Behavioral Health Managed Care
Resume:
Tahirah Samuels, LCSWS
Fort Worth, Tx 76111
**********@*******.***
Objective
To secure a Telephonic DME Case Manager position that utilizes my extensive experience in case management, medical social work, and long-term services and supports (LTSS) to provide high-quality, cost-effective care coordination for patients.
Professional Experience
Clinical Therapist Deer Oaks Behavioral Health
May 2019 – Present
- Provide psychotherapy services for residents in managed care, focusing on mental health and behavioral health interventions.
- Conduct comprehensive assessments, develop individualized treatment plans, and offer individual and group therapy to residents in nursing homes.
- Collaborate with interdisciplinary teams, including managed care providers, to ensure seamless care coordination and appropriate behavioral health support.
Clinical Therapist MedOptions
November 2017 – May 2019
- Delivered psychotherapy services to residents in long-term care settings, specializing in mental health and behavioral support under managed care systems.
- Completed assessments, developed treatment plans, and coordinated care in conjunction with managed care case managers to ensure continuity and quality of care.
Owner/Administrator A Service With Respect, LLC (HCS Program)
February 2016 – February 2017
- Managed a Home and Community-based Services (HCS) program, coordinating care for individuals with intellectual and developmental disabilities (IDD) under the Medicaid waiver program.
- Ensured compliance with state and federal regulations, managed DME requests, and collaborated with interdisciplinary teams to deliver integrated care, including behavioral and long-term services.
- Supervised staff, monitored quality assurance, and facilitated care plan development for clients in managed care programs, ensuring alignment with client goals and cost-effective services.
Medical Case Manager Millwood Hospital/Excel Center
November 2010 – January 2016
- Coordinated medical and behavioral health services for patients with chronic mental health and substance use disorders, focusing on those under managed care plans.
- Facilitated DME requests and ensured medical equipment needs were met as part of treatment plans.
- Conducted psychosocial assessments, developed care plans, and collaborated with physicians and managed care providers to ensure patients received appropriate services aligned with their needs.
Medical Social Worker (PRN) Tender Heart Home Health Care
July 2010 – December 2018
- Provided case management for home health patients with chronic conditions, coordinating services and DME under managed care plans.
- Conducted home visits, completed psychosocial assessments, and referred clients to appropriate resources while maintaining strong interdisciplinary team collaboration.
Investigator Texas Department of Aging and Disability Services
May 2010 – November 2010
- Investigated allegations of abuse, neglect, and exploitation within nursing home facilities.
- Conducted inspections alongside interdisciplinary teams to ensure regulatory compliance and safeguard the well-being of vulnerable adults.
- Completed detailed reports, collaborated with law enforcement and protective services, and presented findings in administrative hearings as required.
Medical Case Worker Texas Department of State Health Services (CSHCN Program)
May 2010 – November 2017
- Provided case management services for children with special healthcare needs, coordinating care plans, DME requests, and referrals to community resources under managed care.
- Collaborated with interdisciplinary teams, including physicians and social workers, to ensure comprehensive care for children receiving long-term services and supports.
EDUCATION:
MSSW, University of Texas Arlington August,2008
BSW, University of Texas Arlington, 2005, Magna cum Laude
LICENSURE:
LCSW-S 53611 Texas
State of Texas, Social Worker Examiners Board (Exp 05/2023)
LCSWS 090*******
State of Virginia (Exp 5/2023)
Certifications
Certified Clinical Trauma Professional 08/2019
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