Marlene Mirelez
BUENA PARK,California
Summary
Dynamic Behavioral Health Clinical Specialist with extensive experience at Anaheim Global Medical Center, excelling in clinical documentation and case management. Proven track record in mentoring new hires and optimizing patient care through effective communication and collaboration. Skilled in behavioral assessments and achieving compliance with state regulations, ensuring high-quality service delivery.
Overview
27
27
years of professional experience
Work History
Behavioral Health Clinical Specialist
Elevate patient financial services
Anaheim, CA
02.2018 - Current
- Reviewed medical records for accuracy and completeness according to established guidelines.
- Facilitated clinical support to physicians, hospital staff, and healthcare personnel to optimize use of product.
- Demonstrated clinical knowledge, expertise, and proper usage of products.
- Consult for TAR and appeal submissions.
Senior Behavioral Health Case Manager
Anaheim Global Medical Center
Anaheim, California
06.1998 - Current
- Collaborated with other healthcare professionals to ensure comprehensive care for patients.
- Maintained accurate documentation of all client activities in accordance with state regulations.
- Handled complex cases and participated in intradepartmental projects and team initiatives to determine best treatment options for patients.
- Mentorship of new hires.
- UR for patient safety and HIPAA compliance.
- Admitting, concurrent, and discharge reviews with multiple payor sources.
- TAR completion.
- First and second-level appeals.
Education
Associate of Science - Nursing
Golden West College
Huntington Beach, CA05-1987
Skills
- Clinical documentation
- Behavioral assessments
- Case management
- Employee training
- Effective communication
- Time management
- Mentorship development
Custom
- I am seeking a per diem position as BH Case Manager. I would be available one day or week or to cover for co-workers.
References
References available upon request.
Timeline
Behavioral Health Clinical Specialist
Elevate patient financial services
02.2018 - Current
Senior Behavioral Health Case Manager
Anaheim Global Medical Center
06.1998 - Current
Associate of Science - Nursing
Golden West College
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