Dependency Counselor Case Manager

EDUCATION

Master of Arts, Counseling ****

Prairie View A&M University, Prairie View, TX

Bachelor of Arts, Sociology 2005

Prairie View A&M University, Prairie View, TX

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CERTIFICATIONS & LICENSING

Licensed Chemical Dependency Counselor (LCDC-I)

Nurturing Parenting Program (Trainer of Trainer)

Adult Needs & Strengths Assessment (ANSA)

Child & Adolescent Needs and Strengths (CANS)

Utilization Manager Oceans Behavioral Healthcare Hospital Pasadena, TX 3/2022-Current

Conducts review of inpatient records as outlined in Utilization Review/Case Management plan:

Determine appropriateness and clinical necessity of admissions, continued stay, and discharge

Determine timeliness of assessment and evaluations

Identify any under, over, and/or inefficient use of services of resources

Verifies that the pre-certification is completed within the designated time requirement as established by the payer ensuring that the authorization identifier is entered in the electronic medical records UR Tracking module.

Facilitates the Quarterly UM Committee and reports findings to appropriate disciplines and/or committees; notifies appropriate staff members of any deficiencies noted so corrective actions can be taken in a timely manner.

Coordinates flow of communication between physicians/staff and third-party payers concerning reimbursement prerequisites; conducts concurrent reviews and follows through with documentation requests from third party payers; maintains abstract in the electronic medical record UR tracking module with updates provided to third party payers.

Regional Program Manager

United Human Services Houston and Dallas, TX

04/2020-04/2022

Review and develop action plan and treatment plans as needed

Submit mandatory performance reports of QMHP staff

Conduct staff 30/60/90 performance evaluations

Participates in planning, coordinating, and accessing services and resources when am enrolled consumer experiences an episode of psychiatric hospitalization, incarceration and/or homelessness.

Arrange for monthly case supervision review with Field Supervisor and attend Treatment Team meeting

Work with other staff assigned to cases, communicating effectively.

Assist in providing 24-hour crisis intervention as needed.

Participates in Quality Improvement processes

Maintain case records and document services rendered

Utilization Manager-Outpatient Services PHP, IOP, ECT 07/2017– 01/2021

Houston Behavioral Healthcare Hospital, Houston, TX

Developing and enforcing policies and procedures for inpatient care and referral processes countywide.

Executing triage and patient intake assessments process for psychiatric and chemical dependency patients to administer appropriate measures and levels of care based on patient's needs.

Serving as a patient advocate for children and adults, ensuring access to mental health services and community resources.

Collecting and interpreting pertinent patient information from providers on inpatient and outpatient requests for the start and continuation of mental health treatment. Advocating for care based on assessments of data.

Advancing patients human development through the execution of full cycle treatment plans for inpatient and outpatient mental health cases. Ensuring supportive follow-up and resources.

Demonstrating strong collaboration skills in the coordination of benefits and transitions between various areas of care remotely.

Enhancing the success of already established treatment plans while coordinating with facility staff and other outpatient care providers for input and critical analysis.

Qualified Mental Health Professional

12/2015 – 07/2016

National Smart Healthcare, Incorporated, Houston, TX

Constructed facility communication plans and workflow according to various patient needs and their authorized level of care.

Managed various care programs, addressing patients' needs, and adhering to the professional standards of counseling.

Executing in-home case management, ensuring all mental, physical, and personal needs are met and charted.

Supported patients in weekly scheduling of appointments, transportation needs, and document completion.

Adhered to the Health Insurance Portability and Accountability Act (HIPAA) and Hospital Sisters Health System (HSHS) policies to protect patients' medical records and provide quality patient care.

Case Manager/Medical Social Worker

09/2014 – 12/2015

Baraton Healthcare Services, LLC, Houston, TX

Executed case management services in the hospital setting, ensuring the patient's physical and mental needs were met while educating and comforting family members.

Developed and implemented theory-based treatment plans for crisis intervention responses, with individualized treatment goals, processes for evaluations of treatment, prognosis, and discharge plans.

Educated patients on their rights and protections under the Health Insurance Portability and Accountability Act (HIPAA) and Behavioral Health Service (BHS) rules regarding patient safety and confidentiality.

Case Manager /Service Coordinator

03/2009 – 07/2014

MHMRA of Harris County, Houston, TX

Executed the screening and ongoing follow-up on treatment program progress. Managed case notes to guarantee proper documentation and interventions.

Counselor

06/2011 – 11/2011

Turning Point, Incorporated, Houston, TX

Effectively led various group counseling sessions: Cognitive Behavioral Therapy (CBT), Motivational Enhancement Therapy (MET), and Therapeutic Community Counseling (TC).

PROFESSIONAL OVERVIEW

PROFESSIONAL OVERVIEW CONTINUES

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