Jason Eberle Email & Phone Number

Reno, Nv, Us

Reno, Nv, Us

United States

As a Contractor, my services are sold to Elevance Health. The job duties include but are not limited to:• Facilitate and preside over cross-disciplinary team meetings to foster collaborative discussions and strategic alignment among diverse stakeholders.• Champion and spearhead initiatives to identify and implement best practices across the Operations business unit, leveraging data-driven insights and collaborative feedback to drive continuous improvement and optimize operational efficiency.• Co-facilitate large-scale projects by collaborating with multidisciplinary teams, ensuring seamless communication, coordinating efforts, and driving project milestones towards successful completion.• Conduct comprehensive research and analysis of claims and provider data, employing strict attention to detail while utilizing data management tools to ensure accuracy and completeness.• Provide quality assurance of the preparation and verification of Regulatory reports for the Blue Cross Blue Shield of Minnesota Alliance partner, while consistently maintaining utmost accuracy in submissions.• Perform comprehensive cost/benefit analyses to evaluate potential projects and strategic initiatives, enabling data-informed decision-making and maximizing value for the organization.• Diligently identify areas of improvement in Behavioral Health Homes by utilizing strategic planning to implement effective solutions, leading to enhanced operational outcomes and increased organizational efficiency.

Norfolk, Virginia

Included responsibilities are: Identifying potential issues, project charge, and scope. Leading efforts to identify best practices; identifying impacted parties, business partners, and resources required. Develop and design processes and systems supporting the business need as well as methods for integrating function and processes. Conduct cost/benefit analyses, build support for business change throughout the business unit while helping prepare health plans for MBHO accreditation.

Overland Park, Ks

Responsible for providing clinical supervision to a team responsible for coordinating Member service, utilization, access, and concurrent review to ensure cost effective utilization of health, mental health, and substance abuse services.*Manage and oversee teams responsible in case finding and coordinating cases involving comorbid conditions. *Coordinate service delivery to include Member assessment of physical and psychological factors. *Partner with Providers to establish short and long term goals to meet the Member's needs, functional abilities, and referral sources requirements. *Identify Members with potential for high risk complications. *Review benefit systems and cost benefit analysis. *Evaluate medical, mental health, and substance abuse services for cost containment. *Hire, train, coach, counsel, and evaluate performance of direct reports.

Overland Park, Kansas

Under the KanCare contract (effective 1/1/13) I am responsible for evaluating the necessity, appropriateness and efficiency of the use of mental health services and facilities. Other responsibilities include clinical review of all acute and sub acute services for appropriateness based on medical necessity criteria, the management of healthcare resources necessary and appropriate for achievement of desired acute and sub acute outcomes, and the coordination of alternative levels of care for members. I have worked with the KCPC system and review the appropriateness of services for substance abuse treatment. I also review and authorize the service provision of SED Waiver services in the State of Kansas. Serving as a patient advocate, seeking and coordinating creative solutions to patients’ health care needs without compromising quality outcomes.

This is the position I have held since 2007 as the company consolidated with Kansas Health Solutions in January of 2009. I performed many of the same duties that I continue to today. I reviewed mental health services for Medicaid patients in the state of Kansas and dealt directly with authorizations and registrations of Medicaid members to the KHS system. As work processes have changed, I have learned much more about the SED Waiver and PRTF CBA Grant in the state of Kansas. The most recent addition to my job duties has been to assist with SED Waiver audits/reviews for KHS.

As a Clinical Care Manager, I was responsible for approving mental health services for Medicaid recipients, assist with monitoring quality of care, and collect/review utilization data. While working at KHS, we successfully launched the Prepaid Ambulatory Health Plan (PAHP) in the state of Kansas. Another responsibility of my position was to develop and implement online training to Providers in the state of Kansas for the managed care software of InfoMC. I also traveled to various onsite locations to provide training to KHS network Providers as well as participate in special utilization projects.

As a clinician I provided general outpatient therapy (individual and couples), anger management, domestic violence groups, and collaborated closely with Case Managers to monitor progress of clients. A unique aspect of this position was that I provided therapy to special needs populations who are traditionally underserved in the community. I was responsible for the administration, scoring, and interpreting of intelligence as well as personality tests. A large part of my position entailed coordinating referrals to alternative or supplemental programs in the community. As a clinician, I performed numerous types of evaluations such as: Domestic Violence/Anger Screenings; Psychological Evaluations; Disability Determinations; and Competency to Stand Trial Evaluations.

References and Complete Curriculum Vitae

Master Of Science, Clinical Psychology

Activities and Societies: *Graduate Teaching Assistant *Voted "MVP - GTA" *2004 Psi Chi National Honor Society: Emporia State University.

Bachelor Of Science, Psychology

Activities and Societies: Homer B. Reid Scholarship 2001; Who’s Who Among Students in American Universities and Colleges; Award.

Education record