Jennifer Rosette
Summary
Accomplished Licensed Independent Social Worker with broad expertise in behavioral health. Skilled at utilization review, clinical management, and direct clinical service. Attention to detail with adeptness in program development, establishing and maintaining clinical standards, and ensuring proficient utilization review outcomes. Reliably addresses quality assurance needs and regulatory requirements. Proficient in staff management and development.
Overview
18
18
years of professional experience
Work History
Social Work Reviewer
Health Management Systems/Gainwell Technologies
07.2018 - 06.2024
- Conducted utilization reviews for the following Medicaid services: Psychiatric Inpatient, Assertive Community Treatment, Intensive Home-Based Treatment, Substance Use Disorders (SUD) Partial Hospitalization, SUD Residential, and SUD Halfway House.
- Conducted on-site surveys of Ohio inpatient psychiatric hospitals rendering Medicaid fee-for-service. Provided constructive feedback and recommendations for improvement.
- Sustained high levels of productivity under tight deadlines.
- Developed strong working relationships with clients, fostering open communication channels for addressing their concerns or question.
Case Management Supervisor Long Term Services and Supports
Molina Healthcare, Inc.
11.2016 - 06.2018
- Provided leadership, guidance and support to approximately 15 MyCare Ohio Waiver Case Managers consisting of both Nurses and Social Workers.
- Developed work processes supporting regulatory requirements, production needs, and client services maximization.
- Identified opportunities for quality improvement by conducting documentation audits, analyzing outcome and production reports, and regularly reviewing policies and procedures.
- Evaluated Case Manager performances, providing constructive feedback and targeted coaching efforts for improvement.
Provider Relations Manager, Behavioral Health Reviewer
Health Management Systems
07.2013 - 04.2016
- Conducted on-site surveys of Ohio inpatient psychiatric hospitals rendering Medicaid fee-for-service. Provided constructive feedback and recommendations for improvement.
- Conducted utilization reviews for Community Psychiatric Supportive Treatment.
- Developed clinical documentation standards and program procedures.
- Developed content for brochures, website, training materials, provider documentation forms, and newsletter.
- Educated behavioral health providers via webinars, town halls, and on-site visits.
Director of Clinical Services
Buckhorn Children and Family Services
04.2010 - 07.2014
- Provided leadership, guidance, and support to approximately 5 staff consisting of therapists and administrative assistants.
- Collaborated with Tri-State Youth Academy to ensure the clinical needs of their program and children were properly met.
- Trained both clinicians and Tri-State Youth Academy staff.
- Facilitated clinical program development and established clinical protocols.
- Enhanced and expanded the Juvenile Sex Offender Program.
- Conducted individual, group, and family therapy.
Social Work Supervisor
Ohio Reformatory for Women
04.2006 - 10.2009
- Provided leadership, guidance and support to approximately 8 social workers.
- Collaborated with prison and clinical services management to ensure mental health services met the needs of both the institution and inmates.
- Monitored program performance and outcomes for successful delivery of services.
- Enhanced staff performance through regular supervision, training, and professional development opportunities.
Education
Master of Social Work -
Ohio State University
Bachelor of Social Work -
Ohio State University
Skills
- Behavioral Health Expertise
- Utilization Review
- Program Development
- Case Management
- Quality Assurance
- Clinical Leadership
- Critical Analysis
- Employee Management
- Training
Timeline
Social Work Reviewer
Health Management Systems/Gainwell Technologies
07.2018 - 06.2024
Case Management Supervisor Long Term Services and Supports
Molina Healthcare, Inc.
11.2016 - 06.2018
Provider Relations Manager, Behavioral Health Reviewer
Health Management Systems
07.2013 - 04.2016
Director of Clinical Services
Buckhorn Children and Family Services
04.2010 - 07.2014
Social Work Supervisor
Ohio Reformatory for Women
04.2006 - 10.2009
Master of Social Work -
Ohio State University
Bachelor of Social Work -
Ohio State University
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