
Licensed Professional Counselor (TX#72315, since 2016) with over 13 years of behavioral health experience, including 7 years in utilization management for a managed care organization and recent return to clinical practice in community and private settings. Proven expertise in conducting medical necessity reviews, prior authorizations, level-of-care determinations, and ensuring compliance with regulatory and contractual guidelines. Seeking to leverage strong clinical acumen, analytical skills, and deep understanding of behavioral health services to contribute to efficient, high-quality utilization management and care coordination in a managed care environment.
Awarded by the A.S.P.I.R.E. Committee and Mark Sanders, Plan President and CEO for demonstrating the core value of Innovation during the second quarter of 2020 for development and implementation of audit and performance tools and measures for community behavioral health providers