Amyn Nathoo Email & Phone Number

San Francisco Bay Area

San Francisco Bay Area

San Francisco Bay Area

San Francisco

Managed team located on-site at the San Francisco Health Plan under the integrated care management model to service mental health benefits for Medi-Cal members. Oversaw comprehensive monthly reporting and analysis of program utilization and related performance indicators. Ensured compliance with state and federal regulations, as well as NCQA and URAC quality standards.

San Francisco Bay Area

Provided direct oversight to a team of 15 on-site and virtual direct report licensed Care Advocates, responsible for utilization review of outpatient behavioral health and substance abuse services, including authorization, clinical review, peer review referral and assurance of appropriate member care according to best practice, coverage determination and level of care guidelines. Utilized leadership and innovation skills to: simplify processes and improve customer experience, team productivity and morale. Attended and facilitated regular meetings including: weekly leadership meetings, bi-monthly staff meetings and weekly group supervisions. Completed monthly 1:1s with direct reports focused on MAP and core engagement concepts of: competency, growth, autonomy and purpose. Hired employees best able to meet metrics and program needs as well as support team culture. Made decisions regarding queue staffing to optimize queue performance and service level. Actively managed attendance within program policy and procedures. Analyzed scorecard data for direct reports and created group and individual action plans to address deficiencies in program and/or employee performance. Responsible for maintenance and daily upkeep of trend report data for program while analyzing and reporting overall trends to director.

San Francisco Bay Area

Conducted clinical reviews with providers and utilization reviewers geared toward gathering consistent clinical information to assess medical necessity, identify if further resources are needed and support outcomes-focused, evidence-based best practices and guidelines for Outpatient and Intensive Outpatient levels of care. Responsibilities also included completing work lists in a timely fashion, managing queue times efficiently, fluency in all UBH technology systems, attendance at weekly administrative team meetings, interviewing potential candidates and training new care advocates in all ALERT systems and protocols. Further responsibilities included working with CPM in completing other department-related tasks.

San Francisco Bay Area

Completed clinical reviews with providers to assess medical necessity, provide further resources if needed and support outcomes-focused, evidence-based best practices and guidelines for Outpatient level of care. Responsibilities also included completing work lists in a timely fashion, managing queue times efficiently, fluency in all UBH/PBH technology systems including benefit platforms and attendance at weekly clinical and administrative team meetings.

Oakland, California

Provided individual/couples/family and group psychotherapy in a multicultural practice. Assisted clients with a variety of life issues and diagnoses including: depression, grief, anxiety disorders, relationship issues, gender identity issues, addictions and parenting issues.

Master Of Arts (M.A.), Counseling Psychology

Bachelor Of Science (B.S.), Hotel, Restaurant And Travel Administration

Swiss Diploma, Hotel Management