core competencies
CASE MANAGEMENT PATIENT CARE Utilization Review
Confidentiality EXECUTIVE assistant healthcare professional
Maintaining & Generating Reports Certified SUBSTITUTE TEACHER Paraprofessional
Professional Experience
ZEN EDUCATE SEPT.2024 – Present
PARAPROFESSIONAL
Provide direct support to classroom teachers by assisting with student instruction, managing classroom behavior, and reinforcing learning concepts, primarily by working with individual students or small groups.
SUMMIT BH/CANYON VISTA RECOVERY CENTER NOV. 2024-FEB. 2025
UTILIZATION REVIEW SPECIALIST
Evaluate requests for medical services (e.g., procedures, hospitalizations, therapies) to determine medical necessity and appropriateness.
Apply established guidelines, protocols, and criteria to make decisions about coverage and treatment plans.
Obtain prior authorizations from insurance companies as required.
Communicate with healthcare providers, patients, and insurance companies to facilitate timely and appropriate care.
Collaborate with other healthcare professionals (e.g., nurses, physicians) to coordinate care and address clinical questions.
VIA LINDA BEHAVIORAL HEALTH HOSPITAL APRIL 2024 – SEPT. 2024
INTAKE COORDINATOR/RECEPTION
Under the direction of the Director of Intake, point of first contact responsible for coordinating aspects of the intake/assessment process and providing excellent direct patient care.
Responsibilities include efficient and effective handling of inquiry calls, processing of referrals for possible admission.
Knowledge of and maintaining communication with referral sources, families, patients and unit staff.
Additional responsibilities include insurance verification/precertification, patient registration process, patient observations, scheduling of evaluations, admissions processing and other duties as needed by the intake leadership team.
First responder to walk ins, greeting patients, visitors, families and staff.
ROBERT HALF FOR PECKHAM GROUP, National Passport Information Center JAN.2024-MARCH 2024
CUSTOMER SERVICE REPRESENTATIVE, Call Center, CONTRACT
McKINSEY & COMPANY AUGUST 2022 – NOV. 2023
EXECUTIVE ASSISTANT
Provide excellent administrative and organization skills to 4 Associate Partners in the Firm
Practice detail-oriented; ability to prioritize and multitask
Track record of demonstrate ownership through responsibility and accountability for end products
Highly professional telephone presence; strong customer service mindset and style
Utilize strong email and calendaring skills (Outlook proficiency)
Ability to anticipate and meet the needs of 7-12 individual colleagues supported
CAREER BREAK, LIFE EVENT FEB. 2022 - AUG. 2022
AURORA BEHAVIORAL HEALTH SYSTEMS NOV.2021 – JAN. 2022
UTILIZATION REVIEW COORDINATOR
Monitors adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital services in order to optimize reimbursement for the hospital.
Monitor the appropriateness of hospital admissions and extended hospital stays.
Improve patient outcomes and close gaps in care by providing post discharge follow up with patients.
Conduct initial, concurrent and discharge review with payers, effectively act as a liaison between insurance providers and the clinical team.
NEW FREEDOM MAY 2021 – OCT. 2021
CLINICAL CASE MANAGER
Facilitate group workshops on a daily basis utilizing set curriculum and creativity.
Responsible for professional documentation turnaround within a 24-hour time period.
Coordinate and provide care that is safe, timely, effective, efficient, equitable, and client-centered.
Handle case assignments, draft service plans, review case progress and determine case closure.
Help clients achieve wellness and autonomy.
Facilitate multiple care aspects (case coordination, information sharing, etc.).
Help patients make informed decisions by acting as their advocate regarding their clinical status and treatment options.
Develop effective working relations and cooperate with medical team throughout the entire case management process.
Arrange abeyances with social services, health and governmental agencies.
Go above and beyond to interact with patients to keep track of their progress and to ensure satisfaction.
Record cases information, complete accurately all necessary forms and produce statistical reports.
COMMUNITY BRIDGES, INC., MESA, AZ NOV. 2020 – APRIL 2021
NAVIGATOR II/CASE MANAGER/CERTIFIED PEER SUPPORT SPECIALIST
Provides ongoing support working with women, children and families in need of recovery and housing support services.
Serves as the bridge for the patient, in coordinating in-house and community-based services, and facilitates delivery of these services by supporting the individual(s).
Provides support and assistance with reducing barriers and treatment plan goals.
Serves as a mentor and models behavior conducive to recovery in a trauma-informed environment.
Works in conjunction as part of a multi-disciplinary team.
CHILD & FAMILY SUPPORT SERVICES, PHOENIX, AZ JUNE 2020 – OCT. 2020
BEHAVIORAL HEALTH DIRECT SUPPORT/CASE MANAGEMENT
Acted as family’s primary point of contact to provide comprehensive care.
Provided ongoing case management (coordinating behavioral health services, medical care, education, placement, finances, and socialization services (to children and families with intense and complex needs.
Collaborated with family, team members to create support plans that capture the strengths, needs and culture of the family.
Assisted children and families in securing needed community resources. Helping to identify natural and informal supports.
Recognized by leadership for patient care and successful development of relationships.
HOLDEN & ARMER, PC, PHOENIX, AZ MARCH 2019-APRIL 2019
LEGAL ASSISTANT/MEDICAL TRANSCRIPTIONIST. CONTRACT
Performed transcription of all documentation by principal partner and legal nurse consultants.
Proofreading outbound documents/correspondence, ensure proper formatting, E-file legal documents, and distribute to appropriate parties.
Managed and maintained document database.
Performed IDEX searches for attorneys and legal nurse consultants.
Prepared shells/templates of pleadings and motions.
Entered time and expenses.
Prepared notebooks for trial/mediation/hearings, et al.
TEMPORARY & CONTRACT ADMINISTRATIVE POSITIONS SEPTEMBER 2017 – FEB. 2019
SOBA RECOVERY CENTER MESA, MESA, AZ JUNE 2017- AUGUST 2017
CASE MANAGER, CONTRACT
Completed assessments and service plans and conducted intakes for patients within the detox department; ensured accurate data and compliance with company standards.
Coordinated and facilitated weekly group discussions, implemented services to members in accordance with their individualized service plans, and communicated/documented members’ progress toward recovery.
Collected, analyzed, and responded to data regarding individual case management and group workshop effectiveness.
Developed and maintained relationships with providers, networks, and groups in order to serve as a liaison between the health plan and the provider.
Collaborated with clinical team members on patient success, conflicts, and topics for upcoming workshops.
Recognized by leadership for patient care and successful development of custom workshops.
SOVEREIGN HEALTH OF CALIFORNIA, SAN CLEMENTE, CA OCTOBER 2015 – JUNE 2016
CASE MANAGER
Served as the primary contact for clients and families to coordinate their treatment while at Sovereign, including both internal and external appointments.
Conducted database management and accurate record keeping for insurance processing.
Maintained regular charting and notes in electronic medical records system on client meetings and case management efforts.
Researched and developed custom workshops to meet the needs of current patients.
Provided support for the Clinical Treatment Team by facilitating groups and/or other clinical needs.
Coordinated/implemented discharge planning while considering the personal and clinical needs of the client.
Coordinated initial and follow-up medication appointments with medical liaisons.
Provided referrals and assistance in filling out forms for disability and community/social support programs.
Collaborated with the Program Director on ad hoc projects to meet business initiatives.
Recognized for having a high success rate of preventing AMAs (people leaving treatment against medical advice).
EDUCATION
NATIONAL LOUIS UNIVERSITY, Chicago, IL, Bachelor of Arts Degree in Applied Behavioral Science
GPA: 3.96/4.0
CERTIFICATIONS
Substitute Teacher Certification, State of Arizona, current
CPR/First Aid, current
Fingerprint Clearance Card, current
Handle with Care, current