Daniella Ayala
Summary
Bilingual behavioral health and care coordination professional with 6+ years of experience supporting high-volume Medicaid and managed care caseloads. Experienced in managing cases from intake through resolution, including triage, escalation, and follow-up to ensure timely and appropriate service delivery. Strong ability to stay organized in fast-moving environments while tracking case progress, identifying issues that may delay care, and working with different teams to resolve them. Comfortable working with structured systems and documentation requirements, with a focus on accuracy, compliance, and clear communication. Known for using data and case trends to support better decision-making and improve how work gets done across teams.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Group Facilitator
Charlie Health
02.2026 - Current
- Facilitate structured behavioral health group sessions within a high-volume clinical program while monitoring participant engagement, behavioral indicators, and escalation risks.
- Identify and escalate clinical and operational risk concerns to supervisory teams to ensure timely intervention and continuity across care pathways.
- Maintain time-sensitive clinical documentation in alignment with compliance and audit standards (DHCS, Joint Commission).
- Track engagement and participation trends to support treatment alignment and identify barriers impacting continuity of care.
Bilingual Case Manager
The Columbus Organization
02.2022 - Current
- Manage high-volume healthcare caseload within Medicaid and managed care environments, overseeing full-cycle workflow processes including intake, triage, case progression, escalation, and resolution within structured service timelines.
- Monitor case pipeline status to ensure timely movement through each stage of service delivery, identifying delays, workflow inefficiencies, and priority cases requiring intervention or escalation.
- Conduct ongoing operational analysis of caseload trends, utilization patterns, and service barriers to identify systemic workflow inefficiencies and support process improvement initiatives.
- Coordinate across interdisciplinary teams to resolve escalated cases, ensuring continuity of care and adherence to regulatory, compliance, and service level expectations.
- Maintain audit-ready documentation within EHR systems, ensuring accuracy, timeliness, and compliance with Medicaid and managed care standards.
- Generate reporting insights on case progression, risk trends, and operational performance to support leadership decision-making and workflow optimization.
Counseling Intern
Ascension Behavioral Health
Chicago
08.2024 - 06.2025
- Supported intake, case tracking, and documentation workflows within interdisciplinary behavioral health operations.
- Monitored client progression and escalated risk concerns to clinical supervisors in accordance with care protocols.
- Maintained accurate EHR documentation supporting compliance, continuity, and service coordination.
- Assisted in coordinating care plans across providers to ensure effective service delivery and follow-through.
Education
Master of Science - Clinical Mental Health Counseling
Capella University
Minneapolis, MN06-2025
Bachelor of Science - Psychology
Purdue University
West Lafayette, IN08-2020
Skills
Operations & Workflow Management
- High-volume queue/caseload management
- Intake, triage, escalation, & resolution workflows
- Pipeline monitoring & case progression tracking
- SLA and timeliness adherence
- Leadership & Coordination
- Cross-functional stakeholder collaboration
- Escalation management & issue resolution
- Process improvement & workflow optimization
Data & Performance
- Metrics tracking, reporting, & trend analysis
- Risk identification & operational insights
- Quality improvement initiatives
Healthcare Systems
- Medicaid/managed care systems
- EHR/EMR documentation
- Compliance & audit readiness
Languages
- English
- Spanish
Certification
- LMCHA - Indiana Professional Licensing Agency
Timeline
Group Facilitator
Charlie Health
02.2026 - Current
Counseling Intern
Ascension Behavioral Health
08.2024 - 06.2025
Bilingual Case Manager
The Columbus Organization
02.2022 - Current
Master of Science - Clinical Mental Health Counseling
Capella University
Bachelor of Science - Psychology
Purdue University