Dustin Pravecek

• Managed initial and concurrent insurance reviews for clients in ASAM levels of care - 3.5, 2.1, and 1.0 (residential and outpatient). Currently managing 3 sites with both Medicaid and Private insurance as well as state wide prior authorizations.
• Knowledgeable in Minnesota DHS, ASAM levels of care, InterQual and various continued stay guidelines for multiple levels of care.
• Trained clinicians on ASAM and national clinical guidelines needed for insurance approvals helping to decrease denial rates.
• Conducted multiple level of appeals, peer-to-peer (Doctor) reviews, single case agreements, and retro authorizations.
• Audited treatment records and worked with site directors to reconcile out of compliance treatment records.
• Performed insurance checks using Minnesota state MN-ITS website as Healthia exchange and MetRX to determine active insurance coverage.
• Screened and helped clients apply for substance use funding when eligible.
• Set up our facility with provider portals for efficient prior authorizations (i.e. Availity, UHC, provider express, etc).
• Developed an excel directory of all MN Teen Challenge NPI, addresses, and levels of care. Also, listed list of common fax numbers and phone numbers for insurance companies.
• Developed workflow spreadsheets for efficient insurance submission of new intakes.

• Conducted multiple chemical dependency assessments a week as well as intakes including informed consent, intake documentation within regulatory timelines.
• Made referrals to treatment centers that best suited their cultural, spiritual, gender, age, health, or mental health preferences and/or needs.
• Diagnosed clients after assessments via ICD-10 guidelines and facilitated referrals to appropriate treatment using ASAM and six dimensions.
• Utilized Motivational Interviewing skills to build on client's own goals and relieve client's anxieties of entering treatment services.
• Provided professional development and training of team members and interns.
• Made collaborative calls to prospective client family, legal team, and current care providers to gather medical necessity criteria and to add to treatment planning.
• Collaborated with multidisciplinary teams to implement individualized recovery strategies.

Responsible for parking and returning customer cars.

• Managed work force, address complaints of damage claims, report to leadership of volume of cars, and complete bank drops.

• Guided clients in self-discovery through lectures, groups process, and individual counseling.
• Conducted weekly progress reviews with a small case load of 3 clients (Internship 1), aided in aftercare referral resources, and completed medical records according to 245G regulations.
• Aided in development of therapeutic activities through weekly recreational activities to build morale and engagement for inpatient clients. Developed lectures and worksheets integrating psycho-educational material and 12 steps.

• Performed instant panel urinalysis tests and breathalyzers for intakes and residents, labeled, and prepared for shipment.
• Provided feedback to clients and their counselors for growth opportunities through behavioral interventions.
• Resolved conflicts between residents.
• Administered medications, updated medications logs, and sent requests to nursing for refills.
• Performed data entry for Chemical dependency records.