Tasha Bridges Email & Phone Number

United States

Supervises UM professional staff.Manages clinical projects.Serves as team lead for DWIHN team members assigned to clinical projects. Provides strategic and operational leadership in clinical development planning.Implements resource management.Conducts staff mentoring.Provides project operational support.Performs Utilization Management planning and decision-making.Assists the UM Director in the development and implementation of clinical… Show more Supervises UM professional staff.Manages clinical projects.Serves as team lead for DWIHN team members assigned to clinical projects. Provides strategic and operational leadership in clinical development planning.Implements resource management.Conducts staff mentoring.Provides project operational support.Performs Utilization Management planning and decision-making.Assists the UM Director in the development and implementation of clinical operational plans. Reviews utilization trends and the provision of timely, efficient, and effective service by providers.Facilitates regular meetings.Coordinates with the Detroit Wayne Integrated Health Network (Network) outside clinicians, Medical Director, and/or providers regarding utilization and client specific issues.Serves on DWIHN committees and represents DWIHN at meetings.Develops and/or evaluates Utilization Management and Customer Service policies, procedures, operations, and programs and implements changes as needed.Works with staff and agencies in the development of joint procedures, program planning, and resolution of problems.Monitors changes in Federal, State and local rules and regulations related to behavioral health.Develops and oversees management of Utilization Management and Customer Service operations budgets as they pertain to specific projects, forecasts, and variances.Serves on the DWIHN Clinical/Quality Advisory Committee.Performs related duties as assigned. Show less

Responsible for the coordination of all administrative and medical necessity provider appeals in order to assure the resolution process that meets State, Federal, and DWMHA guidelines.Review clinical documentation to determine completeness of information for reviewsInvestigate and process of utilization management appeals related to behavioral health care services and other organizations and departments within DWMHARespond to provider inquiries regarding status… Show more Responsible for the coordination of all administrative and medical necessity provider appeals in order to assure the resolution process that meets State, Federal, and DWMHA guidelines.Review clinical documentation to determine completeness of information for reviewsInvestigate and process of utilization management appeals related to behavioral health care services and other organizations and departments within DWMHARespond to provider inquiries regarding status, process and outcome of utilization management appealsCoordinate case reviews with DWMHA physician consultants on clinical cases that are not meeting the medical necessity criteria Show less

Masters Of Counseling, Clinical Mental Health Couseling, 3.67

Activities and Societies: Chi Sigma Iota Counseling Academic & Professional Honor Society International

Bachelors, Psychology