Motivated Social Work Professional experienced in resolving complex challenges and enhancing operational standards. Delivered impactful employee engagement strategies through strong analytical, communication, and organizational skills. Focused on advancing professional qualifications to obtain LCSW.
Overview
10
10
years of professional experience
2
2
years of post-secondary education
1
1
Certification
Work History
Business Analyst IV
Centene Corporation
Saint Louis, Missouri
03.2018 - Current
Conducted root-cause analysis of pending claims to facilitate correct adjudication of behavioral health claims.
Analyze current trends in relation to behavioral health claims received from providers and facilities for commercial insurance product.
Research current requirements based upon CMS and state guidelines to determine appropriate billing and coverage for behavioral health benefits for commercial insurance product.
Drafted and maintained behavioral health benefits to ensure alignment with stakeholder and governmental requirements.
Facilitated weekly meetings with stakeholders to gather insights and discuss project goals. with stakeholders to determine business requirements for product based upon clinical and configuration needs.
Perform detailed analysis on assigned projects. Recommending potential business solutions and assisting with implementation.
Identify opportunities and recommended actions to improve the efficiency and accuracy of processes utilized.
Collaborated with cross-functional teams to gather requirements for new projects.
Developed detailed documentation for system changes and process enhancements.
Utilized data analytics tools to support decision-making and strategic initiatives.
Communicated with other entities regarding behavioral health benefits to resolve consumer and provider issues.
Trained team members on new systems and processes to ensure smooth adoption.
Managed projects and served as primary liaison between client and multiple internal groups to clarify goals and meet standards and deadlines.
Triage Clinician Lead
Compass Health Network
Union, MO
10.2025 - 04.2026
Provided crisis intervention and stabilization for patients in acute distress.
Provided crisis intervention services in a timely manner to ensure safety of clients.
Conducted comprehensive assessments for mental health and substance use disorders.
Conducted risk assessments for suicidal or homicidal ideation to ensure client safety.
Created individualized treatment plans with multidisciplinary teams to address patient needs.
Determined most appropriate treatment plan and implemented course of action.
Facilitated group therapy sessions to enhance patient engagement and support.
Utilized evidence-based treatments such as Cognitive Behavioral Therapy or Dialectical Behavior Therapy.
Provided education on coping strategies and recovery resources to empower patient self-management.
Documented patient progress and treatment outcomes in electronic health records.
Maintained accurate client records and documentation according to agency policy and procedures.
Crisis Intervention Clinician
Behavioral Health Response
Saint Louis, Missouri
05.2022 - 01.2024
Conducted lethality assessments with callers to develop safety plans and evaluate risk of self-harm or harm to others.
Created a collaborative safety plan with individuals utilizing a strengths based perspective.
Provided crisis and emotional support to individuals seeking assistance.
Assisted individuals in identifying various resources available for support and improvement. both internal and external to assist with improving quality of life.
Community Support Specialist/ Substance Use Counselor
Southeast Missouri Behavioral Health
Farmington, Missouri
09.2016 - 03.2018
Provide substance use counseling utilizing motivational interviewing, wellness coaching, and a CBT approach.
Coordinated case management services for substance use treatment and adult mental health consumers, ensuring access to essential support.
Treatment Planning based upon consumer driven goals.
Medication Management for consumers utilizing Suboxone, Vivitrol, and other psychotropic medications.
Facilitated group education and psychosocial skills development to enhance activities of daily living (ADLs) for participants.
Maintained weekly communication with primary care physicians and referral sources to coordinate comprehensive care for clients.
Documentation in a PSO and SOAP format.
Processed billing for client services to ensure timely payment.
Education
Master of Business Administration - Emphasis in Project Management
Maryville University
Saint Louis, Missouri
05.2021 - 10.2023
Master of Social Work -
Western New Mexico University
Silver City, New Mexico
Bachelor of Social Work -
University of Missouri- Saint Louis
Saint Louis, Missouri
Skills
Customer service
Typing
Case management
Documentation compliance
Medical claims knowledge
Behavioral health billing
Billing services
Windows
Microsoft Word
Microsoft Access
Microsoft Outlook
Microsoft Excel
Microsoft PowerPoint
SQL
Teradata
Missouri Medicaid billing
Missouri Department of Mental Health Billing Guidelines
Treatment planning
Effective communication
Client advocacy
Time management
Strategic thinking
Microsoft Excel mastery
Verbal and written communication
Staff management
Certification
LMSW- State of Missouri
Timeline
Triage Clinician Lead
Compass Health Network
10.2025 - 04.2026
Crisis Intervention Clinician
Behavioral Health Response
05.2022 - 01.2024
Master of Business Administration - Emphasis in Project Management
Maryville University
05.2021 - 10.2023
Business Analyst IV
Centene Corporation
03.2018 - Current
Community Support Specialist/ Substance Use Counselor