Monique Tisdale
Gilbert,Arizona
Summary
Experienced Director and Mental Health Professional offering more than 14 years of expertise in Utilization Review, Department Leadership, Positive Relationship Building, and Behavioral Health Counseling. Planning and implementing strategies for developing improved behavioral health management. Proven problem solver and excellent communicator. Strong organizational skills, superb understanding of data collection and performance metrics. Recognized for staff development leading to high performing teams.
Overview
9
9
years of professional experience
Work History
Utilization Review Case Manager
St. Luke's Behavioral Health
12.2022 - Current
- Partnered with physicians, social workers, therapists, and case managers to develop and implement individualized care plans.
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations, and procedural costs.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Monitored clients' progress and tracked client services to provide crisis interventions.
- Researched best practices and developed strategies to improve program outcomes.
- Analyzed trends and data to inform decision-making and program development.
Director of Utilization Review
Value-Based RCM
10.2021 - 12.2022
- Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
- Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility.
- Supervised and maintained all utilization review documentation through a variety of software platforms.
- Organized and facilitated department head meetings weekly, discussing current census, admissions and discharges.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Identified control gaps in processes, procedures and systems through in-depth research and assessment and suggested methods for improvement.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Served as subject matter resource, providing information related to situations.
- Performed admission reviews based for medical necessity based upon provider plan specifications.
Behavioral Health Therapist
Southwest Behavioral Health
01.2017 - 10.2021
- Developed and implemented intensive individualized treatment plans addressing family relationship problems, destructive patterns of behavior and other psychosocial issues.
- Provided therapy and/or clinical case management for full caseload of families and/or individual members.
- Provided intake and psychosocial assessments of families and/or their individual members.
- Recommended therapeutic action plans and treatments based on results from behavioral assessments.
- Educated and collaborated with other providers and stakeholders regarding programs and services available.
- Provided community consultation and education to community agencies, schools, and neighborhood groups.
- Effectively function as a team to identify treatment goals, strengths, and needs relative to goals.
Behavioral Health Therapist
SanTan Behavioral Health
09.2015 - 01.2017
- Developed and implemented intensive individualized treatment plans addressing family relationship problems, destructive patterns of behavior and other psychosocial issues.
- Provided assessments, screening and counseling services to individuals and families.
- Assisted clients access range of services needed to accomplish goals individuals treatment plan.
- Coordinated participation in Child and Family Team service plans and in home interventions.
- Worked closely with clients family collaterally while client participates in outpatient therapy; provides parenting skills training and assistance developing and practicing behavior management techniques specific to client.
- Implemented knowledge of children and youth service system, family, group and individualized care coordination and case management techniques.
- Evaluated treatment techniques after sufficient time periods to determine effectiveness for each client.
Education
Doctor of Behavioral Health -
Arizona State University
Tempe, AZ06.2026
Master of Arts - Mental Health Counseling
Maryville University of Saint Louis
Saint Louis, MO05.2010
Bachelor of Arts - Psychology
Columbia College
Columbia, MO12.2006
Skills
- Utilization Review
- Leadership
- Interdepartmental Functions Coordination
- Critical Thinking
- Coaching and Mentoring
- Detailed Documentation
- Behavioral Health Counseling
- Psychological interventions
Timeline
Utilization Review Case Manager
St. Luke's Behavioral Health
12.2022 - Current
Director of Utilization Review
Value-Based RCM
10.2021 - 12.2022
Behavioral Health Therapist
Southwest Behavioral Health
01.2017 - 10.2021
Behavioral Health Therapist
SanTan Behavioral Health
09.2015 - 01.2017
Doctor of Behavioral Health -
Arizona State University
Master of Arts - Mental Health Counseling
Maryville University of Saint Louis
Bachelor of Arts - Psychology
Columbia College