Utilization Review Mental Health

CHRYSTAL M. RATLIFF

Leburn, Ky *****

606-***-**** - ********.*******@**********.***

SKILLS

• Supervisory Skills - 10+ years • Teamwork - 10+ years

• Communication - 10+ years • Motivational Interviewing - 10+ years Cognitive Behavioral Therapy - 10+

years

• • Community Engagement - 10+ years

• Public Health - 10+ years Individual and Group Therapy - 10+ years

•

Always open to hear a different

perspective - 10+ years

• • Utilization review

• Program review • Documentation Review

PROFESSIONAL SUMMARY

Licensed professional clinical counselor with 20+ years of experience addressing challenges in life skills, mental health, behavioral health, and addiction. Extensive background in providing in-home services, individual/group therapy, grant writing, program implementation, supervision, and client support. These experiences have facilitated personal and professional growth while positively impacting numerous individuals. Approach work with confidence and a willingness to learn. Seeking a new opportunity to be challenged in different ways. Take pride in past accomplishments and eagerly anticipate future endeavors.

WORK HISTORY

08/2015 to Current Utilization Review

Addiction Recovery care – Louisa, Ky

Manage treatment authorizations, assign programs, work with MCOs to review ASAM, discuss/ determine most appropriate level of care.

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Ensure treatment is effective, efficient, and in line with evidence based standards of care.

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• Review and Co-sign documentation, and provide additional support as needed. Conducted utilization review to verify medically necessary care is received in correct setting.

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07/2021 to 09/2024 Clinical Supervisor

Groups Recover Together – State of Ky

Provide clinical supervision, Individual and Group therapy, team building, administrative/ management duties, chart reviews, group observations.

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• Coach clinical staff on managing complex cases, improve independent clinical skills, and adhere to policies and procedures.

• Drive successful clinical outcomes for members.

• Implement new clinical protocols and initiatives. Partner with Regional director to ensure day to day functions run smoothly to deliver high quality care.

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• Address quarterly chart reviews and provide additional training and support.

• Assist in preparations for audits.

• Interview applicants.

• Perform quarterly and annual performance reviews. Ensure all counselors are trained effectively and fully understand the organizations treatment model.

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• Support successful launch of new locations.

• Work collaboratively with Regional, Clinical, Operational and Medical directors. 05/2009 to 07/2015 Counselor, Supervisor, In-Home therapist Ky River Community Care/ Go Hire – Hazard, ky

School based counselor, Interim Director of Women's Services, On-call Emergency psych evaluations in jails and hospitals, developed the adult SUD Peer Support Program, In-Home CBT therapist and supervisor for Moving Beyond Depression- a program for women with post partum depression, Outpatient Individual and group therapy, Board approved clinical supervisor for licensure

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09/2006 to 02/2009 Family Preservation: In Home Specialist/ Program manager Buckhorn Children and Family Services – Hazard, Ky In-Home specialist- worked with families referred by DCBS to address issues which put the children at risk of being removed; also helped families navigate reunification challenges

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Grant writing, program development, and prepare for audits, team building, program management and leadership

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EDUCATION

09/2006 Master's: Education and Mental Health Counseling Lindsey Wilson College - Columbia, Ky

08/2004 Bachelor's: Social Work

Eastern Kentucky University - Richmond, Ky/ Hazard

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