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Click here or scroll down to respond to this candidateCandidate's Name
Email: EMAIL AVAILABLECell: PHONE NUMBER AVAILABLESUMMARYI am a seasoned leader successful in physical and behavioral health care with a proven record of superior problem-solving, critical thinking, program and business development, and team-building. I have excellent skills with complex documentation requirements and collaborative case management. My commitment to excellence extends to my team, employees, employer, clients, patients, referents and the community. SKILLS Dynamic, team leader Skillful in Workers Compensation claims,processes and chart audits Adept at building and maintaining strong business and customer relationships Efficient with Microsoft Office, various EMRs,CRMs and databases Competent in crisis intervention, suicideprevention and post-vention Proficiency in physical and behavioral healthassessments and treatment Successful with prior authorization for care and working with commercial insurances Accomplished manager Extensive work with First Responders, ImpairedProfessionals, EAPs, unions, military and courtsPROFESSIONAL EXPERIENCE1 Care Palliative/ Adults 1 Care Home Health 1 Care Kids. 12-12-2022 to 02/03/2023Sr. Physician/Community Liaison Commitment to excellent customer service Negotiation MOUs Presentations / Education Critical Thinking Extensive knowledge in hospice/palliative services, processes Proficient with CMS Guidelines/ Quality Assurance strategic planning Process Improvement Self directed, and motivated Effective time management & organizational skills Active listening Solution Oriented Excellent written, oral communication Ability to work independently or as a team Proficient in cross training and supervising additional Liaisons, Patient Representative Coordinators (PRCs) intake/admissions team, and yes, networking/business ProCare Hospice CareOusel PediatricDivision 06-06-2022 to 12/09/2022 Sr. Community Education Manager Commitment to excellent customer service Negotiation MOUs Presentations / Education Critical Thinking Extensive knowledge in hospice/palliative services, processes Proficient with CMS Guidelines/ Quality Assurance strategic planning Process Improvement Self directed, and motivated Effective time management & organizational skills Active listening Solution Oriented Excellent written, oral communication Ability to work independently or as a team Proficient in cross training and supervising additional Liaisons, Patient Representative Coordinators (PRCs) intake/admissions team, and networking/business development 2018-2022 Desert Parkway Behavioral Health Care Hospital Assist and coordinate in-take and pre-admission screening process. Perform on-site clinical judgment to determine appropriateness of patient for admission. Communicate to patients and families rehabilitation and facility options. Communicates to patients determined appropriate for admission the patient's expectations and requirements for participation. Secured information relating to patient's resources and benefits Demonstrate growth, development, and the aging process for the planning and delivery of age-appropriate care. Functions as initial contact for external case management and discharge planner personnel with payors and hospital facilities. Completes face to face, in-service education contacts to physicians. And face-to-face, in-service educational contacts to case managers, and other professionals. Inform and educate physicians, case management and social workers in regards to hospice guidelines Responsible for recruitment, orientation, training and on-going development of all community liaisons Provided leadership and guidance by implementing short and long term goals for each liaison and assist in the development of the key business partnerships within their assigned territory Collaborate with Clinical Managers to continuously improve communication & patient/facility satisfaction. Motivate team members to organizational commitment Tracks and reports business activities Assist with other duties as requiredCycles of Change (Design for Living Behavioral Health), Lancaster, CA 2016 to 2018 Director of Client and Family Services / First Responder Treatment Consultant Responsible for referral and business development for California and Nevada Provides oversight of outpatient agency in Las Vegas, including licensure compliance, staffing and trainings Responsible for assessment, prior authorization, and care coordination (EAPs, HR, courts) for all First Responder and Impaired Professional admissions. Extensive work with program promotion, appropriate level of care placement, job loss prevention and family education and interventions. Responsible for day-to-day operations including clinical finance, Single Case Agreements, scheduling, hiring, transportation, mobile assessments, admissions, collaboration of care, program improvement and compliance Refer and triage clients to other sources of treatment/care as appropriate Represent company at local and national conferences Schedule, promote and facilitate community, family and professional trainings Consistently met goals for AMA prevention and client retention Certified member of Critical Incident Stress Management (CISM) team for Nevada Provided interstate transportation for First Responders when necessary Las Vegas Recovery Center, Las Vegas, NV 2012 to 2016 Director of Admissions/ Workers Compensation Consultant/ Senior Treatment Consultant/ National Public Relations Representative Responsible for Admissions Department, including Admissions Department Specialists and Marketing staff Scheduling of the admissions department to guarantee 24-hour access Assess the needs of telephonic and web-based inquiries to ensure prompt, appropriate response Approves initial assessments on all clients seeking treatment for substance use and/or chronic pain disorders Liaison with medical director, clinical staff, referents and Workers Comp Case Managers Presents treatment options, document calls and sets appointments. Handles difficult Workers Compensation cases by assessing the injured worker and working directly with the claims adjuster and/or Nurse Case Manager. Ensures all steps to get the injured worker treatment were met. Facilitates, plans and implements marketing promotions as required. Research and develop list of local conferences, seminars and Health fairs: sponsorship, exhibit, attend and provide speakers. Attends identified local business organizations: AMA, NSIA, RIMS, SNCCA, etc. Develops and maintains a database of potential referral sources. Conducted facility tours for referrers, families, community groups and potential referral sources. Organize and facilitate in-services for referents and potential referents Douglas Seip, M.D., Las Vegas, NV 2009 to 2012Surgical Coordinator/Office Manager Verify insurance eligibility and benefits. Assist in all aspects of front and back office procedures. Collect detailed patient history, vitals, prescriptions and administer injections as ordered by physician. Schedule various surgeries with Hospitals/Surgery centers which included all aspects of scheduling procedures. Hemet Valley Urology, Hemet, CA 2004 to 2009LVN Front and Back Office Assist MD in all office exams and procedures. Verify insurance benefits and co-pays. Insurance authorizations and referrals. Responsible for training all new employees upon hiring for front and back office policy and procedures. Administered MD ordered injections, and vitals, responsible for patient collectible fees and unpaid balances. Greater Long Beach Orthopedics, Long Beach, CA 2000 to 2004 Office Supervisor / Collections / Back Office Assistant Manage 20 employees and trained all new hires. Remove staples, sutures and maintain wound care per Medical Doctor orders. Efficiently monitor patient medical records for the purpose of chart audits. Keep all personnel current on company policies and procedures to ensure compliance. Triage and instruct patients on what action to take based on current complaint as recommended by Medical Doctor on call. Coordinate correspondence with all Workers Compensation adjusters for purposes of treatments for injured patients.College Hospital, Costa Mesa, CA 1997 to 2000Unit Secretary / Surgical Coordinator / Behavioral Specialist Coordinate patient admissions and discharges. Prepare quarterly reports from census log per state requirements. Schedule and assisted all patients legal proceedings and transportation. Assist RN with new MD orders and patient care. Correspond with all hospital personnel. Transcribe all medication orders to MAR sheet. Effectively maintained SOAP and PIE forms. Deescalate agitated patients which included responding to assist staff in particular codes on patients. Education and ExpertiseCISM CertifiedCalifornia State Fullerton University,Fullerton, CA: 3+ years completed toward Bachelors Degree in Psychology, Irvine Valley College,Irvine, CA: Licensed Vocational Nurse (California) Behavioral Health Expertise:ASAM, assessment, pre-auth, level of care placement, family Physical Health Care Expertise:pain sutures whateverCPR / BLS / First Aid / AED:Current Certification |
