Elvira Evans
Lexington,NC
Summary
Results-driven Mental Health Case Manager with extensive experience at Atrium Wake Forest Baptist High Point Medical, specializing in Cognitive Behavioral Therapy and crisis intervention. Notable for enhancing patient care coordination and compliance by 20% through effective multidisciplinary collaboration and evidence-based practices. Proficient in the utilization review process, ensuring necessary authorizations that significantly improve patient outcomes.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Mental Health Case Manager
Atrium Wake Forest Baptist High Point Medical
High Point, NC
01.2023 - Current
- Collected information about clients through interviews, observation, or tests.
- Maintained safe, organized and therapeutic environment to enhance patient comfort.
- Acted as client advocate, coordinating required services and resolving emergency problems in crisis situations.
- Designed and implemented scientifically researched and evidence-based interventions.
- Educated families about patients' diagnosis and appropriate intervention strategies to use at home.
- Assisted individuals with stress management, self-esteem and issues associated with emotional and mental health.
- Modified treatment activities or approaches as needed to comply with changes in clients' status.
- Collaborated with mental health professionals and other staff members to perform clinical assessments or develop treatment plans.
- Organized social activities to help patients apply new skills in public settings.
- Collaborated with probation officers and police to exchange necessary information during treatment process.
- Counseled family members to assist in understanding, dealing with or supporting clients or patients.
- Developed behavioral plans for clients based on assessment results and established goals.
- Attended professional development activities including workshops, conferences, seminars related to Behavioral Therapy.
- Participated in interdisciplinary team meetings regarding treatment planning for clients.
- Referred patients or clients to community resources or specialists.
- Encouraged clients to express feelings and discuss happenings in life to help develop insight into themselves or relationships.
- Conducted utilization review activities including concurrent reviews, retrospective reviews, and discharge planning.
- Managed appeals for denied services, providing additional information to support medical necessity.
- Contacted insurance carriers to obtain authorizations for services delivered to patients.
- Monitored patient admissions and discharges to optimize care coordination and resource utilization.
- Coordinated with healthcare teams to develop care plans that meet patient needs and insurance coverage.
- Conducted comprehensive reviews of patient records to ensure medical necessity and compliance with healthcare standards.
- Referred cases to secondary review for failure to meet criteria.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
Behavioral Health Clinician
Novant Health Thomasville Medical/ Forsyth Medical
Winston-Salem, NC
01.2016 - 01.2023
- Implemented evidence-based therapeutic interventions, such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT).
- Conducted psychoeducational groups to teach patients about the impact of mental health on physical well-being and lifestyle choices.
- Responded to crisis situations when severe mental health and behavioral issues arose.
- Assessed patient needs and recommended appropriate courses of treatment.
- Conducted comprehensive behavioral assessments to identify individual patient needs and develop tailored treatment plans.
- Monitored patient progress through regular follow-up sessions and adjusted treatment plans as necessary.
- Advised families on how to best support their loved ones struggling with mental illness.
- Performed psychosocial assessments to identify risk factors for behavioral health disorders.
- Evaluated new patients referred from primary care providers or other sources.
- Participated in assessments and visits with patients in various types of settings.
- Assisted clients in developing coping skills to manage stress, anxiety, depression, and other mental health issues.
- Provided guidance and support for patients transitioning back into the community or workplace after hospitalization.
- Utilized electronic health records (EHR) to document patient interactions, treatment plans, and outcomes.
- Engaged in continuous professional development to stay current with the latest research and best practices in behavioral health.
- Encouraged clients to express feelings and discuss happenings in life to help develop insight into themselves or relationships.
- Coordinated follow-up visits between clients and other service providers.
- Maintained confidentiality and adhered to ethical standards in all interactions with patients and their families.
- Provided one-on-one counseling sessions to support patients with mental health issues, including anxiety, depression, and PTSD.
- Prepared and maintained required treatment records and reports.
- Documented information for charts, progress reports, assessments and other paperwork within specific timeframes.
- Acted as client advocate, coordinating required services and resolving emergency problems in crisis situations.
- Attended continuing education courses related to behavioral health topics.
- Counseled clients or patients individually or in group sessions to assist in overcoming dependencies, adjusting to life or making changes.
- Assessed patients for risk of suicide attempts or harmful behavior toward others.
- Developed and implemented treatment plans for individuals with mental health problems.
- Actively participated in quality improvement initiatives within the organization.
- Liaised between patients, healthcare providers, and insurance companies to clarify coverage and authorize services.
- Participated in multidisciplinary team meetings to discuss patient care issues and utilization review findings.
- Conducted reviews of inpatient utilization for compliance with admission criteria and concurrent review requirements.
- Served as a resource for staff members seeking guidance on utilization review matters.
- Monitored pre-authorization requests to ensure that all necessary information was received prior to approval or denial of services.
- Conducted comprehensive reviews of patient records to ensure medical necessity and compliance with healthcare standards.
- Referred cases to secondary review for failure to meet criteria.
Education
Master of Science - Masters of Social Work
University North Carolina At Pembroke
Pembroke, NC12-2015
Master of Science - Family Community Services/ Minor Business
East Carolina University
Greenville, NC06-2010
Skills
- Self-care promotion
- Family support coordination
- Individualized care planning
- Multidisciplinary collaboration
- Service referral
- Empathy development
- Psychoeducation delivery
- Motivational interviewing
- Behavioral assessment
- Anger management techniques
- Suicide risk assessment
- Stress reduction strategies
- Relapse prevention planning
- Substance abuse
- Client advocacy
- Boundaries establishment
- Self-Harm Prevention Techniques
- Case documentation
- Residential treatment programs
- Unit management and leadership
- Heartsaver first aid (first aid)
- Excellent communication
- Grief counseling
- Interpersonal skills
- Cognitive behavioral therapy
- Family therapy
- Therapeutic interventions
- Outreach programming specialist
- Therapeutic expertise
- Multitasking
- Professional demeanor
- Positive patient experiences
- Records management
- Goal setting
- Heartsaver CPR AED
- Residential treatment plans
- Emotional regulation techniques
- Reliability
- Professionalism
- Nonviolent crisis intervention
Affiliations
- Journaling
- Hiking
- Spending Time with Family
Accomplishments
- Mark Award Winner 2018 at Novant Medical Center
Certification
- LCSW
- Trauma Certification
- BLS
- CPI
References
References available upon request.
Timeline
Mental Health Case Manager
Atrium Wake Forest Baptist High Point Medical
01.2023 - Current
Behavioral Health Clinician
Novant Health Thomasville Medical/ Forsyth Medical
01.2016 - 01.2023
- LCSW
- Trauma Certification
- BLS
- CPI
Master of Science - Masters of Social Work
University North Carolina At Pembroke
Master of Science - Family Community Services/ Minor Business
East Carolina University
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