Highly skilled and dedicated professional with a strong employment background in the mental health field seeking a challenging position in Molina where I can utilize my expertise in member engagement, continuous quality improvements, and bilingual skills to provide exceptional services to diverse populations.
Overview
5
5
years of professional experience
Work History
Crisis Counselor II
RI International
Arizona
03.2022 - Current
Conduct clinical mental health assessments and implemented interventions to determine treatment needs for individuals experiencing a mental health crisis
Solid understanding of manage healthcare and expertise in Medicare and Medicare manage including MAPD,DSNP and MMP.
Conduct behavioral health screenings on new clients or as issues emerge
Acted as a dedicated member navigator, addressing plan, questions, and proactively identifying and resolving issues and delivering exceptional customer service throughout the on boarding process.
Recovery coach/Case manager
Lower Merion Counseling Services
Bryn Mawr
11.2020 - 04.2021
Developed and implemented comprehensive case management plans to address client needs and goals.
Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.
Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
Database management, proficient in logging all members, contacts and database for tracking and follow up purposes, ensuring comprehensive record-keeping and effective coordination
Mental Health Technician
Friends Hospital
Philadelphia
02.2020 - 06.2020
Performed scheduled patient safety checks and documented results to establish patients' well-being.
Applied de-escalation and limit-setting techniques to promote patient cooperation.
Identified behaviors that necessitated intervention and obtained assistance from qualified personnel to complete intervention.
Member engagement work groups, active participation in our member engagement, work groups anticipating in addressing Medicare members needs and contributing to the development of innovative solutions.
Behavior Technician
Adolescents, Autism Behavior Services Inc
King of Prussia
07.2018 - 01.2019
Developed and implemented reinforcement systems to encourage positive behaviors.
Promoted positive interactions with children with ADHD, Autism and oppositional defiance behavior by using visual supports, simplifying communication, and utilizing stress scales to turn emotions into concrete concepts.
Worked as part of collaborative team to address changing needs of children and families.
Excellent written and verbal communication skills enabling successful collaboration with members, providers, team members and managers to achieve shared goals
Senior International Liaison
Rosemont College
Bryn Mawr
07.2018 - 08.2018
Worked with individuals to help understand and overcome personal, social or behavioral problems affecting educational or vocational situations.
Advocated for students to access available resources.
Collaborated with parents, school faculty and social workers to address problems and grow student success.
Education
Masters - Mental health counseling
West Liberty University
West Liberty, WV
Bachelor of Science - Clinical Sociology
Rosemont College
Bryn Mawr
05.2020
Skills
Continuous Quality Improvements: Proven track record of driving continuous quality improvements in member engagement and retention, resulting in increased satisfaction and improved outcomes
Member Issues: Extensive experience in representing and addressing member issues, ensuring prompt resolutions, and enhancing member impact and engagement
New Member Onboarding: Skilled in conducting direct outreach to new Medicare members, providing personalized assistance during the onboarding process, and ensuring a smooth transition into the healthcare system
Plan Benefits Education: Proficient in educating members about plan benefits, provider options, and maximizing the effective utilization of their plan benefits
Member Materials: Involved in the development and maintenance of member materials related to engagement and education, ensuring accurate and user-friendly resources