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Administrator/clinician with experience and proven leadership in a variety of both clinical/utilization review and administrative positions in behavioral healthcare settings. Demonstrated competence in program planning and development, utilization review, policy and procedure development and implementations, quality assurance and performance improvement initiatives, including problem identification and resolution, internal investigations, sentinel event reviews, risk management, grievance management and resolution, clinical quality reviews, and corporate compliance. Decisive team leader with a knack for streamlining operational procedures and improving performance within a multi-disciplinary hospital setting. Experienced in the provision of clinical services, including, but not limited to, individual, marital and family therapy, assessment, crisis intervention and emergency services. Experience establishing/maintaining collaborative relationships with other community agencies and partners.
Take Heart Counseling
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Licensed Professional CounselorTake Heart CounselingDenton, Tx, Us
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Regional Clinical Manager, Performance And ComplianceConnections Wellness Group Sep 2022 - Dec 2023 -
Licensed Professional CounselorSelf Employed Jun 2021 - Oct 2022 -
Bh Care AdvocateUnitedhealth Group Sep 2017 - Jun 2021Denton, Tx -
Director Of Php/IopUhs Dec 2016 - Sep 2017Denton, Tx -
Director Of Performance ImprovementUhs Aug 2016 - Dec 2016Denton, Tx• Performed precertification and concurrent reviews for inpatient and outpatient levels (Detox, Inpatient, Partial Hospitalization and Intensive Outpatient Programs). • Collaborated with Insurance companies telephonically to obtain clinical information and ensure quality treatment outcomes in the least restrictive setting utilizing established Medical Necessity Criteria.• Coordinated with facilities to assist with discharge planning, aftercare follow-up appointments, and integration of services.• Worked in a team environment which includes contributing to team meetings, participating in clinical rounds for input on utilization management, and attending all required trainings impacting utilization review and accreditation procedures.• Manage own caseload and coordinate all assigned cases.• Perform additional tasks/projects as needed, requested or assigned. • Developed a facility-wide performance improvement plan to meet regulatory standards.• Provided ongoing training to staff members on the concepts of performance improvement and the application to patient care. • Established a system for collecting and analyzing data related to performance improvement measures for both the inpatient and outpatient hospital program.• Maintained a list of hospital-wide performance improvement indicators which included monthly and quarterly data, and prepared graphs of high risk processes.• Updated administrative policies and plans as needed.• Directed quality assurance committees, consulting with administration and senior directors to establish plans of corrective action.• Prepared and presented the results of hospital-wide performance improvement activities to the Medical staff and Governing body each month.
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Risk CoordinatorUhs Mar 2016 - Aug 2016Denton, Tx• Provided direction and consultation to staff members in the use of total quality management in the application of patient care.• Consulted with senior staff and directors in the development of department specific quality measures within the standards set by federal and state regulatory bodies.• Detected deficiencies in meeting quality improvement goals and ensured appropriate management were addressed in a timely manner. • Conducted patient safety meetings analyzing incident reports, trends, and primary issues.• Assisted in conducting root cause analysis for any probable claims. • Implemented and monitored corrective actions put in place. • Assisted in ensuring timely reporting to all regulatory bodies and third-party payers.• Ensured timely reporting of all healthcare peer review reports. • Identified actual and potential risks situations and facilitated the determination of causative factors. • Performed risk surveys and inspected patient care areas.• Interfaced with Performance Improvement Director specific to provision of patient care, and assessment of quality data. • Assisted patient advocate specific to patient complaints and recommended actions. • Assessed liability and probability of legal action on a variety of occurrences. • Assisted in resolving treatment issues, including patient refusal of treatment, consent issues and HIPPA compliance.• Participated in the development and review of policies and procedures.• Provided aggregate analysis of risk data and trend analysis of incidents to appropriate departments and committees.
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Program TherapistUhs Oct 2013 - Mar 2016• Responsible for managing complex patient clinical concerns within the context of a crisis stabilization model.• Provided casework, group, individual and family therapy.• Provided discharge planning services to promote the highest level of patient functioning back in to the community setting. • Worked collaboratively with patients, guardians, families and the inter-disciplinary treatment team to coordinate communication among all entities involved in the care of the patient. • Responsible for developing, implementing, and evaluating treatment plans, safety crisis plans, comprehensive psychological assessments, staff training, data collection and reporting.• Performed clinical social work services for patients and families receiving care, case management, crisis intervention, therapy, and referrals.• Assessed and identified psychosocial, educational, developmental and behavioral functioning of the patient/family system.• Assisted patients in meeting biopsychosocial needs.• Evaluated and document effectiveness of interventions and patient responses. • Comply with standards for medical/legal reporting situations.• Assure that patients’ rights were upheld.• Utilized a variety of appropriate interventions in psychiatric emergencies, crisis situations, and in the resolution of patient problems.• Provide education to patients and families based on their identified needs and limitations.• Provides verbal and physical prevention management of aggressive behavior intervention.• Actively participated in daily interdisciplinary treatment teams to identify and provide best patient care.
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CounselorReves And Associates Counseling Aug 2012 - May 2013
Tarah Davis Skills
Tarah Davis Education Details
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Counseling Psychology -
Risk Management And Insurance
Frequently Asked Questions about Tarah Davis
What company does Tarah Davis work for?
Tarah Davis works for Take Heart Counseling
What is Tarah Davis's role at the current company?
Tarah Davis's current role is Licensed Professional Counselor.
What is Tarah Davis's email address?
Tarah Davis's email address is ta****@****uhc.com
What is Tarah Davis's direct phone number?
Tarah Davis's direct phone number is +194072*****
What schools did Tarah Davis attend?
Tarah Davis attended Dallas Baptist University, University Of North Texas.
What skills is Tarah Davis known for?
Tarah Davis has skills like Clinical Development, Mental Health Counseling, Psychotherapy, Mental Health, Group Therapy, Case Management, Crisis Intervention, Working With Adolescents, Social Services, Family Therapy, Psychology, Cognitive Behavioral Therapy.
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