Courtney Dwyer
Cincinnati,OH
Summary
A seasoned Social Worker in clinical assessment and mental health counseling, I excel in enhancing medical appropriateness and quality of care. Leveraging motivational interviewing and care coordination, I've significantly improved patient outcomes. My approach empowers patients, fostering substantial behavioral health advancements and promoting independent healthcare decision-making.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Clinical Care Manager
Aetna
02.2017 - Current
- Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan.
- Apply clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member issues.
- Using advanced clinical skills, perform crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate clinical providers for thorough assessment and treatment, as clinically indicated.
- Provides crisis follow up to members to help ensure they are receiving the appropriate treatment/services.
- Enhancement of Medical Appropriateness and Quality of Care.
- Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits.
- Using holistic approach consults with supervisors, Medical Directors and/or other programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary view in order to achieve optimal outcomes.
- Identify and escalates quality of care issues through established channels.
- Ability to speak to medical and behavioral health professionals to influence appropriate member care.
- Utilize motivational interviewing skills to ensure maximum member engagement and promotes lifestyle/behavior changes to achieve optimum level of health.
- Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
- Helps member actively participate with their provider in healthcare decision-making.
- Analyzes all utilization, self-report and clinical data available to consolidate information and begin to identify comprehensive member needs.
- Monitoring, Evaluation and Documentation of Care: In collaboration with the member and their care team develops and monitors established plans of care to meet the member's goals.
- Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Psychiatric Social Worker
Mercyhealth
09.2016 - Current
- Present clinical documentation and observations to interdisciplinary team.
- Help clients develop new coping mechanisms and techniques to drive behavior modification.
- Provide psychoeducation to clients on mental health diagnoses, treatment options, coping strategies, and self-care techniques.
- Evaluate patients based on mental parameters discovered through interviews and standardized assessments.
- Offered therapeutic services and crises intervention
Graduate Medical Administrative Assistant
University Of Cincinnati Medical Center
03.2016 - 09.2016
- Demonstrated the capacity to work with a multi-disciplinary team that includes: the Assistant DIO, Dean of the College of Medicine, Program Directors and Program Coordinators of 93 different programs at the University of Cincinnati Medical Center
- Handled physical files of over 650 active residents/fellows. These duties can include: verifications in the our MedHub system, contracts and graduation certificates
- Used interpersonal, customer service, leadership, and organizational skills in deadline-driven situations
- Assisted in set-up for onboarding residents and offers support during the orientation process
- Handled sensitive information with discretion, adhering to strict HIPAA guidelines and safeguarding privacy at all times.
- Provided exceptional customer service to physicians, addressing concerns promptly and professionally to ensure satisfaction.
- Supported physicians with the timely completion of necessary documentation, allowing them to focus on quality patient care.
Care Manager
Council on Aging of South Western Ohio
09.2012 - 03.2016
- Responsible for developing treatment plans and understanding the Medicaid and Medicare Process
- Coordinated with area hospitals, nursing homes and JFS
- Controlled a budget provided by the State of Ohio for each consumer up to $50,000
- Reported to APS if needed to ensure safety
- Completed chart audits to ensure Consumers were safe while being housed in an Assisted Living Waiver facility
- Attended quarterly trainings for Department of Aging & Department of Medicaid
- Assisted clients with daily living needs to maintain self-esteem and general wellness.
- Educated clients and families on community resources, treatment options and health care services to better manage conditions.
- Developed strong rapport with patients and families through empathetic listening and compassionate communication techniques.
- Assessed clients and developed plans to meet needs.
Dual Diagnosed Care Manager
Greater Cincinnati Behavioral Health
09.2007 - 09.2012
- Maintained open lines of communication with other healthcare professionals involved in a client''s care plan, ensuring a comprehensive and holistic approach to treatment.
- Addressed clients'' psychosocial needs by referring them to appropriate resources and services.
- Implemented evidence-based practices to improve overall effectiveness of mental health services provided to clients.
- Provided compassionate care to diverse populations, demonstrating cultural competence and understanding of unique challenges faced by various groups in addressing substance abuse issues.
- Reduced relapse rates by providing ongoing case management and coordinating access to relevant resources and services.
- Increased client satisfaction through timely follow-ups and regular updates on case progress.
Education
Master of Healthcare Administration -
University of Arizona Global Campus
Chandler, AZ01-2023
Master of Social Work -
University of Cincinnati
Cincinnati, OH01-2012
Bachelor of Science - Criminal Justice
University of Cincinnati
Cincinnati, OH01-2009
Associate of Arts - Social Work
University of Cincinnati
Cincinnati, OH01-2007
Skills
- Clinical assessment
- Mental health counseling
- Clinical safety
- Clinical Documentation
- Care Coordination
- Patient Advocacy
- Behavioral Health
- Mentoring and training
Certification
Ohio Licensed Social Worker S.1200910
Expiration Date: 7/12/2026
Timeline
Clinical Care Manager
Aetna
02.2017 - Current
Psychiatric Social Worker
Mercyhealth
09.2016 - Current
Graduate Medical Administrative Assistant
University Of Cincinnati Medical Center
03.2016 - 09.2016
Care Manager
Council on Aging of South Western Ohio
09.2012 - 03.2016
Dual Diagnosed Care Manager
Greater Cincinnati Behavioral Health
09.2007 - 09.2012
Ohio Licensed Social Worker S.1200910
Expiration Date: 7/12/2026
Master of Healthcare Administration -
University of Arizona Global Campus
Master of Social Work -
University of Cincinnati
Bachelor of Science - Criminal Justice
University of Cincinnati
Associate of Arts - Social Work
University of Cincinnati
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