BRENT WORMSLEY
Case Manager
*************@*****.***
Naples, FL
inlinkedin.com/in/brent-wormsley-18204b1b
KEY ACHIEVEMENTS
Effective Case Management
Managed a caseload of 20-25 residents with a 90% satisfaction rate.
Authorization Specialist Success
Obtained 95% prior authorization approval for dermatology procedures.
Improved Collection Outcomes
Increased collections by 15% through improved AR processes and tactics.
Motivational Interviewing Expertise
Conducted over 100 motivational interviewing sessions with measurable outcomes.
EDUCATION
Social Work/Psychology Coursework In Progress
Florida SouthWestern State College (FSW)
Started Summer 2026 Naples, Florida
Computer Information Systems Coursework
Sinclair Community College Dayton, Ohio
CERTIFICATIONS & TRAINING
Recovery Support Specialist Precertification (75+ CEUs Completed)
Motivational Interviewing
Trauma-Informed Care
Co-Occurring Disorders
Suicide Assessment & Crisis Intervention
Ethics & Boundaries
Relapse Prevention
Case Management & Service Coordination
HIPAA Compliance
PROFESSIONAL SUMMARY
Compassionate and results-driven behavioral health and healthcare professional with more than 12 years of progressive experience in case management, resident intake, insurance authorization, medical collections, eligibility determination, and patient advocacy. Proven history of advancing from frontline support roles to leadership responsibilities while serving vulnerable populations. Skilled in crisis intervention, assessments, documentation, insurance processes, motivational interviewing, and interdisciplinary collaboration. Recognized for strong communication skills, professionalism, and the ability to build trust with individuals experiencing mental health, substance use, housing, and life challenges.
PROFESSIONAL EXPERIENCE
Case Manager / Program Staff
St. Matthew's House Naples, Florida
06/2024-Present
Manage a caseload of 20-25 residents experiencing homelessness, substance use disorders, and co-occurring mental health conditions.
Conduct comprehensive intake assessments, biopsychosocial screenings, and eligibility determinations.
Develop individualized service plans and SMART goals to promote recovery and self-sufficiency.
Coordinate housing, employment, medical, behavioral health, and community resources.
Complete detailed case documentation, progress notes, discharge summaries, and assessments in electronic systems.
Conduct admissions, discharges, drug screenings, and resident accountability checks.
Utilize motivational interviewing and trauma-informed approaches to support resident engagement.
Collaborate with multidisciplinary teams to ensure continuity of care and successful program outcomes.
Facilitate crisis intervention and de-escalation during behavioral health and program emergencies.
08/2015-06/2024
Commercial Collector / AR Support Specialist
21st Century Oncology (Now GenesisCare) Fort Myers, Florida
Managed commercial insurance collections and reimbursement activities for oncology services.
Processed claim appeals, denials, adjustments, and medical record requests.
Worked extensively with commercial insurance carriers to resolve payment issues.
Generated reports, monitored accounts receivable trends, and improved collection outcomes.
Served as Salesforce administrator supporting reporting, user access, and workflow efficiency.
Provided technical support for office systems, software, printers, and electronic fax platforms.
Maintained strict confidentiality and compliance with healthcare regulations.
Insurance Billing Specialist / Authorization Specialist
Riverchase Dermatology Fort Myers, Florida
09/2013-08/2015
Managed insurance verification, benefits investigation, and prior authorization processes for medical and surgical dermatology services.
Obtained authorizations for procedures, specialty medications, biopsies, Mohs surgery, and treatment services.
Reviewed medical documentation and coding to ensure compliance and
maximize reimbursement. Resolved insurance denials and coordinated appeals with carriers.
Educated patients regarding insurance benefits and financial responsibility.
Maintained HIPAA compliance while handling confidential patient information.