As a Member Relationship Liaison, I serve as the primary point of contact for assigned health plans, ensuring seamless interaction between Members, Providers, and Health Plan Leaders to enhance client satisfaction. I investigate and resolve escalated inquiries using various systems, managing activities in CRM while adhering to defined turnaround times. Collaborating with internal teams and external partners, I address complaints, document issues and resolutions, and conduct member outreach… Show more As a Member Relationship Liaison, I serve as the primary point of contact for assigned health plans, ensuring seamless interaction between Members, Providers, and Health Plan Leaders to enhance client satisfaction. I investigate and resolve escalated inquiries using various systems, managing activities in CRM while adhering to defined turnaround times. Collaborating with internal teams and external partners, I address complaints, document issues and resolutions, and conduct member outreach based on emerging trends. I prioritize compliance with State and Federal laws, incorporating Member feedback and data analysis to recommend workflow enhancements and policy adjustments. Additionally, I facilitate cross-functional communication to meet client needs and provide telephonic education when necessary, meticulously documenting client-specific information in CRM. Show less

I facilitated the delivery of comprehensive care services to ensure optimal health outcomes for our members. I worked collaboratively with teams of healthcare professionals to coordinate and integrate services across the continuum of care, including medical, behavioral, and social services. I used my strong technical skills to leverage health information technology and electronic health records to streamline care coordination and ensure timely communication among providers. Additionally, I was… Show more I facilitated the delivery of comprehensive care services to ensure optimal health outcomes for our members. I worked collaboratively with teams of healthcare professionals to coordinate and integrate services across the continuum of care, including medical, behavioral, and social services. I used my strong technical skills to leverage health information technology and electronic health records to streamline care coordination and ensure timely communication among providers. Additionally, I was responsible for completing health risk screenings, managing client interactions, and providing guidance to our members to navigate the complex healthcare system. Overall, my goal was to improve the quality and efficiency of care, while maximizing member satisfaction and promoting positive health outcomes. Show less

As the key point of contact for the Department of Child Safety, Foster Parents, and Community Outpatient Providers, I played a critical role in ensuring state-mandated assessments were completed on children entering DCS custody. I routed incoming referrals to appropriate behavioral health providers and coordinated closely with various stakeholders to streamline the assessment process. Additionally, I was responsible for generating accurate and timely reports to remain in compliance, utilizing… Show more As the key point of contact for the Department of Child Safety, Foster Parents, and Community Outpatient Providers, I played a critical role in ensuring state-mandated assessments were completed on children entering DCS custody. I routed incoming referrals to appropriate behavioral health providers and coordinated closely with various stakeholders to streamline the assessment process. Additionally, I was responsible for generating accurate and timely reports to remain in compliance, utilizing my strong analytical skills to track timelines and establish trends that informed future decision-making. Show less

I played an important role in ensuring that children in need of care were quickly and accurately assessed upon removal from their homes by the Department of Child Safety. In this role, I completed state mandated mental health assessments within 72 hours of removal, leveraging my expertise to give insightful input and recommendations. I then worked closely with the placement to connect them with appropriate behavioral health services, helping to ensure the best possible outcome for the child… Show more I played an important role in ensuring that children in need of care were quickly and accurately assessed upon removal from their homes by the Department of Child Safety. In this role, I completed state mandated mental health assessments within 72 hours of removal, leveraging my expertise to give insightful input and recommendations. I then worked closely with the placement to connect them with appropriate behavioral health services, helping to ensure the best possible outcome for the child. Additionally, I provided written assessments to DCS case workers, ensuring seamless communication and coordination across all stakeholders involved in the child’s care. Show less

I served as the primary point of contact for the Regional Behavioral Health Authority (RBHA) and Department of Child Safety, ensuring that initial mental health assessments were completed in a timely and accurate manner for children removed from their homes. I meticulously tracked reports to manage timelines and analyze data, ensuring compliance with state regulations and identifying opportunities for improvement. I also attended pre-preliminary court hearings, providing recommendations based… Show more I served as the primary point of contact for the Regional Behavioral Health Authority (RBHA) and Department of Child Safety, ensuring that initial mental health assessments were completed in a timely and accurate manner for children removed from their homes. I meticulously tracked reports to manage timelines and analyze data, ensuring compliance with state regulations and identifying opportunities for improvement. I also attended pre-preliminary court hearings, providing recommendations based on the completed mental health assessments to ensure the best possible outcomes for these children. Show less