Treatment Coordinator Utilization Review
Resume:
MARTHA YARNELL
ALBUQUERQUE, NM 87121
************@*****.***
SUMMARY
Seeking employment in a job position where I can utilize my skills and talents as listed below.
Experience
1984 TO 1986
SECRETARY, ST. JOSEPH HOSPITAL
Responsibilities included:
Typed daily nursing work schedules
Tracked Nursing Licensures
Answered phone daily
Tracked work hours
1986
RECEPTIONIST, REALESTATE FINANCIAL
Responsibilities included:
Typed correspondence
Answered phone daily
Greeted people
1988
EGIBILITY WORKER, STATE OF NEW MEXICO
Responsibilities included:
Determined Food Stamp Eligibility
Conducted investigations
Completed reviews
Entered information into computer
1988 TO 1996
VOCATIONAL COUNSELOR, (DIVISION OF VOCATIONAL REHABILITATION) STATE OF NEW MEXICO
Responsibilities Included:
Determining eligibility for services
Development of Vocational Plans
Vocational Counseling
Liaison for Albuquerque high schools, Shiprock and Naschitty high schools on Navajo Reservation
Liaison for high schools in Edgewood and Moriarty
Awarded NM Vocational Counselor of the Year
1997 TO 2001
JOB COACH, DIRECT CARE PROVIDER, GROUP HOME MANAGER, DUNGARVIN
Responsibilities included:
Assisting adults with disabilities with vocational assistance (job coaching, vocational skills)
Provided disabled adults with life skills and as self-employed, respite provider assisted with activities of daily living
Managed group home
Completed duties same as direct care provider
Responsible for household budget
Wrote monthly progress reports on clients
2001 TO 2005
FAMILIES PLUS INC., SERVICE COORDINATOR, MEDICAL RECORDS AUDITOR
Responsibilities included:
Coordinated employee outreach for education on hygiene issues, activities of daily living
Supervised employees
Audited medical and client records
Filed documents in medical records department
Wrote quarterly reports to case managers for family living services
2002 to 2006
RESPITE PROVIDER, SELF-EMPLOYED
Responsibilities included:
Providing respite services for adults with disabilities
Provided direct care for adults
2006 TO 2009
DIRECT PROVIDER, COMMUNITY SUPPORT WORKER
Responsibilities included:
Direct care provider: Provided direct care, taught clients activities of daily activities, worked with clients on their treatment plans, taught life skills
Community support worker
Coordinated community support services for client and families
Made home visits
Liaison for schools and day treatment programs
Attended medication reviews
Attended treatment plan reviews
Taught life skills, assisted with behavioral issues
2009 t0 2013
TREATMENT COORDINATOR, FAMILYWORKS (TREATMENT FOSTER CARE)
Responsibilities included:
Had caseload of 8 treatment foster clients
Involved in client’s treatment team reviews
Completed monthly visits to treatment foster family homes, met with parents as well as client
Wrote home visit reports
Tracked treatment foster parent notes
Wrote monthly concurrent progress reports to insurance companies to obtain prior authorization approval
Worked closely with therapist, school personnel CYFD workers as well as other case managers
2013 TO 2022
UTILIZATION REVIEW COORDINATOR, BERNALILLO ACADEMY (SEQUEL YOUTH AND FAMILY SERVICES)
Responsibilities included:
Reviewed medical, psychological, medication records, school records, IEPs, behavioral data, psychological/psychiatric collateral
Wrote initial clinical reviews to obtain prior approval for clients to be admitted
Wrote e-certifications for continued prior authorizations
Completed verbal reviews
Attended treatment plan reviews,
Referred with Therapist, ABA specialist, nurses, program directors
Assisted with new admission duties
Completed admissions paperwork and consents
Met with guardians to go over consents and RTC guidelines
Checked Medicaid Portal for coverage
EDUCATION
MAY 1984
BACHELOR OF ARTS, 2 MAJORS PSYCHOLOGY/ENGLISH UNIVERITY OF NRW MEXICO
Graduate Hours:
1990 – 1992
Aspects of Disability 3 credit hours Stephen F. Austin State University
Group Therapy 3 credit hours University of New Mexico
Family Counseling 3 credit hours University of New Mexico
Statistics 3 credit hours Drake University
Vocational Rehab Counseling 3 credit hours Drake University
ADA/Accommodations 3 credit hours Drake University
15 credit hours
SKILLS
Typing/Keyboarding
Excel
Auditing medical records/client charts
Ability to effectively communicate with coworkers and insurance providers
Entering client Data into electronic data systems
NM Medicaid Portal
Coordinated with Judicial System to get case numbers
Attended treatment team meetings
Training on documentation/client rights
Trained new Utilization Review Coordinators
TRAINING
CPR, Health Information, ADA training, Ukeru training-skills in trauma informed care approaches and restraint reduction, Company Policies, Behavioral techniques, basic ABA (applied behavioral analysis) training
ACTIVITIES
Completed ADA review of church and completed report for a graduate class.
Completed a 3 day learning experience at Commission for the Blind school in Alamogordo for graduate class.
REFERENCES
1. Brenda Perry Supervisor, 505-***-****
2. Willie Trammel Co-worker, 505-***-****
3. Tiffany Atencio Co-worker, 505-***-****
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