Experience

Hazelden Betty Ford Foundation

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

• Connection Program Manager

  • Jul 2021 - Present

• Recovery Management Professional 1&2

  • Dec 2011 - Jul 2021

  •Provide long-term case management and care coordination for chemically dependent patients and their family for ages 16 plus•Consistently meets or exceeds goals for program referral, admissions, and retention rates•Mentor and train new and existing team members •Develops and maintains collaborative relationships with internal and external stakeholders•Create and implement policies to ensure standardized and quality care delivery•Provide clinical oversight and direction to other team members in conjunction with assigned supervisor•Active member of the tracer team which reviews cases for JACHO required standards of care

• Managed Care Specialist

  • Apr 2010 - Nov 2011

  •Acted as a multifaceted liaison between insurance companies, managed care organizations, patients, and clinical staff•Completed primary functions of managed care including precertification, concurrent reviews, peer reviews, retrospective certification, and patient appeals•Trained clinical staff regarding managed care requirements for continued stay and the importance of accurate clinical documentation•Used ASAM criteria to ensure patients were receiving services in the appropriate level of care

• Chemical Dependency Professional 1&2

  • Oct 2004 - Apr 2010

  • Provided individual and group counseling, crisis management, and care coordination for chemically dependent adult women in short-term and long-term residential settings• Developed patient-centered plans of care• Completed and documented ongoing assessment of a patient’s clinical needs and goals for substance abuse treatment• Developed and maintained collaborative relationships with family members, referents, and other identified stakeholders• Managed treatment unit in the assigned supervisor’s absence