Melissa Ornelas
Summary
Current Texas LCSW license. Bringing over 16 years of managed care experience. Skilled at interpreting criteria and making clinical determination decisions. Highly organized and dependable with excellent time management skills.
Overview
23
23
years of professional experience
Work History
Utilization Management Clinical Advisor
Humana
03.2007 - 08.2023
- Utilized clinical knowledge, performed concurrent reviews, and interpreted applicable criteria to determine most appropriate level of care.
- Consulted with supervisor and medical director when appropriate.
- Maintained accurate documentation that clearly supported any clinical decision made.
CPS Specialist II
Child Protective Services
11.2005 - 02.2007
- Followed up on safety concerns and completed regular home visits.
- Communicated with children and family members and made appropriate referrals.
- Maintained timely and accurate case updates and participated in court proceedings to advocate for the best interests of the child and family.
Case Manager
Texas Treatment Services
10.2000 - 11.2005
- Completed psychosocial evaluations and needs assessments for clients struggling with addiction.
- Developed individualized treatment plans based on client needs and documented progress toward treatment goals.
- Collaborated with agencies and organizations within the community to obtain resources for the client.
Education
Master of Science - Social Work
The University of Texas At Arlington
Arlington, TX05.2004
Bachelor of Arts - Psychology
The University of Texas Rio Grande Valley
Edinburg, TX12.1999
Skills
- Texas Licensed LCSW
- Case Management
- Healthcare Regulations
- Organizational Skills
- Time Management
- Clinical Documentation
- Multitasking Abilities
Timeline
Utilization Management Clinical Advisor
Humana
03.2007 - 08.2023
CPS Specialist II
Child Protective Services
11.2005 - 02.2007
Case Manager
Texas Treatment Services
10.2000 - 11.2005
Master of Science - Social Work
The University of Texas At Arlington
Bachelor of Arts - Psychology
The University of Texas Rio Grande Valley
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