Manager Care
Resume:
Tara L. Mundorf, LSW
New Cumberland, PA 17070 ****.*******@*****.***
OBJECTIVE
To secure a position that allows me to utilize my educational
background and professional experiences to further my working
knowledge of the behavioral health system and provide necessary
therapeutic services to those individuals seeking support services.
EDUCATION
2009: Temple University, Harrisburg, PA, Master of Social Work.
2001: Pennsylvania State University, Harrisburg, PA, BS, Applied
Behavioral Sciences
PROFESSIONAL WORK EXPIRENCE
8/10-Present: Community Care Behavioral Health - Care Manager
. Provide Care Management for children, adolescents and their families who
are receiving Partial Hospitalization Program Services (PHP) and Family
Based Mental Health Services (FBMHS) to ensure continuity of care and
provider collaboration.
. Review service requests for PHP and FBMHS, collaborate with Physician
Advisors to determine if the appropriate medical necessity criteria has
been met.
3/12-12/13: Youth Advocate - Mobile Therapist
. Provide individualized therapeutic interventions to persons identified
with emotional, social, behavioral stressors and difficulties with in the
home, community and educational environments.
. Complete necessary assessments and all necessary paperwork required for
state, federal and managed care requirements.
. Develop and implement consumer specific treatment plans.
2/10- 10/10: ReDCO Group - Outpatient Therapist
. Provide individualized therapeutic interventions to persons identified
with emotional, social, behavioral stressors and difficulties.
. Complete psychosocial assessments and all necessary paperwork required
for state, federal and managed care requirements.
12/08 - 6/10: Harrisburg School District - ELL Outreach Social Worker
. Provide individual therapeutic interventions with identified English
Language Learners (ELLs) students who have identified emotional, social,
behavioral and educational needs.
. Assess the personal and interpersonal functioning and contextual or
environmental factors as it applies to ELLs and their families.
. Facilitate a multicultural exchange between ELL and non-ELL students
through a group process (Ambassador Club) that targets bullying, self-
esteem, cultural competence, and drug and alcohol use, etc.
. Facilitate and incorporate additional resources to provide food,
clothing, financial resources, etc. to immigrants and refugees.
. Work with the school district physician who oversees the physical and
dental clinics in order to connect immigrants and refugees with necessary
services.
2/07- 12/08: Community Care Behavioral Health - Complaint and
Grievance Coordinator
. Acknowledge member complaints and grievances and facilitating a thorough
investigation process into identified concerns.
. Facilitate resolutions to complaints and grievances in compliance with
timeframes set up by oversight entities.
. Prepare and present statistical information regarding the quality of
services to Community Care oversights.
Tara L. Mundorf
424 Reno Avenue 570-***-****
New Cumberland, PA 17070 ****.*******@*****.***
PROFESSIONAL WORK EXPERIENCE-CONTINUED
7/04-2/07: The Meadows Psychiatric Center - Utilization Management
. Complete clinical reviews with managed care companies.
. Communicate the expectations of the managed care companies to the
physician and multidisciplinary treatment team.
. Provide necessary documentation to managed care companies for denials to
appeal for payment for services rendered.
. Develop and facilitate trainings on patient rights, therapeutic
communication and documentation for new employees at the facility.
Create and develop additional trainings for staff, as requested by
supervisor.
. Investigate and document customer complaints.
. Timely reporting of siont unusual and critical incidents to appropriate
oversights.
12/02-7/04: The Meadows Psychiatric Center - Assessment and
Referral/Mobile Crisis Worker
. Provide telephone crisis counseling for several counties as well as the
referral and crisis line of the facility.
. Conduct level of care assessments to consumers coming into the facility.
. Provide mobile crisis counseling and level of care assessments to
consumers in the community. This included entering into the consumer's
home, work place, and professional's offices, schools, police station,
and other hospitals.
. Act as a county delegate for consumers unwilling to voluntarily enter
into medically necessary treatment.
. Pre-certification with managed care companies for authorization for
various levels of care and appropriate referrals.
5/02-12/02: Philhaven - Billing Specialist
. Prepare, process and submit Inpatient, BHRS, FBMH claims to Medical
Assistance and appropriate managed care companies.
. Assist in pilot program with electronic billing with a managed care
company.
. Process payments and update account information for paid claims.
12/00-5/02: Philhaven - Psychiatric Assistant
. Provide clinical care to consumers on the inpatient setting, including
addressing basic needs of patients, 1:1 therapeutic interactions, and
documentation of care.
. Provide therapeutic activities to elderly populations unable to
participate in mainstream groups with other consumers
PROFESSIONAL LICENSES
. Pennsylvania Social Work License SW131285
Professional References
Tammy Pooler
Director of Quality Management - Community Care Behavioral Health
******@****.***
Sue, Ittleson, LSW
Associate Quality Manager - Community Care Behavioral Health
******@****.***
Greg Heverling
Care Manager- Community Care Behavioral Health
***********@****.***
Christine Livinghouse
Care Manager - Community Care Behavioral Health
*************@****.***
Melissa Laratonda Brown
Licensed Psychologist
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