Summary
Overview
Work History
Education
Skills
Honorsandawards
References
Accomplishments
Certification
Languages
References
Timeline
Generic

Anita Bowles

Towson,Maryland

Summary

Compassionate Care Advocate with background in handling crisis intervention, advocacy support and case management. Strong skills in empathetic communication, problem-solving and collaboration underpin success in this role. Noted for ability to build trust with diverse client base and impact made through dedication to patient well-being.

Overview

31
31
years of professional experience
1
1
Certification

Work History

Utilization Management Care Advocate

Optum Maryland
Columbia, Maryland
01.2020 - Current
  • Conduct clinical reviews for psychiatric rehabilitation and residential rehabilitation services as well as inpatient mental health and substance abuse admissions
  • Consult with Medical Directors regarding complex cases
  • Refer cases for peer review that do not appear to meet medical necessity criteria
  • Volunteer to assist with the Low Performing Provider Project providing education to low performing PRP providers in an effort to increase their understanding of medical necessity criteria for PRP admissions
  • Provided training to new employees on how to conduct PRP reviews.

Urgent Care Therapist (Part-time)

Baltimore County Crisis Response
01.2012 - 01.2023
  • Provided crisis intervention and mental health diagnostic assessments to residents of Baltimore county
  • Provided treatment recommendations and referrals to mental health and substance abuse services in the community
  • Completed referrals to staff psychiatrist and in-home intervention team
  • Facilitated emergency petitions for clients when indicated.

Intensive Case Manager

Beacon Health Options
Timonium, Maryland
01.2016 - 01.2020
  • Provided coaching, case management, and crisis intervention to dual eligible Medicare Advantage members with mental health and/or substance abuse diagnoses
  • Coordinated discharge planning with inpatient hospital staff
  • Collaborated with nursing staff regarding members with comorbid medical conditions
  • Facilitated weekly rounds with team members
  • Facilitated referrals to outpatient providers
  • Consulted with outpatient psychiatrists and therapists when indicated.

Intensive Case Manager

Cigna Behavioral Health
Lutherville, Maryland
01.2011 - 01.2016
  • Provided case management, coaching and crisis intervention to members diagnosed with mental illness and/or substance abuse
  • Facilitated referrals to outpatient providers
  • Co-facilitated coaching skills group
  • Coordinated mental health and substance abuse services with treatment providers
  • Participated in collaboration pilot with inpatient care managers to ensure that members successfully transitioned from an inpatient level of care to outpatient services.

School Social Worker

Alexandria City Public Schools
Alexandria, Virginia
01.2011 - 12.2011
  • Provided counseling and crisis intervention to students and their families
  • Conducted psychosocial assessments
  • Provided resources and referrals to students and their families
  • Facilitated truancy referrals to Alexandria City Department of Juvenile Services.

Military One Source Wounded Warrior Consultant

Arlington, Virginia
01.2009 - 01.2010
  • Provided resources, referrals, consultation and assistance to injured service members and veterans who were experiencing deficiencies in their medical treatment and/or benefits
  • Facilitated referrals to the Veterans Administration and Medcom where appropriate
  • Conducted follow-up calls to service members receiving EAP services through Military One Source.

Resource Detective Volunteer (part-time)

Multiple Sclerosis Association
01.2008 - 01.2009
  • Identified resources including support groups, charities, advocacy, financial, legal, and social services for individuals affected by multiple sclerosis
  • Participated in teleconferences with Resource Detectives Manager.

School Social Worker

Anne Arundel County Public Schools
Annapolis, Maryland
01.2006 - 01.2008
  • Provided counseling and crisis intervention to students and their families
  • Consulted with teachers regarding students with challenging behaviors
  • Facilitated referrals to outside agencies where appropriate
  • Provided monthly parent education workshops and community outreach
  • Facilitated weekly behavior team meetings.

Clinical Care Manager

Magellan Behavioral Health
Columbia, Maryland
01.2001 - 01.2007
  • Facilitated the delivery of mental health and substance abuse treatment by overseeing inpatient and outpatient authorizations for adults and children
  • Ensured the appropriate level of care was provided to clients
  • Conducted utilization reviews of inpatient care
  • Provided crisis intervention and counseling to members
  • Consulted with on-call psychiatrists as needed.

Clinical Social Worker

The CARE Clinic- University of Maryland
Baltimore, Maryland
01.2001 - 01.2003
  • Provided individual and family therapy to children who had been physically abused and/or exposed to domestic violence and their families
  • Conducted comprehensive psychosocial assessments
  • Conducted forensic interviews of children where physical abuse was suspected
  • Coordinated and facilitated the intake and referral process
  • Facilitated psychiatric referrals.

Clinical Social Worker

The Forbush School
Baltimore, Maryland
01.1998 - 01.2001
  • Provided family therapy to severely emotionally disturbed students and their families
  • Conducted psychosocial assessments
  • Developed individualized education plans for students
  • Participated in bi-monthly treatment team meetings
  • Provided case management for students and their families.

Clinical Social Worker

Kennedy Krieger Therapeutic Foster Care Program
Baltimore, Maryland
01.1996 - 01.1998
  • Conducted assessments, and provided counseling and crisis intervention to severely emotionally disturbed foster children, foster parents, and natural parents
  • Conducted home studies
  • Facilitated and coordinated foster care placements
  • Provided foster parent training
  • Coordinated quarterly treatment team meetings with school personnel, Baltimore City Department of Social Services, and other agencies as indicated
  • Led adolescent girls' activity group
  • Served on Cultural Diversity Committee for Kennedy Krieger's Family Center.

Senior Case Manager

Martin Pollak Project
Baltimore, Maryland
01.1995 - 01.1996
  • Provided case management, counseling and crisis intervention to emotionally disturbed foster children and their foster parents
  • Facilitated reunification with natural parents
  • Provided counseling and support to natural parents
  • Provided support to case managers.

Social Work Intern

Spelman College Counseling Center
Atlanta, Georgia
09.1994 - 04.1995
  • Provided individual counseling to students regarding adjustment to college, roommate conflicts, academic difficulties, substance abuse, pregnancy, date rape, sexual and physical abuse and relationship difficulties
  • Conducted psychosocial assessments
  • Coordinated psychiatric referrals
  • Participated in case conferences
  • Co-led sexual abuse survivors' support group
  • Served as an advocate on behalf of students and collaborated with professors and school administrators where appropriate
  • Referred students to additional resources as needed
  • Organized AIDS educational program on campus.

Social Work Intern

Emory University Hospital Inpatient Psychiatry
Atlanta, Georgia
09.1993 - 04.1994
  • Conducted psychosocial assessments
  • Assisted in development of treatment plans with medical treatment team
  • Provided family counseling and support regarding issues of mental illness and/or substance abuse
  • Co-facilitated family psycho educational and support group with special emphasis on addiction and twelve-step program
  • Coordinated discharge planning.

Education

M.S.W. -

Smith College School for Social Work
Northampton, MA

Juris Doctorate -

Northeastern University, School of Law
Boston, MA

B.S. Spanish -

Georgetown University
Washington, D.C.

Skills

  • Problem-Solving
  • Collaboration
  • Crisis Intervention
  • Advocacy
  • Care Planning
  • Clinical Assessments
  • Mental Health Treatment

Honorsandawards

  • 2008 School Social Worker of the Year, NASW- Maryland Chapter
  • Dean's List, Georgetown University
  • Tropaia Award, Recognition for Outstanding Community Service, Georgetown University

References

REFERENCES PROVIDED UPON REQUEST

Accomplishments

  • 2008 School Social Worker of the Year NASW-Maryland Chapter
  • Dean's List, Georgetown University
  • Tropaia Award for Outstanding Community Service, Georgetown University

Certification

  • Licensed Certified Clinical Social Worker, Maryland
  • Licensed Clinical Social Worker, Virginia
  • Licensed Independent Clinical Social Worker, Washington DC

Languages

Spanish
Professional

References

References available upon request.

Timeline

Utilization Management Care Advocate

Optum Maryland
01.2020 - Current

Intensive Case Manager

Beacon Health Options
01.2016 - 01.2020

Urgent Care Therapist (Part-time)

Baltimore County Crisis Response
01.2012 - 01.2023

Intensive Case Manager

Cigna Behavioral Health
01.2011 - 01.2016

School Social Worker

Alexandria City Public Schools
01.2011 - 12.2011

Military One Source Wounded Warrior Consultant

01.2009 - 01.2010

Resource Detective Volunteer (part-time)

Multiple Sclerosis Association
01.2008 - 01.2009

School Social Worker

Anne Arundel County Public Schools
01.2006 - 01.2008

Clinical Care Manager

Magellan Behavioral Health
01.2001 - 01.2007

Clinical Social Worker

The CARE Clinic- University of Maryland
01.2001 - 01.2003

Clinical Social Worker

The Forbush School
01.1998 - 01.2001

Clinical Social Worker

Kennedy Krieger Therapeutic Foster Care Program
01.1996 - 01.1998

Senior Case Manager

Martin Pollak Project
01.1995 - 01.1996

Social Work Intern

Spelman College Counseling Center
09.1994 - 04.1995

Social Work Intern

Emory University Hospital Inpatient Psychiatry
09.1993 - 04.1994

M.S.W. -

Smith College School for Social Work

Juris Doctorate -

Northeastern University, School of Law

B.S. Spanish -

Georgetown University

Anita Bowles