute and long term care skilled nursing facility admissions Show less



Alexandria Consulting Team (ACT) LLC

• United States
• International Trade and Development
• 1 - 100 Employee

• Vice President and Partner

  • 2010 - Jan 2016

  • Responsible for stateside business that specialized in international economic and social development projects focused on private sector development and trade and investment promotion through key partnerships that included USAID and the UNDP • Obtained and executed social service consulting projects and served as liaison for financial issues • Designed company website and created advertising promotional book for engineering client firm • Responsible for stateside business that specialized in international economic and social development projects focused on private sector development and trade and investment promotion through key partnerships that included USAID and the UNDP • Obtained and executed social service consulting projects and served as liaison for financial issues • Designed company website and created advertising promotional book for engineering client firm



Beacon Health Options

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

• Program Director

  • Feb 2015 - Jul 2015

  • Implemented high profile, new account, MetroPlus, which covered 500,000 insured members for Exchange, FIDA, Medicaid and HARP/QMP lines of business • Ensured contract compliance and execution of all deliverables with MetroPlus’ executive management and actively engaged all corporate and service center business units to achieve contractual needs • Reported directly to the New York State AVP to define and execute strategic goals for MetroPlus and the industry at large, ensuring regulatory and delegation agreement compliance • Created Program Director Peer Supervisory tract for all NY based Program Directors and managed HARP New York State audit • Implemented new ASAM level of care criteria and LOCADTR 3 placement criteria system for substance abuse treatment • Provided direct supervision to Clinical Directors and co-located staff • Oversaw day to day management of the client relationship, including evaluation of current priorities, allocation of resources to support MetroPlus’ daily and strategic objectives and communication of client expectations • Created, managed and presented comprehensive reporting and analysis of program utilization, cost, quality and related performance for all levels of utilization management Show less



The INN (Interfaith Nutrition Network)

• United States
• Civic and Social Organizations
• 1 - 100 Employee

• Program Coordinator, Shelter Supervisor

  • Mar 2014 - Feb 2015

  • Directed and managed three homeless shelters (two for families and one for men) and the 50 staff members who worked to maintain them 24/7, 365 days a year • Managed and oversaw the social service delivery, clinical supervision, crisis management, facility issues, food procurement and budgeting for all shelters and served as primary liaison with State and County contacts (DOH, DSS) • Directed and managed three homeless shelters (two for families and one for men) and the 50 staff members who worked to maintain them 24/7, 365 days a year • Managed and oversaw the social service delivery, clinical supervision, crisis management, facility issues, food procurement and budgeting for all shelters and served as primary liaison with State and County contacts (DOH, DSS)



ValueOptions, Inc.®

• United States
• Health, Wellness & Fitness
• 500 - 600 Employee

• Manager of Inpatient & Outpatient Clinical Operations

  • 1998 - 2007

  • Provided direct supervision to Clinical Supervisors, Clinicians and Customer Service Representatives for Health Plan, Commercial and Public Sector accounts covering over 3.5 million lives• Oversaw utilization management of inpatient, partial hospitalization, intensive outpatient, extended day and outpatient mental health and substance abuse programs, including clinical triage and referral processes • Lead clinician for accreditation preparation and compliance (URAC, DOH, DSS)• Responsible for ongoing clinical training, developing curricula, coordination of rounds and supervision of Clinicians• Account liaison with Health Plans and state agencies to address quality of care and best practice issues• Developed clinical department policies and procedures for utilization and appeals processes ACCOMPLISHMENTS• Created and instituted a coordinated care case management program with 10 different Health Plans for members with co-morbid medical, psychiatric and substance abuse issues• Developed a new database which was used as the national model and administered Integrated Care programs for Weight Management, Cardiac Event and Post-Partum Depression • Implemented newly acquired accounts including Kaiser Permanente Medicaid in Vermont, Anthem Blue Care Family Plan, Community Health Plan and Healthnet Medicaid in Connecticut, Senior Whole Health, and national accounts GHI-BMP, Medicare and Great-West Healthcare• Co-authored article and collaborated to create “Heart and Mind Connections: Integrated Strategies for Greater Health” which was awarded two merit awards in the 2006 World Wide Web Health Awards Program (“Health Promotion/Disease & Injury Prevention Information and “Patient Education Information”) • Functioned as both Account Executive and Clinical Manager for Connecticut Medicaid lines of business with no decrease in staff productivity while consistently meeting or exceeding all contractual performance guarantees for the contract duration Show less

• Clinical Care Manager

  • 1996 - 1998

  • Conducted telephonic triage assessments and utilization reviews for medicaid and commercial insurance members • Served as on-call clinician for after hours crisis calls



Paul J. Cooper Center for Human Services

• Psychiatric Social Worker/Therapist

  • 1994 - 1996

  • Developed treatment plans and provided individual and family psychotherapy to children, adolescents and adults • Submitted detailed assessments and reports for both family and criminal court cases • Developed treatment plans and provided individual and family psychotherapy to children, adolescents and adults • Submitted detailed assessments and reports for both family and criminal court cases



Borden Avenue Veteran's Residence

• Long Island City, NY

• Senior Caseworker

  • Jun 1990 - Aug 1992

  • Provided comprehensive casework services for a caseload of 40 men in a shelter which housed 400 homeless, male veterans • Provided comprehensive casework services for a caseload of 40 men in a shelter which housed 400 homeless, male veterans