Morgan Fowler Email & Phone Number

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.

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.

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.

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.

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.

- 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.

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.