Yassmin Marhaba RN BSN
Detroit
Summary
Experienced nursing and behavioral health leader with a proven track record in supervising multidisciplinary teams, coordinating patient care, and optimizing clinical operations in multi-state and remote environments. Skilled in behavioral health assessments, crisis intervention, workflow improvement, utilization management, care coordination, and regulatory compliance (HIPAA, CMS, state behavioral health standards). Adept at staff mentoring, training development, and process improvement to enhance patient outcomes, operational efficiency, and team performance.
Overview
12
12
years of professional experience
Work History
Clinical Utilization Management Nurse Coordinator
Joint Venture Hospital Laboratories (JVHL)
Allen Park, MI (Hybrid/Remote)
10.2025 - Current
- Provides management oversight in implementing the Utilization Management (UM) department functions, including prior authorization decisions and retrospective reviews for nonpatient laboratory services.
- Provide leadership in the design and implementation of UM policies, processes, and procedures
- Ensure quality of UM services and that contractual and regulatory requirements remain compliant through daily supervision of assigned utilization management team and required reporting.
- Maintain knowledge of regulatory and accreditation agencies and related delegated requirements pertinent to case management, such as BCN Medical Policy and NCQA
- Oversee the review of quality concerns identified through the QI process and the implementation and monitoring of corrective action plans
- Conduct clinical reviews of authorized approval and denial recommendations from JVHL Prior Authorization Specialist for prior and retro authorizations
- Coordinate as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care for member
- Collects, documents, and maintains all member clinical information accurately in health management systems to ensure compliance with regulatory guidelines
- Provide training to Utilization Management team to promote high quality care to members & clients
- Resolve or facilitate resolution of the highest risk and/or complex prior authorization issues
- Identify opportunities to create efficiencies in the UM program and activities, collaborate to design and implement improvements
- Participate in Internal UM Committee
- Ensure compliance with all JVHL policies and standards
- Develop/maintain memberships in professional organizations
- Contribute to other areas and perform duties at JVHL as needed
- Work independently and collaboratively in a fast-paced environment
- Update job knowledge by participating in education opportunities and trainings
- Maintain the privacy and security of PHI, both electronic and hardcopy
Face Aesthetics Co. & Wellness
06.2023 - Current
- Aesthetics & Wellness nurse dedicated to assisting patient's in meeting their aesthetic and wellness goals.
- Perform assessments and examinations of patients to determine best treatment options.
- Assist in the development of personalized treatment plans based on patient needs and goals.
- Administer a range of aesthetic procedures, including but not limited to chemical peels, laser treatments, vitamin injections, lipo fat dissolving injections, and microdermabrasion.
- Educate patients on proper wellness care routines, post-procedure care, and answer any questions or concerns they may have.
- Maintain accurate and detailed patient records, documenting treatment plans, progress notes, and follow-up care.
- Collaborate with clinicians and other healthcare professionals to ensure comprehensive patient care.
Clinical Registered Nurse
Metropolitian Behavioral Health
Dearborn, MI
06.2025 - 10.2025
- Coordinated and evaluated patient care by collaborating with interdisciplinary healthcare teams, ensuring adherence to the nursing process, evidence-based standards of care, and regulatory best practices.
- Directed and supervised LPNs and MHTs on assigned units, ensuring patient safety, quality care delivery, and efficient team operations.
- Implemented workflow oversight and performance guidance to support clinical compliance, risk mitigation, and optimal patient outcomes.
- Conduct comprehensive psychiatric assessments for individuals requiring inpatient and outpatient behavioral health services.
- Conduct patient intakes and admissions.
- Participate in discharge planning and court appearances.
- Apply clinical judgment and evidence-based criteria to support appropriate level-of-care decisions and treatment planning.
- Coordinate care and discharge planning to ensure medically necessary, cost-effective services and appropriate community resource utilization.
- Collaborate with psychiatrists, social workers, courts, and community providers to optimize member outcomes.
- Serve as a clinical resource to staff regarding complex behavioral health cases and treatment planning.
- Maintain accurate, timely clinical documentation in compliance with regulatory and organizational standards.
Career Transition/Family and Personal Development
Self Development
02.2025 - 06.2025
- Managed career transition following organizational restructuring while welcoming new family responsibilities.
Medication Support Team Nurse Manager
Mindpath Health
Remote
02.2022 - 02.2025
- Directed daily clinical and operational workflows for the Medication Support Team, a hybrid behavioral health support department managing medication refills, clinical inquiries, prior authorizations, appeals, GeneSight testing, REMS programs, lab coordination, and related administrative functions.
- Operated under the supervision of the Office of Chief Medical Officers and Operations, ensuring alignment with organizational strategy and national performance standards.
- Maintained professional, regulatory, and operational standards in accordance with Mindpath Health policies and multi-state behavioral health compliance requirements.
- Oversaw and enforced department protocols, including Medication Refill, Crisis Management, and Prior Authorization workflows, ensuring clinical accuracy, patient safety, and regulatory compliance.
- Ensured policies, procedures, and practices met legal, administrative, and clinical compliance standards across all states of operation, including HIPAA and behavioral health regulations.
- Cultivated a high-performing, patient-centered culture focused on teamwork, service excellence, and improved patient satisfaction outcomes.
- Developed and executed regional and national operational and clinical strategies aligned with organizational growth and quality initiatives.
- Created and monitored Key Performance Indicators (KPIs), including call metrics, task turnaround times, medication refill accuracy, and productivity reporting; analyzed performance data to drive continuous improvement.
- Implemented process improvement strategies to optimize labor utilization, expense control, workflow efficiency, and service quality.
- Led weekly team meetings and monthly departmental meetings to review performance metrics, reinforce goals, and drive accountability.
- Established structured communication, mentoring, training, and coaching systems to support employee development and operational consistency.
- Trained newly hired clinicians on medication refill protocols and Medication Support Team workflows to enhance collaboration and clinical efficiency.
- Partnered cross-functionally with clinical leadership, recruitment teams, and operations to support clinician onboarding, engagement, and retention initiatives.
- Supported business growth into additional markets by evaluating operational readiness and implementing strategic expansion plans under executive leadership guidance.
- Built collaborative partnerships across departments to improve clinical support delivery and enhance patient care outcomes.
Relocation and Transition Period
Self-Development
12.2021 - 02.2022
- Managed personal relocation while preparing for career transition into professional nursing and clinical operations.
- Maintained professional development by reviewing clinical guidelines, behavioral health policies, and best practices in patient care.
- Ensured readiness to resume full-time clinical and leadership responsibilities in a new location in a remote capacity.
Clinical Nurse /Clinical Charge Nurse
Atrium Health
Concord/Davidson, North Carolina
03.2019 - 12.2021
- Led and supported a team of nurses and healthcare assistants, ensuring delivery of high-quality, patient-centered care in alignment with organizational policies and clinical protocols.
- Provided professional nursing assessment, care coordination, and clinical decision-making while maintaining compliance with regulatory and safety standards.
- Mentored newly qualified nurses through structured virtual and in-person preceptorship, achieving a 100% program completion rate.
- Collaborated with multidisciplinary teams across hospitals and departments to coordinate seamless patient transitions and continuity of care.
- Facilitated clear, timely communication with cross-functional teams to support efficient care planning and service delivery.
- Oversaw unit operations, triaged clinical concerns, managed escalations (code calls, patient complaints, safety alerts), and ensured timely resolution of issues.
- Assigned patient caseloads and delegated responsibilities to ensure appropriate staffing and workload distribution.
- Supervised and supported nurses and psychiatric technicians, providing performance feedback, coaching, and corrective action when required.
- Participated in recruitment and onboarding processes, conducting interviews and contributing to candidate selection decisions.
- Delivered training and orientation for new graduate nurses and staff, promoting adherence to clinical standards and workflow efficiency.
- Maintained accurate, comprehensive documentation using EMR systems including Epic and Canopy.
- Utilized strong organizational, communication, and problem-solving skills to manage competing priorities in fast-paced environments
Nursing Education Completion & RN Licensure
Self-Development
09.2018 - 03.2019
- Engaged in clinical training and preparation to transition into professional nursing practice.
- Completed Associate Degree in Nursing (ADN) and passed NCLEX licensure exam.
Habilitation Technician
BAYADA Home Health Care
Charlotte, NC
01.2016 - 09.2018
- Provide one-on-one services and comfort to individuals with developmental and intellectual disabilities in their homes and within the community. This includes assistance with activities of daily living in addition to assistance with reaching developmental goals.
- Provide one-on-one support to children with disabilities after school and on weekends (both in home and within the community).
- Assist with activities that promote social and personal development.
- Collaborate with families and other team members to ensure the well-being of the children.
Receptionist
Pavilion Tax Service
Charlotte, NC
11.2014 - 01.2016
- Front desk/receptionist support at a high volume tax office.
- Greet and welcome incoming guests.
- Direct guests and answer any questions they may have.
- Organization of client documents and/or files.
- File and restock office supplies.
- Schedule appointments for clients to meet with Tax Preparer.
- Answer phone calls to provide assistance to clients.
- Obtain payments and update internal databases as needed.
- Other duties as assigned.
Student Research Assistant
North Carolina A&T State University
Greensboro, NC
06.2014 - 09.2014
- Selected as a Student Research Assistant for a Summer Internship to work closely with professor Dr. Chico Rorie in discovering the role of MicroRNAs in Triple Negative Breast Cancer in order to educate and inform multiple audiences.
- Gather information through extensive literature research.
- Perform lab experiments including but not limited to microarray analysis, tissue culturing, cell splitting, cell treatments, and cell viability measurement.
- Inform multiple audiences on the role of microRNAs in Triple-Negative Breast Cancer.
Education
Bachelor of Science - Nursing
Winston-Salem State University
Winston-Salem, NC05.2021
Associate of Applied Science - Nursing
Cabarrus College of Health Sciences
Concord, NC12.2018
Associate of Science - undefined
Rowan-Cabarrus Community College
Concord, NC12.2016
High School Diploma - undefined
A.L. Brown High School
Kannapolis, NC06.2014
Skills
- Strategic Communication: Effectively translates complex clinical and operational information to patients, families, and interdisciplinary teams, ensuring understanding, engagement, and adherence to care plans
- Clinical & Operational Leadership: Leads, mentors, and develops multidisciplinary teams of nurses, psychiatric technicians, and support staff to deliver high-quality, patient-centered behavioral health care
- Critical Thinking & Problem Solving: Expert in analyzing clinical and operational challenges, implementing evidence-based solutions, and driving improved patient outcomes and workflow efficiency
- Behavioral Health Clinical Management: Skilled in patient assessment, psychiatric evaluation, crisis intervention, risk assessment, and care coordination in accordance with regulatory standards
- Team Building & Supervision: Builds high-performing teams, fosters collaborative work environments, and provides performance feedback, coaching, and disciplinary guidance when necessary
- Clinical Documentation & Compliance: Ensures accurate, timely, and legally compliant documentation, adhering to HIPAA, CMS, state behavioral health regulations, and organizational quality standards
- Quality Assurance & Regulatory Oversight: Leads quality improvement initiatives, policy development, and audit-ready processes to maintain operational and clinical excellence
Accomplishments
- Enhanced Hiring & Onboarding Process: Redesigned hiring workflows, interview frameworks, and job descriptions to improve candidate selection accuracy, strengthen team alignment, and support successful onboarding and overall department outcomes.
- Comprehensive Training Programs Development: Created and implemented structured new hire onboarding and ongoing professional development training to improve employee performance, consistency, clinical accuracy, and operational efficiency across the department.
- Policy & Procedure Optimization: Led the development and continuous revision of departmental policies and procedures to ensure alignment with best clinical practices, regulatory requirements, operational goals, and multi-state compliance standards.
- Improved Patient Outcomes & Reduced Employee Workload: Developed and implemented new clinical workflows and an Interactive Voice Response (IVR) system, resulting in a 70% reduction in inbound call volume, improved task efficiency, and increased patient and employee satisfaction.
LANGUAGES
English Native
Arabic Advanced
Timeline
Clinical Utilization Management Nurse Coordinator
Joint Venture Hospital Laboratories (JVHL)
10.2025 - Current
Clinical Registered Nurse
Metropolitian Behavioral Health
06.2025 - 10.2025
Career Transition/Family and Personal Development
Self Development
02.2025 - 06.2025
Face Aesthetics Co. & Wellness
06.2023 - Current
Medication Support Team Nurse Manager
Mindpath Health
02.2022 - 02.2025
Relocation and Transition Period
Self-Development
12.2021 - 02.2022
Clinical Nurse /Clinical Charge Nurse
Atrium Health
03.2019 - 12.2021
Nursing Education Completion & RN Licensure
Self-Development
09.2018 - 03.2019
Habilitation Technician
BAYADA Home Health Care
01.2016 - 09.2018
Receptionist
Pavilion Tax Service
11.2014 - 01.2016
Student Research Assistant
North Carolina A&T State University
06.2014 - 09.2014
Associate of Applied Science - Nursing
Cabarrus College of Health Sciences
Associate of Science - undefined
Rowan-Cabarrus Community College
High School Diploma - undefined
A.L. Brown High School
Bachelor of Science - Nursing
Winston-Salem State University