Highly motivated and ambitious behavioral health supervisor professional with 11 years experience seeking to transition into a position that will not only enhance my wide spectrum of skills within this field but also challenge me in growing my knowledge of the fraud investigation field
Overview
11
11
years of professional experience
1
1
Certification
Work History
Clinical Site Supervisor
Knox Recovery
Mount Vernon, OH
05.2021 - Current
Assisted in starting the agency from a clinical aspect
Assisted in developing policies and procedures that were consistent with substance abuse treatment
Assisted on building our clinical frameworks to be compliant with OMHAS and CMS standards
Assisted with the managed care plan credentialing process for CareSource, Buckeye Health, Molina, MITS and United Health Care
Gave oversight to 10+ chemical dependency employees, whom were supervised weekly
Gave oversight to ASAM level 1 and 2.1 programs for men and women aged 18+
Signed supervisee clinical documentation daily ensure supervisee documentation met medical necessity for treatment
Emphasized the ASAM Criteria in correlation with client-centered care
Audited clinical charts for overbilling, underbilling, HCPCS code and modifier correctness
Enforced the importance of HIPAA, PHI, Boundaries, Client Rights, CFR 42 Part 2
Urinalysis interpretation - LC-MS/MS and IA urinalysis, creatine levels, Ph, Oxidant, gravity and adulterated screens
Utilized deep working knowledge of the DSM-5-TR
Utilized screening tools such as CIWA-AR, CIWA-B, COWS, CAGE and CAGE-AID
Drug Court Treatment Liasion for Knox County ARMOR Court, Mount Vernon Municipal MERIT Court, Morrow County Intervention in Lieu Drug Court, Morrow County Felony Drug Court
Clinical Site Supervisor
Riverside Recovery
Mount Vernon, OH
08.2018 - 05.2021
Gave oversight to 20+ chemical dependency employees, whom were supervised weekly
Gave oversight to ASAM level 2.1 and 2.5 programs for men and women aged 18+
Managed caseload of 4-8 high-intensity male substance abuse clients
Effectively billed 30 hours of productivity weekly
Reviewed an average 100 clinical notes daily to ensure supervisee documentation met medical necessity for treatment
Educated supervisees on ASAM standards and client centered treatment planning
Utilized my deep working knowledge of ASAM, DSM-5-TR and counseling practices to continue benefiting the clients I served
Provided individual counseling, crisis intervention, group therapy, case management and drug screening on a daily basis
Substance Abuse Counselor
Mohican Youth, Adademy
Perrysville, OH
09.2017 - 08.2018
Provided direct client care in the forms of individual counseling and group therapy at ASAM level 1 to juvenile males ages 12-18
Managed caseload of 30+ juvenile substance abuse clients within the facility
Effectively billed 30 hours of productivity weekly
Utilized SASSI to determine appropriateness for treatment
Developed clients substance abuse treatment plans and monitored client behavior in response to treatment
Provided various counseling techniques to support client growth
Supported the residential treatment program standards in terms of addressing negative behaviors with behavioral modification techniques
Mental Health Case Manager
Behavioral Healthcare, Partners of Central Ohio
Mount Vernon, OH
06.2016 - 09.2017
Provided direct care for mental health case management
Managed caseload of 55+ medium-intensity mental health clients
Effectively billed 24 hours of productivity weekly
Utilized Adult GAF scoring to determine needs of client
Provided the majority of services within the community or within client homes
Focused on enhancing client functioning by linking to community resources when needed
Assisted in creating client centered service plans that focused on their overall mental health goals
Assisted in crisis management and de-escalation when needed
Juvenile Probation Officer
Knox County Juvenile Probation
Mount Vernon, OH
08.2012 - 02.2015
Monitored juvenile offenders to ensure court-ordered conditions are met
Managed caseload of 50+ non-reporting juvenile offenders
Utilized OYAS scoring results to determine course of case plan
Conducted investigations into the backgrounds of juveniles and their families
Developed and implemented individualized case plans for juvenile offenders
Enforced sanctions when necessary to hold juveniles accountable for their actions
Maintained detailed records of all interactions with juvenile offenders
Attended hearings in juvenile court on behalf of the department
Transported offenders to juvenile detention as well as Ohio Department of Youth Services
Assisted in the application of SecureAlert ankle monitors on offenders court ordered to house arrest
Education
Master of Science - Forensic Accounting And Fraud Investigation
West Virginia University
Morgantown, WV
08.2024
Bachelor of Science - Criminal Justice
The University of Toledo
Toledo, OH
08.2017
Associate of Applied Science - Criminal Justice
Central Ohio Technical College
Newark, OH
05-2012
High School Diploma -
Mount Vernon High School
Mount Vernon, OH
06.2009
Skills
Auditing Procedures and Standards
Common Trend Analysis
Excel Analytics
Financial Ratios Analysis
Financial Statement Analysis
Valuation Analysis
IT Change Management
IT Compliance Management
IT Risk Analysis
IT Risk Assessments
IT Security Compliance
Biopsychosocial Assessment
Case Management
CMS Reporting
Medical Necessity
Crisis Intervention, Individual Counseling, Case Management, Group Therapy
Urinalysis Interpretation
Grievance and Appeals process for treatment
Medicaid Billing, CPT Code Modifiers and unit requirements
ASAM Implementation Leader
Clinical Auditing
Familiar with DSM-5-TR Diagnosis Criteria
HCPCS - 'H' Codes
ICD-10 Substance Abuse and Mental Health
BestNotes, Carelogic, Kaledia Care EHR systems
Microsoft Suite
Excellent documentation skills
Certification
Licensed Chemical Dependency Counselor III - LCDCIII.161853
Certified Thinking for a Change Facilitator
Certified Moral Reconation Therapy Facilitator
References
References available upon request.
Timeline
Clinical Site Supervisor
Knox Recovery
05.2021 - Current
Clinical Site Supervisor
Riverside Recovery
08.2018 - 05.2021
Substance Abuse Counselor
Mohican Youth, Adademy
09.2017 - 08.2018
Mental Health Case Manager
Behavioral Healthcare, Partners of Central Ohio
06.2016 - 09.2017
Juvenile Probation Officer
Knox County Juvenile Probation
08.2012 - 02.2015
Master of Science - Forensic Accounting And Fraud Investigation