Kimberly Shelto
ADHD Thrive Institute
Glastonbury
23
years of professional experience
Detail-oriented professional with strong organizational skills in lab testing administration. Proven ability to manage client relations and lab testing processes. Effectively collaborates and communicates with clients and team members.
Work History
Lab Testing Administrator
4 Years 9 Months- Requested lab tests from various testing companies
- Managed lab testing email inbox
- Set up protocols and clients in Practice Better
- Communicate and follow up with clients related to lab testing
- Conducted onboarding Zoom calls with new clients
- Acts as liaison with lab testing companies as needed
- Attend Bi-Weekly Team Call and Lab Testing Meeting
Behavioral Health Care Manager
12 Years 7 Months- Provided detailed clinical documentation, case management and referrals.
- Evaluated patient histories, complaints and current symptoms.
- Performed admissions, continued stay and retro reviews for medical necessity for Inpatient, Partial Hospitalizations and Intensive Outpatient based upon Milliman Care Guidelines.
- Collaborated with treatment providers and submitted cases to MD peer reviewer for medical necessity determination and helped facilitate discussion of alternate treatment options.
- Presented cases for consultation during weekly team meetings and collaborated with medical director as needed.
- Maintained positive customer and peer relations while ensuring the appropriate level and quality of care.
- Ensured service requested were handled efficiently and in a timely manner.
Senior Treatment Coordinator
4 Years 3 Months- Performed in team leader capacity and delegated staff caseloads.
- Completed psychosocial evaluations and needs assessments.
- Coordinated individualized discharge plans to manage safe transition back into community and home environments.
- Worked with medical teams, patients and families to implements effective treatment plans.
- Formulated treatment plan strategies with multidisciplinary teams to provide comprehensive and continuous care plans.
- Facilitated individual, group and family therapy sessions to children, adolescents and adults in acute psychiatric setting.
- Provided coverage of pre-certification and concurrent review for Utilization Review coordinator.
Education
Master of Science - Social Work
Bachelor of Science - Psychology
Skills
Quality assurance monitoring
Documentation skills
Detail-oriented
Time management
Customer relations
Clinical documentation
Supportive communication
Organizational skills
Teamwork and collaboration
Active listening
Data entry accuracy
Timeline
Lab Testing Administrator
ADHD Thrive Institute
01.2022 - CurrentRead More
Behavioral Health Care Manager
Anthem
11.2007 - 06.2020Read More
Senior Treatment Coordinator
St. Vincent's Behavioral Health Services
08.2003 - 11.2007Read More
Fordham University
Master of Science from Social Work
Read More
Suffolk University
Bachelor of Science from Psychology
Read More