Results-driven Care Manager Supervisor with expertise in team leadership and staff development. Committed to enhancing care delivery and ensuring compliance with clinical standards.
Overview
17
17
years of professional experience
2
2
Certifications
Work History
Care Manager Supervisor
PerformCare
Harrisburg, PA
10.2016 - Current
Led care management team to ensure excellence in service delivery of behavioral health services.
Guided staff in resolving complex cases, resulting in improved care outcomes.
Managed workflow for utilization management team, meeting productivity standards and operational needs.
Conducted regular meetings with care managers to evaluate progress against established goals.
Performed performance reviews of care managers to enhance job satisfaction and professional growth.
Participated in conferences and workshops to stay updated on healthcare delivery models.
Ensured compliance with clinical policies, regulations, and ethical standards in care management.
Identified risks related to current processes impacting care management activities.
Clinical Care Manager
PerformCare
Harrisburg, Pennsylvania
01.2010 - 10.2016
Assumed senior care manager role, leading workflow management and assisting with projects prior to promotion.
Collaborated with multidisciplinary teams to improve member outcomes.
Resolved complex case issues using effective problem-solving strategies.
Conducted medical necessity reviews for adult and children's care levels.
Member Services Specialist
PerformCare
Harrisburg, Pennsylvania
10.2008 - 01.2010
Delivered exceptional customer service by addressing inquiries and resolving complaints promptly.
Assisted members in navigating healthcare services and resources effectively.
Educated clients on benefits eligibility and available program options.
Managed crises by providing timely information to members and providers, ensuring clarity and support during critical situations.
Served as member services senior in a fast-paced environment.
Education
Master of Social Work - Social Work
Millersville University of Pennsylvania
Millersville, PA
06-2008
Skills
Care coordination
Behavioral health services
Quality assurance
Performance evaluation
Project management
Workflow coordination
Technology proficiency
Team leadership
Delegation
Staff development
Decision making
Time management
Effective communication
Certification
Integrated Behavioral Health and Primary Care Certification, University of Michigan, Earned June 2022