Jenelle Wile
Peoria,AZ
Summary
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
22
22
years of professional experience
1
1
Certification
Work History
High Risk Manager/High-Cost High Needs Coordinator
Lifewell/Terros Health
09.2021 - Current
- Monitors, tracks and supports clinical teams with ensuring follow up for adult SMI individuals identified as high risk by agency. Supports clinical team with ensuring compliance with HEDIS measures
- Enhanced risk identification processes for early detection and mitigation of potential threats.
- Streamlined communication channels between various departments, ensuring timely sharing of critical risk information.
Clinical Coordinator
Lifewell
Phoenix, AZ
09.2016 - 09.2021
- Ensures productivity and clinical quality standards are met and surpassed by direct supports
- Provides clinical and administrative supervision, clinical oversight, training and mentoring to clinical team case managers and rehab specialist.
- Ensures that assessments and individualized service plans are developed and implemented according to ADHS/DBS guidelines for each member on team
- Provides support and oversight to case manager with identifying resources to meet members needs pertaining to housing, recovery programs, and levels of care
Case Manager
Southwest Network
Phoenix, AZ
07.2014 - 09.2016
- Provided supportive case management services to individuals with SMI diagnoses
- Completed contact requirements to assigned caseload per AHCCCS Mercy Care guidelines
- Developed assessments and individualized service plans
- Provided support and identified resources to help support individuals meet their needs and reach their goals.
Compliance and Quality Improvement Coordinator
Windstone Behavioral Health
Costa Mesa, CA
04.2013 - 09.2013
- Received and assisted with investigation of incoming complaints and grievances from clients, insurance companies and medical group
- Assisted Compliance Officer with written responses and development of resolutions to all complaints and grievances
- Performed Quarterly Compliance audits at clinic sites
- Provided support to Compliance Officer and Chief Clinical Officer for reviewing and obtaining relevant information for NCQA Accreditation process
Intake Coordinator/Case Manager
Windstone Behavioral Health
Costa Mesa, CA
06.2011 - 04.2013
- Collaborated closely with treatment team and external resources such as hospitals, physicians, schools, and other community personnel to appropriately coordinate client services
- Quickly responded to crisis situations when severe behavioral health or urgent issues arose and provided appropriate follow up with clients
- Served as Department coordinator for Kaiser Permanente of Orange County members
- Provided back up support to Clinical team to facilitate Skilled Nursing Facility Psych evaluations
- Facilitated communication between clinical staff and patients regarding treatment options and resources.
- Collaborated with multidisciplinary teams to address patient needs and improve overall care coordination.
Patient Care/Front Office Representative
Saddleback Medical Group
Laguna Hills, CA
07.2004 - 06.2011
- Coordinated communication between medical staff and patients to streamline operations.
- Resolved patient inquiries and concerns promptly, fostering positive relationships.
- Processed patient intake forms and verified insurance information for accuracy.
Education
Bachelor of Arts - Psychology
California State University Fullerton
Fullerton, CA12-2009
Skills
- Risk mitigation
- Relationship building
- Process improvement
- Project assistance
- Updating stakeholders
- Clear communication
- Adaptability and flexibility
- Verbal and written communication
- Problem-solving
- Team collaboration
Certification
- CPR Training - April 2026
- Therapeutic Options August 2024
Timeline
High Risk Manager/High-Cost High Needs Coordinator
Lifewell/Terros Health
09.2021 - Current
Clinical Coordinator
Lifewell
09.2016 - 09.2021
Case Manager
Southwest Network
07.2014 - 09.2016
Compliance and Quality Improvement Coordinator
Windstone Behavioral Health
04.2013 - 09.2013
Intake Coordinator/Case Manager
Windstone Behavioral Health
06.2011 - 04.2013
Patient Care/Front Office Representative
Saddleback Medical Group
07.2004 - 06.2011
Bachelor of Arts - Psychology
California State University Fullerton