Rachel Coleman
Overview
29
29
years of professional experience
1
1
Certification
Work History
Regional Utilization Management and Authorization Director
East Texas Behavioral Health Network (ETBHN)
02.2005 - Current
- Chair of the Regional Utilization Management committee for ETBHN network centers which meets quarterly
- Create contract required data reports from state database to compare for benchmarking purposes and discussion between network centers
- Coordinates and implements Regional Authorization process for all Centers in ETBHN and Centers whom contract for these services
- Works closely with ETBHN Member Centers and contract Centers in problem-solving and tasks related to regional authorization process
- Indirectly and directly supervises ETBHN Authorization Contract Staff located at varying sites in the network, working closely with direct supervisors at each location, in the case of contract staff
- Authorizes Clinical services per UM guidelines for all Member Centers in ETBHN
- Provides program planning, development, and interagency coordination relevant to understanding of Authorization services and Utilization Management for ETBHN Member Centers.
Administrator of Utilization Management
Tri-County Mental Health Mental Retardation
09.2002 - 02.2005
- Monitor the agency for outcome measures set by the state's contract along with authorizing the Texas Recommended Authorization Guidelines and ensure each TRAG is appropriately completed
- Oversee the medical records.
UM Manager/Mental Health Coordinator
Tri-County Mental Health Mental Retardation
09.2002 - 02.2005
- Completed and Authorized the Texas Recommended Authorization Guidelines and ensured each TRAG was appropriately completed
- Supervised Adult Case Coordinators along with other supervisory duties.
Child and Adolescent Plan of Care Coordinator
Tri-County MHMR
09.2002 - 02.2005
- Supervise Service Coordinators and Case Coordinator in C&A along with other supervisory responsibilities
- Perform and coordinate Plan of Care Oversight assessments for Medicaid consumers
- Continue to work with weekend and holiday on-call rotation.
POC and Crisis Specialist
Tri-County MHMR
09.2002 - 02.2005
- Perform and coordinate Plan of Care Oversight (POCO) assessments for Medicaid consumers with Rehab
- Ensure all POCO's are in compliance with Medicaid Standards
- Participate in the weekend and holiday on-call rotation with the Crisis and Access Unit
- Complete all documentation and attend staff meetings.
Assessment Counselor
Christus Spohn Memorial Hospital
02.2002 - 09.2002
- Conducted assessments and documentation for patients in crises and determine appropriate services for the patient, Routinely interacted with Psychiatrists and other mental health professionals to ensure patients' acute needs are met.
Family Program Coordinator
Shoreline, Inc.
- 12.2001
- Conducted parent education groups whose children are chemically dependent, Conducted Individual and Family Conjoint sessions, routinely interacted with the treatment team, and produced various reports according to TACADA regulations.
Contract Counselor
Good Shepherd Residential Treatment Centre
09.2000 - 09.2001
- Conducted parent education groups, individual work with the residents, and created various treatment plans.
Counselor
Montgomery County Youth Services
09.1999 - 08.2001
- Conducted Individual and Family Counseling, Play Therapy, Grief Groups, Adolescent Groups, Crisis Intervention and Community Outreach, Certified Challenge Course Facilitator, Prepared various reports regarding counseling sessions, and trained interns and new staff.
ER Registrar
Huntsville Memorial Hospital
05.1997 - 01.2000
- Assisted patients according to the emergency situation, Routinely interacted with medical professionals to ensure the patients' needs were met, Collected demographic and billing information.
Counseling Intern
Sheltering Harbour Residential Treatment Center
09.1998 - 09.1999
- Conducted Individual Counseling, Co-facilitated Family Counseling, Co-Facilitated Group Counseling, Created Treatment Plans and Monthly Reports for Adolescents (CPS and Probation).
Graduate Assistant
Sam Houston State University
- Collaborated counseling interns with HeadStart Programs, researched and presented the importance of counselors at HeadStart Programs
Substitute Teacher
Huntsville Independent School District
01.1996 - 05.1997
- Worked three semesters, K-12th, various subjects, including Special Education, Resource Classes, and Gifted and Talented Classes
Volunteer
SAAFE House
02.1995 - 12.1996
- Conducted Crisis Intervention via domestic violence hotline, Counseled with clients at in-house program, Rape-Crisis Counselor
Education
Masters of Arts - Counseling
Sam Houston State University
01.1998
Bachelors of Science - Psychology
Sam Houston State University
01.1995
Diploma - Legal Secretary
Texas School of Business
01.1991
Skills
Leadership
Collaboration
Problem Solving
Teamwork
Certification
Licensed Professional Counselor, 02/01/2002
Presentations
- Constructing Educational Influences and Aspirations for College, Association for Humanist Sociology, 11/01/1998
- Providing Family Therapy to HeadStart Programs, Texas Association of Marriage and Family Therapy, 01/01/1997
References
References available upon request
Timeline
Regional Utilization Management and Authorization Director
East Texas Behavioral Health Network (ETBHN)
02.2005 - Current
Administrator of Utilization Management
Tri-County Mental Health Mental Retardation
09.2002 - 02.2005
UM Manager/Mental Health Coordinator
Tri-County Mental Health Mental Retardation
09.2002 - 02.2005
Child and Adolescent Plan of Care Coordinator
Tri-County MHMR
09.2002 - 02.2005
POC and Crisis Specialist
Tri-County MHMR
09.2002 - 02.2005
Assessment Counselor
Christus Spohn Memorial Hospital
02.2002 - 09.2002
Contract Counselor
Good Shepherd Residential Treatment Centre
09.2000 - 09.2001
Counselor
Montgomery County Youth Services
09.1999 - 08.2001
Counseling Intern
Sheltering Harbour Residential Treatment Center
09.1998 - 09.1999
ER Registrar
Huntsville Memorial Hospital
05.1997 - 01.2000
Substitute Teacher
Huntsville Independent School District
01.1996 - 05.1997
Volunteer
SAAFE House
02.1995 - 12.1996
Family Program Coordinator
Shoreline, Inc.
- 12.2001
Graduate Assistant
Sam Houston State University
Masters of Arts - Counseling
Sam Houston State University
Bachelors of Science - Psychology
Sam Houston State University
Diploma - Legal Secretary
Texas School of Business
Licensed Professional Counselor, 02/01/2002
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