Rachael Cobb, Lsw Email & Phone Number

Toledo, Ohio, United States

Ohio, United States

Case Management for adults with disabilities through the Specialized Recovery Program. Assessed eligibility yearly per State guidelines. Ensured all clients received all eligible benefits through Medicare and Medicaid, as well as other federal, state, and local programs. Coordinated services available through program. Assessed risks to clients, and reported as mandated any critical events.

Toledo, Ohio Area

Act as onsite representative of the corporate compliance team for a community behavioral health center with multiple buildings and programs focused on adults with substance use disorders. Assessed and coordinated with Operations and Clinical Directors to improve clinical documentation for regulatory and payment purposes. Researched regulatory requirements and best practice standards, drafted policies, presented trainings to clinical and non-clinical staff, used data to analyze trends.

Maumee, Ohio

Since June 2018, act as a behavioral health utilization management coordinator, reviewing requests for authorization against pre-set medical policies and ODM guidelines as well as using independent clinical judgment to approve or send for further review. Developed ASAM guideline notes after Ohio's BH Carve-In for clinical team to use in reviewing SUD residential and partial hospitalization requests. Key in identifying and acting on areas of potential cost recoupment. Provide integrated… Show more Since June 2018, act as a behavioral health utilization management coordinator, reviewing requests for authorization against pre-set medical policies and ODM guidelines as well as using independent clinical judgment to approve or send for further review. Developed ASAM guideline notes after Ohio's BH Carve-In for clinical team to use in reviewing SUD residential and partial hospitalization requests. Key in identifying and acting on areas of potential cost recoupment. Provide integrated medical and behavioral health case management for members enrolled in a Medicaid managed care plan. Engage members, identify needs and barriers related to health and well-being, assist them in meeting medical and behavioral health needs, facilitate connections with providers and community resources, educate around a variety of healthcare and lifestyle subjects, orient to insurance benefits and procedures, advocate for member and coordinate with all relevant providers, monitor care received, prevent unneeded hospitalizations and ER visits through case management and coordination activities. Show less

Toledo, Ohio

 Accept clients from identified school(s), complete mental health assessments and treatment plans, provide regular therapy sessions in school, home, and community settings to assist youth in maintaining and improving functioning and improving presentation of symptoms associated with mental illness. Collaborate with families, school personnel, and other systems relevant to client’s care, including managed care providers. Provide referrals as needed to community resources.

Toledo, Oh

 Used crisis de-escalation skills, performed mental health assessments, facilitated private hospitalizations where appropriate, coordinated treatment plans for transfer to Stabilization Units, meet individually and in groups with clients to use various therapy methods to assist in skill building and discharge planning. Worked as part of interdisciplinary team. Arrange for pre-authorizations from Managed Care Organizations/Health Plans as needed.

Toledo, Oh

 Assisted youth aged 16-22 years old with major mental health diagnoses to transition to adult systems. Coordinated treatment plans, ensured linkages to appropriate agency and community programs and resources as met client’s needs. Provided therapy services to further client’s functioning. Communicated with relevant systems associated with clients (housing authority, Job and Family Services, Juvenile and/or Common Pleas Courts, MR/DD, physical healthcare providers, etc.).

Toledo, Oh

 Performed all duties necessary to implement and maintain a high fidelity wraparound model, including creating processes, procedures, and forms.  Supervises four Wraparound Facilitators and the Lead Parent Partner, including staff training and performance evaluations, according to Wraparound principles and NAMI mission and values. Collaborated with governmental funders to develop outcome measurement plans, quality improvement measures, etc. as well as maintaining a presence on… Show more  Performed all duties necessary to implement and maintain a high fidelity wraparound model, including creating processes, procedures, and forms.  Supervises four Wraparound Facilitators and the Lead Parent Partner, including staff training and performance evaluations, according to Wraparound principles and NAMI mission and values. Collaborated with governmental funders to develop outcome measurement plans, quality improvement measures, etc. as well as maintaining a presence on planning, coordinating, and evaluating committees and work groups in order to coordinate Wraparound within the larger system of care. Available for consultation and program assistance to Wraparound/NAMI staff, administration, and other systems.  Accountable for ensuring fidelity to model, measuring and reporting on status of program, outcomes of family participants, and systemic issues and barriers to outcomes or progress. Encouraged family voice in program planning through family and parent events, growth of Parent Partner program component. Established and maintains compliance with program budget.  Community outreach and training regarding NAMI programs, including Wraparound.  Accepted Wraparound referrals and performs as Wraparound Facilitator when needed. Show less

Toledo, Oh

 Worked directly with families assessing family needs, facilitating family goal development, arranging & participating in team meetings, using wraparound components to strengthen family stability and empower families whose children are involved with multiple systems, coordinating efforts with mental health and other community systems, supportive service workers, parents, and children to find solutions to family needs. Assisted in administrative functions of program by editing FAST$… Show more  Worked directly with families assessing family needs, facilitating family goal development, arranging & participating in team meetings, using wraparound components to strengthen family stability and empower families whose children are involved with multiple systems, coordinating efforts with mental health and other community systems, supportive service workers, parents, and children to find solutions to family needs. Assisted in administrative functions of program by editing FAST$ program manual, forms, and policies, recruit volunteer Parent Advocates, plan parent events, ensure budget compliance, represent program in community, generate statistics and reports for funders and stakeholders. Show less