Resean Lighty
Providence,RI
Summary
Analytical and results-driven professional with 7+ years of experience in data-driven decision-making, compliance, and high-volume case management, pursuing a career in the sports betting industry. Skilled in performance analysis, risk assessment, and customer engagement, with a strong background in psychology and ongoing MBA studies in business strategy and analytics. Proven ability to manage complex cases, ensure compliance, and leverage behavioral insights to optimize customer experience and operational efficiency.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Health Advocate
Blue Cross Blue Shield of Rhode Island
09.2023 - Current
- Addressed member calls and initiated outreach to resolve issues through research and resource referral.
- Promoted behavioral health programs and community resources, enrolling members using engagement and motivational interviewing.
- Conducted behavioral health assessments and coordinated patient care (transportation, appointments, referrals, education).
- Connected clients with essential resources (grants, medication, transportation, treatment).
- Maintained member communication (phone, web, email, mail) for education, compliance, and care plan adjustments.
- Consulted with clinical staff on complex cases and multidisciplinary teams for holistic care.
- Participated in quality improvement initiatives and clinical meetings and trainings
- Supported team projects.
- Handled more than 80 cases per month from health plan customers.
Behavioral Health Specialist Supervisor
Bradley Hospital
Riverside, RI
10.2016 - 08.2023
- 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
Bachelor of Science - Psychology
Capella University
Minneapolis, MN05-2025
Skills
- Leadership & Team Management
- Data analysis & performance measurement
- Risk assessment & compliance monitoring
- Customer engagement & retention strategies
- High-volume case & account management
- Regulatory compliance & reporting accuracy
- Process optimization & workflow efficiency
- Strategic planning & business analytics
- Microsoft Excel & CRM software proficiency
Certification
- CPR and First Aid
- Community HealthCare Worker
- Registered Behavior Technician
Timeline
Health Advocate
Blue Cross Blue Shield of Rhode Island
09.2023 - Current
Behavioral Health Specialist Supervisor
Bradley Hospital
10.2016 - 08.2023
Bachelor of Science - Psychology
Capella University