Edgar Concepcion

· Collaborates with members served to create Recovery Plan goals and ensure all services described in the Recovery plan are provided.

· Collects required data and completes required documentation

· Coordinates transitions to lower levels of care

· Maintains awareness of community resources and assists members served in appropriate use of community resources Assists members served in making and getting to essential appointments

· Assists and advocates for members served in obtaining appropriate benefits; provide representative payee services Provides wraparound services that encompass whole person care

· Provides transportation when needed and appropriate and linkage to community resources

· Provide and document quality and quantity of direct services as required by program standards

• Floor RN tasked with various psych/detox populations from children through to and including adults
• Intake coordinator tasked with searching for and screening for prospective patients in the community for admission to for-profit facility to maintain volume and meet fiscal goals
• Provided care to individuals in psychiatric, detox or co-occurring crises arriving from the community
• Completed two travel assignments at facility and offered a third but did not accept new contract in order to take time off to receive treatment for non-work-related illness now in remission.

• Responsible for Child, Adolescent, Adult, Eating Disorder populations on caseload
• Responsible for introducing and overseeing Utilization Management at all offsite locations such as PHP and IOP under the direction of UM supervisor in 2014
• Participated in treatment planning and integrated the UM process with the treatment team to communicate clinical concerns between the team and payers to deliver best-practice care
• Independently maintained assigned caseload and prioritized cases daily based on case complexity
• Remote work role as of 2015 tasked with responsibility to maintain productivity and make clinical decisions with minimal in-person supervision
• Transferred to A&R 11/2015 to accept full-time position and returned to Utilization Management Dept 5/2019
• Role absorbed under HCA Corporate Division for new cross – enterprise / multiple facility model in 8/2021
• Resigned to accept travel RN position at Maxim Healthcare.

• Responsible for Child, Adolescent, Adult, Eating Disorder populations on caseload
• Remote work role as of 2015 tasked with responsibility to maintain productivity and make clinical decisions with minimal in-person supervision
• Coordinated assigned cases with multiple different payers to ensure that pre-certification was completed and payer determination documented in a timely fashion
• Maintained assigned caseload and prioritized cases daily based on case complexity
• Collaborated with and relayed any accuracy concerns to Physician and treatment team to ensure accurate data was relayed to payers and documented in Midas
• Transferred back to Utilization Management Department 5/2019.

• Experienced with Child, Adolescent, Adult, and eating disorder populations
• Facilitated group and individual psychotherapy
• Coordinated treatment and discharge planning with patient, treatment team, area community services and families
• Selected to serve on peer interview committee for selecting new hire candidates
• Served as interim evening Assistant Clinical Manager on Adolescent Services from Dec
• 2nd, 2013-March 2014
• Rotated into charge duties as scheduled
• Communicated with senior leadership to plan and implement new policies and procedures for the improvement of patient safety and satisfaction
• Oriented new hires as a preceptor
• Transferred to Utilization Management Department 6/2014.

• Maintained the milieu on a 40-bed inpatient forensic psychiatric unit and stepdown units for non-forensic individuals
• Served as supervisor for RN I, Psych Tech I, and Psych Tech II staff
• Performed staff evaluations as scheduled
• Trained on specific legal issues specific to the forensic population
• Collaborated with treatment teams to reintegrate individuals back into the community
• Rotated into charge duties as scheduled

• Milieu management and safety intervention
• Facilitated group and individual therapy under supervision of an RN
• Resigned to transfer to staff RN role at Dominion.

• Facilitated group and individual therapy under supervision of an RN
• Milieu management and safety intervention
• Resigned due to marriage and relocation to NOVA to attend NVCC.

• Assisted RN with intake at the Central Receiving Center
• Milieu management and safety intervention
• Resigned to accept full-time position at The Center for Behavioral Health.