CRYSTAL FARR
Peoria,AZ
Summary
Accomplished Supervisor focused on meeting ALTCS expectations and achieving company goals. Drives success by directing high-producing teams while developing lasting employee rapport. Exceptional knowledge of the ALTCS/AHCCCS system requirements. Excellent communication and listening skills. Provide leadership and vision which drives teams to meet individual member and company goals.
Overview
19
19
years of professional experience
Work History
Arizona Long Term Care Behavioral Health Supervisor
Mercy Care/Aetna/CVS
10.2018 - Current
- Manage a team between 11-13 Behavioral Health Clinical Case Managers.
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Ensuring my team meets contractual standards including metrics for National Committee for Quality Assurance (NCQA) certification, Diabetic/Flu project, Advanced Directives, Chart Audit Average, Low hospitalization rates/prevent readmission, Required training, Customer satisfaction calls, etc…
- Maintain a high level of leadership talents and problem-solving skills to maintain team efficiency and organized workflows.
- Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks. including staff engagement, training/coaching, interviewing, onboarding, hiring, performance improvement, termination, collaboration with other teams leadership, fiscal accountability (least restrictive level of care).
- Special committees: Mercy Pets, Institutions for Mental Disease (IMD), Behavioral Health High Risk Surveillance, Joint Operation Meetings, Supervisor Work Group, AHCCCS Fidelity Deliverable, and Case Manager Assistant Development, and CFT.
- I am truly proud my team has excelled in all of the required metrics. My team is well known within the organization as high performing, knowledgeable, positive communicators, team players, and role models with a shared purpose to put the member first.
Arizona Long Term Care Behavioral Health Coordinator
Mercy Care/Aetna/CVS
05.2014 - 10.2018
- The only prior authorization behavioral health placement reviewer for the ALTCS department.
- Reviewed packets for a higher level of behavioral health placement.
- Placement packets were reviewed and least restrictive level of care was determined. Detailed documentation of each review was placed in the members chart.
- Ample coordination with many different entities to finalize the process.
- I created the formal “Placement Preservation Process” our department and facilities have implemented as a formal process to help ensure all areas of the members needs are attended to and the least restrictive level of care is ensured as part of our AHCCCS requirement.
- Facilitation of multiple meetings.
- Established strong relationships with case managers, supervisors, social workers, facilities, etc. Assisted these parties navigating within complex healthcare systems, advocating for their needs and ensuring access to appropriate services.
Arizona Long Term Care “Behavioral Health” Case Manager
Mercy Care/Aetna/Schaller Anderson
02.2008 - 05.2014
- All below ATLCS Case Manger duties with the addition of: more complex cases, frequent psychiatric hospitalization coordination, completing Court Order Treatment duties such as Interim Status Reports, Final Status Reports, and Judicial Reviews, Reinsurances, Behavioral Health Consults.
- A high level of coordination and problem solving with all necessary parties involved in the members cases such as member, family, guardian, public fiduciary, facilities, psychiatric providers, therapist, DCS, and different lines of business.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
Arizona Long Term Care Case Manager
Mercy Care
10.2005 - 02.2008
- Case management of elderly adults on Arizona Long Term Care (ALTCS).
- Understanding of all living environments such as Home and Community Bases (HCBS), Assisted Living Facilities (ALF), and Skilled Nursing Homes (SNF).
- Timely assessment and detailed data entry of member’s medical condition, hospitalization, durable medical equipment, skin condition, fall risk, and behavioral health needs.
- Evaluated patient needs and coordinated appropriate services, ensuring timely and efficient care delivery.
- Monitored patient progress and adjusted care plans as needed to optimize outcomes.
- Conducted thorough assessments of patients'' medical, social, emotional, and financial needs to create tailored care plans.
- Proficient at following AHCCCS’s level of care guidelines concerning daily living skills such as: bathing, dressing, grooming, mobility, transferring, orientation, medical condition and treatment.
- Positive, supportive, caring advocate towards the individual member’s needs.
- Experience with various populations, especially those with a diagnosis of Alzheimer’s.
- Able to manage a sizable caseload within required timeframes showing organization and professionalism at all times.
- Maintain positive working relationships with members, guardians, providers, hospice, facility owners, peers, and leadership.
- Strong emphasis on promoting the company’s strengths and upholding its reputation to my personal best and to remaining the plan of choice for our members.
Education
MA - Professional Counseling
Ottawa University
Academic Specialty Program - "Trauma Abuse And Deprivation"
Ottawa University
BA - Psychology
Ottawa University
BA - Management
Ottawa University
Skills
- ALTCS
- AHCCCS AMPM/Deliverables
- Person Center Service Plan
- Microsoft 365
- Effective Communication
- Complex Problem-Solving
- Training and mentoring
- Teamwork and Collaboration
- Multitasking
- Attention to Detail
- Time Management
- Organization
Training
- Social Determinants of Health
- Social Equality and Equity
Timeline
Arizona Long Term Care Behavioral Health Supervisor
Mercy Care/Aetna/CVS
10.2018 - Current
Arizona Long Term Care Behavioral Health Coordinator
Mercy Care/Aetna/CVS
05.2014 - 10.2018
Arizona Long Term Care “Behavioral Health” Case Manager
Mercy Care/Aetna/Schaller Anderson
02.2008 - 05.2014
Arizona Long Term Care Case Manager
Mercy Care
10.2005 - 02.2008
MA - Professional Counseling
Ottawa University
Academic Specialty Program - "Trauma Abuse And Deprivation"
Ottawa University
BA - Psychology
Ottawa University
BA - Management
Ottawa University
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