Clinical Supervisor & Case Management Leader
Resume:
KATHRINE MARY BOKINA, MA, LCPC
POPLAR GROVE, ILLINOIS 61065
**************@*****.***
EDUCATION
DePaul University
BA Psychology GPA 3.88
Roosevelt University
1991-1994
MA Clinical Psychology GPA 3.88
EXPERIENCE
Centene/Meridian
6/22-present
ROLE: Supervisor, Transition of Care
Supervise staff of 12, training, also a new team start up. Creating/refining processes, conducting bi-weekly meeting with staff to review/educate, attend Job Aid Committee weekly to assist with improving processes, ensure team compliance in regard to contractual requirements, assist manager in reporting, auditing, and staff education.
Centene/Meridian
6/21-6/22
ROLE: Supervisor, MMP, Case Management
Supervise staff of 14, training of new processes, conduct audits of team’s work to ensure compliance, bi-weekly meetings with staff to review and /or reeducate, if necessary. This team is new and considered expansion team which I interviewed and hire staff for. Assisted manager in audits, training, and compliance measures.
Centene/YouthCare
1333 Burr Ridge Parkway
Burr Ridge, Il. 60527
ROLE: Case Management Clinical Supervisor (5/11/20- present)
Supervise staff of 15, conduct weekly/monthly team meetings, review/update/monitor daily metrics, monthly 1:1 supervisions with all staff, attend all BH/PH weekly rounds, conduct monthly chart audits, assist department manager and director with special projects, creating and modifying work flows to meet contractual obligations and NCQA standards.
Northwest Community Hospital (11/2019-4/24/2020)
901 Kirchhoff Avenue
Arlington Heights, IL 60005
ROLE: Interim Intake Manager, therapist, Utilization Management
Supervise 15 staff in Assessment and Referral Department and Emergency Department
Scheduling, prepare statistics for monthly department meetings, clinically supervise staff, service recovery, complete initial and concurrent reviews for admission, residential, and IOP/PHP.
ILLINICARE/CENTENE HEALTH INSURANCE 12/2015-11/2019
999 Oakmont Lane
Westmont, IL
ROLE: LEAD BEHAVIORAL HEALTH CASE MANAGER (2.5 YEARS)
BEHAVIORAL HEALTH UTILIZATION MANAGER (12 MONTHS)
*Worked to ensure that members in Long Term Care where consistently receiving vital health care including, psychiatric services, medical and dental treatment, and opportunity to transition to the community if applicable.
*Redefined the duties of the Case Manager by providing data that indicates that face to face contact reduced inpatient admissions and compliance with psychiatric appointments and medication compliance
*Worked within the established rules and regulations of Medicare and Medicaid to provide authorization of inpatient psychiatric services.
* Worked collaboratively with local psychiatric inpatient and outpatient facilities to ensure continuity of care for all members.
TIMBERLINE KNOLLS 7/2018- 9/2020
40 TIMBERLINE DRIVE
LEMONT, ILLINOIS
ROLE: PRN INTAKE COORDINATOR
*complete admission packet with resident
*complete initial authorization with designated MCO
*clinically determine level of care needed for each resident
*communicate any special safety needs to treatment team
*present as a confident, qualified, and welcoming representative of the facility
CHICAGO BEHAVIORAL HEALTH HOSPITAL 1/2015-12/2015
555 WILSON DRIVE
DES PLAINES, IL
ROLE: INTERIM DIRECTOR OF UTILIZATION MANAGEMENT
*Directed and guided a team of 6 in completing concurrent reviews, submit appeals upon denial, and work collaboratively with nursing staff, MD staff, SW staff, and administration to ensure realistic length of stay.
* Staff development and training specifically in documentation processes
*Hire and train new staff in the utilization department
*Develop and maintain working relationships with MCO
*Present monthly LOS data to administration
HARTGROVE HOSPITAL 2/2013- 1/2015
5740 ROOSEVELT ROAD
CHICAGO, ILLINOIS 773-***-****
ROLE: UTILIZATION MANAGER
*Complete daily concurrent reviews with MCO for continued stay authorizations
*Submit discharge information to MCO in timely manner
*Staff training on documentation monthly
*Attend weekly staffing to discuss status and treatment plan of patients
*Confer and collaborate with staff MD regarding treatment plan, length of stay, and communicate MCO expectations.
PRIVATE PRACTIVE 2011-2013
ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL 7/2015-1/2011
5560 MOON LAKE BLVD
HOFFMAN ESTATES, ILLINOIS
ROLE: UTILIZATION REVIEW
*Complete daily concurrent reviews with MCO for continued stay authorizations
*Submit discharge information to MCO in timely manner
*Attend staffings with treatment team to discuss status and treatment plan of patients
*Effectively communicate MCO expectation to staff MD
*Train and educate new staff on Utilization Review Process
*Perform concurrent reviews for IP ECT procedures monthly
STREAMWOOD BEHAVIORAL HEALTH HOSPITAL 2/1999-7/2005
1400 IRVING PARK ROAD
STREAMWOOD, ILLINOIS
ROLE: INTAKE/ADMISSIONS COORDINATOR, IOP SUPERVISOR
*Complete intake assessments to determine level of care needs
*Complete initial review for admission with MCO
*Supervise staff of 5 in intensive outpatient program
*Provide information to all callers regarding services provided by the facility
*Assess for emergency situations and advise caller as needed
*Assisted on suicide hotline
*Developed and implements treatment plans for all IOP treatment sessions
REFERENCES PROVIDED UPON REQUEST
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