Behavioral Health Case Management Coordinator

Job Scope - Managed a team of Clinical Advisers who are Licensed Clinical Social Workers and Licensed Professional Counselors doing concurrent reviews including team meetings, one-on-one's and data evaluation including chart audit scores and phone audit evaluations who are all work from home workersSupervisor/Front Line Leader who handled escalated calls from Beneficiaries and Providers including filing complaints, searching for providers and coordinating these efforts Worked with Chief Medical Officers in staffing difficult cases, determining peer to peer reviews and weekly Clinical Rounds. Montiored daily queue

Supervised a team of Clinical Advisers who were Licensed Professional Counselors and Licensed Clinical Social Workers who worked from home office. Led out in determining medical necessity on both initial and concurrent review clinical information with both Medicare and Commercial cases. Maintained performance data, chart audit evaluations and phone audit evaluations of all team members Led Team Meetings and other meetings deemed appropriate.Worked with Chief Medical Officers in medical necessity decisions and on weekly Clinical Rounds.Coordinated working with Case Management regarding discharge planningMonitored daily queue

Clinical Adviser in Utilization Management performing medical necessity reviews for initial clinical and concurrent reviews for Commercial cases.

Led Intensive Outpatient Program for adolescents on probation and parole from drug-related and school-related and behavioral health issues through the Court system and local probation office.

Coordinated all activities of the State Incentive Cooperative Agreement grant through the Center for Substance Abuse Prevention in Washington, DC through the Governor's Office of the State of Oklahoma, the Oklahoma Department of Mental Health and Substance Abuse Services, the Area Wide Prevention Services Network of Oklahoma and 24 community sub-recipients of the grant.

Taught 9 hours in the Department of Political Science, Sociology and Substance Abuse including Introduction to Substance Abuse Studies, The Pharmacology of the Brain and Substance Abuse Prevention and Education.

Planned, coordinated, directed and implemented a complete substance abuse prevention program through an Area Wide Prevention Resource Center and Counselor for Employee Assistance Program participants regarding mental health and substance abuse issues.