Danielle Doyle PHD LCSW
Mebane,NC
Summary
Skilled Researcher and Licensed Clinical Social Worker focused on improving behavioral health service access, delivery, and compliance, Dedicated to using research, investigative, and project management abilities to design, develop, and implement improvements to the behavioral health care system.
Successful record of accomplishment of fully evaluating information, structures, and procedures, synthesizing information, and creating reports for internal and external stakeholders. Resourceful professional uses research evidence analysis and advanced interviewing techniques to illuminate complex cases.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Sr Clinical Quality Analyst
Optum UnitedHealthcare
North Carolina
01.2020 - Current
- Work independently to collect, review, and analyze data from diverse mental health and behavioral health settings; perform desktop and onsite clinical and quality-of-care audits on clinicians, agencies, and facilities, providing behavioral health services.
- Prepare compliance reports on standard deficiencies. Assess and educate behavioral health providers in health care standards, compliance, and encourage opportunities to improve compliance rates.
- Exceed goals through effective task prioritization and work ethic, Complete over 90% of audits before required due dates.
- Serve as a sole auditor for behavioral health providers in all 100 NC Counties enrolled in Medicaid.
- Use critical thinking to evaluate processes, break down problems, evaluate solutions, and make decisions based on standards and specifications.
- Train staff on relevant policies, rules, and regulations as well as technical procedures and software program usage.
- Train behavioral health providers in documentation standards as required by policy and law.
- Served as backup on database management; served with initial database management reconstruction team and assisted with database upgrades and migrations by performing user acceptance testing.
- Developed and implemented performance improvement strategies and plans to promote continuous improvement
Licensed Clinical Social Worker
Self-Employed-Sole Proprietor
Cary, NC
06.2016 - Current
- Assess and evaluate clients, establish diagnoses and levels of care, and develop individual treatment plans based on psychiatric diagnosis, identified problems, and treatment needs for each case
- Utilize evidence-based treatment modalities including CBT, TF-CBT, and motivational interviewing in conducting individual and group counseling sessions
- Deliver trauma-informed psychotherapy to families where violence/abuse/neglect has occurred.
- Conduct Child and Family Evaluations for Departments of Social Services through UNC School of Medicine, servicing all 100 counties of North Carolina.
- Utilize forensically informed mental health evaluations and psychological testing for children and youth who are being actively investigated by child protective services.
- Participate in and present clinical documentation and observations to interdisciplinary team.
Lead Behavioral Health Counselor
Wake Med
Raleigh, NC
06.2017 - 01.2020
- Led staff of thirty licensed behavioral health clinicians; Managed team of employees, overseeing hiring, training, and professional growth of employees.
- Worked flexible hours across night, weekend, and holiday shifts.
- Determined scheduling needs for staff to cover shifts 24 hours/7 days each week.
- Served as representative on BH Leadership multidisciplinary group.
- Assisted in creating unit practices to eliminate duplicate workload functions, create team lead, and improve efficiency with electronic health record system.
- Conducted patient intake assessments, interviewed families, and utilized psychometric measures and patient observation to gather psychiatric histories and develop treatment plans.
- Determined most appropriate disposition in least restrictive environment while ensuring safety of patient and community: including facilitating involuntary commitments, referrals to treatment, and community resources post discharge.
- Counseled patients in crisis, assessing for safety plans, while deescalating crisis.
- Functioned as client advocate to coordinate required services and to resolve emergency problems in crisis situations.
- Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
School Social Worker
Wake County Public Schools
Cary, NC
10.2015 - 06.2016
- Assessed and evaluated for student, developed intervention plans based on students' needs and strengths; Advocated for appropriate services for students and families.
- Tracked and engaged over 1,000 student's attendance, school performance, and social needs.
- Conducted group sessions with students based on student needs; Helped students develop new coping mechanisms and techniques to drive behavior modification.
- Formulated treatment plan strategies with multidisciplinary teams to provide comprehensive and continuous care plan.
- Served on school's crisis team; Collaborated with multidisciplinary teams of school psychologists, teachers and administrators to create and implement Individualized Education Plans.
Human Service Senior Practitioner
Wake County Government
Raleigh, NC
09.2005 - 10.2015
- Investigated, assessed, and followed up on suspected cases of child abuse and neglect for over 120 reports annually; Interviewed children, adults, and other professionals to determine validity of allegations and to assist families with their needs.
- Conducted family-centered, strengths-based, culturally competent and individualized intakes and assessments.
- Provided crises interventions and therapeutic services to families experiencing violence.
- Attended court proceedings, submitted documents and offered testimony in both civil and criminal court cases.
- Served as part of on-call emergency after hour's team.
- Developed and implemented case plan for in home services and foster care cases.
- Developed presentation and training materials to educate colleagues and community about child welfare policy.
- Created peer support group for other colleagues investigating child sexual abuse cases.
- Assisted in creating and implementing training to assessors about NC Child Welfare Policy.
- Created and updated systems of organization for case service plans and court reports.
Social Worker
Orange County Department Of Social Services
Chapel Hill, NC
09.2004 - 09.2005
- Updated client documentation for accurate, compliant and current records.
- Supported clients and families with empathy and compassion during difficult times.
- Advocated for clients to assure respected rights and wishes.
- Interviewed clients, families, or groups to assess situations, limitations and issues and implement services to address needs.
Education
Ph.D. - Psychology
Northcentral University
San Diego, CA06.2016
Master of Science - Social Work
University of North Carolina At Chapel Hill
Chapel Hill, NC05.2010
Bachelor of Science - Psychology
University of Maryland At College Park
College Park, MC08.1998
Skills
- Licensed Clinical Social Worker; Clinical Application; Advocacy
- Departmental Operations and Team leadership
Process Evaluation, Improvement and Program Development - Policy Development and Procedure Adherence to Healthcare, Insurance and Regulatory Requirements (Joint Commission and NCQA Guidelines and Practice; Medicaid and Medicare)
- Quality Standards and Protocols
- Policy Interpretation and Application
- Data Analysis and Interpretation
- Compliance, Technical and Legal Report Writing
- Field Inspections and Site Evaluations
- Quality Assurance
- Employee Onboarding/Developmental and Utilization
- Accreditation Standards
- Government Standards
Certification
TF-CBT certified
UNC CH MSW field instructor
EMDR Trained
Affiliations
NASW NC Board of Directors 2016-2018
Association for the Treatment of Sexual Abusers 2016-present
Safe Child Advocacy Center- Planning and oversight committee 2010-2015.
Timeline
Sr Clinical Quality Analyst
Optum UnitedHealthcare
01.2020 - Current
Lead Behavioral Health Counselor
Wake Med
06.2017 - 01.2020
Licensed Clinical Social Worker
Self-Employed-Sole Proprietor
06.2016 - Current
School Social Worker
Wake County Public Schools
10.2015 - 06.2016
Human Service Senior Practitioner
Wake County Government
09.2005 - 10.2015
Social Worker
Orange County Department Of Social Services
09.2004 - 09.2005
Ph.D. - Psychology
Northcentral University
Master of Science - Social Work
University of North Carolina At Chapel Hill
Bachelor of Science - Psychology
University of Maryland At College Park