Lynda C. Email & Phone Number

Phoenix, Az, Us

Irving, Texas, Us

Prior and concurrent review. Fraud review.

Phoenix, Az, Us

Plays a key role in ensuring budgetary goals are met on an annual basis. Provides operational and clinical support to licensed social workers, counselors, utilization management team members, RN Case Managers, Recreational Therapists, and Transitional Care Navigators.Has responsibility for both Banner Del E. Webb Medical Center and Banner University Medical Center which includes inpatient acute behavioral health care for adults, geriatric and dementia patients..

Completing a doctorate in Organizational Leadership with an emphasis in Healthcare Administration.

Phoenix, Az, Us

Lynda supervised manager-level staff in the execution of Utilization Management operations to ensure regulatory compliance. She oversaw the ongoing operations and process improvement initiatives within the UM department. She assisted in designing and improving auditing metrics to track performance against operating standards and regulatory performance. She facilitated and/or participated in project teams with proven ability to plan, organize, schedule, direct, control, and monitor department and large-scale functional projects.

Phoenix, Az, Us

Lynda used her clinical knowledge to direct utilization and care management teams. She promoted interdisciplinary collaboration for adult members covered by Medicaid and/or Medicare. She hired, trained, conducted performance evaluations, and directed the workflow for staff. She provided leadership assistance for optimal clinical, operational, and financial outcomes. She acted as a consultant within the organization. She supported change and process improvement activities. She analyzed data and healthcare trends to gain efficiencies and improve patient outcomes. Additionally, she played a key role in ensuring budgetary goals were met.

Hartford, Connecticut, Us

Lynda had clinical and administrative oversight of residential and inpatient services. She developed healthcare management staff and high-performing teams. She worked closely with functional area managers to ensure consistency in clinical interventions supporting members. She was accountable for meeting the unit's financial, operational, and quality objectives.Lynda implemented clinical policies & procedures per applicable regulatory and accreditation standards. She served as a content model expert and mentor regarding practice standards, quality of interventions, and problem resolution using critical thinking. She also ensured the implementation and monitoring of best practice approaches and innovations to better address the member's needs across the continuum of care. And she created a positive work environment by acknowledging team contributions and supporting collaboration at all levels.

Hartford, Connecticut, Us

Lynda provided managed care coordination, services support, and education for patients in a clinical care management setting. She shaped care for members by gathering clinical information and applying medical criteria and clinical judgment to align the best treatment strategies for optimal long-term success. She evaluated discharge plans and provided recommendations to ensure support and resources were established for continuum of care. She managed multiple priorities with strong business acumen and organizational skills, with excellence in documentation, records management, verbal and written communication, and follow-through. She supported new initiatives and maintained full alignment with corporate objectives, embracing change, and serving as a role model to influence staff support and further benefit member outcomes.

Hartford, Connecticut, Us

Lynda assisted members throughout the grievance and appeals process. She reviewed case paperwork, created an appeals process, assigned a case investigator, communicated important updates and requests for information, and notified the member of the final determination. She condensed complex information into succinct documentation for members.

Norfolk, Va, Us

Lynda provided level of care and utilization reviews, managed multiple account-specific workflow processes; and triaged calls. She completed level-of-care reviews for initial and concurrent authorizations. She also provided referrals based on telephonic assessment.

Runcorn, Gb

Lynda founded the business to offer outpatient individual and family therapy services, with a mission to provide clients with the tools and resources needed to achieve long-term success and improved quality of life. She managed the full scope of business from the establishment to securing resources and contracts; development of policies and procedures; recruiting, hiring, and development of staff; to the assessment, counseling, and support of clients. Lynda completed FMLA documentation and disability assessments. She provided parent training services and kinship foster home assessments. Highlighted Achievements:Secured State contracts to provide services for children and families involved with DCS. Responded to RFP requests and provided documentation to secure state contracts.Regulated services and operations according to internal standards and legal requirements.Liaised between multiple organizations, established strong partnerships with service providers, and became a counseling resource for EAP referrals.

Doctor Of Education (Ed.D.), Organizational Leadership/Healthcare Administration

Masters Of Science, Behavioral Sciences

Bachelor'S Degree, Psychology