Driven and motivated individual with over four years of direct clinical experience in a mental health treatment facility, seeking a position where I will utilize my professional skills and experience in a culture of care
❖ EXCELLENT COMMUNICATION SKILLS
❖ KNOWLEDGEABLE IN ACUTE AND RESIDENTIAL TREATMENT
❖ POSITIVE ROLE MODEL/MOTIVATOR
❖ FLUENT IN MS WORD and EXCEL
❖ POSITIVE TEAM PLAYER
❖ ASSESSMENT/EVALUATION
❖ THERAPEUTIC GROUP FACILITATOR/LEADER
❖ HIGHLY ORGANIZED
❖ MIDAS SOFTWARE AND CODING EXPERIENCE
❖ DOCUMENTATION& REPORTS
❖ ACTIVITIES COORDINATOR
❖ TREATMENT PLANNING
❖ EXTERAL REVIEWS
• Serves as an active member of the clinical staff
• Maintains a therapeutic relationship with patients.
• Assists in maintenance of a safe, clean therapeutic environment for patients and staff
• Assures patient participation in program activities
• Cultivates relationships with patients, patient families, clinical team and community resources
• Provides positive customer service.
• Document activities in a daily log, record and prepare reports
• Distributes and supervises the consumption of medication and documents
• Performs searches, monitors all movement and activities
• Aids in rehabilitation and counseling of offenders
• Supervised daily activities of offenders while observing and documenting behaviors
• Ensured safe and secure confinement
• Adheres to all department and state regulations and policy
• Transports offenders to work, appointments and court
• Perform cell shake downs and searches
• Supervises visitation and outside worker detail
• Completed correctional officer Academy as a top honor graduate
• Performs clinical review for medical necessity for Facility/Member/Provider using evidenced based guidelines, policies, benefits and nationally recognized clinical criteria
• Conducts pre-certification reviews and appeals reviews
• Conducts retrospective clinical review of claims for medical necessity, coding accuracy, medical policy compliance and contract compliance
• Negotiates with insurance companies to achieve the highest level of care for patients / clients based upon ASAM and other approved criteria
• Conducts continuous reviews of patient progress advocating for continued client care at the maximum length of care with the highest level of benefits.
• Resiliency and ability to handle difficult conversations with patients and internal customers
• Conducts meetings with client management to review ROI Operations, streamline workflow and provide issue resolution / suggestive guidance.
• Works independently and collaboratively across the enterprise with minimal supervision.
• Adheres to guidelines with regard to accessing minimum necessary information to complete job function.
• Adheres to state and federal rules regarding privacy and confidentiality of protected
• Professionally communicates through all electronic, written, and verbal methods.
• Ensures great customer service while assisting patients, care providers, allied health staff, attorneys, insurance companies, government audits, and others in a courteous, professional and confidential
Behavioral Health:
● Demonstrates regular reporting of patient's goals with treatment team
● Maintained awareness of company policies and procedures
● Documented daily behaviors and concerns
● Facilitates communication regarding patient treatment process
● Establish goals and treatment plans
● Perform chart checks and assembly
● Directly supervised team members to ensure appropriate practices utilized
● Monitored patients physical and mental conditions
● Organized unit activities and incentives
● Therapeutic groups and activities
● Implemented programs to ensure positive behavior
● Managed patient's transition outside the facility to assure continuity of care
● Service Excellence: Employee of the month
● Completes assigned duties in a timely manner based on facility needs
● Completed patient assessments with focus on support goals
● Facilitated therapeutic group sessions
● Completed patient safety searches and bed checks
● Maintained patient laundry
● Medication Management
● Monitored IEP goals
● Provided transportation
● Prepared meals
● Organized community-based outings to establish reentry success
● Assisted with daily living activities and meal preparation