Jean Plummer Email & Phone Number

Behavioral Health care management and utilization management.

Lewiston, Maine

6/2017-10/2018Lead Clinical Specialist, Community Health Options, Behavioral Health focus• Programmatic oversight of utilization management contractor to Health Options. • Review health claims data weekly to monitor for potential fraud, waste and abuse.• Assist with mentoring and training new care managers, provide, Coach staff in managing member behavioral health issues and/or psychosocial needs on their caseloads.• Care management to fellow employees of the company, resolve critical employee needs with discretion and the highest level of confidentiality.• Complete program development tasks, write specialized care assessments, and determine work flows. • Provide care management services to members, conduct psychosocial/clinical assessments of member needs and remove potential barriers to care. Support members in locating in network treatment resources.

Lewiston/Auburn, Maine Area

• Provide care management services to members, conduct psychosocial/clinical assessments of member needs and remove potential barriers to care. Support members in locating in network treatment resources. • Review health claims data weekly to monitor for potential fraud, waste and abuse. • Assist with mentoring and training new care managers, provide clinical supervision to LSW care management staff. Coach staff in managing member behavioral health issues and/or psychosocial needs on their caseloads.• Care management to fellow employees of the company, resolve critical employee needs with discretion and the highest level of confidentiality.• Lead or co-lead presentations to provider partners and internal departments.

Portland, Maine Area

• Provided comprehensive case management services for adults with severe, persistent mental illness diagnoses.• Crisis support on 24/7 basis to Assertive Community Treatment Team team clients, administered medication and monitored client medication compliance, conducted home visits. • Wrote and implemented individualized service plans and conducted psychosocial assessments.• Trained and mentored new case managers.

• Coordinated home care services for caseload of 100+ elderly and disabled individuals, with a specialized caseload of persons with severe and persistent mental illness, and/or persons who were refugees or immigrants.• Conducted home visits, conducted psychosocial assessments, and wrote treatment plans. • Assisted clients with obtaining community resources and supports.

• Intake coordinator for a large social service agency with a diverse range of mental health, residential and community based programs.• Conducted telephonic and in person assessments to determine client needs and screen for program appropriateness.

• Discharge planning services for patients on the children’s unit and developmental disorders unit.• Maintained knowledge of community based resources state-wide, advised and assisted treatment team members and families with accessing needed services.

• Managed day to day program operations, provided 24 hour crisis support.• Recruited, screened and supervised resource families and direct care staff.• Conducted Person Centered Plan meetings, wrote and implemented treatment plans.

• Recruited and licensed therapeutic foster parents, wrote foster parent home studies. • Team taught foster parent pre-service curriculum for new foster parents. • Supervised case management staff, facilitated team meetings and coordinated client services.• Conducted Individual Service Plan meetings, wrote and implemented treatment plans.

• Assessed reports of child abuse and neglect, prepared court documents and cases for hearings.• Provided crisis management services for a six county area while on call.