Utilization Review Case Manager

Melissa Martin

***** **** ******, *******, ** ***30 714-***-****

**********@*******.***

Experience working on the drug and alcohol field as a Senior Counselor and supervisor. Responsibilities entail working with basic computer skills, data collecting with common EMR such as KIPU, Best Notes, Zen chart and Welligent.

EXPERIENCE

LAKE STREET DETOX - April 2, 2018- March 13, 2020

CASE MANAGER

*Supervise and assist in counseling

*Provide group supervision and training for clinical staff

*Provide supervision for interns, Detox Techs and support staff

*Collaborate with the Clinical Director, all clinical tam decisions within the best interest of Client Care

*Primary Team Member in acquiring Joint Commission Accreditation

*Monitor staff productivity and quality of documentation

*Conduct Utilization Review/Insurance Authorization

*Facilitate Treatment Team Reviews with Case Managers, support staff and mental health therapists

*Participate in Clinical Department yearly performance review

*Assure HIPPA, legal and ethical standards are being documented

*Provide ongoing training on clinical writing, language and documentation standards

*Facilitate ongoing internal audit of client charts

*Attend and provide feedback at department and agency meetings

*Guide Team on Crisis interventions and Relapse Prevention

*Review and approve all clinical documentation

CHAPMAN HOUSE INC. – 2012-2018

SUPERVISOR

*Participate in screening, intake, orientation, assessment and treatment planning

*Group therapy, individual counseling, and education groups

*Documentation using EMR (KIPU, Bestnotes)

*Crisis Intervention and referrals

*Set up and conduct family interventions

*Transport clients to doctor’s appointments, 12 step meetings and outings

*Assist doctor with clients in detoxification

*Pick up medication ordered by doctor

*Facilitate compliance to policies and procedures (CARF)

*Facilitate staff trainings, and weekly staff meetings

*Supervise and train interns, staff and detox techs

*Facilitate family sessions with adolescent and adult program

*Conduct Utilization Review/Insurance Authorization

*Monitor staff productivity and quality of documentation

CHAPMAN HOUSE INC. – 2012-2018

CASE MANAGER

*Transport clients to facilities

*Group therapy, individual counseling, and education groups for adolescents and adults

*Facilitate screening, intake, orientation, assessment and treatment planning

*Assist doctor with clients in detoxification

*Pick up medication ordered by doctor

*Monitor client meditation

*Monitor client vitals

*Prepare meals

*Documentation using EMR (KIPU, Bestnotes)

CHAPMAN HOUSE INC. – 2009-2012

DETOX TECH, SUPPORT STAFF

*Transport clients to 12 step meetings, and coordinate activities

*Monitor clients conducting 30 -minute rounds

*Assist doctor with clients in detoxification

*Pick up medication ordered by the doctor

*Monitor client meditation

*Monitor clients vitals

*Prepare meals

*Documentation using EMR (KIPU, Bestnotes)

PATH TO SERENTIY – January 2018- March 2018

CLINICAL DIRECTOR

*Supervise and train clinical staff

*Conduct Utilization Reviews/Insurance Authorization

*Provide ongoing training on clinical terminology and documentation standards

*Assure HIPPA, legal and ethical standards are being documented

*Review and approve all clinical documentation

*Provide individual supervision for interns

*Documentation using EMR (Bestnotes)

BROADWAY – October 2017-January 2018

DETOX TECH

*Monitor clients conducting 30 -minute rounds, vitals and observation notes

*Documentation using EMR (Zen charts)

*Facilitate groups

*Prep meals, provide clean environment

*Monitor and observe clients taking medication

PHEONIX HOUSE ADOLESCENTS-October 2013-February 2014

SENIOR COUNSELOR

*Monitor clients conducting 30 -minute rounds

*Documentation using EMR (Welligent)

*Facilitate Groups using matrix model

*Monitor and observe clients taking medication

JUST ONE RECOVERY-June 2012-Janurary 2013

CASEMANAGER, SUPPORT STAFF

*Monitor clients conducting 30 -minute rounds and vitals

*Facilitate groups, individuals, and participating in the intake process

*Prep meals and provide clean facility

*Monitor and observed clients taking medication

*Transport clients to 12 step meetings and doctor appointments

EDUCATION

Intercoast College- 2009-2010

CADC-II, ICADC

*Maintained GPA 3.5

*Perfect attendance

*Honors

COLLEGE OF THE CANYONS -2002-2004

*Majored in Psychology

*Softball team

SKILLS

*Compassionate, good listener, proficient in documentation using KIPU

*Ability to complete multiple tasks at one time

*Hard worker

*Patient, understanding, honest, trustworthy, dependable

*Ability to work under pressure

ACTIVITIES

*Volunteer with ICAREDOGRESCUE

*Manage Sober softball team for women in Recovery

*CPR/First Aid

*CADC-II, ICADC

*Coordinate activities for people in recovery and mothers

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