Vered Kalev
Behavioral Health Quality Improvement Specialist at Care1st Health Plan - Yes, its all about you.- Claim this Profile
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Bio
Experience
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Not Active
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United States
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Hospitals and Health Care
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100 - 200 Employee
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Behavioral Health Quality Improvement Specialist
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Sep 2018 - Present
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Therapist
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Apr 2016 - Apr 2017
Facilitate groups, participate in treatment team, one on one therapy Facilitate groups, participate in treatment team, one on one therapy
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Centene Corporation
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United States
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Hospitals and Health Care
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700 & Above Employee
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Crisis Professional
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Sep 2015 - Feb 2016
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Subsstance Abuse/ Mental Health Counselor
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Apr 2015 - Dec 2015
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Humana
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United States
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Insurance
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700 & Above Employee
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Clnical Front Line Lead
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Jul 2013 - Apr 2014
Humana Clinical Front Line Leader 3/2014 to 3/2015 Report trends to Utilization Management Develop system-view recommendations Implement appropriate actions to control trend Create and conducts provider outreach initiatives Recommend services for Humana Plan members utilizing care alternatives available within the community and nationally Recommend alternatives if appropriate using your knowledge of clinical protocols Identify members for specific case management and / or disease management activities Monitor case management activities, post-discharge calls, discharge planning and pre-assessment of elective admissionsSupervise 16 Licensed and Bachelor Level Clinical Advocates coach on Motivational Interviewing and SFBT Skills Humana Clinical Advocate- Remote Associate 7/2013 to 3/2014Performs telephonic case management with members throughout the United States with a focus upon behavior change. Completes assessments for members involved in Integrated Medical-Behavioral Case Management (IMBH) services.Participates in case management services in an effective and efficient manner in accordance with LifeSynch Clinical Department and Program Policy and Procedures.Assesses the needs of identified IMBH members and work with providers and medical counterparts to develop an individualized plan of care and provide care coordi
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