*** *** ******* ****

Nashville, TN ***** Phone 901-***-****

Email: abll36@r.postjobfree.com Ella-Victoria Robinson, MS

Objective To demonstrate and advance knowledge in topics

pertaining to counseling, psychology, and

mental/behavioral health

Work

experience July 2010-current Blue Cross BlueCross BlueShield of

TN

Nashville, TN

Associate Care Coordinator

Member enrollment in CHOICES program

Utilize clinical assessment skills to determine member

eligibility

Enter and process service authorizations

Conduct routine monthly interim calls to members of

program plan

Coordination of in-home services between member and

provider

Identify appropriate in-home resources for members of

program plan

Disease management

Process member eligibility

Coordination of care via interaction with home care

coordinator

Serve as liaison for community providers

Assist in the preparation of client's plan of care

Troubleshooting provider issues

Inbound and outbound calls in call center environment

Experience with FACETS program

Experience with Citrix and Continuum Program

Sept 2008-April 2010 AmeriChoice (UHC)

Memphis, TN

Mental & Behavioral Field Care Manager

Coordinate mental and behavioral treatment through the

use of evidence-based guidelines

Identify appropriate resources pre and post mental

health treatment

Exercise effective client advocacy and case management

skills

Assist in the authorization of services for members

based on a review of information provided against Access

to Care Standards and Level of Care Guidelines

Ensure receipt of appropriate level of care

Assist in the preparation of client's plan of care

Assist in coordination of client's discharge planning

Monitor over and under usage of psychiatric facilities

and services

Assist in the integration of behavioral, mental, and

medical health resources

Screen and identify high risk utilization cases

Utilize clinical skills to promote quality,

cost-effective outcomes

Ensure proper resource allocation by utilization care

managers

Conduct behavioral health assessments

Utilize individual counseling skills in instances of

critical clinical circumstance

Maintain accurate census reports

Maintain relationships with community mental health

centers

Serve as liaison for community providers

Conduct site visits to contracted agencies

Act as resource for medical RNs and social workers

Attend provider team meetings and other provider

activities as needed

Experienced with FACETS and CareOne programs

Aug 2007-September 2008 Youth Villages

Memphis, TN

Utilization Review Specialist

Conducted pre-authorizations for eligible clients

Conducted concurrent reviews for existing clients

Conducted retrospective reviews for eligible clients

Maintained knowledge of insurance eligibility guidelines

Inpatient evaluation of care and needs

Performed weekly analysis and interpretation of

utilization reports to detect under and over utilization

Investigated potential areas of fraud and/or abuse

Maintained complete and concise documentation of all

Utilization Review cases

Managed professional relationships with clients, state

agencies, law enforcement agencies and providers

Technical writing skills

Enforced Utilization Review Standards for Arkansas,

Mississippi, Wyoming, and North Carolina

Nov 2005- Aug 2007 Youth Villages

Memphis, TN

Community-Based Senior Residential Counselor

Conducted and documented Individual therapy sessions for

residential clients

Conducted and documented Group therapy sessions for

residential clients

Conducted and documented Family therapy sessions for

residential clients

Developed and maintained treatment plans for clients

Developed aftercare transfer and discharge plans for

clients

Provided clinical and therapeutic structure for clients

in residential setting

Maintained contact and customer service with Dept of

Children's Services

Case Management

Participated in Child and Family Team Meetings

Developed and implemented behavioral interventions for

clients and their family

Participated in scheduled trainings

Developed psychosocial history reports

Developed and applied strength and needs assessments

Clinically trained incoming counselors

Supervised clinical documentation and interventions

utilized by peer counselors

Experience with clients with A&D history

Knowledge of JCAHO guidelines

CPI certified

February 2004-Nov 2005 Youth Villages

Memphis, TN

Sr. Overnight Teacher/Counselor

Supervised and provided safe environment for residents

in community-based group home

Coordinator of Safe Place procedure within group home

Assisted in developing treatment goals for residents

Provided leadership and structure among entry level

employees

Hosted monthly job specific trainings for entry level

employees

Jan 2002-May 2002 Mississippi State University

Starkville, MS

Social Psychological Research Team

Conducted experiments with the aid of a seven member

research team and professor

Gathered useful data towards the research of race and

stereotyping

Developed psychology-based computer programs

Published article regarding research results and

implications

Obtained experimental testing license from IRB

Oct 2000-Dec 2003 Mississippi State University

Starkville, MS

Residence Hall Association Desk Assistant

Perform secretarial duties

Assist students and visitors with information pertaining

to Mississippi State University campus and residence

halls

Maintain and enforce residence hall rules and policies

Education 2004-2007 The University of Memphis

Memphis, TN

MS; Community Agency Counseling

Chi Sigma Iota

1999 - 2003 Mississippi State University

Starkville, MS

BA; Psychology

Dean's List; 2003

National Outstanding Student Society

Social Psychological Research Team Member

Professiona Pre-Law Society

l Black Student Association

memberships National Outstanding Student Association

NAACP Life Member

Alpha Kappa Alpha Sorority, Inc

Chi Sigma Iota

Certified by Institutional Review Board (IRB)

CPI certified since 2004

CPR certified since 2004

References References Available Upon Request

Contact this candidate