Conduct thorough reviews of patient records, comparing them against established criteria to determine the medical necessity and appropriateness of care. Make well-informed decisions regarding the need for services, drawing on the comprehensive analysis of medical documentation. Navigates and manages behavioral health utilization management issues related to member care, and provider interactions, and facilitates operations within utilization management. Reviews and analyzes behavioral health utilization management activities, over/under utilization, operations, costs, and forecasted data to identify areas for improvement within utilization management (UM) to align to goals and objectives. Develops, implements, and maintains compliance with behavioral health utilization management policies and procedures. Reviews behavioral health utilization management and financial reports to identify trends and areas of improvement and provide recommendations to leadership. Educates and provides resources for behavioral health utilization management team on key initiatives and to facilitate on-going communication between utilization management team, and providers. Provides feedback to behavioral health team to improve care for members and optimize utilization management processes. Effectively manages escalated calls or issues that require additional research or special handling (P2P, appeals, expedited appeals). Performs other duties as assigned. Complies with all policies and standards.

Conducting assessment of each client's psychosocial status and functioning in an effort to document history and identify preliminary items for the treatment plan. Assists clients in achieving psychological well-being by assessing and treating mental disorders and by teaching individuals how to maintain mental health. Establishing and growing therapy practice. Provision of psychotherapy to clients using (SE, SFBT, CBT, DBT, MI, and EMDR modalities). Evaluating and developing treatment plans for clients served. Advising clients on short and long-term treatment goals. Maintaining and supervising medical records. Performing administrative tasks as required. Researching and analyzing relevant literature. Participation in community events and networking. Supporting evaluation of supervisee services to enhance client outcomes and acting as a positive change agent to implement clinical initiatives to increase quality clinical care. Consulting with other therapists and related professional and paraprofessional staff, as appropriate, in the performance of therapeutic and/or casework; referring clients to appropriate service agencies as required. Maintaining current knowledge base on counseling/psychotherapy issues regarding substance abuse and other psychosocial disorders through conferences, educational requirements for licensure, and applicable current literature.

Conducting initial biopsychosocialspiritual assessments to determine level of care needs, complete a diagnosis, and develop treatment plan to target immediate mental health concerns. Implementing within the plan of care input from the patient, patient family and and members of the healthcare team. Monitoring and modifying treatment plans to reflect changes in patient status and needs. Conducting screening for substance abuse, tobacco use, SI and HI or risk. Performing social work consultation and crisis intervention for patients and caregivers. Provides supportive, crisis bereavement and other social work interventions as necessary. Organizing and prioritizing daily work by assessing new, current, and discharging patient needs in area(s) of responsibility. Educating, communicating, and coordinating with multiple patient care teams and outside agencies as necessary to ensure the patient receives quality care, a timely discharge, and to identify and resolve delays and issues. Working within the multi-disciplinary team to develop a discharge plan in order to provide further care, services, and referrals in order to ensure continuity of care. Referring patients to other services to improve their well-being and support long-term psychotherapy treatment goals. These referrals may include community services, treatment programs, support groups, psychiatrists, or other mental health providers. Acting as an advocate on behalf of patients and families, where appropriate, to ensure effective communication with multidisciplinary care team as necessary. Completing timely and accurate documentation in the medical record using knowledge of documentation standards for the department to facilitate coordination of care with team members. Identifying patients at risk for potential avoidable delays, extended stay, readmission, financial or complex discharge needs.

Working with a diverse adult and elder population in Las Vegas and the surrounding community by utilizing psychoeducation on the Kübler-Ross Stages of Grief, motivational interviewing, and engaging community outreach. Assisting in the admission process of the patient to the agency by performing an initial comprehensive biopsychosocialspiritual evaluation; assessing the patient’s psychosocial status and evaluating the patient, family and home to identify socioeconomic and emotional factors that would impact the treatment plan. Providing phone support for bereaved, conducting home visits and grief/bereavement focused individual counseling. Facilitating the discussion of final wishes, advance directives, DNR orders, and coordinating in funeral planning as needed. Assisting in the development and implementation of the interdisciplinary patient care plan as it pertains to the medical social work role to create individualized treatment plans. Providing rehabilitative and supportive casework to patients, linking and referring to community resources as needed. Observing and recording changes in the patient’s emotional and social factors that affect the patient’s illness, need for care and response to treatment. Evaluating patient and family response to, and effectiveness of, the medical social work intervention. Engaging in weekly interdisciplinary meetings (IDTs) with nurses, chaplains, hospice health aides, and the hospice medical director, in order to develop and individualize patient care plans. Assuming responsibility for maintenance of electronic medical records, assuring accuracy, completeness and compliance with regulations, certification standards, and legal/ethical standards. Maintaining professional relationships through interdisciplinary work and coordination of care including discipline specific collaboration, family conferences and/or group support services. Site We Honor Veterans (WHV NHPCO) chair.

Responsible for implementing and documenting a plan of care related to the resident’s social and emotional needs in the electronic medical record. Collaborating with the nursing, MDS, and rehabilitation departments to facilitate discharge plans for residents. Informing and educating the staff/resident/family/responsible party of the resident’s personal and property rights, as well as his/her rights related to health services as pertaining to the resident. Maintaining updated resources for residents and families in regards to community resources and services, as well as service agencies and organizations. Maintaining a record of all reported concerns, assisting in resolving them and assuring appropriate follow up and documentation. Providing timely referrals to appropriate agencies for assistance to the resident/family (i.e. conservatorship application, Medicaid application, etc).

Under general supervision of the Chief Operating Officer, serving as a member of organizational leadership, guiding the capacity to manage and utilize data assets for strategic planning, operations, reporting, compliance and quality assurance, and improvement. Leads agency program of Utilization Review and Quality Assurance, ensuring compliance with HIPAA, OSHA, and other performance and reporting requirements as well as state and federal initiatives. Collaborative team member coordinating accreditation surveys with external accrediting bodies including CARF and SAPTA. Investigates reported or identified compliance or privacy concerns received through independent surveillance efforts, or through the Compliance Hotline. Oversees all investigative processes including interviews with key witnesses or subject matter experts; identifies and coordinates corrective action plans and documents efforts for ongoing reporting. Provides education and training to management, employees, departments, teams, physicians, contractors, etc. on key compliance and privacy matters and topics through the following training measures; written published materials, in-person presentations, small group discussions or e-mail communications as necessary to the topic in question. Develops, maintains, and fosters optimal working relations with senior and mid-level leadership, and other employees to ensure open lines of communication in support of a collaborative dialogue on compliance risk. Attends leadership and management meetings to establish awareness of possible compliance risks and to serve as a trusted resource to all constituents on compliance matters. Assists in the annual compliance risk assessment process while serving as the primary contact for compliance and privacy.

Creating a nurturing, supportive, and developmentally-appropriate environment for all clients served to assist in the development of the therapeutic alliance. Setting appropriate professional boundaries with clients and teaching clients about proper boundaries, healthy relationships, and ways to nurture strong self-esteem. Completing comprehensive clinical assessments of clients utilizing a biopsychosocial-spiritual approach to support a DSM-5 diagnosis and determine appropriate treatment recommendations evaluating client needs and barriers to treatment. Examining various clinical issues, including anxiety, depression, bipolar, personality functioning, substance use, relationship problems, self-esteem, and anger management. Completion of CASII and LOCUS assessment measures for clients services to determine risk factors and most appropriate treatment modalities individualized to the client. Performing crisis intervention when necessary, including management of high-risk clients, using clinically relevant and evidence-based techniques. Providing initial discharge planning, case management, suicide, and homicide risk assessments to all clients served. Delivery of supportive psychotherapy with individuals (including children, adolescents, and adults), couples, and families. Responsible for formulating collaborative client-centered treatment goals, which are clearly defined to assist in the development of positive coping skills, assist clients in functioning at optimal levels of emotional and social health while promoting stability. Utilization of various clinical techniques using a holistic approach including Solution-Focused methods, Cognitive Behavioral Therapy, Narrative Therapy, Empowerment and Strengths-Based Perspective, and other Trauma-Informed interventions.

Responding to immediate crisis calls in the Greater Las Vegas community as an on-call clinician Sundays and major holidays. Provision of timely risk assessment, evaluation, safety planning, diagnosis, and short-term treatment planning in a skilled and professional manner. Identifying and assessing risk factors for danger to self or danger to others in the context of the client's current biopsychosocial needs via the interview with the client and thorough consideration given to collateral information. Review and articulation of potential outcomes of various interventions, discussion of risks and benefits, and formulation of why a particular course of action was pursued in place of other options; while opting for the least intrusive and most supportive intervention. Interventions provided as onsite mobile visits are implemented using a strength-based, trauma-informed, systemic perspective and include coordination of services with existing treatment providers and linkage to additional community-based therapeutic resources and supports. Provision of assessment dispositions to treatment providers and emergency departments as appropriate. Respecting client rights and responsibilities and demonstrating professional boundaries and ethics. Adherence to mandatory abuse reporting laws and HIPAA requirements.

Establishing community partnerships and relationships on behalf of Harmony Healthcare to provide referral and linkage to services offered through the agency. Participation in the multidisciplinary team providing direct assessment, diagnosis, treatment planning, treatment intervention, and psycho-education to patients and their family members. Completing initial intake and diagnostic evaluations, providing case management and utilization management to acute and hospitalized clients. Provision of psychotherapy services to clients ranging in age throughout the lifespan. Creating treatment plans which orchestrate coordination of services through for all clients served. Maintaining clinical documentation of therapeutic services provided to clients as well as understanding the HIPAA guidelines for documentation and provision of services. Management of a caseload of approximately 30 clients per week with an emphasis on individual, couple and family modalities. Coordination of care and communication with Child Protective Services and Elder Protective Services as needed. Foundation and working knowledge of Dialectical Behavior Therapy, Cognitive Behavior Therapy, Solution Focused Therapy and Client-Centered Therapy. Participation in a minimum of one hour per week of individual clinical supervision by a licensed LCSW.

Assessing the psychosocial status of patients, families and caregivers related to the patient's terminal illness and environment and communicates findings to the RN and other members of the IDG. Providing an assessment in the patient's identified residence and assistance when this is not safe and a new plan is needed. Carrying out social evaluations including family dynamics, caregiver abilities, communication patterns, high-risk for suicide, neglect or abuse and planning intervention based on evaluation findings. Counsels patient and family, caregivers as needed in relationship to stress, and other identified coping difficulties. Providing crisis intervention as necessary. Assessing for and educating IDG on any special needs to the culture of the patient and family. Maintaining clinical records on all patients referred to social work services. Educating patient, family and caregiver(s) on advanced directives while assisting in preparation. Provision of information and referral services for organization patients and families regarding practical and environmental needs. Participating in the development of individualized plans of care, involving the patient and family while attending IDG Team meetings weekly. Assisting the IDG Team in recognizing specialized needs of patients and the effects of psychosocial stresses on the symptoms on the terminal illness. Maintaining collaborative relationships with organization personnel to support patient care. Assisting the patient and family in planning for funeral arrangements, financial, legal and health care decision responsibilities.

Working with a diverse pediatric and adult population in the Las Vegas and surrounding community by utilizing psychoeducation on the Kübler-Ross Stages of Grief, motivational interviewing and community outreach. Assisting in the admission process of the patient to the agency by performing an initial comprehensive evaluation, assessing the patient’s psychosocial status and evaluating the patient, family and home to identify socioeconomic and emotional factors that would impact the treatment plan. Providing phone support for bereaved, conducting home visits and individual counseling and while retaining a caseload of approximately 40 patients. Facilitating the discussion of final wishes, advance directives, DNR orders and funeral planning as needed. Assisting in the development and implementation of the interdisciplinary patient care plan as it pertains to the medical social work role to create individualized treatment plans. Providing rehabilitative and supportive casework to patients, linking and referring to community resources as needed. Observing and recording changes in the patient’s emotional and social factors that affect the patient’s illness, need for care and response to treatment. Evaluating patient and family response to, and effectiveness of, the medical social work intervention. Engaging in weekly interdisciplinary meetings (IDTs) with social workers, nurses, chaplains, home health aides and hospice medical director, in order to develop and individualize patient care plans. Assuming responsibility for maintenance of electronic medical records, assuring accuracy, completeness and compliance with regulations, certification standards, and legal/ethical standards. Maintaining professional relationships through interdisciplinary work and coordination of care including discipline specific collaboration, family conferences and/or group support services. Coordinating of all patient and family services while maintaining the dignity of the terminally ill patient.

Assessing patient’s psychosocial risk factors through needs assessment via evaluation of prior functioning levels, appropriateness and adequacy of support systems, reaction(s) to illness and ability to employ positive coping mechanisms. Intervention with patients that have complex psychosocial needs, require assistance with eligibility determination for social programs and/or funding sources and quality for community assistance. Utilization of clinical reasoning, including: clinical decision-making, critical thinking and global understanding of the patient care situation utilizing a combination of experiential and educational knowledge. Advocating on behalf of the patient and/or family to make autonomous health care decisions and access needed services within the health care system. Functioning as the lead in assisting patients and families to obtain available financial and other resources including but not limited to: Medicaid, SSDI, County Indigent Funds, etc. Provision of identification and intervention of child abuse/neglect, domestic violence, guardianship, foster care, adoption, mental health placement, advance directives/POLST, adult/elderly abuse and sexual assault. Serving as a broker to obtaining legal guardianship and competency determinations, in addition to completion of necessary legal clinical documentation. Intervention and psychoeducation with patients and families regarding emotional, social and financial consequences of illness and/or disability; accessing and mobilizing family/community resources to met identified needs. Provision of psychoeducation to patient, family and/or physician regarding post-acute options and addressing issues of choice. Implementing crisis management to patients and families with specialized psychosocial needs and coordination of a safe discharge plan for all patient populations. Actively participating and providing pertinent information in complex rounds discharge planning huddles.

Completing initial assessment of LPS/Probate conservatorship assignments and referred clients. Provision of services to clients and family members coping with social, emotional and behavioral difficulties related to mental health diagnosis. Working with a multidisciplinary team to create and confirm treatment plans. Participating in monthly multidisciplinary (MDT) meetings to evaluate, discuss and follow up with treatment plans. Counseling in the preparation of petitions; assisting with trial preparation, and arranging appearance of clients at court hearings and trials. Arranging for the hospitalization, care treatment, vocational training, education, and housing of client. Provision of evidence based practice interventions through a strengths based lens to adults age 18+ on conservatorship. Performing individual therapy using cognitive behavioral approaches (as needed). Providing case management and documentation services and referring clients for placement within a variety of settings. Conducting on-going evaluations and assessments of clients to monitor needs and progress. Coordinating the development of care plans and ensuring that clients receive all services and benefits for which they were entitled. Provision of case management services to a core caseload of 5-8 clients. Conducting assigned investigations to determine eligibility and appropriateness of Probate Conservatorship for referred potential conservatees. Assisting in-service trainings to explain the purpose and process of conservatorship.

Managing cash, maintaining a record of the current balance, giving and receiving change as needed. Communicating with students, parents and university staff as a resources about the department and the University overall. Maintaining confidentiality and managing confidential resident information appropriately. Serving as a communication liaison between hall residents and the hall Deans. Keeping the hall Deans informed of any events or conditions that could potentially affect a resident, floor or the University. Effectively addressing questions or problems presented by residents and making the appropriate referrals when needed. Assisting in maintaining residence hall security and safety. Attending all staff meetings and training sessions as delegated by the hall Deans. Articulating to new residents the rules and regulations as well as the judicial or grievance processes as needed. Encouraging residents to accept responsibility for community living. Informing and encouraging residents to participate in resident hall and campus programs and activities. Acting professional and serving as a role model to residents at all times.

Performing administrative and office support activities for multiple supervisors and professional staff. Duties included: fielding telephone calls, receiving and directing visitors, word processing, creating spreadsheets and presentations and internet research functions. Assisting with overflow work from administrative and executive assistants and filling in for the office receptionist as needed. Other responsibilities included screening calls; managing calendars; making travel, meeting and event arrangements; and customer relations. Being called upon as needed to assist with special projects and assume responsibility for the development, administration and promotion of specific projects, as needed. Maintaining professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.

Attending various staff meetings (MDT) and trainings for personal and professional development- Treatment Team, Clinical Lunch and Learn and Webinars (online). Assisting unit social worker with documentation, referrals and discharge planning. Co-facilitating unit Self-Esteem, Process and Choices groups for children ages 5-13 years old suffering from mental illness. Conducting initial psychosocial assessments and documenting results in patient charts. Assessing patients through interview process to determine appropriate services needed. Creating patient treatment plans and assisting in crisis stabilization for patients. Provision of individual counseling services where needed. Explaining treatment plans to patients and families, maintaining thorough and concise patient records, monitoring patient progress toward treatment goals and conducting ongoing assessment of active treatment plans. Provision of initial crisis intervention techniques, arranging for services from referral agencies and assisting patients to transition back into the community upon discharge from the inpatient setting.

Maintaining a fashionable professional image and acting as a customer service role model. Consistently seeking new fashion and product knowledge to act as a customer service expert. Search for innovative ways to increase business through the use of Personal Book, store traffic and customer referral website requests to increase personal networking opportunities. Providing expertise and honest and confident feedback regarding merchandise style and fit. Using directive selling skills through cross, team and on-line selling resources to promote key items, latest trends and new arrivals and replenishment basics. Building lasting relationships with customers by contracting the to follow up on purchases, suggesting new merchandise and inviting customers to upcoming store events. Demonstrating leadership within home based department while selling merchandise throughout the store. Setting and achieving personal daily, monthly and yearly goals.

Conducting initial assessments and assisting in interviewing clients and family members to determine service eligibility. Assisting in creation of client care plan and providing follow up to progress. Referring clients to external resources and outlining available options for client and family members involved in care. Attending various meetings, conferences and training opportunities for personal and professional development. Facilitating a Friendship group, co-facilitation of Reminiscence/Music/Laughter Yoga groups and documentation of provision of services. Coordinating with Family Service Supervisor to create treatment plans and activities to meet client social and emotional needs. Providing crisis intervention as needed and assisting families in understanding the implications and complexities of a dementia diagnosis while simultaneously providing psychosocial education. Familiarizing self with standard concepts, practices and procedures of a generalist social work practitioner.

Basic patient care duties including: bathing patients, changing patients, changing linens and making beds, feeding patients who couldn't feed themselves, fetching water and juice for patients, answering call lights (and relaying messages to the patient's nurse if necessary), delivering food trays, etc. Transporting patients, including transferring patients from one room to another or transporting discharged patients in wheelchairs from their hospital room to the hospital entrance to be picked up. Providing patient advocacy services, psychosocial education to patients and talking with patients to discuss their experience or concerns. Assisting floor managers in administrative tasks, helping to create unit schedules and assisting in assignment of charge nurses under supervision of unit manager. Completion of basic office duties such as filing, organizing, documentation and answering/transferring phone calls.

Preparation of merchandise for the retail floor and maintaining visual standards for customers. Acknowledging and greeting all customers and handling inquiries as needed. Operating cash register and processing all payments and purchases. Prevention potential loss prevention issues and communicating concerns with manager as needed. Achieving or exceeding all individual monthly sales goals/targets. Performing daily store maintenance tasks including stock work, re-merchandising, display, price markdowns, merchandise transfers and light cleaning duties.

Scheduling appointments via telephone or email on salon software program. Calling to confirm appointments with customers and enrolling customers in the Bellacures rewards program. Answering phone calls in an efficient and upbeat manner. Welcoming guests upon entering the salon and providing information for monthly and daily specials. Answering questions about the salon services and products. Handling money and operating the POS system. Daily salon stocking, cleaning and general upkeep.

Accurately managing cash and balancing receipts, posting payments and processing daily bank deposits as directed by store manager. Working alongside the steam to maximize sales objectives with each prospective customer via the phone or in person at the store location. Meeting and/or exceeding financial and sales goals established for store. Assisting to keep the shop merchandised, well-organized and clean. Communicating with and motivating store team to achieve optimal business results. Holding the store keys and opening/closing the store on lower volume days or as assigned by store manager. Performing and reinforcing all loss prevention and safety policies and procedures. Coaching associates to create an enjoyable shopping experience.

Greeting guests on bowling lanes and providing assistance with lane set up. Offering bowling education and instruction as needed. Answering phone calls and taking reservations, providing information to guests about parties and events. Assisting in lane-to-lane solicitation to promote center functions, leagues and other special events. Handling cash while giving and receiving change, taking orders from and delivering food to customers. Troubleshooting, identification of and handling lane malfunction calls (including operation of lane intercom). Communicating effectively with guests utilizing clear and enthusiastic words and providing customer service. Assisting guests with picking the appropriate equipment and retrieving dead balls and dead wood. Cleaning up tables and bowling lanes for quick lane turnover. Maintaining an ongoing basis throughout the shift, cleanliness of the bowling desk/equipment, restrooms and lanes. Attending scheduled staff meetings and performing other duties as assigned by supervisor.

Acknowledging customers in a friendly and helpful manner as they enter the sales-floor. Determining customer needs based on personal features and other customer preferences. Demonstrating knowledge of store products and services to build sales and minimize returns. Handling customer returns courteously and professionally while simultaneously providing customer service. Suggesting additional merchandise to compliment customer selection. Maintaining a professional attitude with sincerity and enthusiasm to reflect commitment to customers. Maintaining proficiency in POS and MPOS systems to include Search and Send, My Client and More and utilizing the Macy's tablet app. Proactively assisting customers to assist in all aspects of service fulfillment.

Presenting Cutco products for sale direct to the consumer, through pre-scheduled appointments. Filling and submitting customer orders. Identifying potential customers through personal referral and scheduling appointments. Reviewing personal performance with local office manager during weekly meetings. Attending advanced training workshops and conferences on personal sales techniques, consumer behavior, time management and effective communication. Participating in specialized training to present new products under development. Managing booths at fairs and shows, which includes coordinating the sales staff and schedule, negotiating and purchasing space, and ordering displays and consignments.