Milani Adame
Tucson,AZ
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, strong organizational and problem-solving skills.
Overview
13
13
years of professional experience
Work History
Children's Group Facilitator
Easter Seals Blake Foundation
03.2023 - 11.2023
- Facilitation of structured children’s and parenting group services and interventions, and skills training, and crisis intervention, for children ages birth to seventeen and their caregivers.
- Established clear expectations for behavior by setting ground rules and modeling appropriate conduct at all times during sessions.
- Facilitate parenting and children’s groups using evidenced-based curriculum. Groups offerings include Incredible Years Dinosaur School and Parenting Classes, Circles Groups, LQBTQ+ Groups
- Maintain member records in accordance with agency requirements
Utilization Review Coordinator
Cornerstone Behavioral Health Hospital
02.2021 - 02.2023
- Obtained authorizations from multiple insurance carriers for admission and continued stay for the inpatient psychiatric and detox levels of care.
- Participated in clinical staffings with inpatient clinical teams to determine continued medical necessity for the inpatient level of care and resolutions to any discharge barriers and identify community resources to ensure safe discharge plans.
- Collaborated on development of appropriate discharge plan based on assessment, physician and multi-disciplinary team input.
- Provided assistance and education to staff and physicians with questions and problems involving patient treatment plan, medical necessity and appropriate utilization management.
Utilization Review Coordinator
Sonora Behavioral Health Hospital
04.2017 - 01.2021
- Obtained authorizations from multiple insurance carriers for admission and continued stay for the inpatient psychiatric and detox levels of care.
- Participated in clinical staffings with inpatient clinical teams to determine continued medical necessity for the inpatient level of care and resolutions to any discharge barriers and identify community resources to ensure safe discharge plans.
- Collaborated on development of appropriate discharge plan based on assessment, physician and multi-disciplinary team input.
- Provided assistance and education to staff and physicians with questions and problems involving patient treatment plan, medical necessity and appropriate utilization management.
Hospital Liaison
La Frontera Center
11.2013 - 04.2017
- Performed in a dual role of both a Hospital Liaison and Criminal Justice Liaison for the coordination of discharges from the hospital and/or Pima County Adult Dention Center.
- Communicated with outpatient case managers, hospital discharge planners and other professionals to complete seamless transitions from the hospital to a lower level of care.
- Participated in Adult Recovery Team meetings to optimize services and improve future care.
- Worked with hospitals and facilities to outline discharge plans.
- Reviewed patient assessments, charts and medical opinions to determine best courses of action.
- Collected and reviewed patient information to assess eligibility for special programs.
- Utilized knowledge of available resources to help patients select appropriate courses and obtain relevant support.
Lead Behavioral Health Technician
Community Provider Of Enrichment Services
05.2011 - 11.2013
- Built and maintained positive staff relationships to promote teamwork and better serve clients.
- Completed documentation for every incident and forwarded to correct personnel for review.
- Facilitated on-site activities, support groups and outings for clients.
- Performed client intake procedures according to internal standards for new admissions.
- Conducted client rounds every 15-minutes to check on residents.
- Taught clients how to complete basic household chores, self-medication management, hygiene and prepare food.
- Charted on each patient daily.
- Monitored staff daily charting to ensure standards were met for daily billing and revenue cycle.
Education
Bachelor of Social Work - Social Work
Arizona State University
Tucson, AZ12.2017
Associate of Arts - Social Services
Pima Community College
Tucson, AZ05.2013
High School Diploma -
Desert View High School
Tucson, AZ05.2003
Skills
- Communication
- Microsoft Word
- Active Listening
- Staff Training
- Coordination
- Documentation
Timeline
Children's Group Facilitator
Easter Seals Blake Foundation
03.2023 - 11.2023
Utilization Review Coordinator
Cornerstone Behavioral Health Hospital
02.2021 - 02.2023
Utilization Review Coordinator
Sonora Behavioral Health Hospital
04.2017 - 01.2021
Hospital Liaison
La Frontera Center
11.2013 - 04.2017
Lead Behavioral Health Technician
Community Provider Of Enrichment Services
05.2011 - 11.2013
Bachelor of Social Work - Social Work
Arizona State University
Associate of Arts - Social Services
Pima Community College
High School Diploma -
Desert View High School
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