KRISTINA MARTIN
Vancouver,WA
Summary
Dynamic Care Coordinator with a proven track record at Trillium Community Health Plan, adept in Behavioral Health Auditing and demonstrating exceptional motivational interviewing skills. Spearheaded process improvements and significantly enhanced care coordination for diverse populations, showcasing a commitment to cultural competence and innovative health solutions.
Overview
11
11
years of professional experience
Work History
Social Worker
Veterans Affairs
Vancouver, Washington
05.2025 - Current
- Delivered comprehensive psychosocial assessments and psychiatric diagnoses for complex mental disorders across various treatment settings, including tele-mental health.
- Facilitated timely discharge planning to secure appropriate placements for Veterans post-discharge.
- Assisted with end-of-life planning initiatives for Veterans in hospice care.
- Educated patients, family members, and significant others on mental health topics and treatment options.
- Executed timely follow-up for patients transitioning from inpatient units to ensure continuity of care.
- Implemented evidence-based psychotherapeutic interventions, including individual, family, and group therapy sessions.
- Complied with CPRS documentation procedures, ensuring adherence to timeliness standards and accurate patient check-out protocols.
- Collaborated within a multi-disciplinary team to provide clinical feedback addressing Veteran and family needs.
Patient Care Advocate-Quality Team
Trillium Community Health Plan
Tigard, Oregon
01.2025 - 05.2025
- Collaborated with members and healthcare providers to improve patient care experiences.
- Conducted outreach, health coaching, and education for members and families on preventive services.
- Completed yearly bio/psycho/social assessments for comprehensive care planning efficiently.
- Advised providers on HEDIS measures and coding to close care gaps effectively.
- Coordinated scheduling of appointments and transportation for essential wraparound services.
- Connected members with community resources to enhance plan compliance and quality outcomes.
Therapist
Atlanta Telehealth
05.2024 - 02.2025
- Conducted remote therapeutic sessions for Veterans.
- Integrated evaluations with tailored treatment plans to enhance therapy outcomes.
- Reviewed and revised goal-setting protocols.
- Orientation: Cognitive Behavioral Therapy, Motivational Interviewing, Brief Solution-Focused Therapy.
Care Manager Internship
Trillium Community Health Plan
Tigard, OR
03.2024 - 12.2024
- Conducted comprehensive assessments to develop effective care plans.
- Perform care coordinator duties to assess, plan, and coordinate all aspects of behavioral and supporting services across the continuum of care for Veterans, Refugees, LGBTQ+, custody, and BIPOC populations.
- Prepared and delivered clinical presentations during weekly clinical rounds.
- Coordinated discharge and treatment plans for diverse care levels: Psychiatric Inpatient, Residential Treatment Center, Respite, Sub-Acute, PHP, IOP, SUD, and Behavioral Health Outpatient.
- Coordinate ongoing care efforts for optimal client outcomes.
- Facilitated crisis intervention with behavioral health system partners.
- Coordinated outreach activities to enhance participation in educational endeavors.
Care Coordinator III
Trillium Community Health Plan
Tigard, OR
04.2022 - 12.2024
- Manage daily reports, coordinating across various systems to meet deliverables.
- Monitored referrals assigning suitable clinicians and tracking outcomes.
- Engaged in workgroups focused on process improvement.
- Perform care coordinator duties to assess, plan, and coordinate all aspects of behavioral and supporting services across the continuum of care for Veterans, Refugees, LGBTQ+, custody, and BIPOC populations.
- Managed member usage across various state and county programs.
- Partner with behavioral health specialists and community organizations to address member needs.
Group Therapist-Internship
Providence Child and Adolescent Psychiatry Inpatient Unit
Oregon City, OR
01.2023 - 02.2024
- Fostered patient trust and safety to ensure effective care delivery.
- Skilled in handling and resolving crisis situations.
- Implemented behavior management plans.
- Ensured compliance with safety protocols for secure patient and staff environments.
- Ensured precise and punctual documentation of patient care.
- Collaborated with patients from various cultural and social backgrounds to address mental health needs.
- Delivered expertise in diverse therapeutic techniques, including CBT, play therapy, and behavioral activation.
Care Coordinator
Trillium Community Health Plan
Tigard, OR
06.2020 - 03.2022
- Supervised expanding behavioral health staff across Tri-County for monitoring and tracking shared members in Intensive Community Programs: Choice, Wraparound, IIBHT, ICM, and ACT.
- Coordinated all aspects of integrated behavioral and physical health needs and supported services across the continuum of care for Veterans, Refugees, LGBTQ+, custody, and BIPOC populations.
- Acquired and oversaw behavioral health caseload.
- Conducted oversight on regulatory requirements to ensure compliance with intensive care coordination metrics.
- Coordinated and shared auditing documents to ensure adherence to compliance metrics.
- Key contributor in developing clinical workflows.
- Assisted with clinical workflows and program management.
- Worked with state, county, and community behavioral health partners as well as internal behavioral and physical health teams.
Program Coordinator
Health Net Health Plan of Oregon, Inc
Tigard, OR
04.2019 - 06.2020
- Shadowed and coached staff while monitoring performance.
- Delegated HRA representatives for daily assessment outreach.
- Oversaw HRA team productivity tracking for Medicare product.
- Established comprehensive HRA policies to align with organizational goals.
- Screened and identified healthcare needs to close care gaps.
- Internal coordination with care management teams for ongoing care coordination and monitoring across the continuum of care for Veterans, Refugees, LGBTQ+, custody, and BIPOC populations.
Outreach Coordinator/Health Coach
LifeWeighs Wellness Coaching
Portland, OR
12.2016 - 04.2019
- Delivered National Diabetes Prevention Program to uninsured individuals across Oregon, Hawaii, and South Carolina.
- Facilitated behavior support to clients at risk for negative outcomes and promoted healthy lifestyle changes.
- Contributed to the design and development of multiple corporate tools including a video, EHR platform, LMS software, and mobile application.
- Collaborated with Oregon Health Department and CDC to meet grant requirements.
Academic Peer Advisor
Portland State University
Portland, OR
03.2015 - 06.2016
- Guided students in navigating degree options and academic pathways.
- Regularly met with students to evaluate their degree progress.
- Assessed career aspirations with students and guided them towards appropriate pathways to achieve objectives.
- Evaluated and handled re-admission applications following academic suspension.
- Guided international and veteran students toward relevant campus and community resources.
- Directed a pilot project collecting data on student communication preferences, and presented findings and implementation recommendations to the University Provost.
Education
Master of Social Work -
Tulane University School of Social Work
New Orleans, LA12.2024
Bachelor of Science -
OHSU-PSU School of Public Health
Portland, OR12.2017
Skills
- Behavioral Health Auditing
- Business Analytics for Behavioral Health Metrics
- Behavioral Health Trainer
- Behavioral Health Clinical and Administrative Knowledge
- Motivational Interviewing Therapy
- Cognitive Behavioral Therapy
- Proficient in Brief Therapy Techniques
- LGBTQI inclusive and culturally competent
- Victim Advocate
- Veteran and military cultural competence
- Disaster and Collective Trauma Focus
Timeline
Social Worker
Veterans Affairs
05.2025 - Current
Patient Care Advocate-Quality Team
Trillium Community Health Plan
01.2025 - 05.2025
Therapist
Atlanta Telehealth
05.2024 - 02.2025
Care Manager Internship
Trillium Community Health Plan
03.2024 - 12.2024
Group Therapist-Internship
Providence Child and Adolescent Psychiatry Inpatient Unit
01.2023 - 02.2024
Care Coordinator III
Trillium Community Health Plan
04.2022 - 12.2024
Care Coordinator
Trillium Community Health Plan
06.2020 - 03.2022
Program Coordinator
Health Net Health Plan of Oregon, Inc
04.2019 - 06.2020
Outreach Coordinator/Health Coach
LifeWeighs Wellness Coaching
12.2016 - 04.2019
Academic Peer Advisor
Portland State University
03.2015 - 06.2016
Master of Social Work -
Tulane University School of Social Work
Bachelor of Science -
OHSU-PSU School of Public Health