Shannon Lyle, ThM, MA, LPC-S

Behavioral Operations Case Management, Autism Coaching Support

2018-Current

• Built meaningful and trustworthy relationships with customers and their families by using clinical, critical thinking, problem solving, and decision-making skills to meet customer's needs and contribute to a positive care experience.
• Proficient in handling escalated calls discussing complex issues.
• Attended team lead and capacity meetings. Participated in decision making and assisted with informing team leads regarding the DAL.
• Collaborated on a regular basis with multiple teams and roles.
• Subject matter expert (SME) for the development and deployment of the Management Operating System (MOS).
• Subject matter expert (SME) partnering with the Team Lead for the development and launch for the Autism queue.
• Responsible for the Autism Awareness Series for two years.
• Top Careforth (Vela) user when system was initially rolled out.
• Gave multiple presentations to Behavioral Specialty Teams.
• Assisted the team lead and director in reviewing and changing the single case agreement process for the Autism Team.
• Nominated as a Cigna Quarterly Champion.

Behavioral Operations Case Management, Autism Utilization Review,

2013-2018

• Adept Applied Behavioral Analysis (ABA) utilization case manager.
• One of two clinicians, along with two doctors, responsible for all ABA reviews. Regularly completed 12 to 15 live reviews within a 10-hour workday.
• Versatile clinician able to multitask large amounts of clinical information while doing live reviews with a provider within a 30 minute to one hour time frame.
• Mastery of medical necessity criteria for intensive therapies.
• Assisted in annually evaluating medical guidelines and benefit coverage.

• Part of executive team responsible for attending all board meetings and executive meetings.
• Collaborated with the director to create standards and guidelines for behavioral care services.

• Provided counseling services by following state and federal guidelines for writing treatment plans for individuals, marriage, and infant mental health.
• Performed all initial developmental screenings using the Denver II or CARS for children 0-3 years of age before enrollment in the program.
• Regularly gave professional presentations regarding ECI services as well as normal and abnormal development to community leaders.

• Facilitated permanency meetings with Child Protective Services, CASA, CPS lawyers, the child’s family, parent’s lawyers, and any other person involved in the legal case for placement for the child.
• Functioned as a decision maker to submit a permanency report for review by the court which included recommendations on a plan for permanent placement.
• Drove dispute resolutions using effective problem-solving and by guiding mutual understanding of opposing viewpoints.
• Integrate State law, CPS guidelines, and counseling theories to adequately make each decision and articulate it in case notes.