Annissa J. Schemmer

Indio, CA *****

760-***-**** adtfa7@r.postjobfree.com

Work Experience

March 2022- August 2022

Clinical Reviewer, LCSW

Kepro

Remote Work From Home

Utilizes clinical expertise for the review of medical records against appropriate criteria in conjunction with contract requirements, critical thinking and decision-making skills to determine medical appropriateness.

Reviews and interprets patient records and compares against criteria to determine medical necessity and appropriateness of care; determines if the medical record documentation supports the need for services.

Determines approval or initiates a referral to the physician consultant and processes physician consultant decisions ensuring reason for the denial is described in sufficient detail on correspondence.

Abstracts review related data/information accurately and timely on appropriate review tool by the appropriate means.

Provides accurate and timely submission of all administrative and review related documents to appropriate parties.

Performs ongoing reassessment of review process to offer opportunities for improvement and/or change.

Assists in training hospitals and counties that were on-boarding.

June 2021- March 2022

EAP Counselor

CVS Health- Aetna

Remote Work From Home

Assisted working professionals at all income levels with obtaining mental health services.

Assesses member’s immediate clinical needs and utilizes appropriate clinical tools to identify and provide services.

Engages members and provides immediate support and assist with coping skills to address ongoing lifestyle management.

Provides telephonic counseling to individuals with a variety of presenting issues including mental, emotional, disorders, conditions, addictions, lifestyle management and worklife concerns.

Assists members with linkage to resources such as mental health programs, substance abuse benefits, community treatment resources to aid in the alleviation of stress.

Interacts with internal and external providers as appropriate to discuss clinical questions and concerns.

Provides consultation to supervisors and other account representatives in order to facilitate appropriate EAP response to employees.

May 2016-June 2021

Clinical Therapist, LCSW

Riverside University Health System – Behavioral Health

County of Riverside

Worked multiple assignments including at Blythe Behavioral Health Community Clinic, in Desert Hot Springs as part of specialized team working with elderly clients at-risk of or experiencing homelessness, in Indio in a community health center setting that integrated physical and behavioral health services, and at the Indio Behavioral Health Community Clinic.

Conduct psychosocial assessments.

Provide individual and group therapy.

Assist consumers and other concerned individuals in understanding the nature of major psychological illnesses and their psychosocial effects.

Provide case management services to consumers, link consumers to housing and other social service benefits.

Perform 5150 procedure.

Education

Our Lady of the Lake University

San Antonio, TX

December 2015

Master of Social Work

University of California, Riverside

Riverside, CA

July 2004

Bachelor of Arts, Political Science

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