Working within a team environment, assisted in the management of the behavioral health portion of Medicaid for the entire provider network in the state of Maryland.
Participated in regular meetings with multidisciplinary teams to ensure the quality of patient care.
Evaluated clinical criteria to determine medical necessity and administer authorization for payment for various levels of care.
Served as a liaison to providers in specific programs, getting to know and understand the nuances of the program. Provided problem-solving, troubleshooting, and negotiation of parameters when needed.
Communicated and coordinated with other departments, such as provider relations or claims, to resolve issues when they arose.
Clinician
Multiple agencies
Baltimore, MD
09.1993 - 06.2005
Facilitated group therapy sessions focused on various topics such as coping skills, anger management, and grief counseling.
Maintained accurate client records and documentation according to agency policy and procedures.
Collaborated with multidisciplinary team members to coordinate care for clients.
Participated in weekly case conferences with other clinicians to discuss progress of clients' treatment plans.
Performed risk assessment evaluations for suicidal or homicidal ideation among clients.
Attended professional development workshops and seminars related to clinical practice areas such as trauma informed care or evidence based practices.
Team Lead
Project Restore/Center for Children
La Plata, MD
05.2002 - 08.2003
Provided leadership for a project funded by FEMA and the Center for Mental Health Services to address the traumatic impact of a tornado in Southern Maryland
Supervised a team of 8-12 people
Provided reports and analytics for the state, and for the federal agencies funding us
Facilitated meetings with community agencies to collaborate on shared goals
Delegated tasks appropriately according to individual skill sets and interestsMotivated and empowered team members to work together and honor individual strengths
Provided reports and analytics for the state and for the federal agencies funding us
Met regularly with the agency director to discuss team project and challenges
Ensured compliance with legal and regulatory requirements
Education
Bachelor of Arts - Psychology
Goucher College
Towson, MD
Master of Arts - Clinical Psychology
Loyola College
Baltimore, MD
Certificate of Advanced Studies - Pastoral Counseling
Loyola University, Maryland
Baltimore, MD
Skills
Excellent relationships with the provider network
Ability to collaborate with other departments to achieve solutions, and resolve issues
Regulatory Compliance
Excellent assessment, analytical and writing skills
Goal-oriented
Familiarity with managed care and Medicaid
Accomplishments
Governor's Citation State of Maryland 2002
Certificate of Appreciation Charles County Commissioners 2002
Affiliations
Member Pikes Peak Plein Air Painters
Timeline
Clinical Care Manager
Beacon Health Options
08.2009 - 12.2019
Team Lead
Project Restore/Center for Children
05.2002 - 08.2003
Clinician
Multiple agencies
09.1993 - 06.2005
Bachelor of Arts - Psychology
Goucher College
Master of Arts - Clinical Psychology
Loyola College
Certificate of Advanced Studies - Pastoral Counseling