Cynthia Frey

Cynthia Frey Email and Phone Number

Risk Management Coordinator @ Sheppard Pratt
baltimore, maryland, united states
Cynthia Frey's Location
Towson, Maryland, United States, United States
Cynthia Frey's Contact Details
About Cynthia Frey

30 years in the Mental Health industry with experience in crisis intervention, emergency room assessments, utilization management, and screening for admission to all levels of care. Excellent working knowledge of psychiatric diagnoses, medications, general medical conditions, level of care assessments, and all aspects of the medical record. Possesses a complete knowledge of mental health law and represents a large psychiatric facility at the involuntary admission hearings. Strong patient advocate currently writing and editing medical necessity appeals of patient care denied by insurance. Promoted to Utilization Review Manager supervising case managers, coordinating involuntary admissions process, department schedules, appeals, and back-up to department director. Served as liaison between Finance Department and Managed Care Organizations reviewing denied claims for authorization, contacting managed care case managers and fixing authorization errors, often recapturing denied days without the necessity of appeal. Strong interpersonal skills serving as liaison among multiple internal departments, disciplines, and community agencies to include managed care organizations, community healthcare providers, Department of Mental Health and Hygiene and the Office of Administrative Hearings---Long history of dedication and loyalty to present employer with over 23 years of service to the same organization and has humbly received over 30 years of evaluations in the outstanding category. Proudly fought for services in BA City to include presentation before state agency (ref below). Avid writer currently contributing articles for international mental health blog; published on PsychCentral and Stigma Fighters in 2017. Most recently transferred to the Risk Management Department.

Cynthia Frey's Current Company Details
Sheppard Pratt

Sheppard Pratt

View
Risk Management Coordinator
baltimore, maryland, united states
Employees:
1390
Cynthia Frey Work Experience Details
  • Sheppard Pratt
    Risk Management Coordinator
    Sheppard Pratt Nov 2021 - Present
    United States
  • Sheppard Pratt Health System
    Utilization Review Manager
    Sheppard Pratt Health System Jul 2018 - Present
    Towson, Md
    Provides supervision of department to include scheduling of work assignments, performance evaluations and report writing. Interfaces with managed care organizations and keeps abreast of all updates and changes to authorization process and medical necessity criteria. Review of all involuntary admission paperwork and preparation of IVA docket; serves as liaison between department and Department of Administrative Hearings and the Public Defender's Office. Represents hospital at IVA hearings and manages Hospital Representative duties. Responsible for reviewing all medical necessity denials and preparing/submitting written appeals. Provides back-up to the Director of Admissions/UR and serves as liaison between internal and external agencies. Reduced bad debt by 88% in 18 months, developed metrics to measure department performance to include peer review, updated hospital Utilization Management Plan.
  • Sheppard Pratt Health System
    Utilization Management Case Manager
    Sheppard Pratt Health System Jul 2002 - Jul 2018
    Towson, Maryland
    This was a full-time position in the Utilization Management Department. Responsibilities include concurrent review for all levels of care; precertification of crisis IOP and OP Transitional Aftercare Programs; review charts and draft appeal letters with appropriate documentation to managed care organizations; review records for medical necessity; liaison among all internal disciplines, outside managed care agencies, external outpatient providers, emergency rooms, and the Office of Administrative Hearings. Provide back-up to department manager reviewing paperwork for involuntary admissions as needed.
  • Sheppard Pratt Health System
    Access Coordinator
    Sheppard Pratt Health System Apr 2018 - Present
    Towson, Maryland
    This is a part-time evening position in the Crisis Walk-In Clinic. Responsibilities include the triage of all walk-in patients; level of care assessments. Staffs all patients with psychiatrist prior to psychiatric evaluation and secure appropriate disposition of all patients.
  • Taylor Manor
    Utilization Review Manager/Involuntary Admission Hearing Coordinator
    Taylor Manor Nov 1994 - Jul 2002
    Ellicott City, Md
    This position began as a Utilization Review Case Manager and within 2 years resulted in promotion to department manager. Responsibilities included reviewing charts for medical necessity, providing clinical reviews for continued stay of all inpatient, PHP, and IOP admissions. Reviewed all involuntary admission paperwork to ensure compliance with MD law and represented Taylor Manor Hospital at the Involuntary Admission Hearings. Interfaced regularly with Admissions and provided back-up for screening new admissions. Served as liaison among all internal disciplines, outside managed care agencies, external outpatient providers, emergency rooms, and the Office of Administrative Hearings. Received outstanding performance evaluation during tenure and was transferred to Sheppard Pratt when they purchased Taylor Manor in 2002.
  • Union Memorial Hospital Department Of Psychiatry
    Crisis Intervention Coordinator/Intake Specialist
    Union Memorial Hospital Department Of Psychiatry May 1988 - Nov 1994
    Baltimore, Md
    Screened admissions for all levels of care including outpatient, partial hospitalization, intensive outpatient, and inpatient; evaluated all walk-in patients to busy Baltimore City clinic for level of care assessment; provided level of care assessments as part of crisis intervention staff and triaged psychiatric admissions in emergency room; assisted emergency room physicians in certification of involuntary patients and responsible for disposition arrangements; interfaced with multiple outside agencies both inpatient and outpatient. Strong patient advocate who was proudly one of ten participatants in successfully lobbying the State of MD to transfer bed licenses from Johns Hopkins to Union Memorial upon Hopkins closing North Charles and Wyman Park psychiatric program. This included media appearances, letters to various state officials, and testimony before the Health Resources Planning Commission.

Cynthia Frey Skills

Leadership Writing And Editing Research Customer Service Public Speaking Crisis Intervention Case Management

Cynthia Frey Education Details

Frequently Asked Questions about Cynthia Frey

What company does Cynthia Frey work for?

Cynthia Frey works for Sheppard Pratt

What is Cynthia Frey's role at the current company?

Cynthia Frey's current role is Risk Management Coordinator.

What is Cynthia Frey's email address?

Cynthia Frey's email address is cf****@****ail.com

What schools did Cynthia Frey attend?

Cynthia Frey attended Capella University, Capella University, Towson University.

What skills is Cynthia Frey known for?

Cynthia Frey has skills like Leadership, Writing And Editing, Research, Customer Service, Public Speaking, Crisis Intervention, Case Management.

Who are Cynthia Frey's colleagues?

Cynthia Frey's colleagues are Alison Kula, Kylen Davidson, Kache Parker, Dannette Woods, Kyle Press, Anita Lopez, Melissa Flanders Otr/l.

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