Summary
Overview
Work History
Education
Skills
Timeline
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Stephanie Kelly

Albemarle,NC

Summary

Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success. Encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance. Collaborative leader with dedication to partnering with coworkers to promote engaged, empowering work culture. Documented strengths in building and maintaining relationships with diverse range of stakeholders in dynamic, fast-paced settings.

Overview

23
23
years of professional experience

Work History

SECU Utilization Manager Crisis VI

Monarch Behavioral Health
09.2019 - Current
  • Performed prior authorization review of services requiring notification.
  • Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
  • Submitted cases for criteria failures and helped facilitate resolutions and approvals.
  • Obtained authorizations from multiple insurance carriers for various levels of care.
  • Performed admission reviews based for medical necessity based upon specification.
  • Supervised and maintained all utilization review documentation through all MCO/PHO platforms.
  • Devise or identify solutions for irregular requests and issues.
  • Facilitated workgroup meetings with medical personnel to find effective solutions to issues.
  • Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
  • Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
  • Established team priorities, maintained schedules and monitored performance.
  • Used industry expertise, customer service skills and analytical nature to resolve customer concerns and promote loyalty.
  • Defined clear targets and objectives and communicated to other team members.
  • Cultivated positive rapport with fellow employees to boost company morale and promote employee retention.
  • Trained personnel in equipment maintenance and enforced participation in exercises focused on developing key skills.
  • Improved staffing during busy periods by creating employee schedules and monitoring call-outs.
  • Established performance goals for employees and provided feedback on methods for reaching those milestones.
  • Identified and communicated customer needs to supply chain capacity and quality teams.
  • Streamlined and monitored quality programs to alleviate overdue compliance activities.
  • Performed admission reviews based for medical necessity based upon specification.
  • Supervised and maintained all utilization review documentation through .
  • Served as subject matter resource, providing information related to situations.
  • Performed admission reviews based for medical necessity based upon Clinical specification.
  • Supervised and maintained all utilization review documentation through MCO/PHP's Platforms
  • Served as subject matter resource, providing information related to all Utilization situations.
  • Skilled at working independently and collaboratively in a team environment
  • Self-motivated, with a strong sense of personal responsibility
  • Proven ability to learn quickly and adapt to new situations
  • Worked well in a team setting, providing support and guidance
  • Worked effectively in fast-paced environments
  • Managed time efficiently in order to complete all tasks within deadlines
  • Demonstrated respect, friendliness and willingness to help wherever needed
  • Excellent communication skills, both verbal and written
  • Passionate about learning and committed to continual improvement
  • Proved successful working within tight deadlines and a fast-paced environment

Residential Manager

Monarch Behavioral Health
09.2019 - Current
  • Coordinated with local veterans' affairs manager to discuss eligibility for housing placement and residents' readiness for independent living.
  • Assisted residents to make decisions to generate positive outcomes.
  • Aligned supportive services to meet needs of residents.
  • Maintained clean, safe and attractive property to foster positive environment for residents.
  • Communicated effectively with owners, residents, and on-site associates.
  • Kept properties in compliance with local, state and federal regulations.
  • Implemented and enforced policies and procedures to maintain properties to highest standards.
  • Monitored and tracked payments and expenses, providing timely and accurate financial reports.
  • Conducted regular inspections of both interior and exterior of properties for damage.
  • Delivered emergency 24-hour on-call service for tenants on building issues.
  • Responded to Common Area Maintenance (CAM) inquiries.
  • Generated professional networks by engaging in professional, industry and government organizations.

ACTT Professional III/QP

Monarch Behavioral Health
09.2019 - Current
  • Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
  • Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
  • Communicated with patients, ensuring that medical information was kept private.
  • Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
  • Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
  • Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
  • Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
  • Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility.
  • Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
  • Discussed medical histories with patients in effort to provide most effective medical advice.
  • Created customized care plans, working with hospital staff and families to assess and meet individual needs.
  • Scheduled surgeries, managed pre-certifications and verified insurance coverage.

Developmental Specialist Residential

Monarch Behavioral Health
09.2019 - Current
  • Designed, planned, organized and directed orientation and training programs for employees or customers.
  • Completed projects in alignment with target deadlines and financial objectives.
  • Offered specific training programs to help workers maintain or improve job skills.
  • Identified training needs and developed content while evaluating existing programs.
  • Obtained, organized and developed training procedure manuals, guides and course materials.
  • Assessed training needs through surveys, interviews with employees, focus groups and consultation with managers.
  • Presented information using variety of instructional techniques or formats, such as role-playing, simulations, team exercises, videos and lectures.
  • Developed individualized and group programming and safety plans in support of academic achievement.
  • Guided developmentally disabled adults through customized day programs.
  • Worked with managers to identify internal talent and plan development pathways.
  • Assisted clients in identifying community resources and connecting with appropriate services.
  • Collaborated with other professionals to plan and coordinate care for clients.
  • Documented client progress and activities in accordance with agency policies and procedures.
  • Assisted clients in developing and setting realistic goals to promote positive change.
  • Participated in interdisciplinary team meetings to coordinate care for clients.
  • Developed and maintained strong relationships with community resources for successful referrals.
  • Participated in professional development and training opportunities to enhance clinical skills.
  • Provided crisis counseling and intervention services to clients in emergency situations.
  • Utilized evidence-based practices to provide effective interventions for clients.
  • Administered assessments to identify clients' needs and establish treatment plans.
  • Educated clients and families on mental health, wellness and recovery topics.
  • Monitored clients' progress to adjust treatment plans accordingly.
  • Evaluated clients' social, emotional and psychological needs to create treatment plans.
  • Conducted home visits to assess clients' home environment and provide support.

Substance Abuse Technician Team Lead

Community Alternatives Inc
10.2018 - 08.2019
  • Led supportive group discussions and education sessions with alcohol and drug users and families.
  • Kept accurate and detailed records to track and document client progress.
  • Supported and assessed clients struggling with addiction or relationship issues and devised strategies based on client needs.
  • Monitored client progress to make necessary adjustments for client success.
  • Provided counseling and support to clients with drug and alcohol abuse issues.
  • Coordinated care with other professionals to provide clients with comprehensive support.
  • Provided crisis intervention to address clients' immediate needs and prevent harmful behaviors.
  • Supported aftercare planning for continued recovery after treatment.
  • Used knowledge of different treatment modalities to provide clients with individualized options for successful outcomes.
  • Taught substance abuse classes to help clients understand consequences of drug and alcohol use.
  • Developed individual treatment goals based on history and diagnosis.
  • Facilitated group and individual therapy in outpatient setting.
  • Provided comprehensive case management services, created treatment plans, and connected clients and families to appropriate resources.
  • Completed required documentation for continued therapy coverage by insurance companies to meet deadlines.
  • Developed goal-oriented psychoeducational and activity therapy groups to improve clients' level of functioning.
  • Delivered compassionate patient care, focusing on safety, comfort and emotional support.
  • Supported patient confidentiality in accordance with HIPAA regulations.
  • Treated clients and families with respect and dignity.
  • Charted on each patient daily.
  • Maintained patient records, documenting changes in patient condition.
  • Monitored patient behavior and immediately reported changes to supervising physician.
  • Participated in patient education, helping to reinforce concepts and treatment plans.
  • Provided therapeutic activities to assist with patient development.
  • Took patient blood pressure and pulse rate, reporting findings in health charts.
  • Assessed patient progress and reported changes to supervising physician.
  • Collaborated closely with mental health professionals with treatment plan implementation.
  • Took and monitored vital signs, administered medications, and managed patient behavior.
  • Assisted in development of therapeutic activities for patients.
  • Organized recreational activities to assist in patient recovery.

Qualified Professional

New Beginnings Of NC
05.2011 - 06.2018
  • Documented client progress in confidential files.
  • Performed client assessments and developed treatment plans.
  • Encouraged clients to express feelings and discuss what was happening in day-to-day life in order to help each person develop insight into personal experiences and relationships
  • Provided clients with recommendations to community resources.
  • Evaluated patients and implemented comprehensive treatment plans to enhance mental health.
  • Leveraged positive uncertainty and multi-systemic family systems therapy to help clients deal with ambiguity, accept inconsistencies and adopt intuition when making decisions.
  • Worked collaboratively with other mental health professionals to provide consistent care and minimize diversion.
  • Observed and monitored client behavior and responses to treatment.
  • Encouraged patients to discuss experiences in group and individual settings.
  • Consulted with other staff members regarding treatment plans as deemed appropriate by team leader.
  • Displayed sensitivity to cultural and linguistic needs of clients and families served.
  • Provided comprehensive case management services, created treatment plans, and connected clients and families to appropriate resources.
  • Developed goal-oriented psychoeducational and activity therapy groups to improve clients' level of functioning.
  • Guided clients in effective therapeutic exercises integrated from Cognitive Behavior Therapy and Dialectical Behavior Therapy (DBT).

Internal Insurance Wholesaler

Wachovia Bank
08.2000 - 01.2010
  • Documented business processes and analyzed procedures to align with changing business needs.
  • Dispensed purchase orders to suppliers with accurate pricing, deadlines and terms and conditions.
  • Consulted with clients after sales or contract signings to resolve problems and provide ongoing support.
  • Developed methods and procedures to increase sales, expand markets and promote business.
  • Developed and implemented promotional campaigns to drive sales.
  • Provided superior service to customers by quickly responding to requests, suggestions and concerns.
  • Presented talks on currently available products and services.
  • Conceived and implemented marketing plans to acquire market share within chosen markets.
  • Negotiated pricing with vendor suppliers to fit customer's budget and generate maximum gross profit.
  • Managed prospective leads and existing accounts to accurately forecast revenue and develop long-term business partnerships.
  • Identified and pursued new markets and customers for company offerings.
  • Supported internal and external business partners with subject matter expertise and practical assistance.
  • Handled administrative aspects of sales by completing customer contracts and warranties, maintaining store inventory and accepting and processing customer payments.
  • Handled inbound sales inquiries and outbound telemarketing calls.
  • Served customers with knowledgeable, friendly support at every stage of shopping and purchasing.
  • Greeted customers and offered assistance with selecting merchandise, finding accessories and completing purchases.
  • Built relationships with customers and community to promote long term business growth.
  • Contributed to team objectives in fast-paced environment.
  • Informed customers of promotions to increase sales productivity and volume.
  • Gained customer trust and confidence by demonstrating compelling, persuasive and composed professional demeanor.
  • Performed effectively in self-directed work environment, managing day-to-day operations and decisions.
  • Worked with sales team to collaboratively reach targets, consistently meeting or exceeding personal quotas.
  • Set and achieved company defined sales goals.
  • Selected correct products based on customer needs, product specifications and applicable regulations.
  • Trained new employees on customer service, money handling and organizing strategies.
  • Presented professional image consistent with company's brand values.
  • Fostered lasting relationships with customers through effective communication and quick response, resulting in long-term loyalty and expanded client base.
  • Maintained current knowledge of evolving changes in marketplace.

Cross CAT Special Education Teacher Assistant

Charlotte Mecklenburg School System
08.2002 - 05.2009
  • Provided support to help students with special needs learn and grow.
  • Monitored student actions and applied established interventions to redirect behavior and resolve conflicts.
  • Supported student learning objectives through personalized and small group assistance.
  • Applied specialized teaching techniques to reinforce social and communication skills.
  • Provided mobility and personal care support to students with physical limitations.
  • Kept classrooms clean, neat, and properly sanitized for student health and classroom efficiency.
  • Helped classroom teachers achieve instructional objectives.
  • Maintained safety and security by overseeing students in recess environments.
  • Escorted students to different school locations to provide ongoing assistance.
  • Oversaw students in classroom and common areas to monitor, enforce rules, and support lead teacher.
  • Collated classroom materials to help teachers prepare for daily instruction and activities.
  • Organized and led practice, research and lab assignments.
  • Documented student behaviors, interventions, and outcomes to enable lead teacher to address pertinent issues.
  • Delivered personalized educational, behavioral, and emotional support to individual students to enable positive learning outcomes.
  • Supported teacher in development of individual learning strategies.
  • Interacted physically and verbally with students throughout each day.
  • Offered student support through special accommodations, extra assistance, and assessments.
  • Alerted instructor to student behavior or issues requiring intervention.
  • Monitored student classroom and outdoors activities to promote student safety.
  • Collaborated with teacher to create customized classroom environment integral to students' needs.
  • Assisted teachers with classroom management and document coordination to maintain positive learning environment.

Education

MBA - Business Administration And Management

Indiana University - Purdue University Indianapolis
Indianapolis, IN
08.2018

Master of Arts - Human Services

Kaplan Career Institute - Boston
Boston, MA
08.2018

Master of Arts - Psychology

Kaplan Career Institute - Boston
Boston, MA
08.2017

Master of Arts - Intercultural, Multicultural, And Diversity Studies

Winston Salem Barber School
Winston-salem, NC
12.2010

Skills

  • Procedures Compliance
  • Root Cause Analysis
  • Patient Transfers and Transitions
  • Staff Retention
  • Program Improvements
  • Patient Care Plans
  • Determine Medical Necessity
  • Making Contacts
  • Referral Network
  • Utilization Management
  • Authorization Input
  • Conducting Audits
  • Behavioral Reviews

Timeline

SECU Utilization Manager Crisis VI

Monarch Behavioral Health
09.2019 - Current

Residential Manager

Monarch Behavioral Health
09.2019 - Current

ACTT Professional III/QP

Monarch Behavioral Health
09.2019 - Current

Developmental Specialist Residential

Monarch Behavioral Health
09.2019 - Current

Substance Abuse Technician Team Lead

Community Alternatives Inc
10.2018 - 08.2019

Qualified Professional

New Beginnings Of NC
05.2011 - 06.2018

Cross CAT Special Education Teacher Assistant

Charlotte Mecklenburg School System
08.2002 - 05.2009

Internal Insurance Wholesaler

Wachovia Bank
08.2000 - 01.2010

MBA - Business Administration And Management

Indiana University - Purdue University Indianapolis

Master of Arts - Human Services

Kaplan Career Institute - Boston

Master of Arts - Psychology

Kaplan Career Institute - Boston

Master of Arts - Intercultural, Multicultural, And Diversity Studies

Winston Salem Barber School

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