Trisha Posey
Pocola
Summary
Healthcare professional with 16+ years of experience in care coordination, behavioral health, and managed Medicaid. A relationship-focused leader who Leads with Heart by building strong partnerships with providers, members, and teams through empathy, collaboration, and trust. Proven success in improving quality outcomes, mentoring employees, exceeding performance goals, and identifying solutions that improve healthcare experiences. Skilled in provider engagement, healthcare operations and cross-functional collaboration.
Overview
1
1
Language
1
1
Certification
16
16
years of professional experience
Work History
Managed Care Coordinator
CareSource Passe
09.2022 - Current
- Managed a complex Medicaid caseload of 50+ members while consistently achieving 90% quality and performance metrics over four consecutive years.
- Coordinated care with healthcare providers, pharmacies, community organizations, and interdisciplinary teams to resolve barriers and enhance member health outcomes.
- Resolved complex provider, pharmacy, and prior authorization issues through collaboration with internal departments and healthcare providers, minimizing treatment delays and ensuring continuity of care.
- Advocated for operational improvements as a member of Care Coordinator Advisory Council, recommending workflow enhancements that increased efficiency and expanded time available for direct member care.
Care Coordinator
Empower Healthcare Solutions
10.2020 - 09.2022
- Collaborated with healthcare providers and community partners to coordinate behavioral health services and resolve barriers to care, enhancing member outcomes.
- Monitored care coordinator performance using KPI tracking and quality reviews, identifying opportunities for improved operational effectiveness and service delivery.
- Mentored and trained new care coordinators through onboarding and ongoing education, fostering team consistency and performance.
- Applied medical billing and coding knowledge to support accurate documentation, provider communication and efficient coordination of care.
Qualified Mental Health Specialist
Western Arkansas Counseling And Guidance Center
10.2019 - 10.2020
- Implemented crisis intervention plans, increasing safety for children in therapeutic foster care.
- Provided comprehensive case management, facilitating client access to essential resources and services.
- Educated clients and families on mental health treatments, empowering them with knowledge of available resources.
- Monitored client behavior and treatment responses to assess progress.
Administrative Assistant
Arkansas Department Of Human Services
09.2017 - 06.2019
- Assisted in developing and implementing new administrative procedures, enhancing overall office functionality.
- Developed strategies to streamline office procedures, resulting in more efficient workflows.
- Scheduled office meetings and client appointments for staff teams and foster care members.
- Executed record filing system, improving organization and accessibility of foster care documents.
Intake Specialist
Perspectives Behavioral Health Management
11.2010 - 09.2017
- Assessed client needs to determine eligibility for intake services, facilitating appropriate client support.
- Verified and processed client demographics, insurance payments, and referral information to ensure accurate client records.
- Collaborated with clinical and operations teams to facilitate appropriate client placements.
- Trained and supervised new intake staff, enhancing team capability to deliver high-quality client care.
Education
Bachelor of Science - Psychology
John Brown University
Siloam Springs, AR05-2020
Skills
- Provider Relationship Management
- Provider Engagement & Support
- Healthcare Operations
- Quality Improvement
- Utilization Management
- Provider training
- Cross-Functional Collaboration
- Process Improvement
- Medicaid management
- Team Development
- Performance Metrics
Languages
Spanish
Limited
Certification
- Prior Authorization Processes
- Healthcare Quality Improvement
- Medical Billing & Coding Coursework
- Mentorship Development
- Mental Health First Aid
- Crisis Prevention
Timeline
Managed Care Coordinator
CareSource Passe
09.2022 - Current
Care Coordinator
Empower Healthcare Solutions
10.2020 - 09.2022
Qualified Mental Health Specialist
Western Arkansas Counseling And Guidance Center
10.2019 - 10.2020
Administrative Assistant
Arkansas Department Of Human Services
09.2017 - 06.2019
Intake Specialist
Perspectives Behavioral Health Management
11.2010 - 09.2017
Bachelor of Science - Psychology
John Brown University