Danette Hurst, M.Ed., Ma Email & Phone Number

United States

Louisville, Kentucky, Us

New York City, Ny, Us

Us

Optum Behavioral Health, a United Healthcare Group Company, is one of the largest Behavioral Health Benefit Management organizations.► Lead Behavioral Health Benefits management, overseeing 700+ employees, an operating budget of $60M and medical benefit expenses of $1B+ annually.► Oversee 3 AVPs responsible for Utilization Management, Clinical Care Advocacy Programs, Specialty Case Management Programs, Concierge, Payer, Exchanges Business, Member Line, SUD Line, and After Hour Services.► Report to the Chief Clinical Operating Officer contributing to collective leadership group. ► Designed/implemented organizational structure for Resiliency & Recovery & implemented Peer Support services to include Forensic Peer, Mosaic Peer Model & Peer Bridger Model. Resiliency & Recovery Market Leads were 128% to target in 1st year (2022).► Serve as key stakeholder in the Complex & Family Populations Portfolio workgroup to drive product solutions for military and veterans, children, adolescents, and child welfare.► Drive expansion of the Family Support Program for commercial lines. (FSP enrollees spend 57% less in BH utilization than non-enrollees).► Piloted My Health Direct initiative in HouseCalls program to increase member engagement, improving enrollment rates from 47% to 59%.► Initiated Life Solutions (LS) bundled with OptumRx Meds on Track to improve med adherence/reduce costs.► Leverage Workforce Management planning, process improvements and innovative staffing models to optimize efficiencies. ► Promote implementation of the Smart Technology Authorization Request process within dedicated teams and UM coordinators. ► Implemented monthly NE Regional or Account Performance Forum which includes Value Optimization, Medical Directors, and Product Channel partners.► Act as OBH Liaison to Channel Partners, Value Optimization Executives, Account Management leads, and external contacts to identify strategies to better serve members through optimal treatment strategies.

Us

► Served as the Clinical Director for brand new book of business (Exchanges), implementing in 8 new markets with continued growth into additional 7 markets for 2022. ► Piloted the direction of behavioral health services and programming and developed health strategies aligned to network goals, member needs, and objectives. ► Leveraged deep knowledge of behavioral health compliance and requirements to ensure ongoing processes and workflows aligned with key performance indicators (KPIs) and state requirements.► Was accountable for oversight and management of behavioral health operations for the business across multiple markets.► Developed strategy and vision for product roadmaps during implementation. ► Established collaborative relationships with internal and external stakeholders to gather accurate requirements and evaluate product performance.► Coordinated day-to-day operations to achieve goals and ensure compliance with all regulatory and filing requirements.► Provided leadership by identifying and analyzing local market trends, service gaps, and the development of mitigation strategies aligned with strategic priorities.► Developed and customized reporting for customer presentations and business reviews. ► Enhanced the clinical model to promote medical-behavioral integration and improve care coordination through the use of clinical auditing program tools and process improvements.

Hampton Roads, Va, Us

Sentara Healthcare is a not-for-profit healthcare organization serving Virginia and northeastern North Carolina. (Formerly Virginia Premier/Otima)► Served as the Clinical Director for Virginia Premier before promotion to Senior Director over both Virginia Premier and Optima under Sentara in 2020. ► Responsible for the strategic leadership of all behavioral health and addiction and recovery services, including program development, program design, process improvement, outcome measurement, fiscal strategies, and evaluation of performance for multiple lines of business.► Was responsible and accountable for the planning, development, coordination, and evaluation for all Behavioral Health programs and activities for Government Programs for both Virginia Premier and Optima Health Plans. ► Built a standard Behavioral Health program model for utilization management and care coordination for expansion into new markets. ► Developed the strategic approach to satisfy corporate fiscal goals and programmatic outcomes.► Expanded care coordination initiatives and process improvements to drive quality outcomes.► Served as a leader in the behavioral health continuum of care redesign in partnership with Virginia Medicaid.

Frisco, Texas, Us

Magellan Health (Magellan of Virginia and Magellan Complete Care of Virginia) is a leader in managing the fastest growing, most complex areas of health, including special populations, and other specialty areas of healthcare. Served in multiple roles until promoted to Clinical Director in less than one year of employment. ► Led strategy in developing and providing quality behavioral health programs and services to Virginia Medicaid members. ► Delivered strong operational performance and achieved all financial objectives through cost containment and optimization of processes and technology.► Responsible for the management and coordination of the care management staff, including the intensive care management staff, providing expertise in designated programs. ► Assisted clinical management in the development and management of a team of clinicians. ► Conducted recruitment, interviewing, selection, and orientation of qualified clinical staff members.► Supervised the care management staff including performing annual reviews. Provided effective counseling and/or disciplinary action as necessary.► Coordinated quality improvement activities under the direction of clinical management. ► Supported clinical management in the development of strategic and operational goals/plans. ► Assisted clinical management in the identification/coordination of necessary clinical and client service training needs. ► Analyzed utilization problems and implemented solutions to influence the quality of care while ensuring maximum cost efficiency.► Supervised the collection of clinical information while maintaining a good rapport/solid working relationships with mental health and substance abuse providers. ► Coordinated the care management staff, including intensive care management staff, providing expertise in designated programs.

Frisco, Texas, Us

► Promoted to Lead Care Manager for the Clinical Team.Additional duties and accomplishments performed at Magellan while being promoted twice to achieve Director level within a year of being hired included:► Being responsible and accountable for the planning, development, coordination, monitoring, and evaluation for all Behavioral Health programs.► Chaired Virginia Governance Board to engage community and provider stakeholders in shaping the vision, strategy and oversight of statewide programming. ► Developed and implemented a successful new adolescent residential programming in conjunction with VA DMAS, including the creation of the Independent Assessment and Care Coordination Team and Interdisciplinary Care Team Model for youth in residential programming. ► Partnered with the Building Bridges Organization to present about residential services transformation at conferences throughout the state of Virginia and at Children’s Summit in Boston, MA.► Conducted multiple provider trainings in clinical documentation, quality outcomes, trauma informed care and medical-behavioral integration. ► Developed and expanded the National Peer Support Specialist program to include a warm line call center, family support peers, a Substance Use Disorder/Serious Mental Illness (SUD/SMI) pilot program, and youth mentors.

Frisco, Texas, Us

► Monitored inpatient and intermediate level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness.► Provided telephone triage, crisis intervention, and emergency authorizations as assigned.► In conjunction with providers and facilities, developed discharge plans and oversaw their implementation.► Performed concurrent reviews for inpatient care and other levels of care as allowed by scope of practice and experience.► Provided information to members and providers regarding mental health and substance abuse treatment benefits, community treatment resources, mental health managed care programs, Magellan Health Services policies and procedures, and other criteria.► Interacted with Physician Advisors to discuss clinical/authorization questions and concerns regarding specific cases.► Participated in Quality Improvement (QI) activities, including data collection, tracking, and analysis.

Richmond, Va, Us

Intercept helps at-risk youth and families to achieve success in their daily lives. It offers LifeBridge™, a philosophy, as well as a system of care that fosters swift and successful community integration and permanency for troubled youth, young adults, and their families. Was brought on board to upgrade clinical programming for specialized population. Oversaw all administrative facets of the clinical operation, quality improvement, and treatment programming. ► Provided counseling services to adolescents in group home setting, including comprehensive case coordination and crisis intervention.► Developed and implemented treatment plans, as well as a new clinical model incorporating trauma informed care for sexual offenders. ► Completed all clinical documentation for Magellan authorization/extension.► Led treatment team meetings.► Provided clinical direction and oversight of staff and handled ongoing program development. ► Participated in the community Family Assessment and Planning Team (FAPT) meetings and comprehensive discharge planning.► Devised and executed a strategic, operational and fiscal plan, to establish the organizational infrastructure of our startup programs.► Created new programming for youths with eating disorders.► Expanded service offerings to include additional specialized services, family services and telehealth.

The Wellness Group Youth and Family Services improves the accessibility and availability of existing and underutilized family and parenting services and resources. ► Provided oversight of all program development and day-to-day operations of outpatient services division.► Provided outpatient therapy to a diverse population. Therapy services included conducting diagnostic assessments, performing formal assessments, and providing individual, group, marriage, and family therapy. ► Oversaw clinical management for mental health support services and intensive in-home support services. ► Conducted face-to-face assessments of client prospects to determine diagnosis and eligibility for mental health support services, which involved completing and submitting initial and continued stay authorizations to DMAS; documenting the need for services; developing, writing, and overseeing the implementation of individualized services plans specific to each client; and conducting weekly clinical supervision of mental health support counselors who work directly with clients in the home and in the community.► Led weekly treatment team meetings and develop staff trainings. ► Oversaw and coordinated clinicians participating in clinic activities for licensure.► Devised and executed a strategic, operational and fiscal plan to establish the organizational infrastructure of our startup programs.► Developed new clinical model incorporating trauma-informed care for sexual offenders.► Created new programming for youths with eating disorders.► Expanded service offerings to include additional specialized services, family services, and telehealth.

Henrico, Virginia, Us

The Henrico County Public Schools school system is a Virginia school division that operates as an independent branch of the Henrico County, Virginia county government. It administers public schools throughout the county, including Sandston and Jackson Davis Elementary Schools were I taught.► Named Henrico County New Teacher of the Year for outstanding service.► Taught reading, language arts, social studies, mathematics, and science utilizing the course of study adopted by the Virginia Board of Education.► Developed lesson plans and instructional materials and provided individualized and small group instruction in order to adapt the curriculum to the needs of each student.► Used a variety of instruction strategies, such as inquiry, group discussion, lecture, discovery, and 21 century technology skills.► Established and maintained standards of student behavior needed to achieve a functional learning atmosphere in the classroom.► Evaluated students’ academic and social growth, keeping appropriate records, and preparing progress reports.► Communicated with parents through conferences and other means to discuss students’ progress and interpret the school program.► Used a team approach to work with professional staff members in assessing and helping students solve attitude, behavioral, and learning problems.

Richmond, Va, Us

James River Psychotherapy is a psychologist office located in Richmond, Virginia. The organization focuses on the evaluation, prevention, diagnosis, and treatment of mental, emotional, and behavioral health issues.► Provided outpatient mental health assessments and therapy services within a private practice setting.

Crossroads Community Services Board provides Mental Health, Intellectual Disability, and Substance Abuse Services in the Virginia counties of Amelia, Buckingham, Charlotte, Cumberland, Lunenburg, Nottoway, and Prince Edward.► Provided outpatient mental health and substance abuse services to a diverse population including chronically mentally ill adults, children, and adolescents, as well as their families. ► Conducted individual, group, and family therapy within a multidisciplinary team. ► Performed diagnostic assessments and forensic assessments. ► Provided emergency services, including pre-screenings for hospitalization, and trained in TDO (Temporary Detention Order) procedures.

Portsmouth, Virginia, Us

First Home Care Corporation offers a continuum of services that support, train, advise, educate, nurture and treat children at risk, adults, and their families, through programs in Virginia. ► Oversaw and developed a group home program for emotionally disturbed children and adolescents with mental retardation. ► Handled all staff supervision, hiring, and training.► Maintained the budget, all staff scheduling, quality assurance, and licensing requirements.► Conducted all individual and group therapy and developed treatment planning for the resident adolescent population.► Provided crisis and handled on-call responsibilities.► Coordinated with all involved referral sources and parties, and planned resident discharges.

Richmond, Va, Us

UMFS (United Methodist Family Services) is a child and family-serving nonprofit dedicated to building stronger communities throughout Virginia.► Provided team supervision, training, and program oversight.► Participated in the intake process, developed treatment plans, and coordinated discharges with referral sources for residents in the group home setting.► Conducted individual, group, and multi-family counseling.► Participated in the recreational therapy program.

Jackson-Feild Behavioral Health Services provides violence-based psychiatric, residential, educational and recovery treatment services for children who suffer from severe emotional trauma, mental illness, and/or addiction.► Served as a Treatment Team Specialist and Team Leader for residential program that specialized in emotionally and behaviorally disturbed girls with history of abuse, trauma, ADHD and learning disorders.► Provided program development, staff management, treatment planning, and direct therapy services for adolescent girls and their families.

Wytheville, Va, Us

Mount Rogers Community Services provides a wide array of community services for individuals with mental health, developmental disabilities, and substance use disorder intervention needs. ► Handled outpatient therapy.

Master Of Education - Med, Elementary Education And Teaching / Teacher Licensure Program

Master Of Arts - Ma, Counseling Psychology

Bachelor Of Arts - Ba, Psychology And French