Charles Grimes, Jr.

• Performed prior authorization review of services requiring notification.
• Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
• Submitted cases for criteria failures and helped facilitate resolutions and approvals.
• Obtained authorizations from multiple insurance carriers for various levels of care.
• Decreased Length of stay by 50% in 6months.
• Manage over 45 reviews per day.
• Supervised and maintained all utilization review documentation through HCS.
• Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
• Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
• Facilitated workgroup meetings with medical personnel to find effective solutions to issues.
• Communicated with patients, ensuring that medical information was kept private.

• Performed prior authorization review of services requiring notification.
• Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
• Submitted cases for criteria failures and helped facilitate resolutions and approvals.
• Obtained authorizations from multiple insurance carriers for various levels of care.
• Served as subject matter resource, providing information related to Level of Care situations.
• Devise or identify solutions for irregular requests and issues.
• Facilitated workgroup meetings with medical personnel to find effective solutions to issues.
• Communicated with healthcare team members to plan, implement and enhance treatment strategies.
• Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.

• Educated clients and families on community resources, treatment options and health care services to better manage conditions.
• Participated in team meetings and trainings to stay updated on best practices and new developments in care management.
• Responded to emergency situations and provided support to promote client safety and wellbeing.
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• Established and maintained relationships with clients, families and community partners to coordinate services to meet client's needs.
• Communicated with healthcare providers to facilitate continuity of care.
• Evaluated clients progress and adjusted service plans to address areas of concern.
• Maintained detailed records in compliance with agency standards and regulations.
• Consulted with supervisors to assess cases and plan strategies for enhancing care.
• Maintained network of community resources to provide most comprehensive support services possible to clients.
• Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.

• Developed, implemented, revised, and evaluated policies and procedures.
• Monitored, analyzed, and corrected staff performance and worked with nurse manager to raise standards of practice.
• Developed and implemented strategic plans enabling facility to meet budgetary and quality assurance goals.
• Interviewed and hired highly talented individuals bringing great skills and passion to daily jobs.
• Increased daily patient flow by 75% over 8 month period.
• Facilitate hiring of qualified Therapy personnel by interview applicants and making recommendations for employment.
• Interacted effectively with clinical staff and patients by using active listening and interpersonal skills.
• Implemented new policies and educated staff on changes.
• Coached and trained newly hired employees so that each understood job responsibilities and requirements of positions.
• Represented organization at all community events, answering questions, providing details and giving informative presentations.
• Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
• Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
• Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
• Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
• Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility.
• Spearheaded and implemented new projects to expand scope of engagement.

• Evaluated success of training programs and recommended improvements to upper management to enhance effectiveness.
• Developed and implemented comprehensive training program to increase employee productivity and morale.
• Collaborated with other departments to align training programs with organizational goals and objectives.
• Conducted orientation sessions and organized on-the-job training for new hires.
• Monitored and evaluated training performance to determine quality and cohesiveness.
• Communicated all learning and performance objectives, schedules, and training assessments to upper management.
• Coordinated technical training and personal development classes for staff members.
• Trained staff during demonstrations, meetings, conferences, and workshops.
• Reviewed and edited all training materials for accuracy and company policy compliance.
• Directed field training to enhance participants' skills.
• Directed training programs and development paths for managers and supervisors.
• Implemented new learning strategies depending upon employees' skill levels.
• Drove departmental performance and achievement of service levels through focused team operational reviews, structured coaching, and managing to enterprise targets.
• Conducted training courses and prepared videos for long-term use.
• Developed departmental systems and procedures to better align workflow processes.

• Used skills such as active listening and collaborative problem-solving daily to connect with patients and address concerns.
• Evaluated risk to client or others by gathering information and conducting assessments.
• Built safety plans to lower risk of crisis and intervened in specific manners outlined by procedures.
• Conversed with individuals in crisis which called or texted hotline for assistance.
• Provided emergency response in crisis situations to diffuse tensions and prevent violence.
• Worked collaboratively with other mental health professionals to provide consistent care and minimize diversion.
• Observed and monitored client behavior and responses to treatment.
• Displayed sensitivity to cultural and linguistic needs of clients and families served.
• Completed one-on-one counseling with broad range of clients suffering from Depression and Schizophrenia diseases and issues.
• Guided clients in effective therapeutic exercises integrated from Cognitive Behavior Therapy and Dialectical Behavior Therapy (DBT).
• Managed patients with substance dependence and co-occurring Axis I and Axis II disorders.
• Skilled at working independently and collaboratively in a team environment.
• Self-motivated, with a strong sense of personal responsibility.
• Proven ability to learn quickly and adapt to new situations.
• Developed goal-oriented psychoeducational and activity therapy groups to improve clients' level of functioning.

• Member of on-call emergency response team for crisis intervention within facility.
• Used skills such as active listening and collaborative problem-solving daily to connect with patients and address concerns.
• Evaluated risk to client or others by gathering information and conducting assessments.
• Built safety plans to lower risk of crisis and intervened in specific manners outlined by procedures.
• Documented risk to each client and context of concerns.
• Provided emergency response in crisis situations to diffuse tensions and prevent violence.
• Counseled and helped to stabilize consumers and caregivers in crisis situations.
• Offered supportive counseling and crisis intervention to individuals in crisis.
• Collaborated with mental health professionals to coordinate comprehensive care for clients.
• Maintained client records to document assessment, treatment plans and progress.
• Utilized motivational interviewing techniques to increase client engagement in treatment.
• Collaborated with counselors, physicians and nurses to plan or coordinate treatment, drawing on social work experience and patient needs.
• Devised and enhanced treatment strategies to promote continued progress.
• Interviewed clients, reviewed records and conducted assessments to evaluate mental or physical condition of clients or patients.
• Evaluated patients based on mental and physical parameters discovered through interviews and standardized assessments.
• Implemented evidence-based interventions for substance abuse treatment.
• Conducted comprehensive assessments of clients to develop individualized treatment plans.
• Assisted in development and implementation of relapse prevention strategies.

Performed psychological evaluations on inmates of Montgomery County Prison for pending court dates.

Assessed individuals for behavioral health and substance abuse treatment.

Collaborated with Adult Probation as it pertained to clinical recommendations for rehabilitation

• Built and maintained therapeutic relationships, fostering positive, supportive and empowering client environments.
• Maintained client confidentiality to protect patient privacy.
• Utilized evidence-based techniques to deliver successful treatment.
• Performed assessments to evaluate clients' mental health status, needs and goals.
• Documented client progress to track effectiveness and inform future treatment plans.
• Provided crisis intervention to support clients during times of urgent need.
• Supported clients in developing coping skills to help patients manage life challenges and difficulties.
• Attended continued education sessions to maintain professional standards and stay up-to-date with new developments.
• Helped clients work through emotional and psychological issues in both individual and group therapy sessions.
• Addressed cultural and diversity issues to provide clients with culturally responsive care.
• Educated clients and families on mental health issues to promote understanding and support.
• Conducted follow-up assessments to monitor clients' progress and adjust treatment plans as necessary.
• Worked with interdisciplinary treatment team to develop treatment plans.
• Developed treatment plans to outline steps necessary for clients to achieve goals.
• Worked with clinical psychiatrist and primary care physician to review patient progress and update treatment plans.
• Facilitated support groups, supporting safe and collaborative environments for clients.
• Raised awareness about mental health issues and reduce stigma through community education and outreach.
• Delivered mental health support for female patients suffering from post-partum depression and generalized anxiety disorder.

• Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
• Developed and implemented comprehensive case management plans to address client needs and goals.
• Assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources.
• Monitored clients' progress and tracked client services to provide crisis interventions.
• Collaborated with an interdisciplinary team to determine timely delivery of services.
• Developed comprehensive discharge plans to transition clients to appropriate service providers in community.
• Provided evidence-based therapeutic interventions and crisis management to clients to lessen negative on physical, mental and emotional wellbeing.
• Developed and implemented safety plans for clients at risk of harm to provide protection.
• Utilized trauma-informed approach to promote healing and empowerment for clients.
• Facilitated individual and group sessions to promote positive behavior change for clients.
• Evaluated treatment plans against individual goals and healthcare standards.
• Liaised with social worker to expedite financial assistance not covered by insurance.
• Assisted clients in identifying community resources and connecting with appropriate services.
• Collaborated with other professionals to plan and coordinate care for clients.
• Documented client progress and activities in accordance with agency policies and procedures.
• Assisted clients in developing and setting realistic goals to promote positive change.
• Participated in interdisciplinary team meetings to coordinate care for clients.
• Developed and maintained strong relationships with community resources for successful referrals.
• Participated in professional development and training opportunities to enhance clinical skills.
• Provided crisis counseling and intervention services to clients in emergency situations.
• Utilized evidence-based practices to provide effective interventions for clients.
• Administered assessments to identify clients' needs and establish treatment plans.
• Educated clients and families on mental health, wellness and recovery topics.
• Conducted home visits to assess clients' home environment and provide support.
• Developed and implemented individualized treatment plans for clients.
• Evaluated clients' social, emotional and psychological needs to create treatment plans.
• Monitored clients' progress to adjust treatment plans accordingly.
• Facilitated peer support groups to help clients connect with others.
• Facilitated group therapy sessions to help clients develop coping skills and improve communication.

• Advocated for foster children by facilitating access to community resources and services to maximize safety and well-being of child.
• Interviewed clients and verified all information provided to determine eligibility for assistance.
• Assisted families in developing problem-solving and coping skills by providing counseling and referring to appropriate community agencies.
• Implemented motivational interviewing skills to assess risk factors for child abuse and neglect, substance use and intimate partner violence.
• Achieved family goals for 85% of clients by providing referrals, resources and tools for assistance.
• Conducted home, school and community visits to assigned clients to assess client's level of care and provide guidance towards meeting treatment goals.
• Provided transportation for children and parents to and from visits and court.
• Conducted mandatory job training and life skill classes to assist clients receiving specific benefits.
• Collaborated with case managers and community partners to deliver effective treatment and case collaboration.
• Provided on-going support to resource parents through coaching and crisis intervention techniques.
• Built solid and trusting rapport with children and families, fostering trust and communication to meet case needs.
• Documented data and completed accurate updates to case records.
• Assisted families in navigating the social services system, including applying for benefits, accessing resources and connecting with other family support services.
• Maintained detailed case histories, metrics and reports to meet strict standards.
• Facilitated family meetings to ensure communication and collaboration between family members.
• Intervened in crisis situations and counseled children experiencing emergencies and disruptive incidents.
• Contributed to court proceedings, advocating for family's best interests and recommending balanced solutions.
• Completed comprehensive assessments of families to identify needs and develop treatment plans.
• Conducted outreach to families and other community partners to identify ways to address social, emotional and behavioral needs.
• Implemented research-based interventions and strategies to support positive behavior and social-emotional development.
• Collaborated with school personnel, parents and mental health providers to maintain comprehensive and integrated approach to student services.
• Developed and implemented strategies to reduce and prevent family conflict.
• Developed and implemented programs to support children's mental health and well-being.
• Worked with educational team to develop Individual Education Plans (IEPs) for students.
• Arranged medical and psychiatric tests to identify difficulties and indicate potential remedial approaches.
• Facilitated groups to address specific needs such as grief and loss, anger management and social skills.
• Lead individualized and group counseling sessions with children and families.

• Kept accurate and detailed records to track and document client progress.
• Used knowledge of different treatment modalities to provide clients with individualized options for successful outcomes.
• Monitored client progress to make necessary adjustments for client success.
• Supported and assessed clients struggling with addiction or relationship issues and devised strategies based on client needs.
• Developed individual treatment goals based on history and diagnosis.
• Provided crisis intervention to address clients' immediate needs and prevent harmful behaviors.
• Led supportive group discussions and education sessions with alcohol and drug users and families.
• Coordinated care with other professionals to provide clients with comprehensive support.
• Facilitated group and individual therapy in outpatient setting.
• Developed goal-oriented psychoeducational and activity therapy groups to improve clients' level of functioning.
• Taught substance abuse classes to help clients understand consequences of drug and alcohol use.
• Provided counseling and support to clients with drug and alcohol abuse issues.
• Supported aftercare planning for continued recovery after treatment.
• Coordinated referrals for addiction services based on individual client needs and preferences.

• Performed scheduled patient safety checks and documented results to establish patients' well-being.
• Applied de-escalation and limit-setting techniques to promote patient cooperation.
• Assisted with patient restraint and seclusion scenarios to create safe environment for patient and medical personnel.
• Developed and maintained positive relationships with clients to create safe and supportive environment.
• Observed patient behaviors and mental status and notified RN of unusual or potentially dangerous occurrences.
• Helped patients with meals, activities of daily living (ADLs) and facility transfers to promote security and patient well-being.
• Escorted patients from unit to meals, activities, and visitation areas to maintain standard of safety and security.
• Identified behaviors that necessitated intervention and obtained assistance from qualified personnel to complete intervention.
• Delivered compassionate patient care, focusing on safety, comfort and emotional support.
• Charted on each patient daily.
• Supported patient confidentiality in accordance with HIPAA regulations.
• Treated clients and families with respect and dignity.
• Maintained patient records, documenting changes in patient condition.
• Monitored patient behavior and immediately reported changes to supervising physician.
• Assisted in development of therapeutic activities for patients.