Jillian Justh-Medford Email & Phone Number

New York, United States

New York City Metropolitan Area

Responsible for timely completion of authorizations for SUD and psychiatric initial, concurrent stay, and discharge reviews for a large number of facilities ensuring that medical necessity is met as per MCG or LOCADTR criteria. Responsible for timely identification and tracking of SUD cases from assigned facilities that meet criteria for retrospective reviews, including completing peer reviews for those cases without information received. Contributes to and participates in regular treatment team rounds to ensure the best possible outcome for the members in the community. Collaborates in discharge planning calls with facilities to ensure wrap-around services for all BH members. Received a passing score and excellent feedback on all monthly audits reviewed by management, most often with 100%.

Amityville, New York, United States

Lead case manager in the utilization review department, responsible for prior authorizations, concurrent reviews and providing discharge clinical as well as general liasion with insurance companies. Responsible for planning and coordinating adult hospital discharge calendar as well as running treatment team rounds and the department, to include all legal matters, in supervisor's absence. Additionally responsible for tracking, preparing and sending appeals and retro authorizations.

Northport Va

Worked concurrently in the Dual Diagnosis Recovery Center and the Home Based Primary Care program. Provided supportive individual and group therapy on both an outpatient setting as well as inpatient psychiatric setting. Performed psychosocial assessments as needed. Managed a wide range of patient issues including assessment of in-home care needs, homelessness, and financial insecurity.

Patchogue, Ny

Served as case manager for Supportive Services for Veteran Families. Oversaw caseload of veterans to ensure appropriate, safe and affordable housing was obtained for each individual or family and connected each veteran to community resources as appropriate. Also served as a Day Habilitation Worker for Services for People with Developmental Disabilities. Supervised and worked one-on-one with adults with developmental disabilities, helping them to socialize and to achieve goals. Also ran a treatment group for adult clients with developmental disabilities, aimed at socialization skills and personal growth and development.

Served as both the Operations Officer and Training Officer for a detachment of 90+ Marines Responsible for ensuring that tactical and garrison operations were planned appropriately and executed successfully. Also responsible for ensuring the completion of annual and fiscal year training for all Marines in the detachment, resulting in 100% of training requirements being met for the detachment. Oversaw the detachment’s Marine Corps Martial Arts Program.

Shirley, Ny

Responsible for performing range of motion and muscle testing on chiropractic patients. Responsibilities included utilizing and maintaining medical equipment; interacting with patients cordially and executing testing safely; recording results and preparing reports; and scheduling and coordinating with offices.

Reviewed and edited a wide range of documents for regular clients, including but not limited to dissertations, scholarly articles, cover letters and grant proposals. Focused on fixing grammar and mechanical errors, as well as problems in style. Managed clients’ deadlines and turn-around requirements.

New York, Ny

Operated independent house cleaning service in the NYC and Long Island area. Responsibilities included deep cleanings and organizing on a case to case basis, as well as regular house keeping for steady clients.

Brooklyn, Ny

Tutored ESL students at various levels, both one-on-one and in small groups, preparing students for the ACT examination; general responsibilities include grammatical help and problems with style.

Msw, Social Work

Bachelor'S Degree, Linguistics, Spanish

Activities and Societies: Scholar's Program