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Case Manager Health

Location:
Dearborn, MI
Salary:
80.000.00
Posted:
August 23, 2021

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Resume:

Mary Rose Cyril-Schwartz MSW, LCSW, CAC-I

***** ****** ******

Dearborn, MI 48128

Cell: 313-***-****

Email: *****.********@*****.***

CERTIFICATIONS:

State of Michigan Certification # 680*******

Certified Case Manager

Certified Addictions Counselor – Level I # 1-00677 EXPERIENCE:

2013- 2021 Blue Cross Blue Shield of Michigan. Detroit, Mi Clinical Case Manager

Responsible for providing case management services to members of Blue Cross Blue Sheild of Michigan.

Organizing, managing, directing intervention services and outreach services for members.

Determining appropriate referral services, implementing professional community organizational tactics and initiatives; formulation of needs and risk assessments, as well as casework management and consultation services. 2010- current Apex Behavioral Health Outpatient Clinic, Inc. Dearborn, Mi Dual Diagnosis Therapist

Provide psychotherapy to adults with depression and anxiety. Couples and marriage counseling.

Provide substance abuse counseling to adults who are court ordered into treatment.

2008-2013 Magellan Behavioral of Michigan, Inc. Farmington Hills, MI Intensive Clinical Case Manager

Responsible for providing intensive care management services to members based on the member selection criteria, policies, and procedures.

Provide intensive care management throughout the treatment episode at the levels of care designated by the use of approved medical necessity criteria.

Provide outreach and assistance with the coordination of services for members with complex conditions.

Document clinical notes and provide reports on data reflecting program activities. 2009-current Oakwood Healthcare System Dearborn, MI EAP Consultant (Counselor)

Deliver Employee Assistance Program (EAP) services to both Oakwood Healthcare System employees and external accounts.

Provide assessment, short-term problem resolution or referral, and follow-up services to employees and their families.

Provide crisis intervention and staff all critical cases with EAP Director. Maintain case documentation in confidential files with data accessible for management information systems and program evaluation.

Follow standard operating procedures and practices for EAP service delivery to ensure client confidentiality and timely, ethical, and quality services. Maintain current knowledge of community organizations and resources. 1998-2008 Value Options, Inc. Wixom, MI

Mental Health Case Manager

Provided case management for general psychiatric and substance abuse coverage under managed care. Reviewed higher levels of care with utilization reviewers from nationwide facilities. Participated in rounds with psychiatrists to review complex cases. Answered calls from emergency referral lines and facilitated care as needed. Conducted retrospective reviews of medical charts to determine medical necessity of care. 1997-1998 Advanced Counseling Services, P.C. Taylor, MI Contractual Substance Abuse and Dual Diagnosis Therapist–Individual, Group, and Couples Psychotherapy 1994-1997 Eastwood Clinics Detroit, MI

Mental Health Therapist and Coordinator

Provided therapy in day treatment dual diagnosis program. Client Population: Adult substance abusers using a broad spectrum of illicit and prescription drugs who also suffered from some psychiatric illness. Clients tended to be urban dwellers of lower socio-economic status and consisting of a diverse racial/cultural mix. Field Instructor for Wayne State University School of Social Work. 1989-1994 District 19 Community Service Board - Community Support Program Petersburg, VA Mental Health Therapist II (1989 to 11/92)

Provided individual and group long-term psychotherapy, crisis intervention, client pre-screening, case management.

Implemented discharge plans in cooperation with other health agencies. Client Population: Adult long-term mentally ill, personality disordered clients, substance abusers and the mentally retarded (many of whom suffered with physical illness) and their families. Field Instructor for Wayne State University School of Social Work. Clinical Supervisor (12/92 to 12/94)

Provided clinical supervision of agency therapists and Performed agency intake diagnostics/assessments.

Reviewed client charts for quality assurance.

Acted as liaison in dealing with agency/client conflicts between the agency and local jail. Assisted with administration of agency (in addition to responsibilities described below). Field Instructor for Virginia Commonwealth University School of Social Work (1993 to 199*-****-**** The Medical College of Virginia Richmond, VA Assistant Fiscal Administrator, Department of Biostatistics and Biomedical Engineering Performed bookkeeping for department and data processing for billing information. Purchased department supplies and managed inventory. EDUCATION

1987-1989 Virginia Commonwealth University Richmond, VA Masters of Social Work (May 1989)

Specialization: Mental Health

Research Project: Adult Lifestyles Following Childhood Sexual Abuse C LINICAL PRACTICA:

1988-1989 City of Richmond, Virginia Richmond, VA

Department of Mental Health and Retardation

Crisis intervention, diagnostics, and assessment

Treatment planning for long and short term therapy Client Population: A diverse cross-section of individuals including families in crisis, individuals with adjustment disorders, substance abusers, and the chronically mentally ill. 1988 (summer) Daily Planet Street Center Richmond, VA Department of Mental Health and Retardation

Case management and program evaluation

Group recreational and occupational therapy

Informal counseling for the homeless

1984-1985 University of Wisconsin at Madison Madison, WI Program: Masters in Social Work

Specialization: South Asian Studies

*terminated prematurely due to lack of funds

1979-1984 The College of Wooster Wooster, OH

Bachelor of Arts with Honors (May 1984)

Major: History/Political Science

Honors Thesis: U.S. Foreign Policy Toward Malaysia AWARDS:

Wooster Women’s Scholarship

Wooster Foreign Student Scholarship

* References Available Upon Request



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