Morgan Fowler

Morgan Fowler Email and Phone Number

Clinical Quality & Compliance / Process Improvement / Utilization Review
Morgan Fowler's Location
Austin, Texas, United States, United States
Morgan Fowler's Contact Details

Morgan Fowler personal email

n/a
About Morgan Fowler

Clinical compliance and quality specialist with 15+ years in multi-state healthcare settings and a robust background in utilization review, process improvement, and healthcare regulations. Proven success ensuring adherence to medical necessity guidelines, DOD regulations, and Medicaid waiver requirements. Adept at identifying compliance enhancement areas, optimizing regulatory adherence, and reducing risk. Passionate about continuous learning, personal and professional development, and helping clients and colleagues thrive through evidence-based, data-driven solutions.

Morgan Fowler's Current Company Details

Clinical Quality & Compliance / Process Improvement / Utilization Review
Morgan Fowler Work Experience Details
  • Humana
    Utilization Management Behavioral Health Professional
    Humana 2022 - 2024
    Louisville, Kentucky, Us
    - Conducted clinical necessity utilization reviews for Applied Behavior Analysis (ABA) service requests and reviewed outcome measures to ensure TRICARE Operations Manual compliance.- Collaborated with stakeholders to provide education, optimize care, and address concerns, including the development and streamlining of daily workflows, resulting in enhanced team efficiency and reduction in task completion time.- Engaged in risk management procedures and recommended policy improvement, improved trend data, and enhanced operations and productivity while preventing fraud, waste, and abuse.
  • Aim Clinics
    Regional Director Of Clinical Quality
    Aim Clinics 2021 - 2022
    Little Rock, Arkansas, Us
    - Managed daily operations of a diverse team of 20 Clinical Directors and associates, overseeing quality audits and KPIs, resulting in improved clinical compliance (e.g., plan development).- Tracked regional data and evaluated the fidelity of quality processes, designing clinical quality initiatives, templates, training modules, and competency measures; provided continuing education to clinical team.
  • Behavioral Perspective Inc
    Director Of Clinical Compliance
    Behavioral Perspective Inc 2020 - 2021
    West Chicago, Illinois, Us
    - Identified organizational risks; established and refined company practices, including standard operating procedures, session notes, clinical quality metrics, and staff training and onboarding protocols.- Liaised with Appeals Specialist to develop mechanisms for adhering to healthcare regulations and payor policies, increasing success rates for service approvals during medical reviews.
  • New Directions Behavioral Health (Now Lucet)
    Autism Care Manager
    New Directions Behavioral Health (Now Lucet) 2018 - 2020
    Overland Park, Kansas, Us
    - Completed utilization reviews and Critical Intervention Plans.- Coordinated healthcare navigation; educated clinicians and caregivers on service delivery, quality of care, community resources, medical necessity determination and appeals process, and discharge planning.
  • The Center For Autism And Related Disorders, Inc. (Card)
    Clinical Insurance Standards Manager, Clinical Supervisor
    The Center For Autism And Related Disorders, Inc. (Card) 2014 - 2017
    Marco Island, Florida, Us
    - Performed case reviews to uphold clinical standards, providing feedback on ethics, clinical supervision, treatment planning, data collection, and behavior change procedures.- Developed and instructed ABA CEUs, improved company processes, and managed diverse treatment teams of clinical staff from varying backgrounds and cultures, setting performance goals and preparing evaluations in multi-disciplinary settings.
  • Momentum Behavioral Health
    Clinical Director
    Momentum Behavioral Health 2013 - 2014
    - Partnered with company founder to optimize operational efficiency during launch of the organization, designing and delivering training, establishing KPIs, developing policies and procedures, and managing staff.- Provided ABA clinical support and consultation to professionals, caregivers, and service providers (e.g., schools, group homes, inpatient) to promote professional development and optimal service outcomes.
  • The Missouri Department Of Mental Health
    Quality Assurance Specialist, Habilitation Specialist, Case Manger
    The Missouri Department Of Mental Health 2009 - 2013
    Jefferson City, Missouri, Us
    - Analyzed provider performance trends and executed system improvement plans, remediating compliance and service delivery issues through policy interpretation, training, and complaint resolution.- Served on human rights, utilization, and behavior review committees while supporting vendor monitoring.- Instructed groups of 50+ on positive behavior supports (PBS) and ABA principles utilizing evidence-based strategies; delivered "train-the-trainer" coaching, empowering graduates to become effective trainers.

Morgan Fowler Skills

Applied Behavior Analysis Mental Illness Developmental Disabilities Board Certified Training Treatment Interventions Behavior Modification Mental Health Crisis Intervention Therapists Art Therapy Behavioral Health Public Speaking Case Management Mental Health Counseling Group Therapy Nonprofits Adolescents Social Services Cardiopulmonary Resuscitation First Aid Program Management Autism Spectrum Disorders Quality Assurance Quality Management Quality Improvement Employee Training Training And Development Supervisory Skills Clinical Supervision Management Wilderness First Aid First Aid Training Wilderness First Aid Certified Positive Behavior Support Behavior Change Behavioral Intervention Functional Behavior Assessments Supervisory Management Director Level Mental Health Care Community Mental Health Child Mental Health Mental Health Advocacy Mental Health Treatment Youth Advocacy Special Needs Populations Special Populations Remote Employment

Morgan Fowler Education Details

  • Webster University
    Webster University
    Mental Health Counseling/Counselor

Frequently Asked Questions about Morgan Fowler

What is Morgan Fowler's role at the current company?

Morgan Fowler's current role is Clinical Quality & Compliance / Process Improvement / Utilization Review.

What is Morgan Fowler's email address?

Morgan Fowler's email address is mf****@****dbh.com

What schools did Morgan Fowler attend?

Morgan Fowler attended Webster University.

What are some of Morgan Fowler's interests?

Morgan Fowler has interest in Arts And Culture.

What skills is Morgan Fowler known for?

Morgan Fowler has skills like Applied Behavior Analysis, Mental Illness, Developmental Disabilities, Board Certified, Training, Treatment, Interventions, Behavior Modification, Mental Health, Crisis Intervention, Therapists, Art Therapy.

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