Summary
Overview
Work History
Education
Skills
Qualifications Certifications
Certification
Websites
References
Timeline
Receptionist

Berenice Martinez

Edinburg,Texas

Summary

Senior Care Manager recognized for exceptional productivity and efficiency in task execution. Specialized in patient care coordination, staff leadership, and regulatory compliance. Proven ability to enhance client satisfaction and team performance through effective communication and problem-solving skills.

Overview

12
12
years of professional experience
1
1
Certification

Work History

Senior Care Manager- Autism

Magellan Healthcare
Pharr, Texas
01.2022 - Current
  • Collects and analyzes utilization data.
  • Assists with shaping of ABA services and assures coordination with other services providers such as medical, speech, occupational therapy, physical therapy, and IEP services provided through the school setting.
  • Works with ABA treatment team to shape care planning and provision and assures measurements of the client ensuring the client’s progress are ongoing.
  • Overall, case management with the inclusion of behavioral health services when required and performing concurrent reviews with treatment team providing ABA services.
  • Performs initial case requests for autism services, behavioral health, and ABA.
  • Reviews all submitted materials and consultation with treatment team providers.
  • Reviews IEP, psych testing and other case evaluation materials.
  • Provides information to members and providers regarding mental health and autism benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and criteria.
  • Interacts with the company's Medical and Associate Medical Directors and/or Physician Advisors to discuss clinical and authorization questions and concerns regarding specific cases.
  • Participates in quality improvement activities, including data collection, tracking, and analysis.
  • Leads or participates in activities as requested that help improve Care Center performance, excellence, and culture.
  • Assists Care Center efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.
  • Advocates for the patient to ensure treatment needs are met.
  • Care manager maintains the ability to analyze specific utilization problems, plan and implement solutions that directly influence quality of care.
  • Highly proficient in the following accounts: Marketplace (MCO) – Texas, Texas Medicaid, Superior Healthcare- Texas, Dell Children - Texas

Part-Time Lecturer

University of Texas- Rio Grande Valley
Edinburg, Texas
09.2022 - 01.2023
  • Responsibilities include delivering quality instruction within the program beginning.
  • Teaching assignment for the department of Psychological Sciences as part of the College of Liberal Arts.
  • Design course syllabi, lecture videos, weekly quizzes, discussion forum, and exams.
  • Deliver course materials and learning assessments in the online format.
  • Utilize innovative classroom techniques and methodologies that involve students in challenging learning opportunities.
  • Prepares class sessions and assignments to help students grasp course content and how it integrates with overall student learning outcomes for the course.
  • Observe and evaluate student performance in meeting course objectives and learning outcomes through assignments, projects, discussions, or examinations; provide feedback in a timely manner on student progress.
  • Maintain records of enrollment and attendance, assessments, and grades, submit class rosters and grade sheets by the deadlines established by the University.

Clinical Director

BlueSprig Pediatrics
Harlingen, Texas
03.2019 - 11.2021
  • Work with the Blue Sprig Clinical team to conduct and/or oversee clinical assessments and treatment program recommendations.
  • Ensures the initial client intake is conducted in a timely manner with the counsel of the Operations Director.
  • Oversee the implementation of treatment programs to ensure best clinical practices are always implemented.
  • Evaluate the treatment programs on a regular basis to ensure that performance measures are being met.
  • Ensure clinical quality standards by offering employee trainings and clinical knowledge and counsel to the clinical team.
  • Manage caregiver support services.
  • Collaborate and build rapport with clients and families to improve the likelihood of best possible outcomes.
  • Provide supervision and caregiver support to clients and caregivers as needed.
  • Set and achieve clinical performance goals.
  • Lead a team environment with a strong focus on culture.
  • Provide and manage supervision experience hours for BCaBA and BCBA candidates.
  • Periodically travel to various locations (e.g., homes and community) as part of the oversight of clients’ treatment programs.
  • Performs other duties as necessary or requested by Clinical Leadership team.

Founder/Owner and Consultant, BCBA

Behavioral Applications
McAllen, Texas
12.2018 - Current
  • Development and implementation of behavioral programs based on the principles of reinforcement, extinction, and differential reinforcement.
  • Conduct behavioral assessments such as the ABLLS-R and the VB-MAPP.
  • Develop behavior support plans, conduct functional behavior analysis and functional behavior assessments.
  • Develop treatment goals, protocols, and data collection systems, summarizing and analyzing data.
  • Directly observe treatment implementation and integrity.
  • Conduct meetings and evaluate performance of behavioral therapist staff.
  • Evaluate and report client progress toward treatment goals and adjust treatment protocols, as needed, based on data.
  • Train staff and caregivers on Verbal Behavior as well as consult with staff, caregivers, and other professionals directly involved with the recipient of Applied Behavior Analysis (ABA) service.
  • In addition, there is supervision of ABA therapists and Board-Certified Behavior Analyst (BCBA) candidates.

Behavioral Health Interim Director

Rio Grande State Center
Harlingen, Texas
08.2013 - 02.2019
  • Company Overview: Texas Department of State and Health Services (DSHS) Behavioral Health
  • Contribute to the treatment of mental health issues such as autism, and developmental disabilities.
  • Conducting behavioral assessments to identify individual’s needs to formulate individualized treatment plans and reports.
  • Development of functional behavior analysis and functional behavior assessments.
  • Monitoring of individual progress with collaboration and continuous training to family members, providers, and care takers.
  • Design, implement and support education and behavioral programs.
  • Participate in the assessment and data analysis of behavioral programs.
  • Assist with intervention and therapeutic program evaluations.
  • Texas Department of State and Health Services (DSHS) Behavioral Health

Education

Master of Arts - Experimental Psychology-BCBA

The University of Texas-Pan American
Edinburg, Texas
12.2011

Skills

  • Bilingual proficiency
  • Excel expertise
  • SPSS analysis
  • Utilization management
  • Care coordination
  • Quality improvement
  • Client advocacy
  • Team leadership
  • Staff training
  • Effective communication
  • Conflict resolution
  • Compassion and empathy
  • Behavioral assessment

Qualifications Certifications

  • Licensed Behavior Analyst - TX, 2018-07-01, 1084
  • Licensed Behavior Analyst - LA, 2024-06-01, 858
  • Board Certified Behavior Analyst, 2012-05-01, BCBA# 1-12-11770
  • Organizational Behavior Management Specialist, 2021-11-01

Certification

Licensed Behavior Analyst - TX July 2018

(License # 1084)

Licensed Behavior Analyst- LA June 2024

(License # 858)

Board Certified Behavior Analyst May 2012

(BCBA# 1-12-11770)

Organizational Behavior Management Specialist November 2021

References

References available upon request.

Work Type

Full TimePart TimeContract Work

Work Location

Remote

Timeline

Part-Time Lecturer

University of Texas- Rio Grande Valley
09.2022 - 01.2023

Senior Care Manager- Autism

Magellan Healthcare
01.2022 - Current

Clinical Director

BlueSprig Pediatrics
03.2019 - 11.2021

Founder/Owner and Consultant, BCBA

Behavioral Applications
12.2018 - Current

Behavioral Health Interim Director

Rio Grande State Center
08.2013 - 02.2019

Master of Arts - Experimental Psychology-BCBA

The University of Texas-Pan American

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