Mental Health Human Resources

Human Resources

Charlotte NC

Dear Hiring Manager,

I have served through out my career individuals who needed advocacy and strong attention to detail. I am able to build relationships well and effectively communicate orally and through the written word.

I believe that my ability to learn protocol and state guidelines from my previous roles has also prepared me to serve in this capacity. I look forward to speaking to you about this opportunity.

Sincerely,

Derek C. Fulper

DEREK FULPER

13023 Atkins Circle Dr., Charlotte, NC 28277

Cell: 704-***-****

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

PROFESSIONAL SUMMARY

Qualified Mental Health Professional possessing excellent personal motivation and a proven ability to work collaboratively in a strong team environment, and independently. Well-developed skills in prioritizing, organization and effective decision-making. Focused, versatile, dependable, multi-task oriented, flexible, positive, emotionally stable, able to adapt effectively to challenging and emergency situations. Proven success in initiating, promoting and maintaining strong interpersonal relations resulting in exceptional rapport with people. Able to deal courteously, professionally and tactfully with the general public in a variety of circumstances.

SKILLS AND ACCOMPLISHMENTS

Qualified Mental Health Professional 10+ years Exceptional Case Management background

Clinical documentation mastery Time Management

Superior verbal and written communication skills Strong problem solver

Medicaid familiarity Excellent analytical skills

Knowledge of the ins and outs of Microsoft Office Extensive Alpha system knowledge

Effectively manage caseloads of more than 25 consumers at any given time

Supervised a team of 18 associate professionals and paraprofessionals

PROFESSIONAL EXPERIENCE

ALLIANCE HEALTH

Charlotte, NC

Care Manager

8/2020 – Currently employed

Contact each member and propose the Tailored Care Management plan, which allows for care management for free, as long as they have Medicaid.

Conduct CMCA assessments for each member, as well as the personal plan.

Attend meetings with the team weekly.

Continue education with attending trainings for enhancement of care management.

PARTNERS BEHAVIORAL HEALTH MANAGEMENT Gastonia, NC

Utilization Manager Care Manager 10/2015 to 07/2019

Performs care management to ensure continuity of care and that the consumers receive the right service, at the right time, at the right frequency.

Performs prior authorization review, continued stay and discharge reviews for consumers with Mental Health diagnoses.

Use established clinical criteria, evidence- based practices, assessments, Treatment Plans, Service Authorization Requests and other key information regarding consumers seeking services or appropriate levels of care.

Conducts chart reviews of instances of care authorized for utilization purposes, case reviews for individuals that are identified as either over or under-utilizers of services.

Provides linkage, authorizations and level of care determinations to contracted service providers and assists providers with creative problem solving to suggest alternative approaches to care.

Provides customer support and information to providers. Facilitates resolution of complaints and ensures linkage to accountable individuals in cases where additional response is needed.

Documents accurately and comprehensively all contacts and other correspondence with other staff and providers.

Makes referrals to appropriate parties to complete level of care determination for NC Innovation waiver services, as well as Intermediate Care Facilities and other specialized programs.

Processes all Service Authorization Requests within required timelines.

Utilizes established systems to track and verify consumer eligibility, treatment history, and pharmacy data as needed for service reviews.

Attends weekly clinical staffing as necessary to make service approval decisions

Attends monthly staff meetings to ensure procedures are being followed and to advise of more efficient ways to conduct business.

Attends clinical trainings to stay abreast of most current trends in treatment.

Attends waiver compliance training to stay up to date on changes in waiver policy.

Manage all aspects of referral process for individuals seeking placement at Julian F Keith ADATC facility

THOMPSON CHILD AND FAMILY FOCUS Matthews, NC

Authorizations Specialist 05/2013 to 06/2015

Completed and submit authorization requests for all of the agency's mental health programs, in a timely fashion.

Effectively tracked authorization dates of service with spreadsheets as well as tracking due dates and discharges.

Alerted each program staff of the various due dates for clinical documentation for the requests

Established and maintained excellent professional rapport with MCO representatives

Daily utilization of ECHO system for medical records

SUPPORT, INCORPORATED Gastonia, NC

Intensive In Home Services QP 01/2011 to 05/2013

QP for an Intensive In Home Services Team. Facilitate child/family teams, completed person-centered plans and on call 24/7, per the requirements of the position

Actively participate in writing person-centered plans to help consumer and their families build stronger foundations and remain in least restrictive setting; maintained active caseload of 8 consumers

Work closely with various agencies such as the Department of Social Services, Department of Juvenile Justice and Delinquency Prevention, schools and various therapeutic foster care and mental health agencies in Mecklenburg, Cleveland, Lincoln and Gaston Counties.

Complete various documentation requirements for the team, including but not limited to completing court reports, composing and submitting authorization requests for clinical services and maintaining current and updated clinical files for all consumers on caseload

Regularly attend court and provide written court summaries on behalf of consumers

CAROLINA CENTER FOR COUNSELING AND CLINICAL SERVICES, INC. Gastonia, NC

Case Manager 05/2003 to 12/2010

Worked diligently and was promoted several times in company. These roles included: Case Manager, Assistant Supervisor for Community Support Services.

Documented all consumer information including service plans, treatment reports and progress notes, in order to help consumer and their families build stronger foundations and remain in least restrictive setting

Efficiently gathered information from families and social services agencies to inform development of treatment plans

Quickly responded to crisis situations when severe mental health and behavioral issues arose

Facilitated child/family teams and was on call 24/7, per the requirements of the position.

Interacted with clinical staff and external resources such as school or community personnel

Organized treatment projects that focused on problem solving skills and creative thinking

PATHWAYS AREA MENTAL HEALTH Gastonia, NC

Mental Health Clinician I 06/2001 to 05/2003

Worked one to one with high risk youth population in school, community and at consumer homes.

Active participant in treatment teams with regular consultations with therapists, physicians and collaborative agencies

Facilitated parent training and skill building to facilitate positive parent/ child relationships

Collaborated closely with treatment team to appropriately coordinate client care services

Charted and recorded information in client files

CHILDREN'S COMPREHENSIVE SERVICES Charlotte, NC

Residential Counselor 06/2000 to 07/2002

Monitored and worked one on one with sexually aggressive youth population.

Facilitated and co-facilitated group activities for consumers.

Maintained rapport with consumers and worked on therapeutic techniques as designated by consumer therapists.

Worked part time in 2002

NEW HOPE CAROLINAS Rock Hill, NC

Team Leader 03/1998 to 06/2000

Team Leader for unit consisting of sexually aggressive youth and the behaviorally disorder population

Taught clients anger management techniques, relaxation skills, impulse control, social skills, emotional coping skills and functional living skills.

Consulted with psychiatrists about client medication changes, issues with medicine compliance and efficacy of medications.

Assisted clients in scheduling home visits and phone calls and monitored effectiveness of these activities.

Administered medication to patients.

Program implementation; scheduling of staff and activities; supervision of staff on duty; trained staff

REFERENCES

Liza Go Harris Partners Behavioral Health MH/SU Utilization Manager-

*******@***********.*** 704-***-****

Scott Hammontree Carolina Center for Counseling Owner

***********@**************.*** 704-***-****

Dawn Manus Alliance Health System of Care Coordinator

******@***********.*** 919-***-****

Contact this candidate