

SUMMARY: Dedicated and detail-oriented professional with a diverse background in business and in healthcare. Case Manager with 7 years work experience in psychiatric, substance use and behavioral health. Excellent verbal and written communication skills with an open and collaborative style. Passion for patients rights advocacy. Ability to plan and implement solutions that directly influence quality of care. Solid understanding of plan benefit structures, psychiatric/medical terminology, call center terminology and operations. Applicable experience in Medicare, Medicaid and Whole Health.
Human Resources Policies
Labor Relations
Strategic Management
Medicare compliance requirements
Strong Written And Oral Communication
Employee Relations
Policy Development
Experience in managed care environment
Compensation structuring