-Provide case management services via telephone to clinical healthcare providers, including hospitals, doctors, and therapists. Approve and coordinate behavioral healthcare services for insurance members.-Liaise with providers to obtain symptoms and assess behavioral health status. Utilize UHC’s dimensional tool for mental health to determine if member meets requirements for inpatient mental health treatment.-Evaluate and interpret behavioral status of individuals, review treatment plans, and determine if provider treatment options are appropriate for diagnosis. -Identify gaps in current care/plan and suggest alternative treatment options to better serve individuals and to help members reach identified goals.-Research non-traditional treatments, identify solutions for non-standard requests/problems, and authorize services to ensure members receive supportive alternative treatments.

-Provided emergency DSM-V diagnosis. Interpreted complex psychosocial factors, such as stress, depression, and hostility; determined which patients met criteria for hospitalization based on mental state. -Partnered with community police, hospitals, and designated crisis responders to evangelize hospital services and recommend Wellfound as an inpatient mental health treatment facility.-Intensive casework within group/unit and individual therapy for patients suffering from suicide, depression, and schizophrenia utilizing cognitive process and cognitive behavioral therapy to reduce symptoms, allowing patient to regain more personal control.-Collaborated with Care Coordinators to identify social determinants/barriers to healthy living after program discharge; identified support systems to ensures successful transition from hospital.

-Oversaw clinical staff on care management team, providing services to 120+ patients. -Planned, directed, and coordinated social services and community outreach in alignment with mission and values of PWCCS.-Developed and nurtured relationships with community partners, including housing agencies and local non-profits. -Monitored and evaluated staff/teams across multiple facilities; reviewed processes of teams to ensure quality of care provided; facilitated quarterly performance reviews, providing feedback based on program objectives.-Led weekly staff/team meetings and case consultations; ensured staff remained aware of important updates, progress, and administrative modifications to ensure efficiency in operations.-Provided assessment and intervention through individual, group, and family therapy. Oversaw psychosocial rehabilitation, including training activities of daily living, social, and self-advocacy skills. -Developed and implemented individualized treatment plans with goals and action steps to address patient’s needs. Performed comprehensive re-assessment and updated plans every 1-3 months.

-Provided complex evaluations and stabilization services for individuals with substance use disorders, mental illnesses, and co-occurring disorders while observing client behavior and utilizing de-escalation techniques to admit patients.-Conducted clinical interventions, such as risk assessments, emergency referrals, and detoxification referrals. -Coordinated care with various community resources, including hospital discharge planners, treatment providers, and client families.