Summary
Overview
Work History
Education
Skills
Timeline
Generic

Angela Hobbins

Lake Worth

Summary

Experienced with patient care evaluation and compliance with healthcare standards. Utilizes expertise to enhance care coordination and ensure efficient resource management. Track record of leveraging analytical skills and effective communication to improve patient outcomes.

Overview

5
5
years of professional experience

Work History

Utilization Review Specialist

Aftermath Billing
03.2024 - Current
  • Utilizes clinical experience and skills in a collaborative process to assess appropriateness of treatment plans across levels of care, apply evidence-based standards and practice guidelines to treatment where appropriate.
  • Gathers clinical information and applies the appropriate clinical judgement to render coverage determination/recommendation along the continuum of care facilities including effective discharge planning.
  • Coordinates with providers and other parties to facilitate optimal care/treatment.
  • Identifies opportunities to promote quality effectiveness of healthcare services and benefit utilization.
  • Identifies members at risk for poor outcomes and facilitates referral opportunities to integrate with other products, services and/or programs.
  • Supported the development of standardized policies and procedures for utilization review across multiple departments within the organization.
  • Identified trends in healthcare usage among patients, providing valuable insights to inform strategic planning efforts within the organization.

Director of Case Management

Comprehensive Wellness Centers
01.2022 - 07.2024
  • Conducted Intake assessment to decide on placement. Conducted Orientation Notes, Pre-Admissions Criteria, and Admissions Documents.
  • Used KIPU program to document all actions, POCs, medications, and case notes.
  • Started and updated service implementation plans in a timely manner in accordance with guidelines and policies.
  • Maintained a caseload of 24-75 dually diagnosed or cross-addicted clients.
  • Completed service activity logs and entered case notes, with an emphasis on maximizing billable time through units.
  • Linked clients with other treatment modalities such as RTC, PHP, IOP, and individual therapy. Assisted with treatment plans established by the therapist on behavioral modification.
  • Developed workable solutions for recurring problems for individuals such as employment resources, legal issues, food resources, public transportation guides and resources, etc.

Client/Family Care Coordinator

Comprehensive Wellness Centers
07.2021 - 07.2024
  • Completion of intake to all clients and orientation of the program and therapeutic community.
  • Assist clients with Case Management needs including legalities, FMLA, short-term disability, and government assistance.
  • Assist clients to develop basic living skills and those necessary to successfully integrate into the community with a concrete aftercare and discharge plan.
  • Effective communication to family and loved ones to support family needs and orientation to the program including progress of treatment, step down level of care, and aftercare planning.

Utilization Review Specialist

Unlimited Utilization Management
08.2021 - 03.2024
  • Utilizes clinical experience and skills in a collaborative process to assess appropriateness of treatment plans across levels of care, apply evidence-based standards and practice guidelines to treatment where appropriate.
  • Gathers clinical information and applies the appropriate clinical judgement to render coverage determination/recommendation along the continuum of care facilities including effective discharge planning.
  • Coordinates with providers and other parties to facilitate optimal care/treatment.
  • Identifies opportunities to promote quality effectiveness of healthcare services and benefit utilization.
  • Identifies members at risk for poor outcomes and facilitates referral opportunities to integrate with other products, services and/or programs.
  • Enhanced patient care by conducting thorough utilization reviews and ensuring adherence to treatment plans.
  • Managed a high volume of cases efficiently by prioritizing tasks and maintaining strict deadlines for completion of reviews.

Behavioral Health Technician

Comprehensive Wellness Centers
07.2020 - 07.2021
  • Assessing clients, understanding, and implementing individual treatment plans. Record client behavior.
  • Record client’s medications and observe medication being administered by client, assisting in activities of daily living.
  • Provide guidance, compassion, positive role modeling as well as a safe, and supportive environment for the client.

Education

HCP – CPR Automated External Defibrillation/First Aid -

National CPR Foundation
01.2024

Certified Recovery Support Specialist - CRSS - undefined

The Academy for Addiction Professionals
01.2021

Skills

  • Analytical problem solving
  • Effective communication
  • Team leadership
  • Client case management
  • Behavioral health management
  • Utilization review management
  • Skilled in KIPU EMR
  • HIPAA compliance knowledge
  • Patient record management
  • Data analysis
  • Community support services
  • Behavioral health support
  • Knowledge of healthcare regulations
  • Medicare regulations adherence

Timeline

Utilization Review Specialist

Aftermath Billing
03.2024 - Current

Director of Case Management

Comprehensive Wellness Centers
01.2022 - 07.2024

Utilization Review Specialist

Unlimited Utilization Management
08.2021 - 03.2024

Client/Family Care Coordinator

Comprehensive Wellness Centers
07.2021 - 07.2024

Behavioral Health Technician

Comprehensive Wellness Centers
07.2020 - 07.2021

Certified Recovery Support Specialist - CRSS - undefined

The Academy for Addiction Professionals

HCP – CPR Automated External Defibrillation/First Aid -

National CPR Foundation

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