Denine Carr
Philadelphia,PA
Summary
Priority- driven Clinical Care Manager proudly offering over 20 years' experience giving outstanding service to clients and staff. Energetic, professional willing to take the time to explain treatments, medication, and how to maintain their recovery.
Overview
19
19
years of professional experience
Work History
Clinical Care Manger
The Consortium-Inc.
04.2025 - Current
- Worked closely with the treatment team to help individuals to seek a higher level of care.
- Monitored patient progress, adjusting care strategies as needed for optimal recovery.
- Facilitated patient referrals to appropriate resources, ensuring continuity of care.
- Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing, and other enabling services for patients.
- Monitored and tracked individuals stay while the individual was receiving inpatient treatment.
- Communicated with the treatment team transportation and documented details of discharge transition plans.
- Optimized resource utilization by accurately assessing individuals'' needs and aligning appropriate services to meet those needs.
- Developed individualized ASAM when individuals returned from a higher level of care to ensure appropriate level of care.
- Maintained confidentiality of patient information according to HIPAA guidelines and organizational policies.
- Practiced high level of professionalism to safeguard individuals information and maintain data integrity.
Clinical Care Manger
Community Behavioral Health
08.2022 - 03.2023
- Knowledgeable about behavioral health care services, system partners, service continuum and established medical necessity criteria and apply that knowledge in all work activities.
- Complete Utilization Management activities including but not limited to: interagency meeting, social determinants interviews with Individuals treatment team meetings, case consultations,care coordination, provider meetings, reviews, treatment linkage.
- Complete the number of required UN activities per day.
- Authorized and extend treatment authorizations when medical necessity criteria is met.
- Consult with Physician advisor, psychologist advisor or clinical supervisor as clinically appropriate.
- Generate denial letters based on physician consults and in accordance with state regulations as needed.
- Completed discharges in a timely manner.
- Understands Evidence - Base Practices and connect individual to appropriate EBP case treatment during admission, during treatment and at discharge.
- Maintained accurate documentation compliant with regulatory standards and policies.
- Worked with providers to define quality metrics and outcome reporting process.
- Monitor individual's length of treatment and work collaboratively with providers to address barriers to member receiving treatment in a less restrictive environment.
Clinical Supervisor
The Consortium-INC.
03.2007 - 08.2022
- Led clinical supervision of mental health professionals to ensure compliance with best practices and regulations.
- Conducted regular performance evaluations and provided constructive feedback to promote professional growth among staff.
- Oversaw program development initiatives aimed at improving service delivery and operational efficiency within the clinic.
- Analyzed individuals data to identify trends, informing adjustments in treatment protocols and enhancing care quality.
- Mentored junior staff in therapeutic techniques and ethical standards, fostering a culture of continuous learning and improvement.
- Improved patient outcomes by developing and implementing comprehensive mental health treatment plans.
- Championed a trauma-informed approach to mental health care within the organization, ensuring all staff members were trained in recognizing and addressing the effects of trauma on clients'' lives.
- Facilitated group therapy sessions that promoted self-awareness, coping skills development, and interpersonal relationship improvements for clients.
- Evaluated program effectiveness using data-driven assessments, leading to continuous improvement efforts within the organization.
- Provided crisis intervention services when necessary to ensure the safety and well-being of clients experiencing acute distress or suicidal ideation.
- Implemented quality improvement initiatives that resulted in measurable improvements in service delivery and client satisfaction rates.
- Collaborated with psychiatrists to develop appropriate pharmacological interventions for clients struggling with severe Drug and Alcohol symptoms.
- Reduced staff turnover rates by fostering a supportive work environment that encouraged professional growth and development.
- Increased clinician productivity with effective time management strategies and proper caseload distribution.
- Conducted regular case reviews with clinicians, identifying areas for improvement and providing constructive feedback on their performance.
- Streamlined communication among interdisciplinary teams, resulting in more efficient coordination of care for patients.
Education
Master of Science - Master in Clinical Counseling
Springfield College
Springfield, Massachusetts, MA12-2009
Bachelor of Science - Human Services/ Criminal Justice
Springfield College
Springfield, Massachusetts, MA08-2004
Skills
- Direct patient care
- HIPAA compliance
- Electronic health records
- Clinical assessment
- Mental health counseling
- Care coordination
- Quality improvement
- Staff management
- Mentoring and training
- Individual therapy
- Behavioral health
- Coaching and training
- Discharge planning
- Certified in CBT
Timeline
Clinical Care Manger
The Consortium-Inc.
04.2025 - Current
Clinical Care Manger
Community Behavioral Health
08.2022 - 03.2023
Clinical Supervisor
The Consortium-INC.
03.2007 - 08.2022
Master of Science - Master in Clinical Counseling
Springfield College
Bachelor of Science - Human Services/ Criminal Justice
Springfield College