Mental Health Care

Orréssa L. Butts

P. O. Box ******

Tampa, FL 33680

404-***-****/(E) adiudv@r.postjobfree.com

QUALIFICATIONS

Extensive experience with utilizing crisis intervention protocols and problem resolution skills to improve student retention and progress

Detail-oriented with the ability to multi-task in a fast-paced environment

Proven leadership skills with a focus on achieving goals and maximizing team effectiveness

Ability to use personal experiences and practices to strengthen relationship with students and other departments

CAREER SERVICES EXPERIENCE

Centene, Inc. (formerly Well Care Health Plans) July 2019-Present

Position: Provider Escalation Specialist Tampa, FL

Accomplishments:

Applied a comprehensive knowledge of claims processing, provider contracts and contract configuration to escalated provider inquiries.

Thoroughly researched escalated issues and take appropriate action to resolve them within established service level agreements, WellCare best practice and quality standards.

Ensured satisfaction of members, providers and regional partners through timely status updates and completion of projects.

Complied with all corporate and Provider Solutions policies, procedures and workflows.

Served as primary contact for Provider Relations for escalated provider issues.

Performed other projects as assigned.

Well Care Health Plans December 2017-November 2018

Position: Health Care Coordinator Tampa, FL

Accomplishments:

Responded to phones as assigned or team coverage as directed by Supervisor.

Provided technical and administrative support to clinical and behavioral staff as needed.

Assisted, completed and submitted special projects, reports or assignments to meet department needs and objectives.

Served as a liaison in corresponding and communicating with providers, vendors and WellCare contacts and/or members representative's.

Produced, formatted and edited correspondence and documents.

Organized a of administrative and clinical tasks and prioritizes in order of importance and impact on members and providers.

Interacted with other departments including Claims, Intake, Enrollment and Member Services to resolve member and provider issues.

Participated and supported tasks, including but not limited to: faxes, discharge preparations, request and/or collection of clinical information, engaging/contacting providers and creation of authorizations if necessary.

Humana, Inc. November 2013-April 2017

Position: Health Care Coordinator (Managed and Monitored teams) St. Petersburg, FL

Accomplishments:

Conducted telephonic outreach to assigned members to assess health, environment, nutrition, and psycho-social areas of concerns using a variety of assessments

Coached and problem solved with member to identify and address specific goal(s) to support health and behavior change

Provided appropriate interventions to optimize health and well-being

Collaborated with a multi-disciplinary team to enable a member to manage their physical, environmental and psycho-social health issues

Opened group chats for team

Participated in special work groups to provide feedback to program vendors

Better served members and implement the model of care

Understood the clinical program design, program monitoring and reporting

ER Survey completion

Completed Transitions of Care: notifying Primary Care Physician and facility

Care Planning

Transitions of Care

mDATs and other assessments to assist in Chronic Conditions care and management

Colonial Management Group May 2013-November 2013

Position: Counselor Tampa, FL

Accomplishments:

Clinical Assessments utilized Psychosocial methodology

Case Management

Psychiatric Referrals for mental health issues

Prepared and submitted monthly reports for Corrections Officers

Treatment Planning

Facilitated the intake process

Ultimate Medical Academy (UMA) July 2011- April 2013

Position: Learner Service Advisor, Online Programs Tampa, FL

Accomplishments:

Voted MVP

Contacts students on a weekly basis to maintain relationship and fulfill role as a trusted advisor

Serves as the main contact to answer questions and resolve issues related to course of study or life challenges

Provides leadership to at-risk students to increase student success and strengthen retention

Assist students with ICD-9 and CPT-4 coding

Explain and discuss SAP process and completion and submission of appeals

Discussed program transfers with eligible students and completed paperwork and submissions

Tampa Crossroads, Inc. July 2010- Jan. 2011

Position: Counselor-Drug Court Expansion Program Tampa, FL

Responsibilities:

Completed court reports via DACCO KIS system

Accompanied clients to court for court reviews and monitored client treatment progress

Presented in person treatment updates to judge and treatment team

Assured holistic treatment for both residential and non-residential clients

Gathered, input into spreadsheets, and submitted billing information

Mental Health Care, Inc. (MHC) April 2010- July 2010

Position: Family Support Coordinator III-FASST Program Tampa, FL

Responsibilities:

Conducted home visits and followed up on progress of subsequent referrals

Referred families to appropriate community services

Met with school officials and other employees to coordinate services for clients

Submitted billing to ASO for services received by clients

Drug Abuse Comprehensive Coordinating Office (DACCO) April 2007- April 2010

Position: Counselor- Opioid Addiction Treatment Services Tampa, FL

Responsibilities:

Psychiatric Referrals for mental health issues

Clinical Assessments utilizing Psychosocial methodology

Case Management

Development and implementation of a individualized Treatment Plan

Coordinate staff meetings between medical and clinical teams

Prepare and submit monthly reports for Corrections Officers

EDUCATION/ CERTIFICATIONS

Bachelors of Arts, Psychology 2000-2005

University of South Florida Tampa, FL

Florida State Children's Functional Assessment Rating Scale (CFARS) Certified

Functional Assessment Rating Scales (FARS) Certified

CPR/First Aid Certified

Knowledge of CARF accreditation requirements, CFBHN requirements, and TANF requirements

Certified Addiction Professional (CAP) eligible

Department of Corrections New Employee Orientation trainings (NEO Courses)

Harvard Mentor Training modules

HIPAA and FERPA Policies and Procedures

SKILLS:

Typing- 97% accuracy MS Windows Operating Systems

Adobe Acrobat and Reader Programs CGX/hCAT/GCP/CCP2

Methasoft Program/ KIS Program Coordination of Community Services

Compass Vision (CVI) Urine Collection protocol)/Breathalyzer Accuracy in Documentation

Accuracy in following set procedures Reliable, self-motivated and accountable

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