Dynamic social work professional with extensive experience at Pinnacle Treatment Centers, excelling in behavioral health and family support. Proven track record in enhancing utilization review processes and ensuring regulatory compliance. Skilled in mental health assessment and problem-solving, fostering client empowerment and effective communication across diverse populations.
Overview
12
12
years of professional experience
Work History
Utilization Social Work Manager
Pinnacle Treatment Centers
05.2022 - Current
Strengthened quality improvement initiatives through regular audits of utilization review processes, identifying areas for improvement, and implementing corrective actions.
Assisted in maintaining regulatory compliance by staying up-to-date on Medicare, Medicaid, and commercial insurance requirements for utilization review activities.
Worked with utilization review to establish prior authorization for timely discharges.
Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.
Enhanced utilization review efficiency by streamlining processes and implementing new software tools.
Increased efficiency of the utilization review process through regular communication with insurance companies for timely authorizations.
Conducted utilization review to verify medically necessary care is received in correct setting.
Childrens Mental Health Counselor
Bergen Alliance Counseling Services
02.2020 - Current
Established a safe environment for clients to openly discuss their thoughts, feelings, experiences, and concerns without fear of judgment or retribution.
Reduced crisis intervention needs by proactively monitoring patient progress and adjusting treatment approaches as necessary.
Implemented self-care practices for personal wellbeing and modeled healthy coping strategies for clients to emulate in their own lives.
Developed individualized goal-setting tools to empower patients in taking ownership of their progress towards improved mental health.
Built rapport with diverse client populations, utilizing empathetic listening skills and culturally sensitive therapeutic practices.
Strengthened family support systems by providing psychoeducation and facilitating open communication between patients and their loved ones.
Social Care Worker
Partnership for Children of Essex
01.2014 - 01.2016
Organized group activities that promoted social interaction, skill-building, and overall enjoyment for clients within the community setting.
Collaborated with multidisciplinary teams for comprehensive client assessment and appropriate care plan development.
Advocated on behalf of clients during meetings with social service agencies, ensuring their voices were heard in decision-making processes.
Managed caseloads of diverse clients, allocating time efficiently to provide the highest level of service possible for each individual''s unique needs.
Conducted home visits to assess the living environment and provide recommendations for adaptations or modifications to improve safety and accessibility.
Behaviorial Health Social Worker
Trinitas Regional Medical Center
01.2013 - 01.2014
Updated client documentation for accurate, compliant and current records.
Interviewed clients, families, or groups to assess situations, limitations and issues and implement services to address needs.
Collaborated with multidisciplinary teams to ensure appropriate care coordination and resource allocation for clients.
Educated families on available community resources, connecting them with essential services such as housing assistance, financial aid, or healthcare providers.