Manager Branch
Resume:
STEPHEN C. CONNER
**** ***** **** *****, *******, TX 777082 • Home 281-***-**** • Cell 713-***-**** • addy2v@r.postjobfree.com CASE MANAGEMENT – UTILIZATION REVIEW
Case Manager/Supervisor offering over 15 years experience directing Utilization Review, caseworkers, staff performance and compliance meeting JACHO and CMS regulations. Monitor programs for chemical dependency, diagnosis, and patient care. SKILLS
PROFESSIONAL WORK HISTORY
West Oaks Hospital, Houston, TX 2005 - 2020
Case Manager/Utilization Review Precertification Supervisor
• Supervised a team of 15 employees including 10 caseworkers and administrative personnel in the operation of the Psychiatric Division of the hospital. Managed and monitored up to 20 patients daily; collaborated with medical doctors and insurance companies on treatment plans.
• Served as a Case Manager for the chemical dependency dual diagnosis unit; assisted in intensive care and mental health, adolescent, and residential units. Assisted in the collection and reporting of financial indicators.
• Worked with supervisors for Medicare audits ensuring all compliance issues are met.
• Conducted concurrent review with managed care companies, to determine future treatment, and length of stay.
• Coordinated peer to peer reviews and advise medical team of results and peer reviews.
• Monitored payroll and submitted it to accounting in a timely manner.
• Consulted with UM Director and CEO to devise and implement corrective action or disciplinary measures to improve staff performance.
• Managed daily administration functions, including staffing, productivity, work quality, and focusing on a higher level of customer service. Performed timely employee annual evaluations.
• Assisted in identifying and interviewing potential UM and Precertification staff.
• Monitored UM and Precertification workload for adherence to required turn-around times and deadlines.
• Processed Medicaid extensions to TMHP. Ensured coverage of all units with appropriate staffing and timely reporting to insurance providers.
• Coordinated discharged planning and coordination placement for patients who are homeless or step down to lower level of care e.g. rtc (residential), partial or intensive out-patient programs.
• Acted with a liaison to both internal and external customers on behalf of West Oaks, the UM and Precertification areas.
• Assisted with conducting intake interviews and intake processing.
• Conducted family sessions to discuss treatment plans, alternatives to change conduct, and aftercare.
• Worked as a Hospital Chaplain conducting scripture services. Accomplishments:
• Served as a key team member directing Inpatient Utilization Management and staff ensuring all compliance measures are followed according to JACHO and CMS.
• Gained expertise in Medicare regulations implementing procedures to avoid violations.
• Developed and implemented training programs for Case Managers to ensure all patients received excellence in medical treatment and services.
• Held and accountable for the entire department during absence of Director streamlining operations, patient care and meeting all applicable deadlines and regulatory policies.
• Monitored quality control and customer satisfaction resolving complex issues expeditiously.
• Leadership
• Case Manager/Utilization
Review
• Quality Assurance and
Compliance Regulations
• Monitor UM and
Precertification
• Process Medicaid TMHP
• Managed Care
• Medicare Policies
• Treatment Programs
• Family Relations
• Discharge Planning
• Hospital Chaplin
• Training & Development
• JACHO & CMS policies
• Quality Control
• Chemical Dependency Programs
• Medical Services
• Reporting
• MS Office Suite
Resume of Stephen C. Conner Page 2
PROFESSIONAL WORK HISTORY
Corvel Corporation, Texas 2003 – 2005
Branch Manager
• Directed assigned, coordinated, and evaluated the activities of medical case managers, vocational rehabilitation specialists, and technical staff. Delegated work assignments based on employees’ knowledge. Accomplishments:
• Optimized the maximum savings on assigned accounts. Crawford and Company, Texas, and Louisiana 1985 - 2003 Texas Branch Manager
• Directed and monitored performance of registered nurse case managers, vocational rehabilitation specialists, and ancillary staff in a full-service healthcare environment.
• Assisted clients with developing long-range goals to optimize savings in workers compensation, group healthcare, and long-term disability programs,
• Arranged for medical case management, vocational rehabilitation services for civilian employees throughout the US, Europe, and Asia.
• Coordinated return home or placement of disabled individuals following work-related accidents or illnesses. Accomplishments:
• Successfully assisted the civilian workers’ compensation program of the US Air Force with the development, training, and implementation of the Early Intervention Case Management program at 32 bases within the continental USA resulting in revenues of 1.5 Million.
• Certified as an expert witness of USL&H, Jones Act claims, and Quality Assurance and Regulations. Regional Account Executive, 1998 - 2000
Accomplishments:
• Responsible for account creation and quality management to maximize savings and enhance insurance carrier performance.
• Increased client base by 45% with client retention fate of 60% in a 15-state region. Louisiana Branch Manager, 1994 - 1998
• Directed and monitored registered case managers, vocational rehabilitation consultants, and ancillary staff performance. Accomplishments:
• Developed long-range goals with clients to optimize savings of worker’s compensation, group healthcare, and long-term disability programs.
Texas Branch Manager, 1985 - 1994
• Managed and monitored registered case managers, vocational rehabilitation consultants, and ancillary staff performance.
• Assisted clients with developing long-range goals to optimized savings of worker’s compensation, group healthcare, and long-term disability programs.
Accomplishments:
• Monitored office profitability and increased office revenues from 56% to 68%.
• Trained, evaluated, and motivated staff. Increased staff by 6% during tenure. EDUCATION
Master of Arts, University of Dallas-1981
Bachelor of Science in Psychology, St. Joseph Seminary, 1977 CERTIFICATIONS
Member of American Board of Disability Analysts, 1998 Certified Tobacco and Addiction Counselor, 2005
Licensed Chemical Dependency Counselor, 2012
Certified as Translator English Spanish/Spanish to English by Master Word
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