• Direct Reports: Manage day-to-day activities of 20 licensed clinicians and non-licensed staff (telecommuters via field & telephonic) Nationally ensuring adherence as they locate Medicare and Retirement & Commercial members with complex behavioral health needs to deliver sound clinical decisions and quality documentation to customers. Hold regular bi-weekly team meetings, and monthly individual meetings via Microsoft Teams. • Program Development: Assist with implementation, job aids and readiness review of new Medicaid markets of Kentucky, Minnesota Metro and Indiana Community and State Plans. Effectively interview, hire, train and continuously monitor staff training needs; approve staff attendance, performance standards, monthly audits and annual evaluations in a timely manner.• Audit: Review weekly/monthly/quarterly reports on staff caseload, time spent and interactions via IEX Backoffice, OCM, Link Live, NICE, Nexidia and Tableau Reports; utilize BCRT reports to refer cases. Complete monthly audits via CommunityCare, ICUE and Optum BH National audit checklist to maintain NCQA standards.

• Crisis Management: Trauma 1 Team; Responds in a timely manner, within 10 minutes to all Trauma 1 (gunshot wounds, stabbings, motor vehicle accidents, unresponsive, falls, intubated, etc) patients. Responsible for locating family, if none are available and initiates first contact upon arrival to ER. Provides crisis counseling to family/friends of patients related to trauma calls. Aggressive Prevention Team; Handles all patient or visitors who are verbally displaying aggressive behaviors or disruptive behaviors on the unit or affecting the care of other patients/staff. Creates a Care Contract and attempts to deescalate the behaviors.• Social Services: Provide therapeutic social work intervention to individuals, families and groups ranging from diagnostic assessment, short term counseling, crisis intervention, community resources referrals, support, outreach, follow-up and intra-/inter-agency consultation.• Center of Hope: Works collaboratively with a forensic nurse in providing care to victims 14 years old and older of sexual trauma/assault, domestic violence or assaults. Conducts assessments in a timely manner, contacts law enforcement and provides resources to all patients prior to being discharged. • Teamwork: Provides coverage for primary social worker in the neonatal intensive care, pediatric intensive care, OB and labor and delivery units on nights and weekends. Works cooperatively along with Chaplain, security, medical staff and patient visitor representatives.

(QMORE Program) • Direct Reports: Manage day-to-day activities of 15 remote staff members (Social Workers, Certified Recovery Specialist, Community Health Workers & Team Lead) throughout the state of Indiana; ensuring adherence as they locate Medicaid (Healthy Indiana Plan, Hoosier Health Wise, Hoosier Care Connect) members that are high utilizers with complex needs. Hold regular weekly team meetings, and monthly individual meetings via WebEx/Skype. Designed and conduct a 3-week orientation of new hires locally and remotely; trained over 80 new employees. Effectively interview, hire, train and continuously monitor staff training needs; approve staff attendance, performance standards and annual evaluations in a timely manner.• Program Development: Create policies and procedures for the Locate & Engage Program within Anthem Indiana Medicaid; working with HHW, HIP, and HCC products. Assist in developing Share Point site, Playbook, Standardize formats when working with members, talking scripts and create target goals for individual team members and for the program.

• Discharge planning: Contact all hospital RN Case Managers/Social Workers across state of Indiana for discharge coordination of MHS Medicaid pediatric and Neonatal Intensive Care Unit members. Assist hospital case managers with setting up of home care, in network providers, and durable medical equipment if needed. Work alongside with RN’s, Medical Doctors and SW’s within the Children with Special Needs program. • Staffing: Attend weekly meetings with Utilization Management and Children with Special Needs program on NICU and pediatric members along with Pediatricians, Nurses and Managers. • Intensive Case Management: Case managed Healthy Indiana Plan, Hoosier Health Wise, Hoosier Care Connect and Right Choices Program Indiana Medicaid population. Conduct screening and risk assessment interventions per program guidelines. Develop and modify care plans in conjunction with member, member’s family and managing physician via member specific goals with understanding of barriers faced. Utilizes motivational interviewing skills to meet the members where they are in the stages of change. Handle a caseload of up to 50 RCP members, HCC members and following up with them quarterly. • Education: Educate members with special medical needs to foster compliance with program and positively impact outcomes. Provide verbal education and mailings of plan specific literature and resources in member’s community to alleviate barriers hindering health and social needs. Conduct Lunch and Learns for company on resources to assist members social/health needs and what Social Workers do within MHS. • Integrated Care Team: Work collaboratively with department programs, Care Coordinators, Social Workers, Nurses, Utilization Management, Physicians, Pharmacist and management to advocate for members needs and coordination of care. Participate in OB rounds and RN Case Management rounds bi-weekly.