Leslie Moya
Edinburg,TX
Summary
Driven and compassionate Clinical Social Worker with eleven years of experience in counseling and advocating for clients in varied agencies and six years of direct clinical practice. Successful background in applying evidence-based practices to positively impact clients. Highly collaborative, organized and resourceful with excellent clinical acumen.
Overview
20
20
years of professional experience
Work History
Behavioral Health Case Manager II
Carelon
08.2023 - Current
- Collect information and use clinical knowledge and expertise to ensure members are directed to the appropriate level of care.
- Responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review for 6 health plans.
- Use appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract.
- Refers cases to Peer Reviewers as appropriate.
- Performs psychiatric and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to optimize member health benefits and to promote effective use of health benefits and community resources.
- Will serve as a resource to other BH Care Managers.
- Conduct risk assessments and provide crisis support.
- Assists with more complex cases and may participate in inter and intradepartmental teams projects and initiatives.
LCSW/Therapist
ABLETO
01.2021 - Current
- Deliver remote care throughout an 8-week evidence-based program or a 16-week evidence-based program
- Monitor participant progress, provide follow-up communications and care coordination recommendations, and document session notes
- Participate as a member of the care team and assist participants as needed with accessing resources, as well as obtaining consent and authorization forms
- Identify and respond to high-risk participant encounters with elevated safety concerns, following company protocols
- Participate in regularly scheduled meetings with supervisors, monthly team meetings, and Town Halls
- Maintain the highest standards of confidentiality as described in HIPAA Privacy & Security policies, and ensure compliance with annual training requirements
- Assessed client progress to tailor interventions and enhance therapeutic outcomes.
- Supported client goals by identifying barriers and developing action plans.
Palliative Care SW
Aspire Healthcare
08.2016 - 08.2023
- The Social Worker provides a range of services including identifying non-clinical community resources, providing in-home and telephonic psychosocial assessment and supportive services, providing financial counseling, and other assigned tasks
- Conduct psychosocial assessment in order to assess for strength, needs and support systems
- Provide case management by education as to resources, brokering services and empowerment to access resources
- Develops and supports a Plan of Care that addressed psychosocial needs of the patient and family taking into account the unique spiritual, cultural, religious and other relevant factors that influence the family system
- Identifies psychopathology and other relevant behavioral issues with in the patient and family system, assesses and explores past coping strategies and provides supportive counseling and education
- Provides ongoing education and support regarding end of life topics such as Advanced Care Planning and Hospice services.
- Recognized and understood specific stages of dying process, providing comfort-based care during vulnerable times.
- Established and maintained successful relationships with patients, families and physicians by utilizing exemplary communication and active listening skills.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Moved between programs to support company outcome by managing caseloads of up to 1200 clients.
LCSW/Social Worker
Kindred Hospice
06.2013 - 01.2021
- The Social Worker provides a wide range of services to terminally-ill patients and families while continuously assessing the patient and family's unique spiritual/cultural beliefs, strengths, coping skills and pre-bereavement and anticipatory grief needs
- Develops and implements a Plan of Care that addresses the bio psychosocial needs of the patient and family and takes into account the unique spiritual, cultural, religious and other relevant factors that influence the family system
- Identifies psychopathology and other relevant behavioral issues with in the patient and family system, assesses and explores past coping strategies and provides counseling and education
- Provides ongoing education and support regarding end of life issues and death, dying and bereavement.
- Interviewed clients, families, or groups to assess situations, limitations and issues and implement services to address needs.
- Formulated treatment plan strategies with multidisciplinary teams to provide comprehensive and continuous care plan.
- Established and nurtured key relationships with community members to form valuable partnerships.
LMSW/Therapist
Renaissance Behavioral Center
07.2013 - 12.2013
- Conduct psychosocial assessments on incoming patients
- Provide individual and group sessions along with interdisciplinary case planning
- Conduct psychosocial assessment through face to face contact with patients
- Conduct group therapy sessions with clients
- Conduct individual therapy sessions with clients
- Participate in interdisciplinary team meetings to identify treatment goals for and with patients
Intelligence Coordinator
United States Army
01.2005 - 01.2007
- Served as Brigade Intelligence Coordinator responsible for an active duty Forces Command (FORSCOM) brigade with 4 Military Table of Organization and Equipment (MTOE) Battalions, 1 Combat Support Hospital, and 1 Provisional Support Battalion with over 3,000 soldiers
- Collect, process, and disseminate intelligence from worldwide sources
- Responsible for providing assistance in oversight, planning, personnel security, information, and information system security, crime prevention, classified documents, security awareness training, and physical security programs
- Research information and conduct briefings on topics including physical security, unit crime statistics, and gathering secret reports for Colonels
- Provided real time situations and scenarios in order to train soldiers for Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF)
- Conducted Army Emergency Relief (AER) and Combined Federal Campaign (CFC) donations collection for the Brigade ensuring 100% contributions from the soldiers achieving the donation goal of 250,000 dollars
- Assisted in creating high-level intelligence briefs for senior-level personnel.
- Analyzed open-source intelligence data to identify potential threats and vulnerabilities.
Education
Master of Science - Social Work
University of Texas Pan American
Edinburg ,Tx05.2013
Bachelor of Science - General Studies
University of Texas Pan American
Edinburg, Tx05.2004
Skills
- Completed biopsychosocial assessments, crisis intervention, offered psychoeducation and coordinated community resource referrals
- Used various evidence-based screening tools such as the Colombia Suicide Risk Assessment, PHQ, GAD, Palliative Performance Scale,
- Worked to recognize common psychological issues such as anxiety, depression, delirium, hopelessness, post-traumatic stress disorder, substance use disorder and withdraw symptoms
- Resource counseling including caregiving resources; alternate level of care options such as long-term care or hospice care; financial and legal needs; advance directives; and permanency planning for dependents)
- Determined whether presenting issues are diagnosable conditions or usual responses to serious illness and coordinated referrals to specialists for psychological and or psychiatric care
- MS Office Suite (Word, Excel and PowerPoint) and research capabilities on the Internet
- Able to make difficult decisions in stressful situations
- Demonstrated good oral, written, and listening skills for individuals/groups such as active and supportive listening
- Experience in working with patients/clients through all span of life
- Demonstrated skill with people in coaching, teaching, counseling, motivating and empowering
- Experience with Clinical Assessments: diagnosing as per DSM V TR criteria
- Flexible: transitioned between EMR and telephonic systems
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Collaborated to develop protocol for urgent matters line
- Transitioned between programs to support market needs by taking on caseloads varying from 100-1200 clients.
- Attained multiple state licenses to support different markets
- Fostered relationships in the community to provide clients with appropriate supports
Languages
Spanish
Native or Bilingual
Education
University of Texas Pan American (UTRGV), Edinburg, Texas
Timeline
Behavioral Health Case Manager II
Carelon
08.2023 - Current
LCSW/Therapist
ABLETO
01.2021 - Current
Palliative Care SW
Aspire Healthcare
08.2016 - 08.2023
LMSW/Therapist
Renaissance Behavioral Center
07.2013 - 12.2013
LCSW/Social Worker
Kindred Hospice
06.2013 - 01.2021
Intelligence Coordinator
United States Army
01.2005 - 01.2007
Master of Science - Social Work
University of Texas Pan American
Bachelor of Science - General Studies
University of Texas Pan American
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