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Licensed Clinical Social Worker

Location:
O'Fallon, Missouri, 63368, United States
Posted:
April 13, 2018

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Resume:

Katherine M. Schuth, MSW, LCSW

636-***-****

ac44r4@r.postjobfree.com

EMPLOYMENT

E4 Health, Inc., St. Louis MO, September 2013 to April 2018

Clinical Operations Manager, 8/1/2014 – 4/2/2018 (Position eliminated during acquisition by another company)

• Managed a team of seven Masters Level licensed clinical social workers and licensed professional counselors in a clinical call center

• Ensured team of clinicians efficiently answered calls, effectively assessed needs, and directed callers to Employee Assistance Program or Managed care services

• Coached clinicians in high-risk situations to ensure caller’s immediate needs were appropriately addressed; made decision to involve local emergency responders when necessary

• Monitored call center data and audited call recordings to ensure calls were handled efficiently and effectively within required benchmarks

• Supervised Managed Care Case Manager and reviewed client cases which did not appear to meet medical necessity criteria for admission/continued care and monitored the peer review/denial process to ensure that ERISA timeframes are met

• Supervised internal telephonic counselors and reviewed complex cases as needed

• Ensured services were available to meet the needs of our clients by monitoring appointment numbers

• Completed admissions and concurrent reviews for higher levels of care

• Ensured client calls from 3 other call centers across the country were answered quickly by coordinating with fellow managers, logging in to clinical queues and taking clinical calls when needed on a daily basis

• Managed physical office including computer servers, fire code inspections, data destruction,

deliveries, cleaning and supplies

Clinical Operations Supervisor, 9/11/2013 – 8/1/2014 (see above)

People Resources Inc., St. Louis MO, April 2005 to September 2013

Clinical Operations Supervisor, 6/1/2012 – 9/11/2013 (Company purchased by E4 Health, Inc.)

• Supervised a team of eight Masters Level licensed clinical social workers and licensed professional counselors in a clinical call center

• Ensured team of clinicians efficiently answered calls, effectively assessed needs, and directed callers to Employee Assistance Program or Managed care services as appropriate

• Coached clinicians in high-risk situations to ensure caller’s immediate needs were appropriately addressed; made decision to involve local emergency responders when necessary

• Reviewed higher level of care admissions to ensure that patient’s symptoms met medical necessity criteria for the requested level of care

• Ensured services were available to meet the needs of our clients by monitoring appointment numbers and logging into clinical queues and taking clinical calls when needed, on a daily basis

Affiliate Coordinator, 4/25/2005 – 9/11/2013

• Managed affiliate network

• Reviewed clinical case information submitted by affiliates and authorized additional sessions per protocol

• Consulted with affiliates if clinical did not look appropriate for short term intervention, saving the company thousands of dollars in affiliate fees during my tenure in this position

• Reviewed case information submitted at closure for clinical quality and completeness and approved for payment

• Supported call center by taking calls when needed, and completing screening assessment, referral, resource research and follow up related to those calls

Magellan Behavioral Health, Maryland Heights, MO, April 1998 – April 2005

Senior Care Manager, Clinical First Team, 1/2/2004 – 4/22/2005

• Clinical Referral Line Clinician for Employee Assistance Program (EAP) account

• Handled incoming calls from clients seeking referral to EAP therapists from multiple client companies

Completed screening assessment, assessed for risk, documented clinical information in AS 400 computer case system, gave caller referrals to EAP providers in the client’s area

Authorized care to the EAP provider

Clinical Support Team Supervisor – IBM Dedicated Team, 10/1/2002 – 12/31/2003

Supervised team of eight care coordinators and administrative staff

Ensured clients received timely follow-up and appropriate information, and all was documented accurately in client cases

Audited cases to ensure that performance guarantees related to follow up were met

Managed flow of requests from clinicians to the team to balance workloads

Acted as Liaison for team to management in advocating for their needs

Reviewed process flows and instituted changes in order to assist team in getting requests processed quickly and efficiently

Clinical Team Supervisor – IBM Dedicated Team, 4/1/1999 – 9/30/2002

Supervised a team of six LCSW and LPC Clinical Referral Line Clinicians

Staffed high-risk call situations to ensure that caller’s immediate needs were met.

Reviewed higher level of care admissions with clinicians to ensure medical necessity criteria were met for the requested level of care

Staffed questionable admissions with MD reviewer

Monitored call stat reports to ensured timeliness and performance guarantees were met

Silent audited ACD calls and audited clinical documentation for quality and completeness

Clinical Referral Line Clinician – IBM Dedicated Team, 4/1/1998 – 3/31/1999

Took incoming calls from members seeking referral to EAP therapists or MC providers

Completed screening assessment, assessed for risk, documented clinical information in AS 400 computer case system, gave caller referrals to appropriate level of care provider in client’s area

Authorized care to the EAP / MC provider or referred client to facility for assessment and possible admission

Provided clinical follow up on high-risk clients to ensure that member accessed treatment

EDUCATION, LICENSURES AND CERTIFICATIONS

Bachelor of Arts. Maryville University, St. Louis MO. Major Psychology/Sociology

Masters in Social Work. St. Louis University School of Social Services, St. Louis, MO

Licensed Clinical Social Worker, State of Missouri. Licensed 1/24/1997 – present

VOLUNTEER WORK

Employee Assistance Professionals Association

Board Member – St. Louis Chapter – 9/2015 to present

Developed training opportunities for clinical professionals in the area

Developed web site and Facebook page for the local chapter

oIncreased visibility in the professional community; promoting the benefits of becoming a member of EAPA to increase membership

oProvided resources for EAP professionals through seminars and links to EAPA International website

E4 Health, Inc.

Management Mentor, Celebration Committee, May 2015 to April 2018

Created and implemented activities (potlucks, games, and challenges) for multi-location team members to help create sense of connection to the company and their coworkers

Promoted activities which allowed employees to have fun, learn about their coworkers’ contributions to the company as well as in their personal lives

Instrumental in building a common company culture among team members in individual legacy companies



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