Julie Flores
Summary
Dynamic leader with a proven track record at Carelon, enhancing clinical operations and stakeholder communication. Spearheaded successful launch of clinical site at WelbeHealth, excelling in interdisciplinary collaboration and quality improvement. Skilled in audit preparation and developing training programs, demonstrating a strong blend of strategic oversight and effective leadership to build healthy teams.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Therapist
SUD Specialty Group
01.2025 - Current
- Independent Contractor Mental Health Therapist: Serve outpatient telehealth members of various managed care plans, assessment and treatment for mental health conditions
Clinical Services Director
WelbeHealth
04.2023 - Current
- Company Overview: Scaling Operations in Growing PACE Organization
- Oversight of multiple clinical departments (Social Services, Rehab, and Outpatient Medical Clinic) from the pre-launch of the brick-and-mortar site to the scaling phase; an increase in staffing of 400%; and the development of an operational strategy resulting in the successful achievement of clinical, quality, fiscal, and compliance KPIs.
Roles: Care Manager, Clinical Manager, Regional Clinical Quality Operations Director
Carelon (subsidiary of Elevance Health)
07.2014 - 04.2023
- Company Overview: Clinical Operations Experience w/National Insurance Company
- Assisted with launch of pilot programs for Medi-Medi recipients, worked on expansion of contracts and implementation (RFP to go live), regional oversight in clinical operations, developed and present clinical trainings, identified ways of increasing revenue through improving case management experience for stakeholders, audit SME, attend to alignment of contractual, state and federal obligations, hiring, onboarding and training case managment teams.
Technical Writer/Analyst
Geek Sources
08.2015 - 02.2016
- Development of tools for clinical process improvement: Wrote technical manual for VA Multiple Sclerosis Enhancements BI project, assisted with writing RFPs for project bids, analyzed data to help developers with architecture, provided clinical perspective to engineers for end user clinical staff
- Part-time, short term contract work
Roles: Therapist, Lead Therapist, Supervisor, Assistant Director
Hathaway-Sycamores Child Center
11.2008 - 07.2014
- Therapist/Administrator for SED children/families: Headed 5 clinical programs, clinically supervised clinicians and case workers, led work groups targeting write up of company policies and improvements in programs, helped to implement state pilot program, utilized monthly dashboards to track case management progress/FTE usage/billing trends/formulate proposals in improvements to programs
Admissions/Discharge Coordinator
Harbor View Adolescent Center (SNF)
08.2006 - 11.2008
- Experience with SED Adolescents and families: Intake/discharge planning of residents, rep at DMH Interagency Screening Committee in Los Angeles county, gatekeeper for out of county/out of state referrals/contracts, responsible for audit of HIPAA and Patient Rights policies, ran graduation group
Area Manager
Tierra Del Sol Foundation
05.2002 - 07.2006
- Experience with Community Integration: Managed program for the San Fernando Valley region which included 8 contract sites and direct staff report of 14, ensured satisfaction of contract partners through drop in visits/meetings and satisfaction surveys adjusting program according to needs of customers, advocated and assisted with fundraising for developmentally disabled adults
Human Resources Assistant
First American Home Buyers Protection
09.2000 - 05.2002
- HR Foundational Experience: Developed new orientation manual, executed orientations, interpreted corporate policy for staff, streamlined employee evaluations to meet legal guidelines, processed Worker’s Comp claims, handled health benefits and payroll for in-state and out of state employees
Research Assistant
UCLA
01.1999 - 01.2000
- Clinical coding: Helped develop coding systems for research of bipolar patients and their families
- Received recognition upon publishing of study
Education
M.A. - Clinical Psychology
Pepperdine University
01.2006
B.A. - Psychology
UCLA
01.2000
Skills
- Stakeholder communication
- Unit leadership
- Clinical metric tracking
- Quality improvement
- Interdisciplinary collaboration
- Performance improvement
- Budget oversight
- Developing training programs
- Outcome measurement
- Monitoring oversight
- Case management
- Compliance with regulatory guidelines
- Audit preparation
Certification
- Trainer for Managing and Adapting Practices (MAP) – UCLA Hawaii research
- Trainer for Child and Adolescent Needs and Strengths (CANS)
- Depression Treatment Quality Improvement (DTQI)
- Patient Health Questionnaire-9 (PHQ-9)
- developed/trainer: The Role of Care Manager
- developed/trainer: Decreasing Rapid Re-Admission
- developed/trainer: Effectively Engaging Members in the Engagement Center
- developed/trainer: Anxiety Disorders (1 CEU offered)
- Depression and mood disorders (1 CEU offered)ers (1 CEU offered)
- developed/trainer: Psychotic Disorders (1 CEU offered)
- developed/trainer: Substance Disorders (1 CEU offered)
- Professional Assault Crisis Training (Pro-Act)
- First Aid and CPR
References
Available upon request
Career Mission
My goal is to obtain a position in which I have significant impact on improving program workflows and creating innovative strategies, aligning best practices through utilization of my knowledge of clinical and business acumen.
Timeline
Therapist
SUD Specialty Group
01.2025 - Current
Clinical Services Director
WelbeHealth
04.2023 - Current
Technical Writer/Analyst
Geek Sources
08.2015 - 02.2016
Roles: Care Manager, Clinical Manager, Regional Clinical Quality Operations Director
Carelon (subsidiary of Elevance Health)
07.2014 - 04.2023
Roles: Therapist, Lead Therapist, Supervisor, Assistant Director
Hathaway-Sycamores Child Center
11.2008 - 07.2014
Admissions/Discharge Coordinator
Harbor View Adolescent Center (SNF)
08.2006 - 11.2008
Area Manager
Tierra Del Sol Foundation
05.2002 - 07.2006
Human Resources Assistant
First American Home Buyers Protection
09.2000 - 05.2002
Research Assistant
UCLA
01.1999 - 01.2000
- Trainer for Managing and Adapting Practices (MAP) – UCLA Hawaii research
- Trainer for Child and Adolescent Needs and Strengths (CANS)
- Depression Treatment Quality Improvement (DTQI)
- Patient Health Questionnaire-9 (PHQ-9)
- developed/trainer: The Role of Care Manager
- developed/trainer: Decreasing Rapid Re-Admission
- developed/trainer: Effectively Engaging Members in the Engagement Center
- developed/trainer: Anxiety Disorders (1 CEU offered)
- Depression and mood disorders (1 CEU offered)ers (1 CEU offered)
- developed/trainer: Psychotic Disorders (1 CEU offered)
- developed/trainer: Substance Disorders (1 CEU offered)
- Professional Assault Crisis Training (Pro-Act)
- First Aid and CPR
M.A. - Clinical Psychology
Pepperdine University
B.A. - Psychology
UCLA
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