Elizabeth Robinson
San Diego,CA
Summary
Goal Driven Licensed Marriage and Family therapist with leadership and management experience in healthcare enterprises. Plan and implement strategies for developing improved health care management. Proven problem solver and excellent communicator. Strong organizational skills, superb understanding of data collection and performance metrics (KPI). Recognized for staff development leading to high performing teams.
Overview
14
14
years of professional experience
Work History
Director of Healthcare Services
Molina
06.2022 - Current
- Directs and oversees one of the following key Healthcare Services functions: case management/disease management/care transitions; utilization management (Position oversees PA authorizations and manages the inpatient certification review staff for initial, concurrent, or retrospective reviews); long-term supports and services; or nurse advice line.
- Develops, implements and/or monitors standardized protocols for clinical and non-clinical team activities to facilitate integrated proactive care review and management.
- Develops, performs, and promotes interdepartmental integration and collaboration to enhance clinical services.
- Collaborates with and keeps the AVP or VP of Healthcare Services informed of operational issues, staffing, resources, system, and program needs and presents solution action plan for issues.
- Facilitates and participates in committees, task forces, work groups and multidisciplinary teams as needed to promote standardized Molina enterprise-wide approach to Care Management programs.
- Ensures monthly auditing is occurring with appropriate follow-up.
- Engaged in clinical training activities and outcomes.
- Implemented cost-saving measures, optimizing resource allocation without compromising the quality of patient services.
- Develops and mentors HCS managers and supervisors.
Manager of Healthcare Services
Molina
02.2021 - 06.2022
- Responsible for clinical teams (including operational teams, where integrated) performing one or more of the following activities: care review/utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), case management, transition of care, health management and/or member assessment.
- Typically, through one or more direct report supervisors, facilitates integrated, proactive HCS management, ensuring compliance with state and federal regulatory and accrediting standards and implementation of the Molina Clinical Model.
- Manages and evaluates team member performance; provides coaching, counseling, employee development, and recognition; ensures ongoing, appropriate staff training; and has responsibility for the selection, orientation and mentoring of new staff.
- Performs and promotes interdepartmental/ multidisciplinary integration and collaboration to enhance the continuity of care including Behavioral Health and Long-Term Services & Supports for Molina members. Oversees Interdisciplinary Care Team meetings.
- Functions as hands-on manager responsible for supervision and coordination of daily integrated healthcare service activities.
- Ensures adequate staffing and service levels and maintains customer satisfaction by implementing and monitoring staff productivity and other performance indicators.
- Collates and reports on Care Access and Monitoring statistics including plan utilization, staff productivity, cost effective utilization of services, management of targeted member population, and triage activities.
- Ensures completion of staff quality audit reviews. Evaluates services provided and outcomes achieved and recommends enhancements/improvements for programs and staff development to ensure consistent cost effectiveness and compliance with all state and federal regulations and guidelines.
- Maintains professional relationships with provider community, internal and external customers, and state agencies as appropriate, while identifying opportunities for improvement.
Supervisor of Case Management
Molina Healthcare
09.2018 - 02.2021
- Created a supportive work environment that encouraged open communication among team members, fostering collaboration and continuous improvement efforts.
- Optimized resource allocation by analyzing caseload data and adjusting staff assignments accordingly.
- Managed budgetary constraints effectively, allocating funds to maximize impact on client services while minimizing operational costs.
- Developed and maintained comprehensive policies and procedures for the case management department, ensuring consistency in practice across all team members.
Case Manager
Molina HealthCare
11.2015 - 02.2021
- Proactively identifies members that may qualify for potential case management services
- Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals to address the member needs
- Performs ongoing monitoring of the plan of care to evaluate effectiveness and suggests changes accordingly
- Promotes integration of services for members including behavioral health and long term care to enhance the continuity of care for Molina members
- Conducts face to face or home visits as required.
Clinician
Zeiders Enterprises
06.2015 - 11.2015
- Conduct intake, screening, assessment, and referral of clients as appropriate
- Establish an individual treatment plan outlining the goals of treatment with the client
- Provide individual, couples counseling and extensive case management
- Offer prevention and education programs and services based on client needs
- Maintain all counseling case documentation in accordance with all applicable policies, laws and instructions
- Provide clinical services and case management for clients regarding domestic abuse and sexual assault cases
- Other duties as assigned.
Clinician
Community Research Foundation-Crossroads Family Center
01.2010 - 06.2015
- Conducted Individual and Family sessions for emotionally disturbed children and adolescents
- Utilized DSM IV to diagnose with Axis 1 diagnosis
- Diagnosis include mood disorders, Adjustment disorders, Depressive disorders, anxiety disorders, and trauma disorders
- Caseload average: 28 clients per week
- Provided extensive case management linking parents and families to resources
- Initiate intake assessments to gather psychosocial history of client and family in order to diagnose and create client plan goals
- Provide bio-psychosocial/wrap around needs of clients and families
- Facilitated crisis intervention, behavioral health services, and case management services to client and families
- Bill and document services appropriately
- Work with individuals and families to assist them in accessing appropriate support services and entitlements, medical care, community resources, and family support systems in an effort to facilitate recovery and rehabilitation
- Attend alternative provider meetings as well as IEP meetings to advocate for client's needs
- Closely consult with all providers and teachers to ensure consistency of interventions.
Therapist
Old Town Psychological Services
02.2010 - 02.2012
- Average clients per week range from 3-7
- 10% of cases included couples working with Domestic Violence
- Private practice setting which includes treatment of children, adolescence, adults, couples, and families
- Special focus on Selective Mutism populations
- Conducted therapeutic individual, couples and family therapy sessions.
Education
Master of Science - Counseling Psychology
University of Phoenix
01.2008
Bachelor of Science -
University of California San Diego
01.2004
High School -
Cranbrook Kingswood Academy
01.2000
Skills
- Culturally sensitive
- Licensed Marriage and Family Therapist
- Expertise in crisis intervention techniques
- Trained in Solution Focused Brief therapy, DBT, CBT, TFCBT, and Motivational Interviewing
- Certified In LGBTIQ practices
- Adept at treatment and discharge planning
- Skilled in case management
- CMS Audit experience as lead speaker
- Healthcare management
- Knowledgeable in state and federal regulations
Accomplishments
- San Diego MHS 2011 Employee of the Year Nominee
- San Diego MHS 2014 Employee of the Year Nominee
- Go the Extra Mile” GEM Recipient for October 2014-April 2015 Quarter
- CAMFT Member since 2009
- LGBTIQ Trainer
- LGBTIQ certified
- Certified in Cultural Competency
License
84734
Personal Information
Title: LMFT
Timeline
Director of Healthcare Services
Molina
06.2022 - Current
Manager of Healthcare Services
Molina
02.2021 - 06.2022
Supervisor of Case Management
Molina Healthcare
09.2018 - 02.2021
Case Manager
Molina HealthCare
11.2015 - 02.2021
Clinician
Zeiders Enterprises
06.2015 - 11.2015
Therapist
Old Town Psychological Services
02.2010 - 02.2012
Clinician
Community Research Foundation-Crossroads Family Center
01.2010 - 06.2015
Master of Science - Counseling Psychology
University of Phoenix
Bachelor of Science -
University of California San Diego
High School -
Cranbrook Kingswood Academy