Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Sarprina Narcisse

Sorrento,USA

Summary

Dynamic Utilization Review Clinician at Centene with expertise in crisis intervention and behavioral health coaching. Proven track record in enhancing patient care through effective treatment planning and psychosocial assessments. Adept at monitoring client progress and implementing evidence-based practices, ensuring compliance and optimal outcomes in diverse healthcare settings.

Overview

22
22
years of professional experience
1
1
Certification

Work History

Utilization Review Clinician (Behavioral) - Remote

Centene
12.2023 - Current
  • Review and evaluate patient information to determine the appropriate level of care and services required.
  • Monitor and report on trends in utilization patterns.
  • Analyze medical records to ensure compliance with regulatory requirements.
  • Conduct utilization review activities, including concurrent reviews, retrospective reviews, and discharge planning.
  • Actively participate in departmental meetings regarding new initiatives, or changes in policy and procedures.

Behavioral Health Coach

AbleTo
11.2020 - 12.2023
  • Provided behavioral health coaching to program participants via video call or via telephone.
  • Supported participants by focusing on behavioral activation, mood management, and skills to support lifestyle changes.
  • Documented session notes following sessions to facilitate ongoing collaboration.
  • Supported participants by incorporating Mindfulness, Cognitive Behavioral Therapy, Crisis Intervention and Motivational Interviewing.
  • Provided behavioral health coaching for participants struggling with depression, anxiety, grief, relationship issues etc.
  • Participated in case conferences with interdisciplinary team to discuss participant progress, challenges, and discharge recommendations.

Attended trainings and staff meetings

Program Specialist II/Social Worker

Centene Corporation
Baton Rouge, LA
03.2012 - 12.2023
  • Company Overview: Baton Rouge (Louisiana Healthcare Connections), LA
  • Strategically oversee tailored case management to align with Medicaid recipients' individual requirements.
  • Execute in-depth screenings and assessments, ensuring precision in member referral processes.
  • Uphold rigorous standards in member data management, emphasizing regular updates and stringent accuracy verification.
  • Propel structured, cohesive strategies for onboarding and training, enhancing organizational acumen and efficacy uniformly.
  • Facilitate members' navigation through the SSI benefits application landscape, ensuring compliance with best-practice standards.
  • Orchestrate meticulous coordination of healthcare and transportation services, safeguarding seamless access for all members.
  • Monitor and assess member grievances, implementing swift and effective resolutions to uplift member experiences continuously.
  • Baton Rouge (Louisiana Healthcare Connections), LA

Mental Health Professional

Magnolia Family Services
Thibodaux, LA
06.2008 - 06.2012
  • Company Overview: Thibodaux, LA
  • Delivered specialized counseling to children aged 6-18, addressing individual psychological needs and ensuring holistic welfare.
  • Led family and play therapy sessions while imparting essential parenting skills for comprehensive family well-being.
  • Regularly reported client progress to supervisors, ensuring transparent tracking and adaptive responses to evolving needs.
  • Formulated behavior plans, assessed treatment objectives, and adjusted them based on distinct client requirements.
  • Managed cases effectively, from coordinating referrals to overseeing medication compliance and scheduling consultations.
  • Collaborated with community organizations and maintained documentation, ensuring accurate billing and comprehensive support structures.
  • Thibodaux, LA

Intern Social Worker

Silver Options @On Track
Gonzales, LA
08.2007 - 05.2008
  • Company Overview: Gonzales, LA
  • Assisted in crafting patient treatment plans, ensuring individualized approaches to diverse patient care requirements.
  • Co-led psychotherapy group sessions, fostering an environment conducive to healing and self-reflection.
  • Assiduously documented client progress, precisely entering data into the billing database to ensure financial accuracy.
  • Attentively observed and analyzed intake sessions, gaining a nuanced understanding of the patient evaluation process.
  • Engaged seamlessly with an interdisciplinary team, championing cohesive communication and collaborative patient care strategies.
  • Gonzales, LA

Disaster Case Manager

Lutheran Social Services Disaster Response
Baton Rouge, LA
05.2006 - 10.2007
  • Company Overview: Baton Rouge, LA
  • Offered specialized long-term case management post-Hurricane Katrina, overseeing an average caseload of 50 affected individuals.
  • Devised tailored treatment plans, ensuring clients achieved immediate and long-term objectives amidst disaster aftermath.
  • Orchestrated outreach activities while managing comprehensive client intake, assessment, and coordinated referral processes.
  • Baton Rouge, LA

Family Service Worker

St. James Parish Department of Human Resources
Convent, LA
02.2003 - 05.2006
  • Company Overview: Convent, LA
  • Managed cases end-to-end, from client intake and thorough assessments to efficient referrals, ensuring streamlined processes.
  • Offered emergency aid, utility assistance, food vouchers, rent, and essential goods to underserved families.
  • Conducted home visits, guaranteeing tailored service delivery to elderly & disabled clientele, enhancing their quality of life.
  • Spearheaded and organized key outreach events, notably the Annual Toy and Coat Drive and the Proactive Community Action Day.
  • Provided free tax preparation for select groups and coordinated with the finance department for monthly reports.
  • Convent, LA

Education

MA - Social Work

Southern University at New Orleans
New Orleans, LA
05.2008

BA - Sociology

Nicholls State University
Thibodaux, LA
12.2002

Skills

  • Mental Health Counseling
  • Behavioral Health Coaching
  • Medical Terminology Knowledge
  • Patient and Family Counseling
  • Treatment Planning
  • Crisis Intervention
  • Behavioral Health Coordination
  • Community Outreach
  • Data Entry & Billing
  • Documentation
  • Psychosocial Assessment
  • Cultural awareness
  • Client progress monitoring
  • Flexible and dedicated
  • Time management skills
  • Utilization management
  • Intake and referral services
  • Knowledge of evidence-based practices
  • Critical problem-solving skills
  • Microsoft Word
  • Coordination & Collaboration

Certification

  • Licensed Clinical Social Worker

Timeline

Utilization Review Clinician (Behavioral) - Remote

Centene
12.2023 - Current

Behavioral Health Coach

AbleTo
11.2020 - 12.2023

Program Specialist II/Social Worker

Centene Corporation
03.2012 - 12.2023

Mental Health Professional

Magnolia Family Services
06.2008 - 06.2012

Intern Social Worker

Silver Options @On Track
08.2007 - 05.2008

Disaster Case Manager

Lutheran Social Services Disaster Response
05.2006 - 10.2007

Family Service Worker

St. James Parish Department of Human Resources
02.2003 - 05.2006

MA - Social Work

Southern University at New Orleans

BA - Sociology

Nicholls State University
Sarprina Narcisse