Experienced with patient advocacy, community outreach, and health education. Uses effective communication and problem-solving to address health concerns. Track record of building trust and fostering positive health outcomes through collaboration and personalized care.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Health Advocate
Blue Cross Blue Shield of Rhode Island
09.2023 - Current
Respond to member phone calls and conduct outreach calls to identified members; facilitate problem
resolution through research. Refer call to appropriate resources in a timely manner.
Promote behavioral health management programs and provide community resources available to
members; utilize engagement skills and motivational interviewing techniques to enroll members in
programs.
Perform behavioral health assessments with members and caregivers.
Assist with coordinating patient care, e.g., transportation arrangements, medical appointment
reminders, referrals, and preventive care education and/or follow-up care adherence. Refer and assist
clients in accessing needed resources to meet identified needs, including grant applications, medication
assistance, transportation, behavioral and substance abuse treatment, etc.
Maintain supportive communication with the member via the member’s channel preference (phone,
web, e-mail, mail); provide education, monitor and reporting compliance, identify gaps in care, and
adjust the plan as needed.
Consult with internal clinical staff as needed when assessment or gaps in care indicate increasing
severity of the member’s condition requiring more intense monitoring and intervention.
Consult with other clinical staff (dietician, nurses, behavioral health clinician, medical director) on an as
needed basis.
Participate in ongoing quality improvement initiatives and overall department efficiencies.
Participate in clinical rounds with behavioral health case management, behavioral health utilization
management and medical director.
Assist team with department initiatives and projects.
Perform other duties as assigned.
Behavioral Health Specialist III
Bradley Hospital
10.2016 - Current
Responsible for milieu management i.e
Coordinate milieu treatment oversee implementation of behavior management plans monitor documentation of BHS Is and IIs in electronic medical record
In concert with Clinical Nurse Manager/Program Director supervise Behavioral Health Specialists regarding job performance and achievement of expected professional development goals
Establish goals for milieu staff performance and professional growth along with recommending and carrying out hospital disciplinary policies as necessary
Responsible for the orientation of new staff including the development of orientation materials and experiences pertaining to the milieu
Interview prospective staff members for employment
Evaluate qualifications and recommend qualified individuals for consideration
Participate in the ongoing process of consultation with the treatment team family outside agencies etc
Responsible for scheduling milieu staff i.e
Vacations personal days and earned days etc.
Education
Master of Science - Clinical Psychology
Capella University
Minneapolis, MN
05-2025
Bachelor of Science - Psychology
Capella University
09-2024
Skills
Verbal and Written Communication
Documentation And Reporting
Leadership
Clinical training
Team supervision
Quality assurance
Patient education
Therapeutic intervention
Process improvements
Multidisciplinary collaboration
Accomplishments
Supervised team of 12 staff members.
Managed and tracked certification and re-certification schedules for over 12 staff.
Devised effective policies and protocols resulting in 98 % compliance with audit requirements.
Used Microsoft Excel to develop inventory tracking spreadsheets.
Customer Service Representativ- Remote at Blue Cross Blue Shield of Rhode IslandCustomer Service Representativ- Remote at Blue Cross Blue Shield of Rhode Island
Associate Medicare Costumer Services at Blue Cross Blue Shield Of Rhode IslandAssociate Medicare Costumer Services at Blue Cross Blue Shield Of Rhode Island