MEGAN KELLY
Royal Oak
Summary
I am a dedicated fully licensed clinical Social Worker with experience in community mental health, trauma-focused therapy, and acute in-patient hospitalization including utilization review management, triaging, and initial clinical assessments. Future interests include continuing to advocate for patients in medical facilities, mental health, and other full-time social work positions.
Overview
8
8
years of professional experience
Work History
Corporate Admissions Specialist
Acadia Healthcare
12.2024 - Current
- Managed high-volume referrals, ensuring timely and comprehensive triage for optimal patient placement
- Collaborated with interdisciplinary team to facilitate appropriate patient care and enhance treatment outcomes
- Coordinated patient transfers with emergency department staff across Michigan, streamlining processes for efficient admissions
- Provided support and crisis de-escalation to patients and their families
- Verified eligibility and benefits through a variety of insurance portals
Utilization Review Manager
Harbor Oaks Hospital
08.2022 - 12.2024
- Responsible for collaborating with treatment team and patients to promote effective and ethical treatment
- Obtain continued authorization approvals by applying clinical knowledge and updated documentation to a variety of insurance companies
- Gather clinical information and wrote appeal letters to send to insurance companies for retrospective approvals
- Work collaboratively with treatment team to determine medical necessity and to ensure high quality, cost effective, and appropriate level of care
- Use multiple online systems to accurately verify benefits to complete pre-certifications, retrospective, and concurrent reviews to ensure compliance with inpatient criteria
- Review daily census to ensure tasks are completed thoroughly and ethically
Social Worker, Admissions
Harbor Oaks Hospital
08.2020 - 08.2022
- Responsible for triaging, verifying benefits, and communicating with other health care facilities regarding patient transfer and admission
- Evaluate individuals for medical necessity and determine appropriate level of care
- Provided clinicals and obtained prior authorization from multiple insurance carriers
- Assisted and managed the diverse needs of patients in crisis using compassion and integrity
Social Work Intern
Carehouse
08.2019 - 05.2020
- Transcribe forensic interviews alongside prosecutors and law enforcement to assist with the accurate determination of child physical and sexual abuse.
- Shadow trauma-focused CBT, individual therapy, case reviews and client intakes
- Facilitate Group Therapy for both children and adults who have been affected by abuse
- Conducted individual therapy and interventions to improve coping skills, recognize triggers, and reduce stress through trauma informed therapy
Child Advocate
Big Brother Big Sister (BBBS)
08.2018 - 08.2019
- Arrange after school activity mentoring program for children in the community
- Determine needs for Littles and screen Bigs for participation in the program through safety screening, home visits and training
- Managed match support and addressed issues through follow up with parents, volunteers, and children in order to ensure the success of the program
Access Team Intern
Oakland Community Health Network
05.2018 - 08.2018
- Member of Access Team that screens children and adults with developmental disabilities, mental illness, and substance abuse in order to provide public services throughout the county
- Gained experience and exposure with the screening and referral process along with the resources available to individuals seeking assistance
- Contacted clients to provide assistance & metrics for missed appointments
Education
LMSW-C -
08-2022
MSW - Social Work
Wayne State University
05-2020
LLMSW -
05-2020
BSW - Social Work / Youth Studies Minor
Central Michigan University
05-2019
Skills
- Electronic Medical Records
- Clinical Documentation
- Insurance verification
- Pre-Certification & Concurrent Review
- Crisis De-Escalation
- Psychiatric Assessment
- Suicide Risk Assessment
- Interdisciplinary Collaboration
- Patient Advocacy
- Patient & Family Communication
- Time Management
Community Service
- Homeless Shelter Volunteer, Isabella County Restoration House
- Soup Kitchen & Warehouse Volunteer, Capuchin Soup Kitchen
- Social Work Assistant, William Beaumont Hospital, Royal Oak
- Epilepsy Foundation of Michigan, Southfield
Timeline
Corporate Admissions Specialist
Acadia Healthcare
12.2024 - Current
Utilization Review Manager
Harbor Oaks Hospital
08.2022 - 12.2024
Social Worker, Admissions
Harbor Oaks Hospital
08.2020 - 08.2022
Social Work Intern
Carehouse
08.2019 - 05.2020
Child Advocate
Big Brother Big Sister (BBBS)
08.2018 - 08.2019
Access Team Intern
Oakland Community Health Network
05.2018 - 08.2018
LMSW-C -
MSW - Social Work
Wayne State University
LLMSW -
BSW - Social Work / Youth Studies Minor
Central Michigan University