ALYCE MIELE PROFESSIONAL SUMMARY Experienced Master Social Worker (LMSW) Alyce is passionate about helping the underserved, disenfranchised, and advocating for individuals and groups that need a voice. She has first hand experience with positively engaging with non-adherent patients, and patients who face the difficult challenge of chronic severe mental illness. In addition Alyce is a motivational leader and organizational problem-solver. Experience stepping into roles and quickly making positive changes to drive company success. Focused on using training, monitoring and morale-building techniques to maximize employee engagement and performance.
Hi, I’m
Alyce Miele
Harrison City,PA
Summary
Overview
6
years of professional experience
1
Certification
Work History
UPMC McKeesportMcKeesport, PA
ER Evaluator Clinician
09.2022 - Current
Job overview
- Provided crisis intervention, counseling, and support services to individuals in need.
- Provided crisis intervention services to individuals in need of emotional support and guidance.
- Responded quickly and effectively when emergency situations arose; managed high stress environments with professionalism.
- Acted as a liaison between the client's family members and medical team during times of need.
- Advised caregivers on strategies for managing challenging behaviors exhibited by those under their care.
- Maintained accurate records of all case notes, progress reports, and other documentation related to client care.
- Collaborated with other healthcare providers such as psychiatrists, psychologists, social workers, and primary care physicians to ensure comprehensive care for clients.
- Coordinated transportation for clients who lacked access to reliable public transportation options.
- Provided education about different types of mental illnesses and treatments options available.
- Monitored clients' progress throughout their course of treatment; adjusted interventions as needed based on changes in condition or circumstances.
- Evaluated client needs and provided appropriate referrals to community agencies or mental health professionals.
- Developed safety plans to minimize crisis risk and intervene with specific procedures.
- Assessed patients in active drug and alcohol withdrawal and provided interventions to manage physical and psychological withdrawal symptoms.
AMN Health CareDenver
Acute Medical Social Worker
11.2021 - 03.2022
Job overview
- Coordinated psychosocial assessments, treatment plans and progress notes.
- Coordinated discharge planning services, including arranging transportation and home care assistance after hospitalization.
- Participated in interdisciplinary team meetings to discuss patient needs and plan appropriate interventions.
- Acted as an advocate for vulnerable populations by connecting them with essential resources within the community.
Community Care Behavioral Health Organization, UPMCPittsburgh, PA
Precertification Specialist
07.2019 - 11.2021
Job overview
- Successfully completed all medical necessity criteria (pre certification) assessment calls with providers for the following coverage levels : inpatient rehab, halfway housing, detox, medical detox, IPMH, and partial hospitalization. With no remarkable errors. Maintained professional and personable communication throughout call; always completed in a timely manner.
- Managed triage line for crisis and resources serving entire state of Pennsylvania.
- Assessed and submitted 20-25 preapprovals for coverage per shift in addition to crisis and clinical documentation.
- Verified insurance eligibility, coverage levels, and benefit parameters prior to submission of precertification requests.
- Attended meetings with providers regarding their utilization management needs.
- Generated reports summarizing key metrics related to the performance of the precertification team.
- Adhered to applicable laws, regulations, policies, and procedures governing the healthcare industry.
- Utilized various software applications such as electronic medical record systems for data entry purposes.
- Processed appeals when necessary following denial or rejection of claims due to lack of proper authorization.
- Evaluated clinical criteria against existing health plan guidelines to determine authorization status.
- Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
- Created new hire training program
- Conducted outreach programs and promoted new programs to communities and prospective clients.
- Volunteered to assist outreach team.
UPMC East Hillman Cancer Center
Oncology Social Worker
11.2017 - 07.2019
Job overview
- Developed position from ground up
- Responsible for all data management for both Medical and Radiation Oncology offices for social services
- Performed fundraising for nutrition programs
- Managed all social work and case management needs of patients in both Radiation and Medical oncology offices
- Addressed all requested needs from patients, families, and their health care providers
- Served as social worker on the Cancer Committee
- Successfully implemented Distress Thermometer at Medical Oncology office
- Nominated for Above and Beyond Award by coworkers in 2017.
- digitized Distress scale for use with ARIA EPIC and PDF formats. Trained incoming replacement and continued to serve as a mentor for new social worker while working in new role at CCBHO.
Education
University Of Pittsburgh
Master of Social Work from Mental Health Counseling
01.2015
University Overview
Chatham University
B.A from Psychology
01.2011
University Overview
Cum Laude
DatacampSan Francisco, CA
Cert from Data Management Technology
University Overview
Skills
- Conflict Resolution Techniques
- Electronic Health Records Management
- Effective Communication Skills
- Program Understanding and Advisement
- Proficiency in EPIC, AllScripts, Canopy, SalesForce, WebExZoom,Therapy Notes, python, and more
- Knowledgeable in EPIC, AllScripts, Canopy, SalesForce, WebExZoom,Therapy Notes, python, and more
- Telephone Etiquette
- Application Assessment
- Advocacy and Counseling
Certification
Leadership Abilities Staff Management
Creative Problem-Solving Recruitment and Hiring
Empathy Oncology data management
Languages
Languages
Timeline
ER Evaluator Clinician
UPMC McKeesport
09.2022 - Current
Acute Medical Social Worker
AMN Health Care
11.2021 - 03.2022
Precertification Specialist
Community Care Behavioral Health Organization, UPMC
07.2019 - 11.2021
Oncology Social Worker
UPMC East Hillman Cancer Center
11.2017 - 07.2019
University Of Pittsburgh
Master of Social Work from Mental Health Counseling
Chatham University
B.A from Psychology
Datacamp
Cert from Data Management Technology