Kimberly Legg

Kimberly Legg Email and Phone Number

Behavioral Health Care Manager @ Carelon Behavioral Health | Multi State Licensed RN @ Carelon Behavioral Health
Kimberly Legg's Location
Greater Cleveland, United States
About Kimberly Legg

I'm a registered nurse that has specialized in behavioral health throughout my entire career. My skill set is diverse, ranging from practicing as a psychiatric staff nurse, in administration/management and within hospital/managed care Medicare/Medicaid. I have experience in various settings that include home health, long-term, acute, emergency and in non-direct care settings. I have worked with all developmental stages from childhood through the aging population including those with severe mental illness, chemical dependency, dual diagnosis, Alzheimer's disease, intellectual disabilities, neurodevelopmental disorders and with complex comorbidities. I have a passion for mental health and for teaching with experience in staff education/development/recruitment, performance evaluation/disciplinary action plans, clinical auditing/research, compliance monitoring, risk management, maintaining quality measures and procedure/policy training and development.

Kimberly Legg's Current Company Details
Carelon Behavioral Health

Carelon Behavioral Health

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Behavioral Health Care Manager @ Carelon Behavioral Health | Multi State Licensed RN
Kimberly Legg Work Experience Details
  • Carelon Behavioral Health
    Behavioral Health Care Manager
    Carelon Behavioral Health Mar 2023 - Present
    Behavioral Health/Substance Use Utilization Review of Inpatient/Outpatient Service Requests for Medicaid/Medicare, Psychiatric/Substance Use Assessment, Planning, Monitoring, Coordination, Implementation & Evaluation for Quality Member Outcomes, Determination of Medically Appropriate Level of Care with Utilization of MCG/ASAM/Interqual/NCD/LCD Criteria, Multidisciplinary Team Collaboration/Case Presentation and Peer to Peer Physician/Case Management Referrals.
  • Molina Healthcare
    Behavioral Health Care Review Clinician Rn
    Molina Healthcare Jan 2022 - Mar 2023
    Behavioral Health Utilization Management, Prior Authorizations/Continued Stay Reviews for Inpatient/Outpatient Services, Determination of Medically Appropriate Level of Care, Multidisciplinary Team Collaboration, Peer to Peer/Reconsideration Reviews/Physician Referrals and Analyzation using Evidence Based Clinical and State/Federal Guidelines.
  • Bayada Home Health Care
    Behavioral Health Rn
    Bayada Home Health Care Apr 2021 - Jan 2022
    Behavioral/Medical Assessment, Crisis Prevention/Intervention/Management, Diagnosis, Planning, Implementation of Nursing Interventions, Evaluation of Effectiveness with Autistic Spectrum Disorders, Special Needs, Neurological Disorders and Neurodevelopmental Disorders.
  • Foundations Health Solutions
    Assistant/Director Of Nursing
    Foundations Health Solutions May 2019 - Jan 2021
    Behavioral/Clinical Management and Care Coordinator of a Mental Healthcare Facility, Utilization Review Team Collaboration, Staff/Patient/Family Education Provider, Staff Development/Training, Customer Service/Patient Satisfaction & Safety Promotion, Staff Recruitment/Interviewer, Performance Evaluator, Disciplinarian, Complaint/Conflict Resolution, Compliance Monitor, Quality Measures, Risk Management Coordinator.
  • Ashtabula Regional Medical Center
    Mental Health Technician, Behavioral Health Rn, Emergency Intake Assesor
    Ashtabula Regional Medical Center Jan 2018 - Aug 2020
    Crisis Prevention/ Interventionist, Emergency Adult/Child Psychiatric Evaluator, Limited Case Management, Utilization/Concurrent Reviewer, Insurance Pre-certification, Counseling Service Provider, Coping Skills Educator, Psychiatric Admissions Assistance, Mental Health Referral Functions, Discharge Planning Assistance/Consultation Services, Initiating Group Therapy’s, Utilization of De-Escalation Techniques, Care Plan Customization, Therapeutic Communication Skills, Healthcare Education and Medication Administration.
  • St. Paul'S Senior Living Community
    State Tested Nursing Assistant
    St. Paul'S Senior Living Community Aug 2009 - Sep 2017
    Managed Activities of Daily Living of patients with Alzheimer's and dementia.

Kimberly Legg Education Details

Frequently Asked Questions about Kimberly Legg

What company does Kimberly Legg work for?

Kimberly Legg works for Carelon Behavioral Health

What is Kimberly Legg's role at the current company?

Kimberly Legg's current role is Behavioral Health Care Manager @ Carelon Behavioral Health | Multi State Licensed RN.

What schools did Kimberly Legg attend?

Kimberly Legg attended Kent State University.

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