Behavioral Health Resume Samples

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Guide the recruiter to the conclusion that you are the best candidate for the behavioral health job. It’s actually very simple. Tailor your resume by picking relevant responsibilities from the examples below and then add your accomplishments. This way, you can position yourself in the best way to get hired.

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A Schinner

Ashleigh

Schinner

82052 Fadel Path

Chicago

+1 (555) 736 4072

82052 Fadel Path

Chicago

Phone

p +1 (555) 736 4072

Experience Experience

Chicago, IL

Behavioral Health Tech

Chicago, IL

Feeney and Sons

Chicago, IL

Behavioral Health Tech

Provides or assists with providing direct patient care, diagnostic procedures and therapeutic interventions
Assists patients with performing activities of daily living
Assists with Electroconvulsive Therapy (ECT) preparation and provides care as designated by the Registered Nurse pre-op and post-op
Recommends quality and/or process improvement initiatives in order to more effectively and efficiently perform the functions of this job
Provides therapeutically effective relationships with assigned patients incorporating developmental and age-related factors
Performs ongoing observation of patient's response to illness and treatment which in turn promotes optimal patient outcome
Serves as a role model for other staff and may assist in orientation/training of new staff

Philadelphia, PA

Behavioral Health Clinician

Philadelphia, PA

Emmerich, Senger and Weber

Philadelphia, PA

Behavioral Health Clinician

Collaborate with primary social worker/case manager/other health care professionals involved in the patient's care
Actively participates in performance improvement activities
Participates in Continuous Quality Improvement Principles: promotes the integration of Continuous Quality Improvement Principles in service delivery
Assists in verifying insurance coverage for patients and provides clinical updates to insurance companies
Provides and coordinates a continuum of treatment services onsite and/or in the community
Provide consultation to the team regarding diagnostic impressions, recommendations, and strategies to engage patients in health and behavior change
Assists in educating patients/families

present

Philadelphia, PA

Behavioral Health Navigator

Philadelphia, PA

Feest Group

present

Philadelphia, PA

Behavioral Health Navigator

present

Establishes and maintains effective working relationships
Supports others in the department and provides help and assistance when possible
Serve as a liaison with other service providers or community supports for the continuous improvement of services to patients
Perform analysis and report of various metrics as requested
Provides culturally competent care
Educate PCP's and clinical staff on alternative care management options
Identify potential legal or risk management issues and discuss with their supervisor

Education Education

Master’s Degree in Behavioral Health

West Virginia University

Master’s Degree in Behavioral Health

Skills Skills

Knowledge of basic medical and psychiatric terminology
Proficient at Microsoft Office products and learning reporting applications
Good organizational skills
Exceptional knowledge of Behavioral Healthcare policies and procedures
Knowledge of nursing practice and exceptional leadership skills
Excellent communication skills
Demonstrated ability in handling day to day operations for a nursing division
Ability to analyze information and formulate effective plans for using information. Sound judgment sufficient to ensure the integrity of operations. Considerable skill in facilitating problem solving
Demonstrated knowledge of contracting process, Behavioral Health provider relations, Medicaid fee schedules, financial terms, and metrics
Good time management skills and self directed

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15 Behavioral Health resume templates

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Clinical Auditor Behavioral Health Resume Examples & Samples

Complete required clinical chart and phone audit of clinical and non-clinical staff, as indicated by policy providing Integrated Medical Behavioral Health Care
Develop performance improvement suggestions on audits performing below established standard
Provide feedback on ways to improve the audit process
Learn and participate in various aspects of the regulatory process of UM in both NCQA and URAC accreditation
Progressive experience working in a behavioral health or related field
Experience with behavioral change
Auditing and accreditation experience

Behavioral Health Medical Director Resume Examples & Samples

Board Certified Psychiatrist
MD/DO with active unrestricted license and the willingness to obtain additional licenses as requested
Excellent communication skills, with 5 years of established behavioral health clinical experience
Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products
Possess analysis and interpretation skills with prior experience leading teams focusing on quality management, utilization management, and discharge planning
Medical management experience, working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc
Previous Medicare, Medicaid, and/or Commercial utilization review experience

Lcsw Behavioral Health Resume Examples & Samples

Current Clinical Social Worker License in state of New York required
3+ years pf experience in a health facility, specifically working with families
Bilingual Spanish or French highly preferred

Behavioral Health Business Informatics Leader Resume Examples & Samples

Deep understanding of strategic planning, direct response marketing, customer loyalty and retention programs, and primary and secondary research processes
Strong database software proficiency
Ability to mentor and manage associates in customer loyalty and direct response methodologies

Director of Behavioral Health Resume Examples & Samples

3+ years of experience in Field and Supervisory experience
Graduate of an accredited School of Nursing, BSN and Master’s Degree in Advanced Clinical Practice Nursing or Graduate of post Master’s certificate program for Nurse Practitioner (NP)
Certification as an Advanced Nurse Practitioner (ANP) in specialty area of Psychiatry
Experience with Care Management software tools

Analytics Consultant, Behavioral Health Resume Examples & Samples

Master’s degree or equivalent in Public Health, Epidemiology, Experimental Psychology, Statistics, Biostatistics, Biomedical Sciences, Biology, Actuarial Science, Computer Science, Mathematics, Engineering, , or related fields
Strong Public Health Background
Experience working with complex and very large datasets
Excellent Excel skills, including pivot tables and other advanced aspects
Ability to present technical, analytical and/or clinical information to a wide variety of audiences

Behavioral Health Care Management Lead Resume Examples & Samples

Responsibilities: * Supervises the BH work unit and personnel, which includes: assuring compliance with HIPAA Privacy and Security policies; providing and/or recommending training; coordinating, scheduling and assigning work product; establishing performance measures, goals, objectives and priorities; evaluating work performance; providing feedback, direction and guidance; keeping personnel abreast of new or revised information; answering questions; and recommending and/or implementing personnel actions. Prioritizes and assigns tasks and projects to staff; tracks and reviews work progress
Excellent verbal, written and interpersonal communication skills are essential
Evidence of ability to work cooperatively, tactfully and assertively with medical providers and others
Proficient in basic computer skills including Microsoft Office programs (Word, Outlook, Excel) along with the ability to access the internet to do research
Proficient in intermediate computer skills including Microsoft Office

Humana Behavioral Health Business Analyst Resume Examples & Samples

Collaborating with business and IT partners to translate business needs to IT requirements and testing plans
Lead teams in the development of high-quality solutions that reach measurable metrics
Create detailed IT requirement documents and task-level testing plans to support cross-functional teams in system and reporting optimization
Partner closely with other members of functional project teams, IT and reporting partners to define business requirements
Facilitate the development of comprehensive projects and rollout plans and procedures
Initiate and facilitate meetings with leaders and subject matter experts within Humana, Humana Behavioral Health and other key partners and IT to identify and document business requirements
Analyze, develop and track key metrics, performance indicators, trends and comprehensive data to improve processes and/or to develop applications to resolve underlying issues
Develop agendas, reporting mechanisms and testing plans for business optimization
Assist in the development and execution of departmental strategic plans and objectives
Build effective relationships with all business partners and stakeholders
Bachelor’s degree in business management, Information Systems or related field or work equivalent (minimum of 10 years’ experience)
Exceptional verbal and written communication skills, exceptional emotional intelligence and strong presentation skills
Demonstrated analytical competencies
Demonstrated experience utilizing Microsoft Excel, Access, PowerPoint
Ability to work effectively within a collaborative environment
Embraces Continuous Process Improvement
Ability to lead in a high profile, fast paced environment
Experience with AGILE teams
PMP or Six Sigma Certification
Experience with Microsoft SharePoint and or SharePoint Designer
EDI Experience

Behavioral Health Resume Examples & Samples

Advanced Practice Registered Nurse or Nurse Practitioner license
1-3 years of Inpatient Psychiatric experience
Exceptional knowledge of Behavioral Healthcare policies and procedures

Humana Behavioral Health Resume Examples & Samples

Negotiate and re-negotiate high-volume, transactional-style physician and ancillary contracts
Create trend analyses and summaries for decision-making purposes
Bachelor’s Degree in Business, Finance or a related field or a minimum of 2 years’ relevant provider contracting experience
Experience presenting to varied audiences
Ability to manage multiple priorities in a fast-paced environment
Driver’s license and vehicle are required
Master’s Degree in Business Administration or a related field Experience with ACO/Risk Contracting

Director, Behavioral Health Services Resume Examples & Samples

Leading and contributing to the development and implementation of company-wide initiatives via consultation, and training programs addressing topics that include but are not limited to behavioral health/health and wellness programs that include leadership skills, diversity appreciation, and assurance of safe and respectful workplaces
Proven experience applying behavioral health clinical assessment and intervention skills to larger systems: work groups, business organizations, and community systems
At least 3 years experience leading multidisciplinary and project teams in a corporate setting
Advanced degree in Behavioral Sciences, with at least 10 years clinical experience
5 or more years employer-based BHS/EAP experience
Proven ability to help human resources and management professionals constructively address organizational matters involving leadership skills, managing change, stress, conflict, and post-trauma situations
Proven ability to drive initiatives that promote healthy behavior as the platform for healthy employees and healthy high performing work groups
Exemplary writing skills and speaking skills with experience in creating and facilitating BHS workshop sessions
Strong analytical abilities in thinking and acting strategically when assessing current and future priorities of the H&W organization
Proven ability to engage respectfully, collaboratively, and effectively with all levels of employees: entry-level employees through senior-level executives
Proven ability to constructively manage conflict and solve problems
Negotiating and influencing skills that include the ability to articulate and stand by ones convictions without alienating others
Proven ability to develop and sustain professional relationships internally and externally with key stakeholders
Demonstrated ability to manage and/or participate on strategic project teams across organizations internally as well as externally
Proficient at computer-based communication and data applications (examples: Lotus Notes, Microsoft Office, Medcomp)
Periodic travel ~ 10% a year
A relevant behavioral health license and certifications, e.g., LCSW, LP, LPC, CEAP, LADC, CADC. Human Resources designations (GPHR, SPHR, PHR) a plus

Behavioral Health Clinical Appeals Frontline Leader Resume Examples & Samples

Serve as a liaison with assigned departments in areas of reporting, quality results and feedback
Promote data integrity and reporting timeliness
Provide appropriate supporting evidence of assigned standards for all organizational accreditation reviews
Identify and implement new strategies to enhance department efficiency and productivity
Coordinate assigned task forces including agenda preparation, meeting facilitation, and minutes preparation
Any other activities as assigned by Clinical Management
Experience in supervising staff or teams
Proficient knowledge of MS Word and Excel
Experience with CGX
Extensive experience with processing appeals, preferably in behavioral health
Experience in utilization management, preferably in behavioral health
Licensure as behavioral health clinician or registered nurse with behavioral health experience
Project coordination or management experience

Behavioral Health Associate Resume Examples & Samples

1 year of psychiatric, client observation, or therapeutic experience
Training on use of restraints and seclusion
Strong therapeutic skills and knowledge
Excellent communication skills and knowledge

Humana Behavioral Health Director of Provider Contracting Resume Examples & Samples

Bachelor’s Degree in Business, Finance or a related field; or a minimum of 7 years’ provider contracting experience with large facilities and complex groups
Solid leadership/management experience including supervisory and teambuilding
Incredible attention to detail
Experience working in a matrixed organization
Familiarity with contracting public relations
Master’s Degree in Business Administration or Finance JD Degree
Tricare contracting expertise

VP, Behavioral Health Services Resume Examples & Samples

Developing and leading implementation of company-wide initiatives and training programs, including, but not limited to behavioral health, leadership skills, employee assistance, and work/life effectiveness
Consulting with, training, and assisting business leaders on managing difficult workplace situations
Collaborating within Health and Wellness leadership team to develop marketing strategies and materials for BHS/ EAP and related programs
Analyzing data from multiple sources to identify risks as well as current clinical conditions; and developing programs to improve the work environment and current health trends
Implementing processes directly aligned with Health and Wellness behaviorally-focused initiatives, including Workplace Violence Incident Oversight Team
Representing Prudential Health and Wellness at professional meetings internally and externally
Collaborating with external partners to develop community-focused health and wellness initiatives
Working within Health and Wellness leadership team to develop programs and services for Prudentials international businesses
At least 5 years program leadership experience in a corporate setting
Advanced degree in Behavioral Sciences, with at least ten years clinical experience
Five or more years internal BHS/EAP experience
Proven experience applying behavioral health clinical skills to larger systems: work groups, business organizations, and community systems
Proven ability to lead initiatives that help human resources and management professionals constructively address organizational matters involving change, stress, conflict, and post-trauma
Proven ability to lead initiatives that promote healthy behavior as the platform for healthy employees and healthy, high performing work groups
Exemplary writing skills and speaking skills
Proven commitment to diversity affirmation, demonstrated by leadership of relevant projects/initiatives
Strong analytical abilities, demonstrated by the ability to think and act strategically
Proven ability to develop and sustain professional relationships
Demonstrated ability to lead strategic project teams
Prior experience managing staff, consultants, and/or vendors
Periodic travel
Relevant behavioral health licenses and certifications, e.g., LCSW, LPC, CEAP, LADC, CADC. Human Resources designations (GPHR, SPHR, PHR) a plus

Administrative Director of Behavioral Health Resume Examples & Samples

6+ years experience in a Managerial capacity in the Behavioral Health area
Master's Degree in a Behavioral Health field; Advanced Degree or completion of significant coursework specific to Health Care Management / Business Administration
CT Licensed Social Worker (LSW), Licensed Clinical Social Worker (LCSW), Registered Nurse (RN), and/or Nurse Practitioner (NP) license
Familiar with managed care, contracting, data warehouse reporting, reimbursement trends, regulatory requirements (JCAHO, State, Medicare), and business plan modeling

Behavioral Health Medical Director Resume Examples & Samples

Board Certified MD/DO in a ABMS Medical Specialty with an active unrestricted license and the willingness to obtain additional licenses as requested
Excellent communication skills with 5 years of established clinical experience
Possess analysis and interpretation skills with prior experience leading teams focusing on quality management, utilization management, discharge planning and/or home health or rehab
Internal Medicine, Family Practice, Geriatrics, Hospitalist clinical specialists
Previous Medicare, Medicaid, and/or Commercial experience

Humana Behavioral Health Resume Examples & Samples

The point of contact for any communication documents required by between HGB as outlined within the statement of work
The point of contact for any presentations required by HGB or HBH to illustrate the clinical outcomes and performance of the Humana Military team, comprised of HBH and HGB
Point of contact for internal and external communication needs to beneficiaries, providers, associates
Serving as a liaison between the Humana Military HBH team, HGB communications, other HBH departments, and corporate
Serving as a liaison, you will be responsible for ensuring presentations and technical written documents, or other issues needing resolution get to the appropriate teams. You will be responsible for responding to HGB in a timely manner on the resolution and impacts, as appropriate
Understanding and engaging in risk management procedures
Oversight of technical written documents such as policies and procedures, program descriptions, end of year analyses, disease specific articles for HGB newsletters, and other disease focused articles as required within the statement of work
Additional duties will include technical writing for policy changes, impact feedback to DHA, and presenting responses to HGB
Minimum of three (3) years of managed care experience
Experience in managing business relationships and handling escalated issues
Experience in Microsoft office products for business presentations
Must be able to prioritize work load, be solution focused, have strong verbal and written skills, and able to keep others on task for deliverables
Proven successful experience in completing efficient health-related research, with associated analysis and conclusions
Bachelor degree in Communication, Journalism, Public Relations, HR, or related degree program
Prior demonstrated experience in Corporate Communications, Internal Communications, Human Resources, or related fields

Humana Behavioral Health Resume Examples & Samples

Direct supervision of Frontline Leaders managing personnel who are providing administration of services to TRICARE beneficiaries under the TRICARE benefit. This includes overseeing seeing the personnel management for the department and participating in personnel hiring, disciplinary actions, performance reviews, etc., for all department personnel unless delegated
Ensure all policies and performance standards in accordance with the URAC, TRICARE Operations Manual (TOM), TRICARE Provider Manual (TPM) or any other Defense Health Agency (DHA) directive are met
Serve as a Tricare Humana Behavioral Health liaison to beneficiaries, guardians personal care managers and providers
Assist Director in determining and implementing new strategies necessary to enhance department efficiency, productivity, and customer service
Serve as a liaison between the Humana Military HBH team and Humana Government Business, other HBH departments, and corporate
Responsible for all utilization management functions, including compliance with URAC, TOM, TPM, and DHA standards
Assist other functional areas with integration of tasks (e.g., QA outcome studies) to meet DHA standards
Perform quality improvement activities such as audits, performance recommendations, and assist Director in preparation for audits by external agencies such as the DHA or the TRICARE Regional Office (TRO)
Ensure productivity levels and/or personnel coachings or other disciplinary actions occur in a timely manner and are documented appropriately for all staff members
Utilize reports and data analytics to develop action plans for identified areas of opportunity including utilization management dashboards, case management and disease management dashboards
Utilize clinical knowledge and experience, identifies, outlines, presents, and leads clinical improvement
Possess a current, valid, and unrestricted license in the State of Texas or possess a reciprocal license from another state. Such licenses are: Licensed Masters Social Worker (LMSW-ACP), Licensed Professional Counselor (LPC), Psychologist (PhD), *Registered Nurse (RN) or other professional license
Minimum of five (5) to seven (7) years of post-degree clinical experience

Director of Behavioral Health Care Integration Resume Examples & Samples

Doctoral degree (PhD) in clinical psychology from an accredited university program
Certified in clinical psychology in Texas or eligible to be certified
At least two (2) years of prior management experience
At least four (4) years of working within a collaborative care structure
A track record of significant funded behavioral health research
Knowledge of state and federal regulations and licensing requirements for ambulatory facilities strongly preferred
Knowledge of budget, billing, finance and managed care rules and regulations preferred
Eligible for a faculty appointment in the Department of Psychiatry, Dell Medical School
Must possess the ability to communicate with others in a clear, understandable and professional manner on the phone and in person; and the demonstrated use of good written and verbal communication skills
Must possess effective project management skills, including the ability to plan, organize and schedule work in an efficient and productive manner, focusing on key priorities and meeting deadlines
Must possess the ability to interact with peers, executives, patient families and other vendors in a manner that represents the Dell Medical School positively
Ability to build and lead high-performing teams; must be able to provide clear and accurate direction and guidance
Must exhibit sound judgment in decision-making
Must possess the ability to maintain regular, reliable and punctual attendance
Must possess the ability to learn and apply new information, knowledge and experiences in a timely manner
Must possess the ability to be flexible and adaptable to change
Must possess the ability to work on multiple tasks and projects and to prioritize
Must possess effective organizational skills and attention to detail; effective follow-through, and commitment to excellence

Humana Behavioral Health Resume Examples & Samples

Create assessment strategies to measure effectiveness of digital learning
Collaborate in the development and implementation of best practices in the use of instructional technologies
Train Humana associates in the use of instructional systems and tools
Investigate and resolve specific problems, emerging learning technologies and instructional methodologies
Advise the learning community on the innovative use and application of technologies in learning curricula
Provide design and production assistance to learning community in developing multimedia and web-based programs using a learning and/or content management system
Use existing content development applications, web-based technologies and user centered design practices in digital learning development
Provide routine backup and storage of instructional materials, programs and research information
Provide technical support for users including software recommendations, hardware troubleshooting and system configurations
Bachelor’s Degree with preference for Master’s degree in Instructional Design, Educational or Instructional Technology or equivalent experience
Prior experience creating instructional materials that demonstrate design skill and are a result of a disciplined process for realizing performance-oriented objectives
Knowledge of Adult Learning Theory, Instructional Design and Blended Learning
Ability to select and design, develop content, create assessments for appropriate mix of delivery methods and media
Strong organizational, interpersonal, communication, and presentation skills
Demonstrated skills in the creation of content across varied delivery modalities
Ability to collaborate independently with subject matter experts
Experience in a clinical setting is a plus
Experience leading and managing instructional design projects
Experience designing live virtual Instructor-Led (ILT) training using WebEx and Microsoft Lync for process/workflow and systems training
Experience creating e-learning using Adobe Captivate 7.0 (and above); Photoshop, Illustrator, Fireworks and Articulate Storyline all a plus
Experience using Adobe Creative Suite

Director of Behavioral Health Resume Examples & Samples

Direct supervision of HBH clinical managers and oversight of these manager’s teams who are providing services to TRICARE beneficiaries under the TRICARE benefit. This includes overseeing the personnel management for the department and participating in personnel hiring, disciplinary actions, performance reviews, etc., for all department personnel unless delegated
Oversight of TRICARE behavioral health case management; disease management; compliance including URAC, TRICARE Operations Manual (TOM), TRICARE Provider Manual (TPM); or any other Defense Health Agency (DHA) directives or standards; and utilization management programs. In addition, responsible for defined outcomes to improve the wellbeing of beneficiaries
Oversight and participation in creating and maintaining medical management policies and performance standards in accordance with the TOM, TPM or DHA directive
Determining and implementing new clinical strategies and innovations necessary to enhance department efficiency, productivity, and customer service
Serving as a clinical liaison between the HBH TRICARE team and Humana Government Business medical management team and other HBH departments
Assisting other functional areas with integration of tasks (e.g., QA outcome studies) to meet DHA standards to include but limited to supporting HGB quality committees as requested
Performing quality improvement activities such as chart audits, peer reviews, and on-site audits, including preparation for audits by external agencies such as the DHA or the TRICARE Regional Office (TRO)
Ability to develop insights from data (QlikView, Excel, or other report format) to identify needs in challenging markets, providers or members that need assistance
Military and civilian healthcare experience
Veteran and/or military lifestyle experience are highly desirable
Desirable: intimate understanding URAC, TOM, DHA requirements
Experience in a wide variety of case management, to include family issues, Substance Abuse Disorders, Autism Spectrum Disorders, Traumatic Brain Injury, and Post Traumatic Stress Disorder, Eating Disorders

Behavioral Health Service Coordinator Resume Examples & Samples

Identify special needs members through the completion of health screens and other resources
Work with community outreach/member advocates to coordinate member care
Educate PCP’s, members, medical consenters, and caregivers on behavioral health issues including symptoms, relapse prevention, stress reduction and healthy lifestyle choices

Behavioral Health Telehealth Rn-arizona Licensure Required Resume Examples & Samples

Possess and maintain a thorough grasp of clinical knowledge (i.e. pertaining to various disease states, medications, treatments, etc)
Comply with Federal and respective state’s laws regulating health management organizations and telephone information centers
Comply with all department standards and policies and procedures
Maintain clinical assessment skills and required licenses and CEUs
Apply primary nursing knowledge while performing all aspects of assigned tasks
Conduct thorough and sound nursing assessments of callers’ presenting symptoms
Develop, implement, and evaluate a plan of care for each caller presenting symptoms
Answer all calls in a timely manner
Interact with callers and other staff in a polite and courteous manner
Maintain confidentiality of all caller and personnel issues
Document all call inquiries according to department policies and procedures
Participate in the collection of data for department QI/QA projects
Make manager aware of any situation that may effect the performance, morale, or safety of the department, or its staff members
Work effectively with coworkers to maintain and improve operation
Participate in staff meetings and trainings
Promote recovery concepts and inspire hope
Graduate certificate from an accredited nursing program
Must have at least one year of full time Behavioral Health Nursing experience
Prefer at least five years of experience in Behavioral Health Nursing or related positions
Current RN license without restriction in the state of residence
Expected to secure and maintain additional professional licenses in required states as determined by the business unit
Strong computer skills required, including experience with Microsoft office and data entry systems
Experience in telephonic counseling and/or managed care setting preferred
Bilingual in Spanish highly preferred

Bwpo Behavioral Health Resume Examples & Samples

Provide referral/community resource assistance to patients identified by the clinical staff
Develop expertise in available Behavioral Health resources in particular geographic and illness areas
Research, confirm, update and maintain the Community Resource Database with resources available for adults with behavioral health needs, including outpatient individual or group therapy programs, partial hospital programs, dual diagnosis and inpatient programs
Communicate effectively with payers in order to find most accessible providers for patients, taking into account coverage, geography, and availability to accept new patients, etc. Refer patients and their families, who need assistance, to the appropriate educational resources regarding health care delivery and reimbursement, prescription drug programs, health and wellness programs, long term care insurance, asset and legal management, government programs, community agencies, public and private organizations, housing options, and other services, as appropriate
Work with patients to ensure their identified community resource needs are met i.e. legal, financial or other
Support teams on meeting patient’s health goals
Proactively develop and maintain partnerships with local community-based agencies and programs
Research resources and programs available for patients and their caregivers including but not limited to: disabled and elder housing assistance and programs; legal, financial and insurance resources; substance abuse programs; health education material
Maintain the resource database and regularly update staff on new information
Participate in regular interdisciplinary team meetings to develop strategies for better supporting patients with complex care needs
Work collaboratively with Social Workers and other staff to support patients which may include, but is not limited to: finding support systems for patients experiencing grief or bereavement; identifying and referring patients to community services such as transportation, Meals on Wheels, day programs; and the coordination of referrals to internal and external resources and referring to social work when concerns warrant further assessment and/or an abuse or neglect report
Act as a liaison between care teams and community groups and foster relationships with key contacts in those groups
Maintain patient confidentiality in all matters
Participate in process improvement groups
Occasional community agency site visits to enhance collaborative partnerships with agencies
Associate’s or Bachelor’s Degree in social work, psychology (or related field)
Demonstrated experience working with diverse and at-risk populations
Strong interpersonal and communication skills
Flexibility to adapt to program evolution and shifts in prioritization
Goal-oriented and accountable in a complex medical environment
Demonstrated organizational and time management skills
Proficient in Word, Excel
Customer focused and patient-centered
Enjoys being part of a diverse team
Comfortable with change
Must have strong interpersonal skills
History of being highly organized, effective multi-tasker, self-motivated and self-directed
Assessment and problem solving skills
Ability to identify patient’s needs and coordinate with community based services
Ability to respond to patient’s resource needs and coordinate with community based services
Strong written and oral communication skills
Professional demeanor with patients, family and team
Ability to represent the care team and maintain and build relationships in the community
Interpersonal skills to interact professionally with various levels of staff, patients, families and community organizations
Must be able to participate effectively in a multidisciplinary team setting
Spanish language skills preferred but not required

Integration Behavioral Health Provider Resume Examples & Samples

Provides case-by-case assistance and consultation on mental health issues affecting patients; assists medical staff by indicating the degree and severity of emotional factors adversely affecting patients. Documents all interventions in the patient medical record both timely and accurately
Conducts brief screenings, based on medical provider referrals, to evaluate the needs of adults, adolescents, and children for behavioral health intervention, case management, or ongoing mental health or addiction treatment. Provides referrals for more intensive services where appropriate
Provides short-term behavioral interventions to engage and motivate clients to actively manage their medical and behavioral health care. Conduct follow-up as appropriate based on assessment and treatment
Participates in ongoing training in behavioral health issues and provide consultation and training to primary care clinic staff in mental health topics including counseling skills, medication use and misuse, substance abuse, wellness, rehabilitation, recovery and self-sufficiency
Establishes and maintains a current listing of community linkages to meet the needs of the target population. Develops and maintains collaborative working relationships with community providers of adult services. Initiates linkages, disseminates information and makes referrals to the appropriate services as needed
Conducts patient satisfaction surveys with all patients receiving behavioral health services under the program. This position also participates in program model development and evaluation, and collects and compiles data as required by program model leads
Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, and participating in professional societies. Participate in regular multidisciplinary case conferences with medical providers as needed

Behavioral Health Program Manager Resume Examples & Samples

Project leads behavioral health and/or behavioral health home program development and integration activities both internally and externally
Improves quality of behavioral health product by driving cross functional initiatives
Utilizes data to identify and manage change necessary to achieve performance improvement
Communicates and educates associates on behavioral health strategy
Develops behavioral health clinical educational materials, and performs provider behavioral health education
Works to develop and enhance relationships within the provider community, including behavioral health homes, community mental health centers, hospitals and individual providers (BH Providers and PCP's) and groups identified that are participating in Physical/ Behavioral integration activities
Designs, develops and implements behavioral health related clinical training for associates and providers
Works with utilization, case and disease management teams to implement and operationalize BH/PH integration iniatives
Educates health plan leadership and cross functional staff on behavioral health and integration strategy ensuring all entiies understand and support the initiatives
Produces professional presentations and training materials to be utlized for training of providers and associates
Manages behavioral health specific policy and procedure development, clinical program descriptions, and other related documentation requirements
Assists with behavioral health provider and/or home provider audits as needed
Assists with analysis of behavioral health utilization data, KPI review and monitoring of behavioral health utilization management metrics. Participates with development of corrective action plans and associated activities for areas that need improvement
Performs duties and responsibilities as assigned
Assist behavioral health home candidates to prepare their organization for becoming Patient-Centered Specialty Practice (PCSP) recognized through NCQA
Oversees compliance with behavioral health home contracts and standards
Required A Master's Degree in counseling, social work, psychology, nursing, or related human service field
Required 5+ years of experience in behavioral health, preferably in public sector
Intermediate Ability to lead/manage others in a matrixed environment
Intermediate Demonstrated project management skills
Intermediate Ability to work independently Ability to work independently or part of a team
Intermediate Ability to work as part of a team
Intermediate Other Strong people skills
Intermediate Other Ability to apply Lean/Six Sigma industry standard application and methodologies preferred
Intermediate Other Comfortable presenting in front of large groups
Intermediate Other Ability to redefine business approaches and processes to meet objectives
Intermediate Other Ability to think outside the box, structure an ambiguous opportunity, determine ROI and build business case for projects
Intermediate Other Possess strategic enterprise wide view while maintaining attention to detail
Required Advanced Practice Registered Nurse (APRN)
Required Licensed Registered Nurse (RN)
Required Advanced Microsoft Word Proficient in Microsoft Office such as Word, Powerpoint, Excel, Project and Outlook
Required Advanced Microsoft Excel Ability to learn company approved software
Required Advanced Microsoft PowerPoint
Required Advanced Microsoft Project
Required Advanced Microsoft Outlook

Supervisor, Behavioral Health Resume Examples & Samples

Supervises daily activities of the behavioral health case management staff ensuring performance standards are met
Implements case management workflows and policies and procedures for integrated behavioral health programs
Performs audits of assessments, care plans and service notes to verify cases are properly established and that member coordination activates are occurring and appropriately documented
Act as a liaison and member advocate between the member/family, physician and facilities/agencies
Conducts performance evaluation, hiring and termination decisions for associates in work group
Reviews time records, sets schedules and approves all vacation/time off requests for subordinate associates
Plays active role in creating, applying and utilizing accepted policies and procedures for case management
Intermediate Ability to create, review and interpret treatment plans
Other One of the following is required
Required Licensed Clinical Psychologist (LCP)

Behavioral Health Clinician PRN CHS Kings Mountain Resume Examples & Samples

Assesses patients� problems, needs, and level of functioning
Writes appropriate treatment plans according to patient diagnosis, age, and clinical presentation
Provides patient care according to established policies/procedures and professional standards of care
Provides accurate and consistent documentation of patient care/response in the medical record
Completes all documentation within facility-established timeframes. Coordinates discharge planning and plan of care with next provider

Lpn-behavioral Health Charlotte ACM Medical Clinic Resume Examples & Samples

Appropriately and accurately documents all patient care/interactions in patient medical record
Participates in telephone triage by obtaining clinically appropriate data and symptoms from the patient and advises and instructs patients according to established protocols and/or orders from the provider
Pre-visit planning with provider and care team
Medication administration, including injections
Check vital signs, height, weight
Assists with patient inquiries for prescription refills, appointment scheduling, and referral authorization as needed
May enter orders in EMR (computerized physician order entry � CPOE) per provider order
Performs venipuncture. May be required to assist with collection of specimens of body fluids such as urine and blood for laboratory testing. Completes lab requisitions and prepares specimens for pick-up
Provides patient with Depart Summary and review at the end of the visit

Clinical Informatics Spec-behavioral Health Administration Resume Examples & Samples

Identifies and recruits subject matter experts into the design and implementation phases of projects within the organization
Participates and leads initiatives within respective facilities to implement solutions and new workflow processes that lead to the clinical transformation of patient care
Enables significant and measurable improvements in population health through a transformed health care delivery system by addressing the goals of meaningful use between the clinical disciplines and Information Services
Participates and leads initiatives in conjunction with administration and quality that require changes in workflow as they relate to the project
Monitors monthly usability and adoption statistics to identify trends and outline action plans to address opportunities to improve meaningful use and quality of care
Works with key customers to develop strategies, manage change, achieve buy-in and compliance of desired workflow
Works with clinical and information services leadership to manage, monitor and audit the changed state
Assumes a leadership role in coordinating change efforts within and across facilities including communication, readiness for change assessment, and policy and procedural changes
Serves as primary facility support for the patient care team during scheduled hours of coverage
Participates and leads initiatives to educate, train, and provide ongoing educational support customers regarding the use of clinical information systems and associated technology
Maintains current knowledge of trends and issues in healthcare, nursing and ancillary practice, healthcare informatics, regulatory and accreditation requirements, organizational policies and procedures, legal implications of the EHR and advances in technology
Participates as required in committees
Participates in project planning/technology

Behavioral Health QI Specialist Resume Examples & Samples

Design, create and implement behavioral Health Quality Improvement projects and initiatives
Conduct and manage outcomes of various studies that may include analyzing, reviewing, forecasting, trending, and presenting information for quality management planning and management needs
Develop and present recommendations and alternatives for management and executive review
Lead and / or mentor associates
Assist in developing department strategic action plans including identification of objectives, goals and strategies
Develop and implement effective analysis, research and evaluation of quality management metrics
Facilitate Quality Meeting
Minimum of Bachelor's Degree
3+ years of behavioral healthcare experience
Previous Experience with New York State OMH (Office of Mental Health ) or OASAS (Office of Alcohol & Substance Abuse) processes and regulations
Previous Experience with SDOH (State Dept. of Health) regulations
Previous Accreditation Experience, I.E. NCQA or URAC standards compliance
Previous experience with quality measures such as HEDIS
2+ years’ experience developing and implementing performance improvement projects, or using data to develop intervention strategies to improve outcomes

Tricare Behavioral Health RN Disease Management Resume Examples & Samples

*This is an office positon located at 2222 W. Dunlap Ave. Phoenix, AZ***
Educating and supporting the individual through telephonic assessment and expert clinical disease management interventions
Assess and interprets beneficiary needs, gaps, and requirements related to his / her disease condition
Develops DM care plan in collaboration with beneficiary / caregiver / provider in order to promote optimal health
Collaborates with specialists, physicians, and medical directors to provide the necessary care and cost efficient care for the beneficiary related to their disease condition
Consulting with colleagues on Bio / Psycho / Social assessments and service plans in a multidisciplinary team
3 years of experience in a hospital setting, acute care, outpatient direct care experience
Telephonic experience required i.e. phone triage, crisis line, disease management or case management
Intermediate experience with Microsoft Word, with the ability to navigate a Windows environment
3+ years of case management experience
Experience in both medical and behavioral settings
Case Management Certification (CCM) preferred or may obtain within 18 months

Behavioral Health Lead-virginia Resume Examples & Samples

Ensure that the MCO’s behavioral health operations, providers, and any subcontractors are in compliance with the terms of the contract
Coordinate all areas of the MCO, including quality management, utilization management, network development and management, provider services, member outreach and education, member services, contract compliance, and reporting
Serve as the primary behavioral health contact for United Healthcare Community Plan of Virginia to address routine and complex member issues/concerns
Own account performance (against both utilization and financial targets)
Ensure the timely completion of all behavioral health contract deliverables including the collection and delivery of required reporting
Establish strategic priorities for Benefit Expense Management/Population Health Management, and Medical-Behavioral Integration
Identify and analyze utilization and cost trends, and develop mitigation initiatives in coordination with clinical operations functional leads and other matrix partners
Lead the development of any account required clinical processes (i.e. development of job aids, QRGs)
Serve as behavioral health leader in customer, state, and Community Service Boards’ meetings
Interacts closely with state departments, providers and other stakeholders
Works closely and collaborates with Clinical Operations directors, managers and supervisors in the effective delivery of services to ensure utilization and customer goals are met
Is a physical presence in the community with community providers, state agencies, advocacy agencies/groups
Lead/and/or participate in local/national clinical projects that result in the development or improvement of local clinical services and/or access to care
Routinely interface with Account Management to ensure contractual obligations and market expectations are being met
Support recruiting and onboarding clinical operations new employees
Ensure strong collaboration and coordination between physical and behavioral health care
Must have minimum of a Master’s degree in psychology, counseling or social work or a Bachelor’s degree in nursing; and must have a valid independent VA clinical license in counseling or social work, be a Licensed Psychologist or Nurse Practitioner, or a registered nurse (RN) with a minimum of 3 years psychiatric service experience
Minimum five years of experience in public sector or behavioral healthcare
Prior experience in public sector mental health or non-profit community mental health, with knowledge of Medicaid populations
Strong report writing capability
Experience in recovery and resiliency practices and programs
Minimum eight years of leadership and administrative experience
Thorough understanding of managed care principles, models and financing required with a minimum of two years of experience working in a corporate managed health care environment

Behavioral Health Navigator Resume Examples & Samples

Provide a workable strategy to effect change by facilitating or recommending appropriate referrals or preventative services, treatment and support for populations with alcohol, drugs or substance abuse
Evaluate psychiatric patients in the Emergency Department and make recommendations to the Emergency Department Physician as to the disposition of those patients
Oversight and management of the external Emergency Mental Health Crisis Teams that evaluate patients in Steward Emergency Departments
Competent in face to face private, confidential interviews with patients to assess the needs of patients from referrals directed by the Emergency Department physicians/staff. Documents the initiation of these referrals in the patient's medical record
Confers with related health professionals in relation to the need for interdisciplinary information sharing and treatment planning. Uncovers barriers to care and develops an effective plan for alleviating these barriers to care for the safety ad betterment of the patient
Provide individualized psychotherapy, supportive counseling and group therapy as needed
Responsible for documenting assessments, interventions, plans and related to the patient's confidential medical record in accordance with HIPPA, industry, and compliance standards
Educate PCP's and clinical staff on alternative care management options
Demonstrate effective leadership skills
Provide education/consultation as needed to other mental health care team members and to health care consumers
Maintain current up to date knowledge of regulatory requirements
Actively maintain a valid license to practice behavioral health independently in the state of MA
Initiate & follow through with necessary patient contact, support and administrative functions to ensure
Collaborate with other agencies for the education and benefit of the staff and hospital
Perform analysis and report of various metrics as requested
Participates in and or represents Community Health in community/hospital board/committee meetings as needed. Completes/leads assigned Community Health Projects as directed
Demonstrates respect and regard for the dignity of all patients, families, visitors and fellow employees to ensure a professional, responsible and courteous environment

Behavioral Health Navigator Resume Examples & Samples

Master's Level Clinician skilled in the Assessment, Diagnosis and Disposition of Behavioral Health patients
Knowledgeable about services available to Behavioral Health Patients
1-2 year's direct experience required
Master's degree (MA, MS, MSW) or Doctorate in Psychology or Social Work,
Licensure at the independent level in the state of Massachusetts
Licensed Psychologist, Licensed Independent Clinical Social Workers (LICSW) or Licensed Mental Health Counselors (LMHC)
Computer skills are essential

Behavioral Health Clinician Sign On Bonus of Resume Examples & Samples

Provide brief evidence-based direct care to patients
Masters or Doctoral Degree in Social Work or Psychology
Licensed Social Worker (LICSW), PsyD, or Doctoral Level Licensed Psychologist (LP)

Behavioral Health Clinician Resume Examples & Samples

Complete diagnostic evaluations
Provide consultation to the team regarding diagnostic impressions, recommendations, and strategies to engage patients in health and behavior change
Support the team with the day to day management of complex patients
Engage in population health activities to support risk stratified populations
Licensed Independent Clinical Social Worker (LICSW), Licensed Marriage and Family Therapist (LMFT) or Doctoral Level Licensed Psychologist (LP)
2 years post licensure experience within a primary care or medical setting

Behavioral Health Pain Specialist Resume Examples & Samples

Masters or Doctoral Degree in Social Work or Psychology with emphasis on clinical practice
Licensed Social Worker (LICSW), PsyD, or Doctoral Level (PsyD or PHD) Licensed Psychologist (LP) in the state of MN
Experience providing diagnostic assessments and direct evidence-based clinical services to adults

Case Manager Behavioral Health Resume Examples & Samples

Assists with assessment/triage as well as outpatient and concurrent review while managing the case
Provides case management and support that requires clinical expertise in various systems with focus on helping the family negotiate the complexities involved with a diagnosis (i.e. school system support, local centers of excellence, state advocacy services, local chapters and support groups, family evaluation, and support for work-life)
Facilitates member and caregiver education and involvement of caregiver in the delivery of interventions
Provides advocacy and support to family members
Promotes, coordinates and facilitates collaboration among all parties, including external care management organizations to achieve stated goals
Creates and maintains appropriate clinical records
Fully licensed to practice in this State at the Master's or Doctorate level as a Clinical Social Worker, Marriage Family Therapist, Professional Counselor or Psychologist without restrictions or supervision at the highest independent level. Must have and maintain a current, valid and unrestricted clinical license
Minimum three years clinical experience in behavioral health
Three years experience in Care/Case Management
Previous Managed Care experience
Past experience providing utilization review or case management

Humana Behavioral Health Large Practice & Ancillary Contracting Executive Resume Examples & Samples

Facilitate provider education, training them in order to increase their familiarity and satisfaction with Humana’s systems and strategies
Interface with market leaders to align contracting needs and business efforts
Bachelor’s Degree in Business, Finance or a related field or a minimum of 2 years’ relevant provider contracting/provider relations experience
Prior demonstrated success in provider contracting with both large physician groups and ancillary providers
Proficiency in analyzing, understanding and communicating financial trends
Working knowledge in the areas of Group Practice Management, Long-Term Acute Care, home health, home infusion, behavioral health, ambulatory surgery, and the outpatient experience

Director of Behavioral Health Resume Examples & Samples

A medical degree and graduate psychiatric education as defined in Section 623 and a California license as a physician with two years of training or practice in psychiatry, one year of which is administrative
A doctorate degree in psychology and a California license as a psychologist, with three years of clinical psychology experience, two of which are administrative
Master’s degree in social work and California license as a Clinical Social Worker, with five years of mental health experience, two of which are administrative
Master’s degree in behavioral sciences and a California license as a Marriage, Family, and Child Counselor with five years of mental health experience, two of which are administrative
Master’s degree in psychiatric or public health nursing and a license as a Registered Nurse in California and five years mental health experience, two of which are administrative
Master’s degree in hospital administration, public health administration or public administration and at least three years experience, two of which have been in mental health

Operations Director, Behavioral Health Resume Examples & Samples

Maintains adherence to contracted performance standards for areas of responsibility
Ensures timely delivery on contracted customer commitments within functional areas
Primary interface responsible for working collaboratively with corporate enterprise functions including eligibility, claims, call and alerting utilization/care management to ensure contract commitments and local needs are met and issues are resolved
Manages vendor relationships
Oversight of performance for member/provider services and crisis line
Ensures effective delivery of services, meeting goals and ensuring contract compliance
Guides staff in the effective delivery of services, meeting goals and ensures contract compliance
Designs appropriate communications, training and performance support materials
Monitors compliance with established performance standards, assists teams in identifying performance issues, generates solutions for identified problem areas and drives action plans to maintain compliance with performance requirements
Uses data to identify trends, patterns, issues and opportunities that have an impact on the business and uses the data to help make sound business decisions/recommendations
Prioritize initiatives and educational efforts to ensure urgent and important issues are addressed promptly and resolved; successfully drives to excellent results and meets or exceeds goals
Supports the executive director and other leaders in supporting daily operations
Business owner for DRG reporting processes
Master’s degree in business, health administration, psychology, social work, nursing or related professional field a plus
Experience with large matrix organization

Senior VP-behavioral Health Clinical Product Management Resume Examples & Samples

Creation and Implementation of Optum Behavioral Health Key Strategies that include 33 million lives
15+ years of strategic and / or operational experience, leading large - scale projects / programs with complex transformational or new business design components healthcare industry experience
Prior experience working with successful utilization and care management models
5+ years of strategic consulting experience within external consulting firm
Advanced level of proficiency with MS PowerPoint and Excel
Prior experience developing and presenting information to senior leaders
End to end business process thinker
Prior experience leading operations integration and process integration
Graduate degree
Large matrix organizational experience

Care Manager EAP & Behavioral Health Ca-huntington Beach Resume Examples & Samples

Coordinates care between medical and behavioral health vendors, as well as different care levels of behavioral health care; also coordinates services with community resources for both behavioral health and EAP; follows up to ensure community based referrals are being utilized
Manages cases and clinical requests for services to ensure that the beneficiaries’ clinical needs are met at the most cost effective and clinically appropriate level. Monitors timeliness of all clinical and administrative decisions to meet regulatory and accreditation standards
Reviews, coordinates, and makes recommendations with other Care Managers, Sr. Care Managers, Medical Directors, and Clinical Managers as appropriate
Ability to function on a team with cooperation, flexibility, and willingness to assist others
Excellent planning, organizational, and prioritization skills

Integrated Behavioral Health Provider Resume Examples & Samples

Provide patient and family education effectively and sensitively to encourage compliance with medical and behavioral regimes
Effectively utilize a brief consultation model to communicate with the primary care physician. Provide consultation and training to other members of the primary care team in the area of mental health, chemical dependency, and behavioral medicine
Possess skill and expertise to discuss common psychotropic medications with a patient, including indications, effects and side effects and demonstrate the ability to appropriately recommend initiating medication to primary care physician
Possess knowledge about adult and pediatric screening instruments for and consult with primary care team on a depression management program in primary care
Performs clinical, compliance, and administrative duties related to Medicare billing
Two (2) years of post master's practice experience under appropriate supervision in brief assessment and intervention with children and adults in a primary care outpatient setting
Brief assessment and or intervention or integrated care with patients 65 yo and older

Manager, Behavioral Health Psychology Resume Examples & Samples

Has counseling/disciplinary responsibilities; conducts performance evaluations; responsible for allocation of resources; has overall personnel management responsibility (HR, personnel, compensation issues)
Generally over a larger team , such as Adult/Child or CDS
Responsible for overall program design and operations within unit
Minimum of two (2) years professional experience under the direction of a licensed psychologist or board certified psychiatrist
Previous clinical responsibilities to include psychological testing, diagnosis, crisis intervention, brief individual and group psychotherapy
PhD, PsyD, or EdD in clinical or counseling required from an accredited college or university
Current valid license to practice psychology in the State of California
Must have a National Provider Identifier (NPI), or obtain an NPI, prior to employment start date
Knowledge of social service agencies, state regulations and APA standards as it related to client treatment, patient rights and client/patient confidentiality
Knowledge of psychological testing techniques, administration and interpretation

Manager, Behavioral Health PSW MFT Resume Examples & Samples

Makes budget recommendations
Generally responsible for a small group or program such as IOP/Adolescent/Crisis Team. Responsible for program design and implementation within unit
Monitors access indicators: responsible for utilization management
Minimum two (2) years of post license, paid experience as a member of a psychiatric treatment team in an outpatient

Manager, Behavioral Health Psychology Resume Examples & Samples

Generally responsible for a small group or program such as IOP/Adolescent/Crisis Team
Responsible for program design and implementation within unit
Minimum of two (2) years of professional experience under the direction of a licensed psychologist or board certified psychiatrist
N/A

Supervisor Behavioral Health Lcsw Resume Examples & Samples

Coordinates, supervises, and monitors daily operations/activities of the BHC Help Line and ensures that high quality services are delivered/provided which increase customer satisfaction and meet purchaser demands
Acts as a liaison/resource to provide education regarding BHC services available to members, purchasers, and outside providers
Monitors BHC Help Line staff member's adherence to clinical standards in their delivery of direct service to members
Advises the Behavioral Healthcare Help Line Manager of areas of potential problems and services not meeting member needs
Provides the Claims Administration Department with resource for retrospective review of psychiatric/addiction medicine claims
Provides the Outside Utilization Case Managers with a resource for resolution of problems with inappropriate Non-KP psychiatric/addiction admissions
Provides additional cross over supervisory responsibilities to include all areas of the Case Coordination Center
Minimum three (3) years of psychiatric and Addiction Medicine clinical experience as a Registered Nurse and/or Clinical Social Worker
Minimum two (2) years of relevant Supervisory experience
Minimum two (2) years of Utilization Case management experience preferred
Knowledge of KP BHC services highly preferred

Care Manager EAP & Behavioral Health Tx-irving Resume Examples & Samples

Familiarity with Managed Care policies and procedures
Familiarity with community resources
Ability to identify Potential Quality Indicators using criteria established by the QM department

Behavioral Health Service Manager Resume Examples & Samples

Master's degree in Behavioral Health
LCSW, LMFT, LPC, PhD, PsyD or RN license
Minimum 3+ years of case and/or utilization management experience
Current experience in psychiatric health care settings, child behavioral health conditions and members with special needs
Working knowledge of utilization review procedures, and familiarity with mental health community resources
Thorough knowledge of a specialized or technical field such as clinical nursing, case and/or utilization management involving knowledge plus the application of basic theory
Current experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff
Foster care experience strongly preferred

Psych Tech-inpatient Adult Behavioral Health Resume Examples & Samples

Responsible for working knowledge of hospital’s emergency procedures; assists in providing a clean and safe environment
Engages in therapeutic conversation with patient and interacts with them in accordance with appropriate therapeutic boundaries
Accompanies patients off unit as ordered for tests, visitation, walks, etc, as staffing and milieu allows
Knowledge of medical office practices and procedures, office equipment, medical terminology, data entry and micro-office software preferred in clinic setting
Proof of completion of Mandatory Reporter abuse training specific to population served within three (3) months of hire

Behavioral Health Emergency Clinician Resume Examples & Samples

Excellent written and verbal communication skills, along with excellent interpersonal communication skills
Ability to perform multiple tasks simultaneously, apply critical thinking process
Ability to formulate diagnostic impressions based upon review of systems, history, symptoms, and current presentation
Respond to all customers using AIDET, iCARE, and knowledge with Trauma Informed Care

Regional VP Behavioral Health Services Resume Examples & Samples

Firm grounding in principals of behavioral health administration and be capable of organizing, managing, promoting, and evaluating all related services
Masters Degree in behavioral sciences, administration, business or healthcare related field or nursing degree a preference
Successful tenure as a CEO of Behavioral Health Facility 3 years (Minimum)
5 years in senior leadership position within behavioral health setting (2 years related to med/surg hospital setting preferred)

Manager of Behavioral Health Resume Examples & Samples

BSN and MSN preferred or equivalent experience
Minimum of 3-5 years nurse practice experience
Crisis Prevention within 60 days of hire
ACLS - American Heart Association - preferred
Previous management experience - preferred

Lead Behavioral Health Emergency Clinician Resume Examples & Samples

Excellent written and verbal communication skills, along with excellent interpersonal communication and proven leadership skills
Must be knowledgeable on tele-medicine processes, technologies, and best practices within tele-mental health
Drive and desire to interact with professionals on all levels of the healthcare team
Actively participate with Administration to accomplish the goals and plans of the department
Ability to work in high acuity and stressful environment
Ability to provide crisis intervention and engage multiple systems in diagnostic formulation and disposition

Director, Behavioral Health Lifeline Resume Examples & Samples

Must be able to perceive the nature of sounds with no less than a 40 db loss at Hz 1,000 Hz and 2,000 Hz without correction
Monitors the activities of ancillary personnel
Is customer oriented and uses effective communication skills
Demonstrates leadership and clinical skills pertinent to job

Clinical Coordinator Service Line-behavioral Health Resume Examples & Samples

Minimum 2 years related clinical experience
Current Florida State Registered Nurse License
Critical thinking, service excellence and good interpersonal communication skills, ability to read/comprehend written instructions, ability to follow verbal instructions, PC skills, Proficient in Microsoft Office

Case Manager Prn-behavioral Health Resume Examples & Samples

Registered Nurse with a current California license Current Basic Cardiac Life Support Provider Course
Minimum of two to five years experience in an acute care facility required
Demonstrates excellent communication, written and collaboration skills
Creative in problem solving and systems planning and management
Ability to learn and use computerized patient care management system

Behavioral Health Sales Specialist Resume Examples & Samples

Ability to research, understand, and explain market demographics
Ability to access, understand, and explain physician and key non-physician referral patterns
Ability to plan, organize and manage resources within prescribed timeframes (prioritize and focus)
Ability to present, probe and persuade
Ability to identify and respond appropriately to primary client/customer needs (service orientation)
Ability to demonstrate effective listening and communication skills
Ability to close
Ability to provide follow-up and demonstrate attention to detail
Ability to actively listen to physician and key non-physician referral source practice needs for hospital inpatient and outpatient services

Behavioral Health Admissions Specialist Resume Examples & Samples

Master's Degree in Behavioral Health related field required
3 or more years experience and licensed masters level independent practitioner under the state of TN (LPC, LCSW, & LMFT) required
BLS, CPI certifications required

Financial Planning & Analysis Behavioral Health Leader Resume Examples & Samples

8-10 years financial management experience
Strategic thinking and planning capabilities; excellent organizational skills at coordinating and consolidating inputs across multiple functions
Ability to mentor and manage associates in a constantly evolving environment
Willingness to manage and work closely with an operating team
Prior budgeting, data and financial analysis experience
Comprehensive knowledge of all Microsoft Office applications, Excel
Graduate business degree preferred (MBA, MAC, etc)
Prior management experience in a core finance function
Prior FP&A experience in a large, public, national and/or multi-national environment
Commercial finance expertise
Certified Public Accountant license, desirable
Knowledge of Hyperion Planning
Knowledge of SQL, VBA, SAS, OBIA, Hyperion Essbase and/or Smart View

Behavioral Health Clinical Manager Resume Examples & Samples

Providing clinical case management consultations and clinical guidance for contracted PCPs treating behavioral health-related concerns not requiring referral to behavioral health specialists
Developing comprehensive care management programs for youth and adults with behavioral health concerns, typically treated by PCPs, such as ADHD and depression
Developing targeted education and training for the MCO’s PCPs that commonly encounter behavioral health issues
Using utilization management, care management, quality and other data sources to identify areas of opportunity for implementing population health improvement initiatives for Medicaid members
Ensuring the MCO operates with a recovery based philosophy by working with Recovery and Resiliency team members, modeling behaviors aligned with the Principals of Care and training all staff on practical application of these principles with a focus on: care management, service coordination to address social determinants of health and understanding levels of care
Promotes, identifies and develops opportunities to implement preventative BH strategies that support diversion from more restrictive levels of care
Completes medical necessity reviews for service authorizations in accord with licensure level
Minimum of five years of combined clinical experience in mental health and substance use disorder services and be knowledgeable about primary care/behavioral health integration required
Strong data analysis and organizational skills are necessary required

Rn-geriatric Behavioral Health Resume Examples & Samples

Computer Skills: Input data into computer programs as required by unit
Communication Skills: Answer telephones, Coordinate events, Interview others, Customer Relations
Patient Care Skills: Maintain patient charts

Behavioral Health Service Manager Resume Examples & Samples

Master's degree in Behavioral Health is required
Must have a current unrestricted LCSW, LMFT, LPC, PhD, PsyD or RN license
Minimum of 3+ years of current case and/or utilization management experience
Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff
Foster care experience is very highly desired

Psych Tech-adult Inpatient Behavioral Health Resume Examples & Samples

Participates in Patient Care Conferences whenever possible
Demonstrates working knowledge of psychiatric disorders in defined area of service
Ensures that clinicians are notified promptly of urgent/emergent situations
Conducts routine admission belonging searches and all other searches necessary throughout admission, per unit policy and procedure

Behavioral Health Tech-geriatric Resume Examples & Samples

Basic EKG skills required
Must be able to demonstrate previous work experience following regimented job duties and time schedules when working previously held positions
Willingness to be crossed trained to other areas
Must have and maintain BLS certification. Certification must be in accordance with the curriculum of the AHA, for Healthcare Provider's Program
Must obtain HeartSaver First Aid certification (includes CPR) within 30 days of employment. Certification must be in accordance with the curriculum of the AHA, for Healthcare Provider's Program
Must obtain Satori Alternatives to Managing Aggression (SAMA) certification within 90 days of starting unit orientation
Must be able to travel as needed to STHS facilities

Behavioral Health Tech-adult Resume Examples & Samples

Computer data entry skills required
One year behavioral health or direct patient care experience preferred
Must be able to lead group activities such as group discussions, crafts, games, etc as prescribed
Knowledge of basic practices, procedures and techniques involved in working all populations requiring mental health or substance abuse treatment preferred
Ability to develop and maintain the confidence and cooperation of patients suffering from behavioral health issues communicate clearly and diplomatically with other members of the behavioral health team keep accurate records understand and carry out oral and written directions, computer skills
Must demonstrate commitment and adherence to STHS's Compliance Program and Code of Conduct through compliance with all policies and procedures, the Code of Conduct, attendance at required training and immediately reporting suspected compliance issue(s) to the Compliance Officer
Must obtain Satori Alternatives to managing aggression (SAMA) certification Within 90 days of starting unit orientation

Lvn-behavioral Health Resume Examples & Samples

An LVN currently licensed by the State of Texas
Completion of an IV Therapy Course
De-escalation class within 90 days of hire

NP Behavioral Health Marymount Hospital Resume Examples & Samples

Documents findings in medical record
Develops a treatment plan in collaboration with the physician and members of multidisciplinary care team
Prescribes and monitors medications as allowed by prescriptive authority through the applicable state Board of Nursing and CCF policy. Develops patient education plan

Behavioral Health Tech Resume Examples & Samples

Provides for Patients' activities of daily living (ADL's)
Assists in the examination and treatment of patients under the direction of the Registered Nurse
Identifies physical care and comfort needs of patients, and is able to perform care
Assists with Electroconvulsive Therapy (ECT) preparation and provides care as designated by the Registered Nurse pre-op and post-op
Secures patient belongings and valuables and documents their disposition
Performs ongoing observation of patient's response to illness and treatment which in turn promotes optimal patient outcome
Collects data through observation of the milieu on an ongoing basis
Plans and implements safe milieu interventions consistent with individual patient treatment goals
Assists in the development and the maintenance of an organization/developmental climate in which the needs of Behavioral Health clients are met with warmth respect and responsiveness
Carries out specific interventions to assure patient safety, which includes rounds, primary searches and visitor control
Provides safe environment for the patient on an ongoing basis
Complies with policy and procedure in documentation in multidisciplinary progress notes and in the EPIC system
Documents on patient groups in patient record according to requirements
Documents according to Behavioral Health Medicine guidelines
Actively demonstrates skills in a crisis situation
Demonstrates proper application and maintenance of restraints seclusing of population served under the guidance of the RN
Identifies/utilizes opportunities to update and broaden clinical skills and attends educational in-services voluntarily
Holds self and others accountable for assigned responsibilities
Two years of experience in Behavioral Medicine/Health Field or in Protective Services in a patient care environment required

Behavioral Health Clinical Quality Analyst Resume Examples & Samples

Support the Quality Improvement (QI) program and activities, including the QI committee structure
Coordinate quality projects in collaboration with internal teams and external stakeholders
Assist project teams in identifying performance issues
Manage customer requests related to the quality assurance/compliance monitoring programs
Generate solutions for identified problem areas and driving action plans to maintain compliance with contract requirements
Develop new quality initiatives
Assist in the evaluation of the effectiveness of the quality program
Prepare quality assurance reports
Ensure policy and procedure compliance
Participate in quality improvement audits
Manage quality of care concerns and the reporting of critical incidents
Report on the status of quality projects for senior management
Work on special projects as assigned
Prioritize quality and training initiatives and educational efforts to ensure urgent issues are addressed promptly and resolved
Design appropriate communications, training, and performance support materials
3+ years of experience within a health care and/or behavioral health setting
1+ years of experience quality improvement experience
Intermediate proficiency with MS Office applications specifically MS Word and PowerPoint; able to work in MS Excel
Knowledge of public sector
Familiarity with regulatory and accreditation agencies and their QI requirements, including CMS (Medicaid/Medicare), HEDIS and NCQA/URAC
Excellent verbal (presentation skills) and written communication

Senior Manager, Behavioral Health Product Resume Examples & Samples

Interpret market and client dynamics and develop new product innovations
Evaluate new product ideas - both self-initiated and recommended by clients and business partners - through a product lens (market dynamics, competitive landscape, competencies, value, risks, etc.)
Recommend buy / build / partner solutions for new product opportunities
Lead product development efforts from ideation through execution, partnering closely with stakeholders across the organization and with community partners and government entities to meet customer requirements
Manage existing products; review performance against expectations and facilitate changes to product portfolio or recommend sunset, as relevant
Serve as functional SME on all products in the portfolio - understanding all aspects of product development
Partner with key functional areas to ensure high performance in all areas - operations, clinical value, reporting / measurement, etc
Develop operational plans to contribute to pricing through underwriting for new business opportunities
Support marketing and sales effort through contributions to RFPs, sales training, marketing strategy and materials, and participation in client meetings
Maintain strong communication with all stakeholders, including senior executives and cross - segment partners and external partners
Undergraduate degree in applicable area of expertise
3+ years in healthcare field
5+ years in product, strategy, market management, consulting or other relevant area
Experience working in a large, matrixed organization
Demonstrated ability to influence senior leadership and other stakeholders to adopt new ideas, products and / or approaches
Proven organizational skills with ability to be flexible and work with ambiguity
Highly self - directed with insight into when and how to engage others / manager in key decisions
Experience leading large, complex projects to achieve key business objectives
Demonstrated ability to explain highly complex concepts in ways that can be understood by a variety of audiences
Experience directing cross - functional and / or cross - segment teams
Experience with Behavioral Health, Product Strategy and Development and the Federal marketplace

Senior Director Behavioral Health Medicaid Channel Resume Examples & Samples

Leverage voice of the customer and market insights to manage and improve existing Clinical solutions as well as develop new solutions to grow Optum’s Medicaid business
Develop new ideas and identify opportunities to improve upon Optum’s care programs for the Medicaid market
Influence departmental plans and priorities to address business and operational challenges
Establish success metrics
Partner with Product Leadership to complete product development documentation that will lead to the execution of care management models
Develop final program design specifications in partnership with operations, finance, marketing, relationship office, and other partners
Reviews product performance and develop recommendations to improve
Assess and interpret internal customer, business partner and vendor needs and requirements for program reporting and analysis
Track and report program activities and product change requests at the national and plan level
Work with matrix partners to ensure we are effectively and efficiently delivering on the value promise and agreed targets of existing solutions
2-3 years product management or operations experience
3-5 years Medicaid experience
Ability to think and act strategically and as well as execute tactically with bias toward action
Excellent analytical skills
Experience with Microsoft Excel, PowerPoint, and Word
Medical and behavioral experience
Master's prepared clinical licensure
Demonstrated ability to manage people and prioritize deliverables

Psychiatric Behavioral Health Tech Resume Examples & Samples

Assign the Senior BHTs their specific duties
Act as the patient's advocate and ensure that patient's rights are upheld
Comply with established measures for infection control, OSHA regulations, and risk management
Comply with Service Excellence Policy
Comply with the Employee Code of Ethics
Adhere to all facility and personnel policies and procedures
Consistently reports to work on time and is ready to work at the start of the shift
Clocks in/out per policy and procedure: begins/returns from meal periods and rest breaks within established time frames
Participate in continuous Performance Improvement activities
Balances team and individual responsibilities
Must have no disciplinary actions on file
Consistently demonstrates a self-directed, mature and disciplined approach to completing work duties
Follows proper lines of authority and organizational structure
Knowledge of all code procedures
Knowledge of personal hygiene training techniques
Knowledge of psychiatric care techniques
Knowledge of aggressive behavior management techniques
Knowledge and training in CPR/First Aid
Knowledge of admitting procedures
Knowledge of intake calls

Behavioral Health Service Coordinator Resume Examples & Samples

Work with STAR Kids Members, legally authorized representatives, and providers to meet the behavioral healthcare needs of each member’s condition
Identify STAR Kids members who may benefit from service management, conduct an assessment and develop, implement and monitor an Individual Service Plan
Conduct in-home face to face member assessment and telephonic outreach
Conduct follow-up contacts or in-person visits to determine if services meet members' needs
Update database regularly with most recent Individual Service Plans
Review information submitted by providers into the database to ensure material is appropriate and consistent with guidelines for data inclusion
Encourage behavioral health providers to use evidence-based practices and confirm that behavioral health providers and PCP’s are sharing information as required
Maintain compliance with federal and state regulations and contractual agreements
Coordinate service management functions with other departmental functions
Maintain HIPAA compliance
Educate providers and community resources on program components and available support services
Educate members to foster compliance with program and positively impact outcomes
Education/Experience: Master's degree in Behavioral Health or Registered Nurse required. 3+ years of case and/or utilization management experience
Experience in psychiatric health care settings, child behavioral health conditions and members with special needs
Thorough knowledge of a specialized or technical field such as clinical nursing, case and/or utilization management involving knowledge plus the application of basic theory. Knowledge of utilization review procedures, and familiarity with mental health community resources

RN Adult Psych Behavioral Health Per Diem Resume Examples & Samples

Functions as a milieu therapist to assigned patients, including collaborating with the nurse therapist to determine a milieu treatment approach, functioning as an active member of the multidisciplinary team, administering an initial psychological assessment, and providing consistent individual counseling focused on treatment goals during hospitalization. Participates in milieu therapy for patients on an individual or group basis. Leads or assists in milieu groups. Incorporates knowledge of each patient's condition and application of various therapeutic techniques; ensures appropriate participation by patients
Collaborates with other unit staff in assessing and evaluating patient's mental status. Initiates and maintains a therapeutic relationship with patients. Collaborates in the diagnosis and treatment of patients; shares information and participates in the formulation of treatment plans. Coordinates and implements various aspects of milieu environment to provide a therapeutic experience for patients. Collaborates with other staff members to determine whether a patient represents a risk to himself/herself and/or others. Works with other unit personnel with crisis intervention techniques
Provides supportive care to patients, such as participating in conversation, recreational activities, and basic living activities. This may include assisting patients with bathing, eating, and other daily living activities. Sets limits, confronts counterproductive activities and behavior, and reassures and orients patients. Encourages and facilitates appropriate interactions between patients
Provides support and education to family members and significant others regarding the patient's status. Works with representatives of outside agencies in obtaining or disseminating information on individual patients. Participates in discharge planning and referral, if necessary

Behavioral Health Clinician Resume Examples & Samples

Complete diagnostic evaluations
Provide consultation to the team regarding diagnostic impressions, recommendations, and strategies to engage patients in health and behavior change
Support the team with the day to day management of complex patients
Provide brief evidence-based direct care to patients
Engage in population health activities to support risk stratified populations
Masters or Doctoral Degree in Social Work or Psychology
Licensed Social Worker (LICSW), PsyD, or Doctoral Level Licensed Psychologist (LP)
2 years post licensure

Executive Director Behavioral Health Resume Examples & Samples

Coordinates day-to-day BH operations to achieve goals and ensures smooth and efficient functioning to meet the requirements of State of Louisiana
Interacts closely with State of Louisiana, providers and other stakeholders in the success of the BH program
Ensures the timely completion of all BH contract deliverables
Guides directors, managers and supervisors in the effective delivery of services, meeting goals and avoiding all contract penalties
Oversees the clinical and administrative supervision of staff
Participates in all required meetings
Ensures collaboration and coordination with all stakeholders
Oversees hiring, promotions and disciplinary actions to assure adherence to human capital policies
Formulates action plans to remedy any findings from the provider audits, utilization reports, provider concerns or in response to State of Louisiana concerns
Demonstrates an effective, adaptive leadership style that promotes innovation and accountability and establishes work priorities; delegates pertinent activities
Develops reviews and approves documents which provide information and program justification
Represents UnitedHealthcare in relevant organizations and meetings
Provides leadership and direction in the development of appropriate risk management strategies. Works closely with State of Louisiana, providers and stakeholders to implement these strategies
7 years of managerial and administrative experience in public sector or Behavioral Health Care
Thorough understanding of managed care principles, models and financing
Demonstrated leadership effectiveness and project management experience
Strong customer service orientation and experience in recovery and resiliency practices and programs
Strong data analysis and PC proficiency
Demonstrated abilities to build effective teams facilitate staff working together collaboratively and retaining top talent
Exceptional planning, organization and monitoring skills
Administrative experience in the Louisiana mental health and substance abuse service delivery system and in administering a similar contract
Experience working in a corporate managed health care environment

Behavioral Health Integrated Care Manager Resume Examples & Samples

Engage members telephonically using clinical skills to coordinate physical and behavioral health service needs
Deliver an integrated approach to coordinated care based on the member’s needs
Identify early risk factors and conduct ongoing assessments
Coordinate physical services as needs are identified (home health, DME, etc.)
Decrease unnecessary hospitalizations and ED visits
Attend monthly meetings with the assigned AZ Regional Behavioral Health Authorities (RBHA)
Current, unrestricted RN license or LCSW/MSW in the State of Arizona
3+ years clinical, behavioral or case management experience
Ability to prepare and document case summary’s
Independent self-directed
Medicare / Medicaid experience

Director, Behavioral Health Services Resume Examples & Samples

Serve as Clinical and Affordability lead in monthly / quarterly JOCs and other ad hoc customer and state meetings
Works closely and collaborates with Clinical Operations directors, managers and supervisors in the effective delivery of services and to ensure utilization and customer goals are met
Demonstrates an effective, adaptive leadership style that promotes innovation and accountability and establishes work priorities
Act as the primary BH clinical source for the Customer, State and other Stakeholders to address routine and complex member issues / concerns. As required by Contract, be a physical presence in the community with community providers, state agencies, advocacy agencies / groups
Lead and / or participate in local / national clinical projects that result in the development or improvement of local clinical services and / or access to care
Routine interface with BH Network to ensure access to care meets the needs of the membership
Possesses an active, independent, and unrestricted behavioral health licensure and certification from the state or board which issued the credentials
Thorough understanding of managed care principles, models and financing required; with a minimum of 2 years of experience working in a corporate managed health care environment strongly preferred
5+ years of leadership and administrative experience in public sector or BH care
Experience in a recovery-oriented delivery system
Prior experience making oral presentations

Behavioral Health Services Manager Resume Examples & Samples

Maintains 20% clinical schedule
A broad range of clinical experience preferred
Affiliation with National Association of Social Workers preferred

Dir, Behavioral Health Resume Examples & Samples

Drives behavioral health programs through the development of policy and procedure, clinical criteria, workflows and other behavioral health documentation
Monitors processes and procedures to ensure compliance with contractual, regulatory (Federal/state) and accreditation entities
Provides leadership and support to front-line staff and supervises
Provides guidance to Behavioral health management for future expansion and growth efforts
Coordinates quality assurance and quality improvement activities with regional and corporate departments
Assists with development of member and provider education tools and materials
Assists with development of clinically-focused training associated with behavioral health assessment, care plan development and behavioral health services in the state
Assists in establishing effective operational practices and works closely with various health plan departments and regulatory agencies to ensure contracts meet operating, financial and legal standards
Performs data analysis and develops specific actions to manage medical cost trends
Establishes, maintains and fosters professional working relationships with all behavioral health providers and develops regular ongoing working relationship with the community mental health system in the market including community mental health centers, treatment facilities and other significant behavioral health providers
Partners and collaborates with other departments and the corporate office regarding behavioral health matters and initiatives
Oversees the day-to-day operations for behavioral health associates which include activities designed to achieve quality of work products and outcomes of individual performers
Serves as a community liaison and leader for community advisory boards, advocacy groups, task forces or other community-based stakeholder activities
Required 8+ years of experience in behavioral health management and/or acute behavioral health care setting focusing on outpatient/inpatient utilization, case management and discharge planning
Required 5+ years of management experience
Required 4+ years of experience in a managed care environment (as a licensed mental health professional)
Required Other Experience working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs
Advanced Ability to effectively present information and respond to questions from peers and management
Advanced Ability to lead/manage others
Advanced Demonstrated organizational skills
Required Intermediate Financial Management Systems (Generic)

Behavioral Health Clinical Specialist Resume Examples & Samples

Proficiency in all Microsoft Office applications, including Word and Excel
Ability to juggle multiple tasks at once
Bachelor's degree in related field preferred
Minimum of one (1) year of managed care experience or related behavioral health
Familiarity with medical terminology and/or ICD-9 codes

Behavioral Health Service Manager Resume Examples & Samples

Work with Foster Care Members, Medical Consenters, Department of Family and Protective Services (DFPS) staff and providers to meet the behavioral healthcare needs of each foster care member’s condition
Identify foster care members who may benefit from service management, conduct an assessment and develop, implement and monitor a healthcare service plan
Provide information to DFPS staff to facilitate development of the DFPS case plan
Update database regularly with most recent Service Management Plan of Care
Comply with established referral, pre-certification and authorization policies, procedures and processes by related medical management staff
Monitor data to address trends or potential quality improvement opportunities
3+ years of case and/or utilization management experience
Candidates are required to have the license to practice independently, and/or have obtained the state required licensure as outlined by the specific state. This includes but is not limited to licenses such as LPC, LCSW, LMFT, LMHC, LIMHP, and RN

Behavioral Health Director Resume Examples & Samples

Responsible for oversight, tracking and reporting clinical requirements and performance standards set by the Customer and the State
Establish strategic priorities for Benefit Expense Management, and overall affordability initiatives
Identify and analyze local market trends, service gaps and the development of mitigation strategies aligned with our strategic priorities
Responsible for defining and developing local market-specific mitigation strategies in coordination with clinical operations functional leads, Affordability, Finance and other matrix partners
Monitor and oversee local market performance (against both utilization and financial targets to ensure targets are met
Collaborate with Clinical Operations for any market required clinical processes. (i.e. development of job aids, QRGs)
Serve as Clinical and Affordability lead in monthly/quarterly JOCs and other ad hoc customer and state meetings
Collect, and deliver required clinical operations customer reporting as well as develop action plans to address performance issues
Collaborate and coordinate with state, providers and other stakeholders in conjunction with the Executive Director and Relationship Office
Ensures the timely completion of all clinical contract deliverables
Act as the primary BH clinical source for the Customer, State and other Stakeholders to address routine and complex member issues / concerns
As required by Contract, be a physical presence in the community with community providers, state agencies, advocacy agencies / groups
Routine interface with the Optum Relationship Office to ensure contractual obligations and market expectations are being met
As required by Contract, conduct / attend ad hoc trainings with provider community as requested
As required by Contract, lead and / or participate in provider forums as needed
Possesses an active, independent, and unrestricted behavioral health licensure in the state of Iowa and certification from the state or board which issued the credentials or 5 years of leadership and administrative experience in public sector or BH care required
Thorough understanding of managed care principles, models and financing; with a minimum of 2 years of experience working in a corporate managed health care environment a plus

Behavioral Health Utilization Review Analyst Resume Examples & Samples

Evaluates and intervenes concurrently and retrospectively for level of care, coverage issues, payor outliers, split billing, disallowed charges, patient inquires, denial and compliance issues
Initiates actions and participates with Patient Financial Services payor teams regarding resolution of denial management issues or compliance issues. Works with authorized payors or reviewers to resolve denial management issues, reconsiderations and appeals
Tracks, monitors and documents denial causes and resolutions with appropriate management staff
Acts as a knowledge resource for billing staff members. Identifies educational needs regarding payor issues, functions as preceptor, and provides appropriate education
Builds and continually updates a knowledge of Third Party Payor requirements for covered treatment protocols by diagnosis, approval requirements for procedures, and coverage norms
Provides education by collaborating with Care Coordination at company facilities or other staff of non-company locations on concurrent and retrospective utilization review. Accurately and thoroughly completes documentation required for claims payment of services approved through concurrent review and case management

Dshs Behavioral Health Program Manager Resume Examples & Samples

Chemical Dependency Professional License (CDP)
Experience working in the field of Substance Use Disorders
Experience working with a Managed Care system
Experience and knowledge about the state Medicaid system
Understanding of clinical, developmental and social issues affecting youth and adults in public substance use disorder systems
Knowledge of Washington State's substance use disorder system, including inpatient and outpatient care, systems and coordination of treatment
Knowledge of managed care principles, contract issues, access to care, medical necessity, resource management, quality improvement, cultural competency and provider contracting including priorities and rules related to federal funding
Knowledge of the Washington State Centennial Accord and the Government-to-Government relationships with Federally Recognized Tribes and Recognized American Indian Organizations
Knowledge of protocols and processes of the executive and legislative branches of state and local governments
Ability to work collaboratively with multiple stakeholders including consumers, providers, state and local government officials and legislative staff in the development of policies and procedures, WAC and statutes
Ability to plan, collaborate, analyze and problem solve with clear goals and objectives regarding system service gaps and policy needs
Ability to work across systems to develop improved coordination of care for individuals with multiple needs
Knowledge and experience in project management, processes, leadership and execution
Ability to lead meetings, facilitate workgroups and represent division/department management positions
Knowledge and understanding of the legislative process

Behavioral Health Services Clinical Manager Resume Examples & Samples

Requires Master’s degree in Social Work or other clinical related field with licenser in Indiana
BLS Certification must be maintained throughout employment with Terre Haute Regional Hospital
Crisis Prevention Certification training completion within 6 months of hire and maintenance of certification throughout employment with Terre Haute Regional Hospital
2 or more years in a leadership role
2 or more years of inpatient acute care experience

Care Manager EAP & Behavioral Health Hours per Week Afternoons & Weekends Tx-irving Resume Examples & Samples

Provides referrals to outpatient providers and facilities per member requests
Works with WorkPlace Options and/or other vendors to support EAP members accessing any necessary work/life benefits and services
Self-starter with good problem solving skills

Care Manager EAP & Behavioral Health Irving Resume Examples & Samples

Handles and processes crisis calls; analyzes complex cases; screens members for care coordination needs; makes innovative use of available resources
Actively participates in clinical staff meetings with Team Supervisor and MHN’s board-certified Medical Directors
Identifies appropriate members and provides care coordination services for these managed care beneficiaries
Demonstrated ability to assess, evaluate, and integrate clinical data
Knowledge of Managed Care benefits and eligibility

Care Manager EAP & Behavioral Health Hours per Week Afternoons Resume Examples & Samples

Communicates with both internal and external customers. Educates providers, members and beneficiaries regarding benefits, services, and resources. Provides care shaping (working with providers to shape care) with providers and facilities to support best outcomes for members
Identifies Potential Quality Indicators using criteria established by the QM department. Reports and resolves any potential member complaints or grievances
Computer literacy
Ability to function professionally under pressure
Demonstrated communication and interpersonal skills

Behavioral Health Resume Examples & Samples

Traveling up to 75% of the time to conduct on-site facility, agency, and clinician audits throughout a given region
Working to ensure our members receive the best possible treatment from a network of high-quality clinicians and facilities
Attending team meetings by phone to stay up-to-date on issues and discuss inter-rater reliability
Developing your own travel schedule
Sending letters and samples of audits to providers
Scoring audits and writing audit reports
Tracking and documenting all activities
Licensure in the Mental Health field such as: LCSW, MFT, LCP, LCPC, PhD or an RN license
A Master's degree or RN with experience in mental health
A minimum of 6 months of experience with managed care
A minimum of 2 years of experience in behavioral health
A Valid Driver’s License along with proof of current insurancePreferred Qualifications
Quality improvement knowledge NCQA
JCAHO familiarity

Rn-prn-adult Specific Care-behavioral Health Resume Examples & Samples

Provides care for patient's with: Depression/Suicidal impulses, Mania, Delusions/Hallucinations, Paranoia, Anxiety, Aggressive/Assaultive Behavior, Chemical Dependency Issues/Detox, Personality Disorders, i.e. Borderline/Sociopathic, Eating Disorders, Dissociate Identity Disorder/PTSD, Dementia/Alzheimer's, and medical problems such as hypertension, headache, diabetes, URI, UTI, heart disease, thyroid disorders, and acute or chronic infection
Is available for 1:1 interactions with patients as needed and shares in providing intervention and/or management of inappropriate behavior
Transcribes and administers medications and treatments accurately. Documents correctly and legible on medication record. Practices the "5 Rights" of medication administration
Ensures that medication consents are obtained and signed prior to administering psychotropic medications
Continuously monitors acuity of unit. Keeps supervisor informed of unusual events, conflicts, and/or patients in crisis

Behavioral Health Assessment Coordinator Resume Examples & Samples

Graduate of an accredited college with a Bachelor's Degree or higher
Current licensure in the State of Nevada as a LCSW or RN
Experience working in a behavioral health treatment setting
Basic Life Support certification. May obtain once hired within 90 days of employment

Regional Business Office Director Behavioral Health Resume Examples & Samples

Analyzes and resolves problems that affect the claim submission process, regardless of whether the problem originates in an area under direct or indirect control
Analyzes, identifies and forecasts cash projections, A/R reserve requirements and staffing needs
Monitors and supports daily staff functions in all areas related to A/R management. Participates in revenue cycle, denial management and patient access management work teams
Monitors appropriate internal control of A/R records and collection of cash. Monitors compliance standards for providing accurate information on all facility billings
Communicates regularly and effectively with both facility personnel and UHS Corporate management regarding the status and condition of the business office A/R operations
Travels frequently to facilities for on-site staff training, A/R audits and meetings and MS4/ Midas systems training
Responsible for achievement of monthly and annual performance goals for key revenue cycle indicators such as cash collections, bad debt reduction and miscellaneous deductions reduction
50% Travel to UHS locations

Behavioral Health Tech-night Shift Resume Examples & Samples

Ensures safety of patient at all times
Obtains accurate vital signs, weight and height, intake and output, and documents information appropriately
Demonstrates the ability to communicate the status of the patient's condition accurately, timely and legibly
Experience in behavioral health setting preferred

Behavioral Health Tech-day Shift Resume Examples & Samples

Consistently provides supervision for assigned patients
Performs daily patient care tasks, including feeding and bathing patients, and cleans patient living areas which may include soiled beds and floor area
Performs basic housekeeping tasks required to maintain patient living areas
Escorts patients to events away from the facility such as recreational and other activities, Court for conservatory or other hearings, Emergency Room or clinician office as necessitated by their physical condition
Consistently records and/or reports to the Lead Care Specialist or Charge Nurse any treatments, results, observations, patient complaints, and other pertinent information regarding the condition of the patient

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Tricare Behavioral Health Utilization Manager Resume Examples & Samples

Perform care management activities to ensure that patients move through the continuum of care efficiently and safely
Assess and interpret customer needs and requirements
Review cases and analyze clinical information in conjunction with Medical Directors to determine the appropriateness of hospitalization
Perform Clinician to Physician interaction to acquire additional clinical information or discuss alternatives to current treatment plan
Escalate cases to the Medical Director for case discussion or peer-to-peer intervention as appropriate
Perform anticipatory discharge planning in accordance with the patient's benefits and available alternative resources
Collaborate with Medical peers on consideration of discharge planning needs
Refer patients to disease management or case management programs
Assist with the development of treatment plans
Document activities according to established standards
Identify solutions to non-standard requests and problems
Solve moderately complex problems and / or conduct moderately complex analyses
Work with less structured, more complex issues
Current unrestricted license in a mental health field i.e.: LCSW, LMFT or unrestricted RN License in state of residence
2+ years of previous experience in Utilization Management
5+ years of clinical experience in an inpatient / acute setting or outpatient setting
2 years of Behavioral Health experience
Intermediate to advanced computer skills - Microsoft Word, Outlook and Internet Explorer with the ability to navigate a Windows environment
Previous TRICARE experience
Prior Military experience
Prior Utilization Review experience

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Behavioral Health Clinical Coordinator Resume Examples & Samples

Health care administration as it relates to children in out of home care
Arizona Department of Health Services Division of Behavioral Health Services policies and procedures
Behavioral health services available under Medicaid
Community behavioral health services and service providers
Trauma Informed Care principles
Remain organized and adaptable in an ever changing environment
Credentialed Behavioral Health Technician (or obtained within six months of hire)
Bachelor’s Degree in Social Work, Psychology, or related field
Two (2)+ years’ experience in Arizona’s behavioral health system
Previous work experience in the child welfare system
Knowledge of Medicaid behavioral health services, the Child and Family Team process, J.K. Settlement, and the 12 Principles for Arizona’s Children’s’ System of Care

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Behavioral Health Prior Auth Supv Resume Examples & Samples

Oversight of the technological aspects of the process, the interaction with providers and the resolution of provider issues
Conduct research and managing of special projects as assigned. Development and issuance of prior authorization generated reporting
Provide the direct supervision of the Behavioral Health Prior Authorization/Utilization Review nurses
Work in conjuction with the Care Management Systems Unit team and/or other AHCCCS divisions/groups/external partners as required on policies or issues related to behavioral health services such as SMI determinations, special assistance, seclusion & restraints, access to care, and out of state placement requests
Provides back up for the responsibilities held by the Prior Authorization/Utilization review staff
Attends division/agency meetings
Graduate of an accredited school of nursing, with a current Arizona RN license in good standing
Professional experience with behavioral health and/or medical health care delivery systems and mechanisms necessary for coordination and delivery of services
Knowledge of the principals of behavioral health and/or medical nursing management and assessment; ability to interpret clinical information and assess implications for treatment
Excellent communication skills, verbal and written. Organizational skills for setting priorities, workload and record keeping. Ability to effectively resolve provider issues
Ability to read, interpret and apply complex rules and regulations, to communicate complex information in an understandable manner, and to motivate others who are direct reports
Professional experience in the healthcare industry, including behavioral healthcare
Experience in management and/or administration
Experience in Prior Authorization
Experience in data research and report development
Familiarity with American Indian Tribes/programs and policy relative to IGAs and other related policies

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Case Manager Lead Behavioral Health Resume Examples & Samples

Completing progress notes, facilitating and writing ISPs and reviews of ISPs and other required reports, letters, and other correspondence as needed
Conducting field visits per agency policy requirements at various locations: family homes, group home, other residential placements, psychiatric hospitals, schools, day programs, work programs, hospitals, etc. to develop relationships with the child/adult and families
Extensive problem solving and conflict resolution within member teams
Attending discharge staffing at psychiatric facilities, petitions and attends hearings for Mental Health Court Ordered Treatment, attends Child Family Teams (CFT) for children in residential group home placement
Working closely with various mental health agencies and with the local psychiatric facilities in managing member services and in assisting in ensuring a prompt discharge when member has been involved in an in-patient stay
Evaluating and assessing the need for higher behavioral health rates, enhanced staffing ratios for day programs, referrals for positive behavioral supports for members
Knowledge of community resources, medical and behavioral health issues and terminology and principles of applied behavioral interventions
Knowledge of variety of mental health diagnosis, SMI designation, medications and their potential side effects
Skill in initiating, developing, and maintaining member service plans
Skill in coordinating and facilitating meetings
Ability to work independently and within diverse work teams
Employee shall have a valid Level One fingerprint clearance card issued pursuant to Arizona Revised Statute 41-2758.07 in order to work with children and vulnerable adults
Successfully pass background and reference checks. Employment is contingent upon completion of the above-mentioned process and the agency’s ability to reasonably accommodate any restrictions

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Behavioral Health RN Resume Examples & Samples

Previous RN experience in an acute-care setting strongly preferred
Psychiatric patient exposure highly desired
CPI (Crisis Prevention Intervention) training required within 60 days of hire
Level 2 Fingerprinting required upon hire
Lifting max of 50 lbs with frequent lifting and/or carrying of objects weighing up to 25 lbs
Critical thinking, service excellence and good interpersonal communication skills, ability to read/comprehend written instructions, ability to follow verbal instructions, and PC skills

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RN Director Behavioral Health Resume Examples & Samples

Direct, monitor and evaluate nursing services
Develop and implement a written staffing plan that describes the number of RNs, LVNs and Mental Health Techs on each unit for each shift
Accepts responsibility for managing and utilizing resources in a fiscally responsible and ethical manner
Assists the Director of Psychiatric Services in creating and implements corrective action plans and provides justification for negative productivity and operating expense
Three (3) years of experience as an RN in a psychiatric hospital or a psychiatric unit within a med surg hospital

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Behavioral Health Clinical Product Management Resume Examples & Samples

Care Management Strategy
10+ years of health care industry experience
5+ years of behavioral health clinical experience
5+ years of behavioral health managed care experience, including progressive product management experience
Strong leadership skills with experience leading teams in a matrix organization
Proven ability to build relationships cross - functionally and influence teams toward common goals
Demonstrated track record of success developing product vision and strategy, bringing products to market, and expanding a P&L
Strong project management skills, including risk and contingency management, ability to manage competing demands and set priorities, and achieve deliverables
Experience with business case development, basic product accounting, financial modeling, and P&L management
Ability to effectively deal with moderate levels of ambiguity - effectively coping with change, shifting priorities, driving decisions and action without having complete information, appropriately handling risk and uncertainty
Effective formal presentation and facilitation skills for internal and external executive audiences
Clear understanding of client needs and the competitive landscape - competitor strategies, positioning, strengths and weaknesses
Behavioral Health clinical experience

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Behavioral Health Practitioner PRN Resume Examples & Samples

Completes Psychosocial Assessment, conducts ongoing assessments of psychosocial needs and documents Discharge Recovery Goals with interventions on the Recovery Care Plan
Collaborates with behavioral health recovery team, patient, significant other as appropriate and community partners in the development and revision of the recovery plan and coordination of services
Facilitates psycho-educational groups and family meetings to prepare for post-hospitalization treatment needs
Provision of supervision for licensed eligible Master’s prepared employees and interns
Provides ongoing education for the members of the interdisciplinary treatment team related to ethical, psychosocial and discharge planning issues
Participates in Quality/Process Improvement initiatives
Required: Minimum 2-5 years behavioral health clinical experience commensurate with educational level
Preferred: Acute care behavioral health clinical experience. Recent experience with QM, UM, commercial precertification and discharge planning. Discharge planning and individual/group/family therapy experience

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Human Services Unit Supervisor Behavioral Health Resume Examples & Samples

Supervising and directing the work activities of subordinate staff; provide necessary training; provide technical advice and assistance to staff regarding development, implementation or monitoring of member Individual Support Plans (ISP); complete performance evaluations
Reviewing cases assigned to work unit; assess needs and assigns case to staff members; review Individual Support Plan developed by Support Coordinator to ensure member needs are met; ensure assignments area completed within established time lines in compliance with quality standards
Attending and facilitating meetings, e.g., staff meetings, district supervisory meetings, meetings with representatives of other governmental and community organizations, and district and statewide work groups
Developing support plans for the most difficult and complex cases assigned to the work unit, interview and counsel members and family members; make modifications to the Individual plan as necessary
Preparing reports relating to cases assigned to the work unit
Knowledge of Federal and State Statutes, agency policies and procedures relating to the care and treatment of persons with developmental disabilities
Knowledge of social, intellectual and behavioral problems of people with developmental disabilities
Community resources, medical and behavioral health issues and terminology
Principles of applied behavioral interventions
Workload management and problem identification and resolution skills
Ability to assess the needs and determine the suitability of Individual Family Support Plans/Individual Service Plans, teaching and coaching/training
Bi-lingual (English/Spanish) is desired
Apply for and show proof of receipt of a valid Arizona Fingerprint Clearance Card that meets Level One requirements
Be subject to a search of Child Protective Services Central Registry

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Manager Behavioral Health Inpatient Resume Examples & Samples

Knowledge of current behavioral health concepts, principles and methods of treatment
Ability to supervise other nursing staff in a healthcare setting
Knowledge of code procedures
Knowledge of psychiatric and medical nursing procedures
Knowledge of The Joint Commission , CMS, and OSHA regulations
Knowledge of clinical and age appropriate behaviors
Knowledge of computers and various software programs
Knowledge of legal obligations for reporting abuse and/or neglect
Skill in organizing and prioritizing workloads to meet deadlines
Skill in telephone etiquette and paging procedures
Ability to work as a team player
Ability to accept direction and adhere to policies and procedures
Ability to use effective judgment and maintain confidentiality of information
Ability to recognize the importance of adapting to the various consumer age groups
Anticipates and resolves staff conflict at the program level
Provides direct supervision, guidance and support to nursing staff utilizing effective communication skills to address issues and seek feedback from staff
Ensure nursing staff assignments for 24-hour coverage occurs on a daily basis
Maintains appropriate staffing patterns with the guidelines for assigned program to ensure optimum patient care and understanding FTE requirements for program and hospital
Works effectively with the Program Director and Medical Director to monitor and evaluate program standards and guidelines
Functions as liaison between physicians and nursing staff to ensure optimum patient care
Demonstrates ability to develop and maintain open working relationships with all hospital employees
Assists with referral development and community education activities as requested by the Program Director
Monitors and ensures compliance with policies and procedures
Responsible for maintaining and upgrading knowledge in psychiatric nursing by engaging activities that enhances current knowledge
Attend required hours of in-services per year
Completes all required competencies in a timely manner
Collaborate with HR Department to address ongoing performance issues and ensure appropriate documentation is kept in employee files
Ensure all staff are in compliance with hospital-wide and behavioral health competencies and provide ongoing assessments to validate competencies
Provides and/or supervises provision of behavioral health care interventions utilizing the least restrictive interventions.*
Administers and/or assures appropriate medication administration using the 5 rights of medication administration. Ensure accurate medication administration documentation including accurate documentation and signatures on controlled substance forms. Identifies trends with medication, or documentation errors and facilitates corrective action.*
Provides for provision of safety measures for patients, visitors and staff. Assures all staff perform routine and special safety checks and manage and check hazards according to policy.*
Actively participates in quality management activities including facilitating corrective action for operational, staff or quality concern situations requiring immediate attention and/or timely reporting of same.*
Assumes responsibility for completing all mandatory educational, PPD, CPR, CPI and RN licensure requirements within designated time frame and for providing written verification of same for filing.*
Uses the Meditech order entry system for all functions utilized including, but not limited to, entering admission data, transfers, discharges, orders for diagnostic testing, accessing results of diagnostic testing and sending messages to other departments. Routinely accesses e-mail to read messages.*
Demonstrates knowledge of, and follows policy/procedure, and regulatory requirements for all hospital patient safety initiatives.*
Reports to work as pre-scheduled and on time. Identifies and deals with staff attendance issues in a timely manner.*

110

Tricare Disease Management Behavioral Health RN Resume Examples & Samples

Evaluating delays in care, coordinates with Utilization Management team facilitating discharge planning, and arranging for alternative care services to facilitate timely and appropriate discharge
Documenting all clinical information in accordance with UnitedHealthcare Military & Veterans policies and procedures in the member's electronic medical record
Adheres to all ethical, legal / regulatory and accreditation standards
2 years of Inpatient or Outpatient Behavioral Health experience
Intermediate level of experience with Microsoft Word; Windows environment and toggling between multiple screen while typing and talking on the phone
Strong organizational skills and ability to multi-task
Intermediate level of knowledge doing Internet searches
United State Citizenship
Ability to obtain favorable adjudication following submission of Department of Defense eQuip Form SF86
Prior disease management experience working with Depression / Anxiety patients

111

Manager, Behavioral Health Resume Examples & Samples

Responsible for budget planning/development/monitoring
Various managerial levels report into this position; responsible for all managerial functions for direct reports and ultimate responsibility for all personnel management within unit
Large scale oversight for programs and staff within a large medical center or across a service area
Responsible for multiple programs at multi-sites across department
Accountable for access outcomes; allocation of resources; handles member concerns and grievances
Represents the department at a Regional level; may have a regional role such as Chair of Chiefs Groups
Master's degree in nursing, social work, psychology, or Ph.D./Psy.D in psychology from an accredited university or professional school preferred

112

Behavioral Health Clinical Liaison Resume Examples & Samples

Initiate the creation of a member-centric care plan utilizing information gathered during the health risk assessment process
Monitor day to day relationships with behavioral health providers, both external vendors and delegated care coordination entities
Manage day to day communication with contracted behavioral health vendors and care coordination entities
Manage the update internal tracking of membership engage with behavioral health vendors and care coordination entities
Manage the referral process between CHS and behavioral health vendors and care coordination entities
Review and approve invoices from external vendors and care coordination entities

113

Cna-behavioral Health Resume Examples & Samples

Prefer High School Graduate or GED
Current Wyoming CNA certificate
Able to withstand the stresses & demands of an active position listed in the Working Conditions Section
Able to communicate & comprehend accurately & effectively in both written and spoken English
Able to add, subtract, multiply & divide all units of measure: whole numbers, common fractions and decimals
Knowledge (through training) or experience in performing patient care activities for pediatric patients (age 0-17), adult patients ages (18-64), and geriatric patients (ages 65+)
Basic computer data entry skills
Prefer experience in psychiatric or chemical dependency fields

114

Clinical Behavioral Health Resume Examples & Samples

Data manipulation and review – With the project lead, determine type and features of data model to be used and summarize, validate (for accuracy and completeness) and enter data from multiple internal and external data sources into Excel. As appropriate, delegate data entry to more junior colleagues and review for accuracy and reasonableness
Provide financial, contract and/or research-based analysis. Examples of the types of analysis, projects and responsibilities include -
At least three years of industry experience
Knowledge of MS Office Tools (Excel, Access, PowerPoint); intermediate skills in Excel
Ability to organize, prioritize and handle multiple tasks in a demanding work environment
Ability to lead teams to deliver project objectives

115

Behavioral Health Tech PRN Resume Examples & Samples

Must also qualify for CPR training. (within 30 days of hire)
Prefer at least one year of experience as a Mental Health or Psych Technicial and/or CNA in a healthcare setting
Prefer candidates who have obtained or are pursuing their Associates or Bachelors Degree in related field (Psychology, Sociology etc.)

116

Behavioral Health Medical Director Resume Examples & Samples

Provides clinical review for outlier cases
Provides direct clinical supervision as needed
Conducts peer reviews
Responsible for clinical denial reviews and determinations as per delegation agreements
Basic level of PC skills required
Experience with staff supervision

117

Behavioral Health Clinician BHU CHS Kings Mountain Resume Examples & Samples

Assesses patientsï¿½ problems, needs, and level of functioning
Provides various treatment modalities and theoretical applications based on current clinical standards
Designs, plans, and implements effective patient education
Develops, implements, and evaluates patient care according to identified needs and manager clients in crisis
Presents cases in clinical team meetings in a clear, concise, and clinically relevant manner

118

Dietary Department Manager Quail Run Behavioral Health Hospital Resume Examples & Samples

Completes and plans all food service staffing schedules, reviews all requests for holiday/vacation time and extended leave time, and ensures all time cards are prepared for payroll in a timely manner
Recruits and maintains an effective dietary staff adequate to meet patient needs
Ensures staff retention through recognition of efforts, provide opportunities to discuss any issues/problems and maintains a level of staff morale that projects a positive image of the facility
Provides leadership / management to all dietary staff and conducts departmental meetings to improve service
Assists with completing performance evaluations in a timely manner
Provides in-service education/training and orientation to the dietary staff and others when appropriate
Assists with developing the Dietary Departments Performance Improvement Plan and coordinates with other departments to develop and carry out the facility-wide plan with the assistance of the Registered Dietitian
Consults with the Registered Dietitian regarding the nutritional needs of the patients
Approves all menus and makes changes relevant to dietary requirements for patients on therapeutic diets and special needs with input of Dietitian
Participates in the development of the Dietary Services budget and ensures it is maintained to an acceptable level
Responsible for purchasing food, storage of food, monitoring inventory, food preparation, and quality service
Maintains relationships with approved vendors and monitors products purchased for quality and cost effectiveness
Completes reports and informs the CEO regarding departmental activities on a regular basis
Complies with facility and departmental policies and procedures regarding food services offered
Opens/closes the kitchen and ensures organization of daily events
Follows menus and recipes including modified diets as provided by Dietitian
Prepares meals and beverages according to menu cycle and daily production sheets, providing attention to attractive and tasteful meals
Follows posted cleaning schedule and ensures a clean work area
Adheres to standards for food temperatures when serving and storing foods
Maintains walk-in freezer and storerooms in an orderly fashion and properly dates and labels all food items
Complies with established guidelines for sanitation and safety
Provides leadership to other dietary staff during shift
Reports any equipment malfunction immediately to CEO and/or Director of Environmental Services
Provides assistance with washing dishes and maintaining dish room in a clean and orderly fashion

119

Behavioral Health Patient Services Representative Resume Examples & Samples

Associate of Arts or Associate of Science in behavioral health, social work, sociology, psychology, or related field preferred
Bachelor of Arts or Bachelor of Science in behavioral health, social work, sociology, psychology, or related field highly desired
Preferred work experience or demonstrated knowledge of Mental Health and Addiction conditions and services
Preferred consistent high performer
Meet or exceed productivity and quality expectations
Preferred demonstrated multiple skill sets
Demonstrated job performance and chair siding with new employees
Recommendation from supervisor; manager/director approval
No disciplinary actions
Complete all required training
Demonstrated knowledge of Microsoft Office programs including Outlook, Word, Excel, Visio, SharePoint, and other applications including AnswerPath and Interactive Intelligence
Demonstrated ability to
Work in a highly complex environment, able to communicate with clients (including patients, clinicians and physicians) effectively
Remain professional, even when working through difficult situations
Effectively research and resolve issues, including patient financial accounts, scheduling and registration
Establish a pleasant environment by using a pleasant tone of voice and maintaining composure at all times

120

Behavioral Health Case Mgr Resume Examples & Samples

Requires MS or MA in social work, counseling, nursing or a related behavioral health field; 3 years clinical experience in social work, counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience, which would provide an equivalent background
Current active unrestricted license as an RN, LCSW (as applicable by state law and scope of practice), LMHC, LPC (as allowed by applicable state laws), LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required
Experience in case management and telephonic coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred

121

Lpn-behavioral Health PRN Resume Examples & Samples

Provide safe treatment, care and service to patients under the direction of an RN
Maintains medical record with appropriate documentation under the direction of an RN
Medications are safely administered according to hospital policies and procedures
Contribute to the provision of a safe environment with other members of nursing staff
One (1) year hospital experience preferred

122

Senior Behavioral Health Clinician Resume Examples & Samples

Designs and develops outreach programs to meet the needs of requesting UI units
Develops cooperative working relationships with selected UI units
Monitors, evaluates, and keeps informed of cutting edge standards of practice in counseling services within a residence hall setting and keeps abreast of pertinent regulations, standards, publications, and information; provides comparison analysis to supervisors for evaluation
May seek funding for and conduct studies and research on mental health issues; may publish or present findings in appropriate professional journals or forums
Social Worker: Relevant post-degree experience (typically 1-3 years)
Psychologist: Relevant post-degree experience (typically 1-3 years) or satisfactory completion of a psychology doctoral internship
Extensive knowledge of evidence and theory based mental health counseling in assessment, crisis, individual, and group with a university/college student population
Extensive ability to assess, manage, and ensure high quality mental health counseling and crisis management
Extensive proficiency in planning and delivering outreach programs and consultation services on a university campus
Working knowledge of providing supervision to trainees
Extensive proficiency in the application of communication techniques and relationship building skills that develop the ability to work with a variety of individuals and groups in a constructive and collaborative manner
Extensive proficiency in collaborating and interacting with individuals and groups while valuing the unique contribution of individuals from varied cultures, race, creed, color, national origin, age, sex, disability, sexual orientation, and gender identity
Working proficiency with office support tools and electronic medical records software (e.g., word processing, email, presentation software and spreadsheets, electronic health records); preferably Microsoft Office and Titanium EHR
Working proficiency in empirically validated treatment modalities, principally Dialectical Behavioral Therapy (DBT) and/or Acceptance Commitment Therapy (ACT) in group and individual formats
Working proficiency with serious and complex mental health concerns and with mental health crises
Working proficiency with recovery associated with alcohol and other drug related disorders
Working proficiency with students who are Mandarin speaking; Asian Indian, Latino/Latina/Latinx, and/or GLBTQ
Working proficiency with infusing technology into the delivery of mental health services
Interest and/or experience in counseling center research
Working proficiency with students diagnosed on the autism spectrum and with pervasive developmental disorders
Working proficiency with psychological assessment:Administration, interpretation, and reporting

123

Senior Behavioral Health Clinician Resume Examples & Samples

Meets regularly with functional and administrative supervisors to establish and discuss service priorities, marketing, total quality improvement, mission, vision, and strategic planning; reviews plan for implementation within College of Dentistry
Prepares timely narrative and statistical reports of all activities for use in evaluation of residence hall service system including outcomes and metrics to analyze and identify risks, trends, and gaps in program
Serves on departmental and/or university committees representing the UCS/Residence Halls and applicable policies and procedures to stakeholders and constituencies; responsible for communicating with appropriate university administrators and various mental health and academic faculty in regards to the program
Experience in working with graduate and professional students in health science colleges or programs
Interest and experience in being entrepreneurial in the continual creation of new service systems

124

Senior Behavioral Health Clinician Resume Examples & Samples

Meets regularly with functional and administrative supervisors to establish and discuss service priorities, marketing, total quality improvement, mission, vision, and strategic planning; reviews plan for implementation within the residence halls
Relevant post-degree experience (typically 1-3 years) or satisfactory completion of a psychology doctoral internship
Extensive proficiency in planning and delivering outreach programs and consultation services with residence hall constituencies
Interest and experience working with African-American students
Interest and experience working with first year undergraduate college students

125

Behavioral Health Director Resume Examples & Samples

Possesses an active, independent, and unrestricted behavioral health licensure in the state of Missouri and certification from the state or board which issued the credentials required
5 years of leadership and administrative experience in public sector or BH care required
Thorough understanding of managed care principles, models and financing; with a minimum of 2 years of experience working in a corporate managed health care environment strongly preferred

126

Dir Behavioral Health Resume Examples & Samples

Current RN Licensure from the State of Wyoming
Masters Degree in Science of Nursing
Prior behavioral health experience required
At least three years experience in manager director role
Minimum 5 years’ progressive leadership experience
CPI Certification required within 6 months of hire
Current Basic Life Support (BLS) certification through American Heart Association

127

Behavioral Health Tech Resume Examples & Samples

Provides constant/real time video monitoring of all patients presenting with psychiatric/behavioral or substance abuse who are placed in the ED Pod
May be asked to provide bedside monitoring of patients requiring constant observation, but not able to be in the pod
Documents per POD/department policies including sitter checklist and violence scale
Maintains precaution checks as assigned and documents per policy
Collect and record vital signs as directed by the nurse
Informs the nurse and or PARS clinician of changes in the patient’s condition, both physical and behavioral indicating a change in patient condition
Assists patient with personal hygiene and ADL’s as assigned by RN
Monitors and assists with providing care for patients in seclusion or restraints under the direction of the nurse and physician and in accordance with hospital policy
Escorts patients to other areas with security as assigned (radiology, procedural areas etc…)
Utilizes strict adherence to protocols when dealing with potentially aggressive patients and assures the protection of the patients’ rights
Stays alert to the presence of contraband on the unit at all times, and follows procedures for searches according to policy
Stays alert to interactions between patients on the unit, and informs RN/PARS or Security to intervene when needed
Demonstrates sensitivity and respect to the patient and the patient’s family or significant other
Adheres to appropriate professional boundaries in relation to patients
Performs environmental rounds and reports any faulty equipment, property damage or environmental safety concerns to the nurse and or ED charge nurse in a timely manner
Demonstrates behaviors consistent with organizational mission and goals. Follows all applicable hospital policies and procedures
Follows "Patients Rights Policy" at all times. Demonstrates knowledge of information management as appropriate
1 to 3 years

128

Manager, Behavioral Health UM Resume Examples & Samples

Provides leadership and support to front-line staff and supervisors
Required A Master's Degree in Social Work or related counseling field (LCSW, LMFT, LMHC, LPC)
Preferred A Bachelor's Degree in Nursing or Healthcare (RN)
Required 1+ year experience in leading/supervising others in a managed health care setting
Advanced Demonstrated written communication skills
Required Other One of the following licenses are required
Required Licensed Professional Counselor (LPC)

129

Mgr Behavioral Health Resume Examples & Samples

Knowledge of all facets of consumer care, nursing, and clinical systems
Thorough knowledge of psychiatric nursing procedures
Knowledge of The Joint Commission , CMS, DBHDS and OSHA regulations
Knowledge of the federal, state and local laws that pertain to consumer right to privacy and confidentiality
Knowledge applicable federal and state laws and regulations governing mental health care facilities
Knowledge of the Mental Health Code and Privacy Act
Knowledge of managed care philosophy related to mental health services
Knowledge of trauma informed care
Knowledge of Utilization Review/Insurance to provide cross coverage to the UR department
Effective oral and written communication skills
Ability to adhere to safety policies and procedures
Ability to understand levels of crisis
Ability to tolerate ambiguity, uncertainty and change
Ability to collaborate and problem solve with the physicians on the behavioral health unit as well as the unit director, and other hospital administrators/supervisors
Ability to provide twenty-four (24) on-call accessibility to facility

130

Behavioral Health Clinical Director Resume Examples & Samples

Ensuring that the MCO’s behavioral health care management operations are in compliance with the state contract
Participate in developing comprehensive care management programs for youth and adults with behavioral health concerns, typically treated by PCPs, such as ADHD and depression
Leading/Participating in behavioral health and integrated health clinical rounds for members actively engaged in care management
Promotes and validates systematic internal and external screening practices for BH-related disorders in line with contract requirements
Anticipate customer needs for product enhancements / improvements that grow our Medicaid business and proactively develops solutions to meet them
Provides subject matter expertise in areas including product development, clinical design, program specifications, and staffing projections
Think strategically and creatively, about the consumer within the Optum Product experience, translating a vision to processes and requirements
Identify gaps relative to clinical performance, identifying partnership opportunities and performance improvement action plans
Manages ongoing customer relationships and service delivery for an assigned area
Navigate and influence multiple cross - functional teams in a complex, matrix work environment, including influencing senior leadership to adopt new ideas, products, and / or approaches
Partner closely with the Operational Directors on providing context and support for state meetings
Must be a currently practicing psychologist with an unrestricted license in the State of Nebraska
Experienced in working with community-based programs that assist the Nebraska Medicaid population required
Knowledge of post-acute care planning, to include: Discharge Planning, home care, case management and disease management
Strong data analysis and organizational skills are required

131

Behavioral Health Utilization Management Resume Examples & Samples

Responds to and completes urgent/emergent assessment and triage for members telephonically
Complete pre-certification for higher level of care admissions as part of emergency triage rotation
Application of medical necessity criteria in authorization of psychiatric and chemical dependency services. Referral and triage for members in crisis situations
Data entry of all authorizations and clinical notes in member files (Raintree/Flex Care)
Complete retro-reviews as assigned by UM Supervisor
Participates in weekly case conference
Notify Director of Utilization Management and UM Supervisor regarding any quality indicators/concerns Potential Quality Improvement (PQI) including untoward event/incidents

132

Mgr Behavioral Health / Liaison Resume Examples & Samples

Responsible for the oversight of Nursing Personnel, including scheduling, assisting with the day to day running of the Geropsychiatric Unit and program schedule
Responsible for completion of Utilization Review
Responsible for Treatment Planning Process
Responsible for the processing of referrals from outside agencies
Will assist with Marketing of the Geropsychiatric Unit

133

Behavioral Health Clinical Specialist Resume Examples & Samples

Provides thorough risk assessment of behavioral health patients through telephonic and televideo technology for all TriStar hospitals and non-HCA affiliates to assist in making appropriate level-of-care decisions
Provides telephonic risk assessment, schedules behavioral health assessments and connects community callers to appropriate resources
Assists Behavioral Health Placement Specialists in facilitating behavioral health patient placement Provides input into Call Center processes and protocols to improve patient access across the system
Able to multitask in a high volume call center, document proficiently within multiple systems and communicate appropriate updates to all customers
Demonstrates knowledge of local, state, and federal regulatory requirements, HCA Ethics and Compliance policies; and ensures compliance standards are met or exceeded at all times
Works well in a team setting
Demonstrated experience with each of the required areas of expertise in Job Summary
Interpersonal skills to successfully interact with: Patients, Families, Hospitals, Team Members, and Supervisor

134

Manager of Behavioral Health Resume Examples & Samples

Current Registered Nurse licensure by Tennessee Board of Nursing or approved compact state
Three to five years of experience in a supervisory/managerial role in psychiatric arena
CPI within 90 days of employment

135

Medical Director Behavioral Health Integration Resume Examples & Samples

Requires active, unrestricted MD or DO license in the state in which working
Board certification in ABMS approved specialty
3 years clinical practice experience & excellent communication skills
Previous administrative experience as an assistant or full medical director with a managed care organization
Minimum of 3 years previous experience in utilization management and quality management activities in a managed care organization
Capable and successful negotiator
Moderate computer literacy
Advanced degree in a discipline which would enhance the role is desirable; e.g. MBA, MPH, MHA, MPA, Medical Informatics, Biostatistics, etc

136

Tricare Behavioral Health Frontline Leader Resume Examples & Samples

Direct supervision of personnel who are providing administration of services to TRICARE beneficiaries. This includes participating in personnel hiring, disciplinary actions, performance reviews, etc., for all department personnel unless delegated
Ensure TRICARE case management, disease management, and utilization management programs meet defined outcomes to improve the wellness of beneficiaries
Serve as a Tricare Humana Behavioral Health liaison to beneficiaries, guardians, personal care managers and providers
Assist Clinical Managers in determining and implementing new strategies necessary to enhance department efficiency, productivity, and customer service
Serve as a liaison between the HBH TRICARE team, HGB, other HBH departments, and Humana, Inc
Responsible for meeting all utilization management policies and standards, including compliance with URAC, TOM, TPM, Code of Federal Regulations (CFR), and DHA regulations
Perform quality improvement activities such as audits and provide performance recommendations as necessary. Assist the Clinical Director in preparation for audits by external agencies such as the DHA or the TRICARE Regional Office (TRO) as necessary
Serve as the first line of authority for answering daily operational questions and concerns posed by clinical advisors. This may include questions about quality reviews, case closings, outlier reports, timeliness standards, or integrated consultations with HGB personnel
Possess a current, valid, and unrestricted license in the State of Texas or possess a reciprocal license from another state
Such licenses are: Licensed Masters Social Worker (LMSW-ACP), Licensed Professional Counselor (LPC), Psychologist (PhD), Registered Nurse (RN) or other professional license
Minimum of 1 year of post-degree clinical experience in private practice or other patient care
Minimum of 1 year of managed care experience
CCM certification required for frontline leader positions overseeing case management or disease management
Our Department of Defense contract requires U.S. Citizenship for this role
Prior Medicare / Medicaid experience
Direct or Indirect Military experience

137

Senior Care Manager, Behavioral Health Resume Examples & Samples

Interacts with the company's Medical or Associate Medical Directors and/or Physician Advisors to discuss clinical and authorization questions and concerns regarding specific cases
Participates in quality improvement activities, including data collection, tracking, and analysis
TRFs to be reviewed by Masters level Care Manager only

138

Behavioral Health Resume Examples & Samples

Responsibilities include educating Behavioral Health providers and office staff on contracts, policies, and procedures, managing the contracting and rate negotiation process, root cause analysis and resolution of problems and issues, including claims resolution, managing monthly provider visits and calendar of event
Develops, maintains, preparing material and participating in meetings with providers, provider’s staff, and/or IPA leadership, and planning, creating and delivering presentations
Performs quality checks on provider communication material and provider database information
Manages new initiatives and programs as it relates to Behavioral Health provider relations and contracting
May provide guidance to others in the department
High School Diploma or equivalent; Bachelors Degree preferred
Minimum three years’ experience in physician relations or Managed Care for Medicaid
Demonstrated knowledge of contracting process, Behavioral Health provider relations, Medicaid fee schedules, financial terms, and metrics
Minimum one year customer service claims, and/or payor related experience
Proficient at Microsoft Office products and learning reporting applications

139

Behavioral Health Dietitian Resume Examples & Samples

Nutrition Assessment of all patients for nutrition risk, including malnutrition diagnosis
Identifying patient need for nutrition education
Monitors and oversees therapeutic diets, food allergies, and helps guide kitchen staff
Develops and teaches classes geared towards behavioral health nutrition
Provides education for clinical and food service staff
Attend patient round as part of the interdisciplinary team
Will preform other duties as assigned

140

Director of Behavioral Health Clinical Product Resume Examples & Samples

3+ years of health care industry experience
3+ years of behavioral health managed care experience, including progressive product management experience
Experience working with teams in a matrix organization
Proven ability to develop relationships cross-functionally and work with operational teams toward common goals
Strong project management skills, including risk and contingency management
Ability to effectively deal with moderate levels of ambiguity - effectively coping with change and shifting priorities
Effective formal presentation and facilitation skills for internal audiences
Behavioral Health experience
MBA, MS, or other advanced degree

141

Manager of Behavioral Health Clinical Product Resume Examples & Samples

2+ years of health care industry experience
2+ years of behavioral health managed care experience, including progressive product management experience
Ability to develop relationships cross-functionally and work with operational teams toward common goals
Strong detail orientation
Excellent written, verbal and interpersonal communication skills

142

RNP, / Pa-behavioral Health Resume Examples & Samples

Develop an assessment (diagnosis). Develop and implement a management plan
Plan for appropriate follow-up care
Manages the care of patients with complicated medical or surgical conditions

143

Clinical Lead Behavioral Health Resume Examples & Samples

Participates in the attainment of departmental goals which are based on the following important aspects of care; nursing staff education and competency, nursing orientation and preceptor development, professional practice development, support of professional nursing in the community, patient and family education and community wellness
Plans and implements a variety of educational programs based on the clinical staff’s identified learning needs, competency deficiencies and performance improvement findings. Incorporates the patient safety goals into educational programs
Evaluates educational programs through formal and informal mechanisms; shares results w/ management. Recommends new courses or improvements based on feedback received
Participates in a variety of hospital wide committees and department projects as directed
Maintains accurate educational records in Healthstream
Demonstrates commitment to personal professional development by seeking education opportunities and experiences to expand current knowledge base
Serves as a clinical resource to staff and students
CPR certification required, ACLS certification required for clinical educators that work in Critical Care Areas

144

Lpn Ii Behavioral Health Resume Examples & Samples

Work requires ability to operate a computer and software applications such as Windows, Excel, etc
Graduate of an approved Licensed Practical Nurse Program
Current Licensure in the State of Maryland
Current CPR certification, Fire/Safety and Infection Control review at the time of or within 60-90 days of employment

145

Behavioral Health Practitioner Resume Examples & Samples

Monitors patient acuity/progress and coordinates discharge planning as evidenced by documentation
Maintains current knowledge of community resources and post-hospitalization treatment options. Facilitates transition to the appropriate next level of care
Has working knowledge of utilization management functions and performs these duties as assigned; monitors patient acuity to determine ongoing treatment needs and level of care required to meet such needs
Provides for the safety of patients, visitors and staff and actively participates in quality management activities
Assumes responsibility for completing all mandatory educational, health screening, CPR, and CPI requirements within designated time frame

146

Department Assistant, Behavioral Health Resume Examples & Samples

Compiles, organizes and maintains medical records
Transcribes and/or enters physician orders
Assures discharge charts are complete and all documentation forms have patient ID before being sent to Medical Records
Serves as unit receptionist. As assigned, receives Intake calls
Uses the meditech order entry system for all functions utilized in Tucker Pavilion including, but not limited to, entering admission data, transfers, discharges, orders for diagnostic testing, accessing results of diagnostic testing and sending messages to other departments
Actively participates in quality management activities including facilitating corrective action for operational, staff or quality concern situations requiring immediate attention and/or timely reporting of same
Previous secretarial/receptionist experience and/or some type of previous experience in a health care facility (required)
Previous, successful secretarial/receptionist experience in a health care facility or physician's office. Computer experience. (preferred)

147

Dir, Health Plan Behavioral Health Resume Examples & Samples

Serves as the subject matter expert for the Plan's Behavioral Healthcare management including: knowledge of best practices, services included across the full continuum of care, corporate model for management of behavioral healthcare, and promotion of the integrated patient centered medical home
Has knowledge of state plan requirements and understanding of the cross-functional aspects of operational and healthcare service departments, reporting and finances as they relate to management of behavioral healthcare services
Responsible for the program development, implementation, and management of Quality Management and Quality initiatives within the health plan
Provides cross-departmental assistance specific to management of BH services such as: training and management of BH Care Review/ Care Management staff; working with Provider Services to review and ensure network adequacy; supporting Claims to ensure appropriate configuration and payment for BH services; and more
Responsible for the analysis of the quality of member care received and for the development of plans and programs to support continuous quality improvement. Responsible for identification and review of new products to enhance behavioral healthcare service delivery, safety net planning, development of alternative levels of care (with anticipated improved outcomes with cost offsets), predictive modeling, integration with medical care management, or other behavioral health approaches that support the patient centered medical home
Represents Molina in external meetings regarding behavioral healthcare management with state regulators, provider groups, community service agencies, advocacy groups, or other stakeholders
Five years in clinical practice
Three years of supervisory or management experience in a behavioral health setting
Two years in managed behavioral healthcare setting
Experience demonstrating an understanding of all elements of the full continuum of care spectrum of BH services (e.g., inpatient and outpatient services, community support services, substance abuse treatment programming, etc.)
Familiarity of treatment modalities and programs across ages inclusive of child and adult specialty programming

148

Regional Behavioral Health Manager Resume Examples & Samples

Responsible for oversight and decision-making related to the administration of Behavioral Health (BH) benefits for Molina Healthcare members
Works in collaboration with Care Review and Care Management leaders and staff in coordinating the clinical supervisory role for utilization and case management of BH cases as part of the broader integrated medical and BH care coordination team
Oversees, manages and participates in BH rounds and case conferences as well as co-coordinates integrated BH/medical rounds and case conferences
Serves as the resident BH subject matter expert available to all teams as necessary
Assists Compliance and Government Contracting with interpretation and adherence to all BH regulatory and contractual obligations, including but not limited to BH HEDIS measures, NCQA requirements, provider/member satisfaction and any other BH quality improvement or state audit activities
Assists in recruiting and monitoring hours required to meet service needs according to range of benefits and membership size
Serves as community liaison to BH advocacy groups, non-contracted community partners (e.g., community mental health centers), and service organizations. Assists in community outreach activities to improve community awareness of Molina Healthcare's involvement in BH service management and integrated whole person health promotion
Participates in performance and professional development feedback and coaching sessions together, with operational UM/CM managers of BH personnel
Assists senior management as requested to review, evaluate and potentially develop/implement new business opportunities, service expansion or other special projects specific to BH. Serves as project manager when requested for any such ventures
Communicates state and federal regulatory changes related to behavioral health benefits to Plan senior leadership
Maintains accountability to Molina corporate BH leadership to ensure alignment with the Corporate standardized vision for integrated behavioral health enterprise-wide
Represents the health plan with state-wide stakeholders and officials on all issues relating to the provision of behavioral health benefits
Three to five years in clinical practice
Two years in managed behavioral healthcare setting with at least 2 years clinical management experience
More than 5 yrs. In clinical practice

149

Medical Dir, Health Plan Behavioral Health Resume Examples & Samples

Provides clinical input and guidance for all Care Management programs
Facilitates conformance to Medicare, Medicaid, Marketplace, NCQA and other regulatory requirements
Reviews quality referred issues, focused reviews and recommends corrective actions
Conducts retrospective reviews of claims and appeals, and resolves grievances related to medical quality of care
Monitors appropriate care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost-efficiency and continuity of care
Provides implementation support for Quality Improvement activities
Works with Contracting Department in contract negotiation
Fosters Clinical Practice Guideline implementation and evidence-based medical practice
Participates in regulatory, professional and community activities to provide input and become knowledgeable regarding regulatory, professional and community standards and issues
2 years previous experience as a Medical Director
3 years experience in Utilization/Quality Program Management
Experience demonstrating strong management and communication skills, consensus building and collaborative ability, and financial acumen
Knowledge of applicable state, federal and third party regulations
Experience with NCQA, HEDIS, Medicaid, MediCare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines

150

SW Behavioral Health Field Service Coordinator Resume Examples & Samples

Making visits to conduct face to face assessments of member needs
Making outbound calls to follow up on members' current health status and needs
Identifying gaps or barriers in care plans or service plans
Providing patient education to assist with self management
Communicate daily with members to meet state regulated guidelines
Coordinating services for members
Coordinating services as needed (home health, DME, etc)
Conducting post hospital assessments and adjustments to the service plan and plan of care to ensure that the discharged member receives the necessary services and resources
Current, unrestricted RN or Social Worker license in the State of Hawaii
1+ year of clinical or service coordination experience applicable to the managed care population

151

Behavioral Health, Utilization Management Resume Examples & Samples

Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed
Refers appropriate cases to Medical Directors and presents them in a consistent and efficient manner
Requests additional information from members or providers in consistent and efficient manner
Occasional travel to other Molina offices or hospitals as requested, may be required. This can vary based on the individual State Plan

152

Behavioral Health Outpatient Clinic Coordinator Resume Examples & Samples

Requires a RN, from accredited school of nursing. Psychiatric clinic experience preferred
Must maintain State Registered Nurse license, CPR certification. Basic arrhythmia course completion. ACLS/PALS certification provided upon hire
Current certification in Non Violent Physical Crisis Intervention. If not certified at time of hire, will obtain certification within 90 days
This position requires that you drive a facility owned vehicle or your own vehicle. A current state of Idaho driver’s license is required. If relocating to Idaho from another state, you must obtain a current Idaho driver’s license within 90 days of making Idaho your permanent state of residence. If you are not a permanent resident of Idaho you must have a valid driver’s license from the state in which you permanently reside. In addition, if you will be driving your own vehicle 2 or more times per week for company related business, documentation of proof of liability insurance must be provided. Liability insurance must have a combined single limit of at least $300,000 or have $100,000/$300,000 coverage split. This position is subject, upon hire and annually, to an MVR report/analysis and driver safety education

153

Behavioral Health Utilization Management Representative Resume Examples & Samples

Requires HS diploma or equivalent
2 years customer service experience in healthcare related setting and medical terminology training; or any combination of education and experience, which would provide an equivalent background
API experience preferred
Previous inbound call center experience preferred
NASCO, WMDS, WGS, NIC experience preferred

154

Adult Quail Run Behavioral Health Resume Examples & Samples

Sets priorities appropriately utilizing data from Nursing Assessment. Adapts procedures to individual patient needs while maintaining the integrity of the principles involved
Demonstrates effective management of assaultive behavior and appropriate use of Seclusion/Time Out
Completes work left from previous shifts and reports incomplete assignments to ensure continuity of care finishes patient care responsibilities
Ensures that lab results and other test results are posted upon receipt. Ensures that physician orders are affected within 30 minutes and transcribed within one hour
Uses good nursing judgment and needs minimal supervision, but able to recognize when needs to confer with doctor, nursing or supervisor, or program director prior to making decisions

155

Behavioral Health Program Specialist Resume Examples & Samples

Provide technical assistance to internal staff, health plans, providers and other external customers related to clinical issues and programmatic implementation of integrated care services
Manage the authorizations of Out-of-State Placements and the Behavioral Health Reinsurance Program
Lead the High Need/High Cost Program for coordinating care for members with complex needs who receive both physical and behavioral health services
Advance coordination of care efforts with the Contractors for members with complex needs that are difficult to place
Prepares for and participates in the Operational Reviews to include the review of pre-audit documents and policies, on-site audits, formal written documentation of findings and monitoring the Corrective Action Plans as applicable
Review and assess the COE/COT monthly reports received from the RBHAs
Strong clinical expertise in the delivery of behavioral health services and programs
Demonstrated experience providing effective guidance and technical assistance regarding health care issues and the administration of behavioral health and intergraded care programs
Proficient knowledge of the principles and practices of program planning; assessment skills; mechanisms of managed (prepaid) health care systems; preventative health practices; organization of health care systems and current trends that affect the systems, and research methodology and process
Excellent organizational skills that result in prioritization of multiple tasks; in-depth knowledge of problem solving and technical writing
Strong interpersonal skills in working with all levels of health care professionals, corporate and agency officers and members
Bachelor’s Degree in Social Work or related field
Five years clinical and programmatic experience in behavioral health service delivery systems including experience in a public managed care environment
Licensed behavioral health professional or a Master’s degree in a behavioral health or health related field
Knowledge of and experience with Psychiatric Security Review Board and AZ State Hospital

156

Behavioral Health Clinician Resume Examples & Samples

Develops, implements and evaluates patient care according to identified needs
Manages clients in crisis utilizing appropriate therapeutic skills and assessment techniques
Writes appropriate treatment plans according to patient diagnosis, age and clinical presentation. Writes appropriate discharge plans based on individual needs of client and follows through with termination process
Collaborates with appropriate guardians and community agencies to insure effective service delivery
Completes patient care assignments with attention to detail and accuracy. Provides accurate and consistent documentation of patient care/response in the medical record. Completes accurate and timely billing information
Designs, plans, implements effective patient education
Maintains open lines of communication, collaborates with healthcare team for patient outcome

157

Psychologist Behavioral Health Program Manager Resume Examples & Samples

Approximately 10%
Ability to organize work, set priorities, delegate tasks, and met multiple deadlines
Knowledge of and ability to utilize evidence based practices and clinical practice guidelines appropriately and ability to guide staff in using these tools
Ability to deal effectively with individuals or groups representing widely divergent backgrounds, interests, and points of view
Skill in managing and directing the work of others to accomplish program goals and objectives
Ability to translate management goals and objectives into well-coordinated and controlled work operations
Ability to establish and monitor production and performance priorities and standards
Ability to analyze organizational and operational problems and to develop and implement solutions that result in sound operation of the program

158

Intake Rn-doctors Behavioral Health Center Resume Examples & Samples

CA RN license,
AS degree 2+ yrs psych exp. or BSN 1+ yrs psych exp
1+ years exp of behavioral crisis management
1+ years experience in application and formulation of diagnostic categories of mental illness (ie, DSM-IV or DSM-V)

159

Aprn Behavioral Health Interdisciplinary Program Team Supervisor Resume Examples & Samples

This position has full and direct program management and administrative supervisory responsibilities for one of three Outpatient Mental Health BHIP Teams in MHS.The Team has direct and care coordination responsibility for more than 2,000 patients receiving services through the MHS
First-line authority/supervision of assigned staff, clinical consultation and guidance, day-to-day program management, and administrative functions that are complex in scope and constitutes significant programmatic element in MHS
Supervises psychiatrists, advanced practice RNs, psychologists, licensed clinical social workers, & RN care coordinators on the team
Works closely with supervisors of the other BHIP Teams and specialty MHS programs (e.g., PTSD Clinic, Addictions Treatment Programs, Homeless Programs, Suicide Prevention Program), and Inpatient Psychiatry Unit, to ensure treatment of patients assigned to the Team is delivered in the most thorough, efficient, and effective manner
Responsible for development of staff competencies and performance as well as promotion of working relationships and an effective treatment team environment
Interacts with Human Resource staff and facility leadership in aspects of Team staff hiring, performance evaluation, and disciplinary action
Implements process improvements to maximize efficiency and cost-effectiveness
Manage treatment programming, staff development, and environment of care
Serves as a member of the MHS Supervisory Council.Directly participates in the overall management of MHS including decision with regard to clinical services provided, program development, resource allocation, staffing and staff workload issues
Provides a full range of therapeutic interventions, including: individual therapy, psychoeducation, and care coordination
Occasional Travel
Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor’s degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience
Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor’s degree in a related field and approximately 2-3 year’s of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year’s of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required
Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year’s of nursing practice/experience; OR a Doctoral degree
To begin, click to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire
OF-306
SF-15

160

Dir Behavioral Health Outpatient Care Resume Examples & Samples

Maintains sufficient number of qualified staff by interviewing, hiring and supervising staff
Make cost containment recommendations and see through to approval and implementation
Take initiative to solve problems and recommend improvements for the program
Knowledgeable of DBT, CBT and Trauma Informed care clinical practices
Demonstrate ability to interact with families, visitors, and Serves as initial point of contact for patient and staff crises
Evaluate staff performance and utilize progressive discipline when appropriate
Utilize conflict resolution techniques to resolve problems
Plan and utilize a collaborative inter-departmental approach in managing patient care
Collaborates with all members of the interdisciplinary team
Coordinates daily schedule
Implements evidence based practices into patient care
Serves as a resource for all members of the interdisciplinary team
Serves as initial point of contact for patient and staff crises
Conducts annual evaluations of all assigned staff
Conducts groups
Assures all treatment measures comply with HBIPS, Joint Commission, and CMS standards
Demonstrate organizational skills that provide a safe and therapeutic milieu
Act as an effective leader, patient advocate and role model
Delegate tasks appropriately and creates flexibility in the schedule to accommodate change
Utilizes appropriate individual and group interventions within milieu for behavioral management of patients
Complete and submit incident reports in cooperation with the Director of Quality
Take initiative to solve problems and recommend improvements
Perform accurate patient assessments on admission daily
Receives positive physician feedback
Actively participates in treatment planning process and updates treatment plan as needed per policy
Displays professionalism in dealing with customers, staff and clinicians
Receives positive customer satisfaction surveys
Enforces all Hospital policies and procedures
Address staffing issues effectively. Escalate to the Director of Clinical Services as appropriate
Give input to the Director of Clinical Services regarding personnel performance and relays staff concerns
Communicates information to appropriate Administrator on call
Responsible for 2 Tier Reviews in assigned programs
Attend programming meetings as appropriate
With decreases in the census complete staff nursing responsibilities
Facilitate intake meetings with new patients
Provide staff trainings
Facilitate two team meetings a week
Create and Implement a IOP and PHP schedule
Work directly with three schools to provide consultation ( 2-3 days a week)
Take lead on implementing a program to assist schools in the area
Act as covering staff for Clinical Director as needed
Create daily groups schedule for 4 programs a day
Provide clinical updates to UR/UM team daily
Interview and hire new staff
Provide case management to patients in the program
Collaborate with outside providers
Complete daily group notes
Complete monthly treatment plans
Conduct bi-weekly family meetings
Responsible for weekly billing cycle
Responsible for breaking down charts each month
Work directly with the medical records department to ensure correct documentation is turned in
Create forms for each program
Complete Psychosocial reports for each patient entering the program
Complete Intake/Admission paperwork
Help to market the program
Work directly with the HCAT team regarding outside referrals
Provide information to potential outside referrals about each program
Meet with identified patients on each unit to provide information on each program
Create month schedule for each program
Create monthly staff schedule
Manage PTO requests by staff
Responsible for getting shifts covered when staff are out
Serves as a resource for establishing priorities and implements actions on patient care plan by either direct care or delegation of activities
Plans and utilizes a collaborative interdepartmental approach in managing patient care
Create a dual diagnosis program
Implement new programming and make changes to previous programs to meets needs of consumers
Maintain current and active licensure
Attend trainings
Work directly with outpatient providers to ensure continuity of care
Responsible for auditing charts

161

Behavioral Health Placement Specialist Resume Examples & Samples

Facilitates behavioral health patient placement; monitors efficient throughput, documents status updates and communicates appropriate updates to all customers
Ability to multitask in a high volume call center and document proficiently within multiple systems is recommended
Provides input into Call Center processes and protocols to improve patient access across the system
Adheres to established policy and procedure and standards of care. Identifies and escalates issues through the established Chain of Command in a timely manner
Interpersonal skills to successfully interact with: Patients, Families, Hospitals, Team Members, Supervisor

162

Venipuncture Tech-behavioral Health Charlotte Resume Examples & Samples

Interprets written test request. Uses 'vacutainer' tubes and needles and/or 'butterflies' for drawing venous blood. Uses micro lancets and capillary pipettes for obtaining blood by fingerstick
Determines proper tube (anticoagulant) for each blood specimen and correct order
Ensures appropriate and accurate patient contact, identification, record keeping and interpretation
Draws and processes blood and other specimens promptly
Uses PPE and other safety equipment effectively
Completes requisitions for specimens being sent to reference labs, ensuring that patient information is complete and appropriate diagnosis codes are indicated

163

Behavioral Health Utilization Review RN Resume Examples & Samples

Review requests for behavioral health services that require prior authorization as per LMCHP (Leon Medical Center Health Plan) / Medicare guidelines and timeframes, including both outpatient and inpatient services
Contact requesting providers to obtain additional information when needed to establish medical necessity
Might conduct on-site concurrent reviews at behavioral health inpatient hospitals/units, to establish medical necessity of services being rendered
Approve requests that fulfill LMCHP and Medicare coverage guidelines or forwards cases that require additional review to Medical Director
Answer telephonic inquiries from medical directors and providers regarding the status of organization determinations
Maintain open channels of communication with requesting providers, attending physicians and business partners
Comply with Leon Medical Centers Health Plans, Medicare and State policies and procedures and maintain confidentiality of member information in accordance with state and federal laws
Participate in mandatory trainings and competency testing as required
Maintain up to date behavioral health clinical knowledge
Perform other related duties assigned
Registered Nurse with unrestricted Florida License
2 or more years of experience in a Behavioral Health clinical setting
Fluency in spoken and written Spanish

164

Behavioral Health Manager Care Advocacy Resume Examples & Samples

Managing a team of licensed clinicians and/or non - licensed staff (either in office or telecommuters) in order to deliver sound clinical decisions and quality documentation to customers
Manage care advocate site for behavioral health
Work closely with the health plan professional team, psychiatrists and other clinical staff to ensure that all clinical services are implemented and managed based on health plan requirements and regulations
Work closely with the Quality Improvement Director and Systems reporting staff to identify and address the clinical needs of individuals accessing behavioral health services
Preparing reports and analyzing data in order to coach team to meet metrics successfully
Identifying trends and interventions as needed in a positive, change oriented environment
Ensure the timeliness and appropriateness of the services provided by the Care Managers and to ensure that clinical review activities are conducted in accordance with OptumHealth clinical guidelines and care coordination processes
Managing projects and interventions from inception to completion
Ensuring engagement of staff through management of ongoing training, performance management, coaching and mentoring
Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling, or a BSN / MSN RN with 2+ more years of experience in psychiatric nursing
Possesses an active, independent, and unrestricted professional license
5+ years of behavioral health experience post licensure
3+ years of management and/or leadership experience
Proficient in Microsoft Applications to include Word, Excel and Outlook
Experience working in a managed care environment
Very strong communication skills both written and verbal
Strong telephonic skills

165

Behavioral Health Unit Technician Resume Examples & Samples

Participates in the development, review and implementation of interdisciplinary treatment plans under guidance of RN
Provides for patient safety and comfort through attention to general health and assistance and guidance in cleanliness, grooming, rest, activity, and nourishment; maintains an attractive and comfortable unit environment. Provides for patient and unit safety through patient search, room searches as assigned and continued safety monitoring
Performs basics nursing procedures as required, i.e., bathing, feeding, temperature, pulse, respiration, blood pressure, oral hygiene, etc
Demonstrates conduct that is reflective of THRH’s commitment to HCA’s Code of Conduct
Adheres to the Standards of Behavior for Terre Haute Regional Hospital as per the Customer Relations Policy
Certifications: BLS and Crisis Prevention Certification must be maintained throughout employment with Terre Haute Regional Hospital
One (1) year of college education, preferably with courses in psychology and sociology or documented evidence of Mental Health Technician training or applicable training

166

Utilization Management Coordinator Quail Run Behavioral Health Resume Examples & Samples

Maintains accurate and current records on day's denied and current status of appeals demonstrates effective written communication skills in formulating appeals
Maintains appropriate records of the utilization review data and activities updates patient accounting database daily with accurate discharge and certification information ensures files and records are organized and thorough and easily accessible
Participates in formulation of patient's treatment and discharge plans with other members of the treatment team
Maintains on-going contact with insurance reviewers to maintain certification status by providing reviewing insurance with discharge information including outpatient appointments that the patient has post discharge
Supports departmental goals by attending and participating in department meetings and offering ideas and suggestions regarding goals and objectives

167

National Behavioral Health Medical Director Resume Examples & Samples

Collaborates with state and market-based clinical and executive leaders, assists in the development of strategies and implementation of clinical programs and policies on a national level· - Participates in the mentoring and development of BH clinician managers/leaders· - Oversees the development of clinical guidelines such that quality of care is standardized across all markets and variation is minimized and outcomes are consistent.· - Serves as the subject matter expert for behavioral healthcare management including: knowledge of best practices, services included across the full continuum of care, corporate model for management of behavioral healthcare, and promotion of the integrated patient centered medical home.· - Has knowledge of state plan requirements across the organization and understanding of the cross-functional aspects of operational and healthcare service departments, reporting and finances as they relate to management of behavioral healthcare services.· - Responsible for providing guidance and direction for Quality Management and Quality initiatives within the health plans.· - Responsible for the analysis of the quality of member care received and for the development of plans and programs to support continuous quality improvement. Responsible for identification and review of new products to enhance behavioral healthcare service delivery, safety net planning, development of alternative levels of care (with anticipated improved outcomes with cost offsets), predictive modeling, integration with medical care management, or other behavioral health approaches that support the patient centered medical home
10+ years
12+ years

168

Licensed Behavioral Health Clinician Resume Examples & Samples

Working knowledge of motivational strategies, materials development, training and consultation required
Thorough knowledge and understanding of health behavior change theories and their application
Proven administrative abilities, with strong computer and software application skills
Excellent interpersonal skills and the ability to work in a team environment
Demonstrated ability to set priorities
A high energy level and excellent written and oral communication skills are essential
Passion for health improvement of members
A minimum of five (5) years clinical experience in behavioral health
Masters degree in behavioral health field with an independent license or RN required
Experience in health education and wellness coaching
Experience with direct member communication (written and verbal), experience in telephonic counseling/coaching preferred
Experience in the use of applied behavior change theory such as cognitive behavior therapy

169

Manager Behavioral Health Services Resume Examples & Samples

Requires current, active, unrestricted license as an RN, LCSW (as applicable by state law and scope of practice), LMHC, LPC, LBA (as allowed by applicable state laws), LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States
Prior experience in Managed Care setting required
MS degree in social work, counseling, psychology or related behavioral health field
Five (5) years of clinical experience with facility-based and/or outpatient psychiatric and chemical dependency treatment
Extensive experience in case management and telephonic coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders; and experience applying clinical and policy knowledge on the continuum of Behavioral Health treatment; or any combination of education and experience, which would provide an equivalent background
Certification as a Case Manager from the approved list of certifications is preferred

170

Director of Behavioral Health Days Hi Desert Medical Center Resume Examples & Samples

Educate community in mental health issues as needed
Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. Seminars, workshops, and professional affiliations are attended to keep abreast of latest trends in field of expertise as well maintaining license with required seminars
Participates in administrative staff meetings and attends other meetings as assigned. Attends all meetings as required
Complies with and supports the Safety, Routine and Service Excellence accountabilities. Policy HR-224 is administered appropriately
Ensures that department(s) operate within or above guidelines established by regulatory review agencies and demonstrates a clear understanding and compliance of County EMS, Title XXII, JCAHO and other regulatory requirements that are applicable to the department(s) key functions
Policy and procedure changes are defined and communicated in a clear manner
Interdepartmental/intradepartmental conflicts are resolved using a CQI approach
Can demonstrate at least one improvement of a department(s) key function that was a result of a CQI process
Solicits appropriate information and feedback from internal and external customers to improve the performance of the division
Department operates within 5% of established productivity goals
Directs the preparation and maintenance of department reports. Prepares periodic reports as required
Conducts regularly scheduled staff meetings where departmental/organizational performance and other appropriate issues are reviewed
Sets an example for staff to follow that is consistent with sound management practices and compatible with the mission, values and goals of the organization
Solicits appropriate information and feedback from employees to improve the performance of the department
Establishes and maintains trust and mutual respect with peers, subordinates, superiors, and internal and external customers
Establishes and clarifies performance goals for department and employees and conducts timely performance appraisals
Selects, trains/orients and assigns department staff. Contributes to the development of the District standards of performance, and evaluates performance
Department(s) operates within 5% of established annual budget
Develops and recommends department operating budget in accordance with department goals and objectives and ensures that department budget is used as a guideline for operations
Supports management of resources of the department consistent with the organization’s strategic plan and fiscal constraints. Departments operate within 5% of established productivity goals. Departments operate within 5% of established annual budget
Masters Degree, license preferred, MFT, LCSW, Ph.D
2 years experience working on an inpatient unit or intensive outpatient program
Experience working with severely mentally ill patients

171

Supv, Behavioral Health UM Resume Examples & Samples

Provides leadership and support to front-line staff
Conducts one-on-one coaching and provides associates feedback routinely and as needed
Required A Master's Degree in Social Work or related counseling field (LCSW, LMFT,LMHC, LPC)
Preferred A Bachelor's Degree in Nursing or Healthcare
Intermediate Knowledge of community, state and federal laws and resources Knowledge of community, state and federal laws and resources
Intermediate Other Strong clinical knowledge of broad range of medical practice specialties

172

Behavioral Health Clinical Auditor Resume Examples & Samples

Complete required clinical chart of clinical and non-clinical staff, as indicated by policy providing Integrated Medical Behavioral Health Care
Learn and participate in various aspects of the regulatory process of Quality and Accreditation
Participation in Accreditation taskforce, collecting evidence from all parts of the company to meet standards, interact with QI, compliance in the gathering of information and preparing for accreditation
Proficiency with Microsoft Office Programs, e.g. Word, Excel & PowerPoint
Ability to learn new systems and adapt to new processes
Comfortable changing priorities quickly and ability to be flexible
Minimal Bachelor’s degree in Behavioral Health
Progressive experience working in a behavioral health or related field (highly desired)

173

Behavioral Health Medical Services Director Resume Examples & Samples

Supervisory principles
Managerial principles
Culturally competent practices
The role that culture plays in work relationships, operations, and dynamics
Public administration principles and practices
Advanced principles and practices in assigned area of responsibility
Applicable Federal, State, and local laws, rules, regulations, codes, and/or statutes
Policy and procedure development practices
Research methods
Budget administration principles
Project management principles
Principles and practices of grant and/or contract administration
Monitoring and evaluating employees
Prioritizing and assigning work
Assisting in the direction and management of department operations
Preparing and presenting reports and information
Developing, evaluating, recommending, and implementing processes and procedures
Interpreting and applying Federal, State, and local laws and regulations
Managing change and sensitive topics
Solving problems
Adapting to rapidly changing environments
Creating a culturally inclusive work environment
Mediating and resolving conflict
Working effectively with clients, co-workers, employees and supervisors from diverse backgrounds
Gathering, interpreting and behaviorally adapting to cultural contexts
Communication, both verbal and written, sufficient to exchange or convey information and to receive work direction
Coordinating and executing multiple tasks
Analyzing complex information
Conducting research
Analyzing processes and making recommendations for improvement
Using computers and related software applications

174

Behavioral Health Clinical Programs Internship Resume Examples & Samples

Serve as the single point of contact for new providers of Crisis Stabilization (CS) services, answering questions, identifying internal resources, and assisting in addressing issues which may arise
Determine how Anthem’s administrative data (authorizations and claims) can be used to design, implement, and analyze the efficacy of initiatives intended to lower the cost of healthcare for our members, as well as produce better clinical outcomes
Meet with providers face-to-face as part of Anthem’s Behavioral Health leadership team. The intern will come to understand how providers are contacted about a new service, how they are credentialed and contracted, how fees are determined, and how the health plan assists new providers understand the process of submitting claims for services rendered
Participate with the Anthem Behavioral Health leadership team in furthering other 2017 strategic initiatives
Explore other opportunities to understand how strategic operational goals are met
Pursuing a master's degree in business, business analytics, or a similar field
Proficient in Microsoft Office products; expert level proficiency in Excel strongly preferred
Strong interest and passion for behavioral health and the health insurance industry preferred
Strong oral & verbal communication skills
Ability to work as part of a team as well as individually

175

Behavioral Health Tech Per Diem Flexible Resume Examples & Samples

Current BLS/Heart Saver certification
Completion of a successful Florida Protective Services Background check
Understands the Baker act process, all relative timelines and state and local regulatory compliance requirements
Visual and hearing senses must be adequate to detect changes in human physiological condition
Able to function calmly in a fast paced, stressful environment

176

Behavioral Health Director Resume Examples & Samples

Minimum of a Bachelor’s degree required
5 years of leadership experience required
Prior experience in public sector mental health or non-profit community mental health, with knowledge of Medicaid populations required
2 years of experience working in a corporate managed health care environment with a thorough understanding of managed care principles, models and financing preferred

177

Behavioral Health / EAP Internship Resume Examples & Samples

Conduct user acceptance testing for the launch of Behavioral Health Cost and Care Finder and Employee Assistance Program (EAP) platform enhancements
Conduct backend research supporting clinical and complex provider searches
Provide data and workflow documentation for departmental projects
Analyze EAP provider network for access and availability gaps
Currently enrolled at an accredited college or university
Pursuing a Master's degree in social work, health care administration, behavioral health, or a related program of study
Strong familiarity with Microsoft Office
Ability to work as part of a team as well as independently

178

Behavioral Health Service Manager Resume Examples & Samples

Collaborates with the Chief of Behavioral Health to: Design, manage, and continually improve the operations of the department in accordance with strategic goals and targets and within appropriate clinical guidelines: Manage hospital days in accordance with established targets. This includes identifying and developing strong diagnostically responsive and preventive programming that addresses patient needs at the out patient level of care; Collaborate with Provider Affairs, Contracting, Claims and Member Services as needed to ensure access and network adequacy to meet the needs of the populations served by Kaiser Permanente; Support the Quality Work Plan development/implementation and the range of quality measure initiatives undertaken, and serves on the BH QI committee. Works with the Behavioral Health team to ensure that the department is adhering to and meeting NCQA quality and service standards and requirements
Manages day to day operations of Behavioral Health departments within the service area to include: supervision of the Business Manager, psychotherapists, psychologists, and other professional staff, to include interviewing, hiring, training, disciplining, evaluating, and terminating in accord with EEO/AA goals, personnel policies, and appropriate union contracts; oversight of time management (KRONOS), EHS, treatment teams and administrative meetings
Promotes and supports the on-going development/implementation of methods for monitoring access, productivity and outcomes, taking any corrective action indicated
Develops and manages to annual non-payroll and payroll budgets. Creates action plans for areas not meeting target
Collaborates with Service Area Leadership to assist and promote integration of care initiatives in the area. This will include attending the Service Area Leadership Meetings and working with leadership to expand relevant programming (i.e., groups) into the medical centers
Maintains current knowledge of applicable federal and state regulations or laws and monitors changes to ensure organizational adaptation and compliance
Minimum six (6) years of experience as a psychotherapist, three (3) of which must have been in a supervisory/management and/or practice management experience required
Experience in collaborating with Psychiatrists preferred

179

Per Diem Behavioral Health RN Resume Examples & Samples

Identifies actual/potential patient problems
Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome
Performs variance analysis related to outcome data for performance improvement
Keeps accurate documentation of patient’s treatment, activity and condition
Performs irrigations, consistent with Facility procedure
Administers IVP medication as per department policy and procedure
Recognizes and utilizes health teaching opportunities and resources /materials available for this teaching
Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited program within 24 months of employment, if hired after January 1, 2013 and obtain a BSN Degree within five (5) years of employment date

180

Behavioral Health Program Manager, MCC Resume Examples & Samples

Works closely and in conjunction with MCC Health Services Leadership, clinical and non-clinical staff who conduct case management, disease management, care coordination, and other areas
Maintains open communication and documents processes between MCC and contracted Behavioral Health Providers
Provides point of need support to Behavioral Health providers and MCC clinical team members in the course of normal operations. Builds clinical team members expertise through direct feedback and real-time coaching. Is available to provide clinical, procedural or interpretational assistance
Assists Behavioral Health providers and MCC clinical team in the resolution of escalated issues that frontline staff cannot resolve in a timely fashion
Performs data collection and analysis of trends to determine problem areas and strategies for better practices
Assists Clinical Management in the identification and coordination of necessary clinical and service training needs
Maintains an active workload in accordance with performance standards. Provides frontline functions during high volume and peak periods. Advocates for the patient to ensure treatment needs are met. Interacts with providers in a professional, respectful manner that facilitates the treatment process

181

Coordinator, Autism & Behavioral Health Resume Examples & Samples

Conduct observations of student behavior for those with Autism and other behavioral health needs in multiple environments
Prepare written summary reports of observations and recommended interventions, including evidence and research based behavioral strategies reflective of current research, specific to individuals with Autism and other behavioral health needs
Schedule and conduct meetings with school based staff to discuss interventions and strategies, including elements of modeling, coaching and consultation. Coordinator will assist school based staff with revisions of the action plan based on suggested interventions, indicating staff roles and deadlines
Coordinator will supervise the implementation of suggested interventions, collecting and filing progress for each student referral
Conduct Functional Behavior Assessments (FBA) and develop Behavior Intervention Plans (BIP), assess performance via continuous data collection, train staff in the implementation of programming, utilize consultation skills to bridge transitional setting/grades and continued review and refinement of programming to meet behavior goals, as well as to provide guidance in the development of district programs
Support schools in following the procedures outlined for considering students for out of district, non-public placements
Provide classroom engineering support to assist in the management of behavior by establishing proactive measures
Develop and/or facilitate professional development on the use of evidence and research-based behavioral and instructional strategies, ensuring the needs of students with Autism and other behavioral health needs are met. Coordinator will build the capacity of district staff to ensure high fidelity delivery of these strategies for diverse learners with significant social, emotional or behavioral needs
Master's Degree in Education, Special Education, School Psychology, or a related field
Board Certified Behavior Analysts are encouraged to apply
Minimum of five years experience in the field of education preferred (PK-Age 21)
Minimum of three to five years experience in the field of Applied Behavior Analysis (ABA) preferred
Minimum of three to five years experience in instructional coaching and consultation preferred
Willingness and ability to travel to multiple school sites on a citywide basis, every day
Strong oral and written communication skills for multiple stakeholders
Ability to respond professionally to all parental and/or staff questions and concerns
Background in setting up programs incorporating evidence/research based behavioral strategies
Proven ability to manage behavioral crisis situations: modeling interventions, staff training, crisis plan, behavior intervention plan development, and team and family follow up
Knowledge of adult learning styles and best practices for coaching and providing feedback
Experience with coordinating and delivering professional development for a variety of audiences
Ability to collaboratively problem-solve, analyze data and use it to guide work
Ability to adhere to predetermined timelines, multi-task between projects and respond to work requests based upon priority and complexity
Ability to adapt easily to change and shift in work assignment/ tasks, as assigned
Excellent planning and organizational skills, including ability to manage calendars, and incoming requests from multiple constituencies
Ability to establish and maintain effective consultative working relationships with administrators, staff, associates, students, parents, governmental and community agencies, and employers
Proficiency in MS Office Suite (e.g., Word, Excel, Powerpoint) and Google Drive

182

Supv, Behavioral Health Resume Examples & Samples

Interacts continuously with member, family, physician(s), and other providers utilizing clinical knowledge and expertise to determine medical history, mental health history and current status. Assesses the options for care including use of benefits and community resources to update the care plan and coordinate services
Ensures regulatory requirements and accreditation standards are applied to all activity and reporting
Required 4+ years of experience in behavioral health management and/or acute behavioral health care setting focusing on outpatient/inpatient utilization, case management and discharge planning
Intermediate Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions
Intermediate Knowledge of community, state and federal laws and resources
Required Other One of the following is required
Required Licensed Clinical Professional Counselor (LCPC)
Required Other Certified Social Worker (CSW) in Kentucky

183

Behavioral Health Quality Utilization Coordinator Resume Examples & Samples

Responsible for reviewing authorization requests for coverage of inpatient and outpatient, mental health and chemical health utilizing thorough knowledge of multiple criteria sets and products
Responsible for processing pre-service, concurrent, and post service requests in accordance with HealthPartners UM Turnaround Time policy
Responsible for using appropriate technology systems and documenting transactions as required in database
Responsible to abstract pertinent case findings and appropriately compare to corresponding coverage policies and level of care guidelines
Responsible to make authorizations for coverage prospectively, concurrently and retrospectively. Proposes denials when provider description of clinical conditions or proposed treatment does not meet established criteria
Responsible for maintaining a thorough and comprehensive understanding of member contracts, product lines, HealthPartners policies and procedures in order to serve as a resource for providers, members and internal departments
Responsible for accurately interpreting and correctly applying coverage and level of care policies, benefits, networks and product requirements and clearly communicating such to members, providers and internal departments
Responsible for producing consistent, sound and defensible coverage decisions, according to established written HealthPartners coverage policies, level of care guidelines and departmental protocols. Responsible for high quality documentation of all coverage decisions
Responsible for meeting specific department goals regarding quantity and quality in processing requests
Responsible for preparing documentation and consulting with the Medical Director on all potential denials of coverage. The decision to propose a denial to the Administrative Review Committee (ARC) is within the Medical Director role
Responsible to efficiently and accurately communicate coverage decisions to members, providers and medical groups, following timelines established by regulations and accreditation standards
Responsible for maintaining current knowledge and adherence to all federal and state statutes regarding behavioral health and utilization review. Maintains current knowledge and adherence to all HealthPartners enterprise wide policies and procedures and Behavioral Health Improvement and Operations protocols
Responsible to act as a liaison between internal and external customers such as Marketing, Sales, Claims, Member Services, Nurse Navigators to resolve systems/process issues
Responsible to maintain a thorough understanding of Health Plan’s infrastructure and ability to apply this knowledge to coordinate all aspects of decision-making needed to complete complex case reviews
Responsible to review and edit responses to Member Appeals and regulatory inquiries as requested by the Dispute Resolution area
Responsible to identify, and appropriately inform Manager of, sensitive or complex cases in order to obtain guidance
Responsible to evaluate, research, and update coverage criteria as assigned
Serves as subject matter expert on complex behavioral health management issues for internal and external customers
Negotiates, resolves or redirects issues pertaining to differences in expectations in coverage and/or eligibility determinations
Responsible to maintain a thorough and comprehensive understanding of state and federal regulations, accreditation standards and member contracts in order to ensure compliance
Responsible to develop and maintain positive, effective working relationships with colleagues including Medical Directors, providers, vendors, and other internal and external customers
Responsible for participation in analyzing and evaluating technologies and assisting in the development of coverage criteria to be used for benefit determinations
Responsible for applying clinical knowledge in conjunction with established coverage policies, level of care criteria, member eligibility and benefit coverage information, to ensure accurate coverage for high quality, cost effective care
Responsible to maintain confidentiality of case information
Responsible for other duties as assigned
Licensed in Minnesota as LADC
Demonstrated working knowledge of QI, UM, benefit plans fiscal management, and various payment methodologies preferred. Understanding of healthcare and/or HMO industry
Demonstrated skill in effective use and management of automated medical management systems
Ability to organize and prioritize multiple assignments within workload

184

Manager, Behavioral Health Resume Examples & Samples

Provides, coordinates and oversees a continuum of treatment services onsite and/or in the community, including transportation coordination, consistent attendance, and oversight of clinical documentation standards, billing requirements and coding standards
Performs business and growth development initiatives to enhance marketing, and public relations activities for outpatient behavioral health to grow program and enhance profitability of these services lines and achieve revenue goals
Develops, implements and monitors the quality assurance process and required reporting
Completes all the requirements and duties of the Case Manager role
Collaborates with medical staff, nursing staff, and ancillary departments and agencies to develop, implement, and participate in individualized treatment/discharge plans for patients

185

Behavioral Health Clinician Resume Examples & Samples

Provides and coordinates a continuum of treatment services onsite and/or in the community
Performs comprehensive diagnostic assessments of patient’s needs and psychosocial status and consults with patient’s family to obtain background information assistive to the treatment process
Collaborates with the Presence Health management team and/or intra-agency entities on programmatic, fiscal, community and organizational issues

186

Manager, Behavioral Health Resume Examples & Samples

Oversees implementation of all clinical and fiscal activities. Schedules daily activities of the unit including staff assignments, job responsibilities, team meetings, business office functions, etc. Supervises and coordinates all patient care with physicians and other ancillary services
Assesses various services and programs offered at site for clinical content and appropriateness along with fiscal viability. Advises Senior Director of the needs for capital expenditures for incorporation into annual budget. Assists in the development of the annual operational budget
Leads the program staff in determining and achieving the overall unit goals and objectives in correlation with the system wide goals. Determines the ongoing educational and in-service needs of clinical, office, and support staff
Directly supervises employee(s). Carries out supervisory responsibilities in accordance with the

187

Manager, Behavioral Health PSW Mft-cdrp Resume Examples & Samples

Has counseling/disciplinary responsibilities: conducts performance evaluations; responsible for allocation of resources; has overall personnel management responsibility (HR, personnel, compensation issues)
Accountable for access outcomes; allocation of resources
May participate on regional committees
Minimum two (2) years of post license, paid experience as a member of a psychiatric treatment team in an outpatient setting/program under licensed supervision

188

Medical Assistant for Behavioral Health Resume Examples & Samples

Organizes exam and treatment rooms, stocks and cleans rooms and sterilizes instruments
Telephone and in-person screening limited to intake and gathering of information without requiring the exercise of judgment based on clinical knowledge
Current, nationally recognized Medical Assistant certification or the ability to obtain the certification within 90 days of employment. Medical Assistants who are hired prior to receiving their certification are expected to perform at the same level as a “certified” Medical Assistant
Palliative Care experience
PCP (Primary care practitioner) experience
Cardiology experience
Behavioral Health/Mental Health experience
Pain Management experience

189

Cadc-mercy Behavioral Health First Step Program Resume Examples & Samples

Performs individual and group counseling services
Interviews clients when appropriate to complete placement screenings
Develops an individualized plan of care through collaboration with the client
Assigns clients to appropriate care manager/care team base on understanding of placement criteria, theoretical models, and client readiness to change
Reviews and revise plan of care as needed
Obtains pre-authorization for treatment and complete continues stay reviews with managed care
Provides client and family education
Communicates with families, referring agents, physicians, therapists, employers, and other caregivers, when appropriate, to assure continuity of care
Promotes a client – centered focus in all phases of care delivery
Provides concise, legible and timely documentation of client care
Successful completion from a certified addiction counseling training/internship program or bachelors degree in behavioral science or related field
Certification by the Iowa Board of Substance Abuse Certification as a Certified Addictions Counselor within one year of employment
Two years experience, as a counselor in an addiction or behavioral health setting preferred

190

Medical Director, Behavioral Health Resume Examples & Samples

5+ years clinical practice
5+ years HMO/Managed Care experience
Peer Review, medical policy/procedure development, provider contracting experience
Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines

191

Np-behavioral Health Resume Examples & Samples

Current licensure as a registered nurse in Minnesota
Current licensure as a Nurse Practitioner
Mental Health Nurse Practitioner Certification

192

Behavioral Health Clinician Resume Examples & Samples

Provides individual, group and family therapy with assigned patients
Conducts an individual comprehensive evaluation for assigned patients
Completes all documentation according to regulatory requirements (e.g. treatment plans, progress notes)
Attends all required departmental/hospital meetings

193

Behavioral Health Resume Examples & Samples

Master’s level or above in nursing, social work, psychology or other human services field
Graduate of an accredited school with an MA, MS, MSW, Ph.D ,Psy.D ,or Ed.D degree
Past Experience in conducting consultations with patients and families to provide a diagnostic impression, make appropriate treatment recommendations, and provide brief intervention or community linkage
Behavioral Health Specialist will have immediate care supervision by on call psychiatry and/or addictions staff
Current professional license to practice in Colorado, as a PsyD, PH.D, ED.D, RN, L.A.C, LMFT, LPC, LCSW Current BLS certification
A minimum of 10 years experience in conducting consultations with patients and families to provide a diagnostic impression, make appropriate treatment recommendations, and provide brief intervention or community
Experience with dual diagnosis
Prior Hospital or emergency services experience
Certified Addiction Counselor I,II or III or equivalent experience

194

Behavioral Health Solution Consultant Resume Examples & Samples

Strong presentation and facilitation skills
Ability to work off-hours when required
All current and previous licenses in good standing
Bachelor's degree in healthcare-related field
3+ years recent Behavioral Health experience
Ability to travel (up to 80%) required
Must reside in or be willing to relocate to Kansas City, MO; or live within a 60 mile radius of a pre-approved virtual city
Bachelor's degree in Behavioral Health field
Previous sales/demo experience ideal
Experienced professional in Inpatient Behavioral Health setting
Previous IT and client-facing experience

195

Care Manager of Behavioral Health Resume Examples & Samples

Educate professional and facility providers and vendors for the purpose of streamlining and improving processes, while developing network rapport and relationships. Develops and sustains positive working relationships with internal and external customers
3-5 years of related, progressive clinical experience in the area of specialization. Grandfathered experience requirements effective August 2016
Registered Nurse, Licensed Social Worker (LSW), Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT)
Certification in utilization management or a related field
Experience in UM/CM/QA/Managed Care
Working knowledge of pertinent regulatory and compliance guidelines and medical policies
Demonstrated ability to prioritize work demands and meet deadlines

196

Manager, Behavioral Health Resume Examples & Samples

Excellent interpersonal and communication skills relative to the ability to mentor and develop talent amongst team members. Strong ability to collaborate with peers and other stakeholders within the enterprise
Strong analytic skills with ability to interpret, evaluate and act on productivity, clinical and financial data
Computer literacy with moderate proficiency in Microsoft Office products

197

Medical Director, Behavioral Health Resume Examples & Samples

Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review, and manages the denial process
Ensures that medical decisions are rendered by qualified medical personnel, not influenced by fiscal or administrative management considerations, and that the care provided meets the standards for acceptable medical care
Ensures that medical protocols and rules of conduct for plan medical personnel are followed
Develops and implements medical policies
Stabilizes, improves and educates the Primary Care Physician and Specialty networks
Monitors practitioner practice patterns and recommends corrective actions if needed
Utilizes IT and data analysts to produce tools used to report, monitor and improve Utilization Management
2+ years HMO/Managed Care experience

198

Psychologist Primary Care Mental Health Intergration Behavioral Health Resume Examples & Samples

Provide a full range of psycho-diagnostic services which include the use of psychological testing for patients within the STVHCS in areas of special interest and/ or expertise
Perform psychological evaluations for individuals with mental health and medical disorders for the purpose of diagnostic clarification and treatment planning recommendations
Provide a range of psychological therapeutic interventions, including group and individual formats, with individuals with mental health and medical disorders utilizing empirically supported modalities when indicated. Services may be delivered in a face-to-face and/or telehealth format
Consult and serve as a resource for other professional personnel concerning the need for, evaluation of, and development of psychological services in STVHCS
Ability to develop coherent treatment strategies
For supervisory assignments

199

Program Coordinator Behavioral Health Med Clinic Resume Examples & Samples

Demonstrates knowledge of hospital and department standards that reflect TJC and Medicaid standards for the operation of an adult partial hospitalization program
Collaborates with MD and other clinical team members regarding patient needs and treatment plan
Assesses patient, records and reports pertinent data to the physician and other members of the patient�s clinical team
Utilizes crisis intervention techniques when needed
Provides patient and family education with specific references to emotional health as evidenced by various behaviors
Coordinates team member training and development for his/her program
Displays strong leadership and managerial skills
Demonstrates clinical competence in procedures and patient care based on established theory; maintains quality assurance standards for patient care

200

Clinical Coordinator, Behavioral Health Resume Examples & Samples

Provides guidance and instruction for the Clinical Coordinator in clinical operation for the unit
Provides guidance for those new to the Clinical Coordinator role in the performance of the specific elements of the position description
Five (5) years current nursing experience (preferred)
Experience as a Clinical Coordinator with demonstrated proficiency and leadership ability with the skill to educate others (preferred)

201

RN Quail Run Behavioral Health Resume Examples & Samples

Intervenes in managing complex patient care situations utilizing departmental policies and procedures that promote most facilitative alternatives. Prioritizes interventions in rapidly changing patient situations
Utilizes observational skills to provide constructive feedback and input to patients
Completes charting on all assigned patients, in progress notes and all pertinent graphics
Ensures staff complete assigned duties and patient care responsibilities during the assigned shift. Informs staff of policy changes and actively promotes strict adherence to all policies and procedures
Provides shift report providing all pertinent information. Uses concise and meaningful language. Includes patient's name, diagnosis, physician, precautions, level of precautions, and discharge status, if known

202

Behavioral Health Service Line Coordinator Resume Examples & Samples

Current FL Registered Nurse License
Basic Life Support (BLS) from the American Heart Association,
Commitment to service excellence and passion for patient service
Good communication skills along with the ability to comprehend and follow instructions. PC skills, proficient in Microsoft Office

203

Behavioral Health Advocates, Field Based Resume Examples & Samples

Assist consumers and their families / caregivers with connections to appropriate psychiatric, medical, and psychosocial referrals and services
Meet with consumer’s in - person at facilities, provider offices, and in homes as appropriate
Partner with designated providers to address the needs, gaps in care, and recovery goals of complex and high risk consumers
Coordinate the development of comprehensive support system for children with serious emotional disturbance to promote the goal of children remaining in their own homes and communities
Partner with parents, family and natural community supports to enable children to receive services while remaining in their homes and communities
Contribute to treatment plan discussions; routinely attend clinical rounds and other meetings with medical partner or external entities, when applicable
Partner with internal Optum Behavioral Health Services Teams to coordinate a seamless transition for consumers from an inpatient setting to community based services
Meet all contractual requirements; collaborate early and frequently with other teams in the management of cases stratified as having intensive, complex, and high - risk needs
Participate in rounds and discussions
Comply with all policies, procedures and documentation standards in appropriate systems, tracking mechanisms and databases
Collaborate with providers to determine acuity of mental health concerns, barriers and progress; coordinate appropriate services
Serve as an Optum behavioral health liaison and subject matter expert for Children’s Mercy Hospital; establish and foster positive relationships with facility team, collaborate with facility staff with behavioral discharge planning activities and participation in collaborative rounds involving UHC C&S members. This is only applicable for the BHA assigned to CMH in the Kansas City area who will be physically located and working within this facility
Clinical Licensure must be independent, current, and unrestricted for the State of Missouri
Experience working with a variety of populations within the community (aged, blind, disabled, HIV / AIDS, foster care, temporary assistance for needy families)
Access to high speed internet for home office set up and a dedicated work space at home – for St. Louis position only

204

Behavioral Health Case Management Coordinator Resume Examples & Samples

Registered Nurse (RN) OR Masters-level Behavioral Health Professional or Doctoral degree in a Behavioral Health field (LCSW, LPC, LMFT, Licensed PhD Psychologist) with a license to practice at the independent level in this field. Current, valid, unrestricted clinical license in good standings in state of operations
2 years of experience of direct clinical care to the consumer
Discharge planning or Managed Care experience
PC and database experience
3 years Clinical Practice experience
Familiarity with Ancillary services, for example, wellness or community based programs (housing, family support services)
Provider side insurance experience
Bilingual in English/Spanish or English/Polish.TX - Richardson

205

Psychiatric Tech Behavioral Health Resume Examples & Samples

Demonstrated ability to train for nonviolent crisis intervention
Medical-surgical patient care experience preferred
Demonstrates knowledge and skills to competently care for all assigned age groups (child, adolescent, adult, and geriatric as applicable)
Demonstrates ability to maintain a safe environment and therapeutic milieu as evidenced by ability to utilize good judgment, implement critical thinking skills, and quickly problem solve situations to maintain positive and healing atmosphere
Displays an ability to communicate and/or take direction from licensed staff
Demonstrates motivation to initiate tasks within the defined parameters of the psych tech role
Assists/participates in crisis situations that can require "hands-on" for safety of the patient and/or others which can ultimately lead to seclusion and/or having to be on the floor to restrain a patient
Educates patients on suitable coping skills related to treatment plan content as evidenced by one to one interactions and in the group setting
Participates in the treatment planning process by reviewing treatment plan's with patients in a timely manner and documenting progress and education towards treatment goals
Demonstrates, models, and provides supportive listening for patients in crisis
Completes clinical documentation with accuracy and thoroughness
Assists with unit clerical support as needed

206

Behavioral Health Crisis Resume Examples & Samples

Establish a cooperative relationship with Optum Behavioral Network Services, crisis providers, and regional/state organizations in order to expand and improve access to behavioral health crisis services and ensure that consumers are served in the least restrictive, most clinically appropriate care settings
Licenses must be active and unrestricted
2+ years’ experience in a crisis-related mental health environment working in the local community
Demonstrated ability to use a PC in a Windows environment, including email and Microsoft Office applications
Excellent customer service, interpersonal and problem-solving skills
Maintain direct and open communication with all levels of the organization
Demonstrate initiative in achieving individual, team, and organizational goals and objectives
Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment
Strong oral and written communication skills — specifically telephone skills
Current, unrestricted driver’s license and access to reliable transportation
Medical/Behavioral setting experience (i.e. hospital, managed care organization, or joint medical/behavioral outpatient practice)
Co-occurring disorders experience with mental health and substance abuse
Familiarity with the justice system
Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for consumers
Experience working with low-income populations
Experience working with the aged, blind or disabled
Managed care and utilization management experience a plus

207

Behavioral Health Senior Manager Altcs Resume Examples & Samples

Hires, trains, conducts performance evaluations, and directs the workflow for the staff. This position is also accountable for participating in the development and implementation of department goals and objectives. Ensures all goals and objectives are met timely and effectively
Serves as a resource and provides leadership assistance to achieve optimal clinical, operational, financial, and satisfaction outcomes. Acts as a consultant within the organization and perhaps in the community
Supports change and participates in the development, implementation and evaluation of the goals/objectives and process improvement activities within the department. Works with staff to make necessary changes. May analyze data and healthcare trends to gain efficiencies and improve member outcomes

208

Assistant Medical Director Behavioral Health Resume Examples & Samples

Provide timely medical necessity review in compliance with appropriate governmental or MMO criteria for the precertification, concurrent review, and appeals department
Provide timely physician discussions to clarify clinical information and explain review outcome decisions
Participate in the clinical utilization review process and oversee the quality of utilization determinations
Provide medical management support to increase effectiveness of Case/ Disease management programs to promote the integration of MMO care management model
Assist in the development and implementation of medical policy, including recommendations for modifications to enhance efficiency and effectiveness
Communicate effectively with nursing and other staff as necessary for reviews and utilization management activities
Assists the Senior Medical Director in overseeing the application of medical necessity criteria for service eligibility in regards to type, amount and duration of service; and in developing the process to assess and document medical necessity
Other duties as requested by the Senior Medical Director, Senior Medical Officer or the Chief Medical Officer
MD or DO from an accredited medical school with an active and unrestricted license to practice medicine in Ohio
Minimum of 5 years of established clinical care practice in Psychiatry and/or Addiction Medicine experience required
Physician reviewer experience in the insurance industry preferred; Board Certification in Psychiatry is required
Additional board certification and/or clinical experience in substance use disorder management is a plus
Foundational windows based computer skills, including typing, word processing, presentation, and internet research skills
Strong understanding of integration of evidence-based medicine and managed care principles
Effective written and verbal communication skills required

209

Behavioral Health Clinical Care Manager Resume Examples & Samples

Performs clinical review of the appropriateness and quality of behavioral health services, applying established national decision support criteria, Medical Mutual policies and guidelines, individual patient considerations, and clinical judgment to determine appropriateness of services and procedures. Ensures compliance with policy and procedure identifies and refers potential quality of care and utilization issues
Manages initial, concurrent, and retrospective review of cases, including appeals. Works in collaboration with members’ physicians and other health care providers to assess the needs of the member, facilitate development of an interdisciplinary plan of care, coordinates services, evaluates effectiveness of services and modifies the member plan of care as necessary
Utilizes appropriate communication techniques with members and providers to obtain behavioral health information, assesses need for continuation of services, assists members in obtaining needed services, as appropriate, interacts with the treating physician or other providers of care
Plans, implements, and documents utilization management and discharge planning activities which incorporate a thorough understanding of clinical knowledge, members’ specific health plan benefits, and efficient care delivery processes
Performs clinical assessments, intervenes as needed, and coordinates care for members discharged from a behavioral health inpatient level of care. Assists members in accessing needed outpatient medical care as well as behavioral health. Provides appropriate resources and assistance to members with regards to managing their health care across the continuum of care
Acts as a resource to the provider community, explaining processes for accessing Health Plan to perform clinical review identifying appropriate community resources, or otherwise interacts with Health Plan programs and services
Participates in interdepartmental coordination and communication to ensure delivery of consistent and quality health care services. As necessary, will provide assistance to Claims and/or Customer Care Departments with the definition of medical terms, including diagnosis and procedures, as related to benefit or coverage issues
Bachelor's degree in Nursing or Master's degree in Social Work
3 years direct clinical experience in an acute inpatient mental health setting
Active, current and unrestricted license in Ohio as a Registered Nurse (RN) or Licensed Independent Social Worker (LISW)
Preferred experience with Substance abuse, detox care

210

Supervisor of Behavioral Health Clinician Resume Examples & Samples

Ensure availability outside of scheduled supervisory meetings and promptly respond to clinical emergencies
Responsible for monitoring and ensuring that supervisee?s paperwork is timely and written in an accurate, legible and concise manner (including proper completion of billing paperwork). Ensures supervisee?s records are in compliance with the organizations methods of Quality Assurance
Responsible for monitoring and supporting supervisee?s on administrative tasks including maintaining productivity expectations
Provide Intensive Care Coordination to families in outreach settings including the family's home or another community location
Uphold values and mission of Children's Behavioral Health Initiative

211

Behavioral Health Tech-emergency Dept Resume Examples & Samples

High School Diploma or GED, required
One year Behavioral Health experience, required (ideally experience in acute care setting)
BLS from American Heart Association, required
Certified Addictions Counselor, EMT-IV or CNA, preferred

212

Senior Behavioral Health Policy Consultant Resume Examples & Samples

Assist in the RFP process, including develop strategy, develop cost proposal; evaluate conversion/recovery aspects of RFP; evaluate risk and manage RFP through Mercer internal legal and executive approval process
Identify opportunities for expanded revenue with existing clients; utilize knowledge of client and of the diverse expertise within Mercer Government to identify sales opportunities
Pursue new business; leverage relationships with clients, expertise and intellectual capital to create new business opportunities
Work with client and Mercer Government project managers to clearly define the scope, timelines and deliverable of the project. Also ensure development and propose essential project documents, including the budget and work plans
Ensure regular communication with client to review project status and expectations; provide expertise and insight to client and team to problem solve challenges within the project; manage scope of project, budget and timelines
Assist with managing engagements with the key client stakeholders and overseeing client engagements. This could include overseeing multiple project managers, ensuring the team is within budget, on time and producing work consistent with the scope of work and ensuring communication with client, project team and senior client leader
BA/BS degree required
Master’s degree in behavioral health policy, public policy, public health, or related field preferred
Current or previous experience working with or at the Centers of Medicare Medicaid (CMS) as a Sr. Director-level or higher
Minimum 10 years’ of relevant experience required

213

Behavioral Health Licensed Intake Assessment Clinician Resume Examples & Samples

MSW or Master’s Degree in Behavioral Science area (psychology, counseling, social work, marriage and family therapy) or related field
Licensure in a Behavioral Health Discipline (Licensed Mental Health Counselor, Licensed Clinical Social Worker, Licensed Marriage and Family Therapist) required
Certification: BLS and Crisis Prevention Certification must be maintained throughout employment with Terre Haute Regional Hospital
BSW degree or Bachelor’s degree in a related field
1-2 years related experience

214

RN Quail Run Behavioral Health PRN Resume Examples & Samples

Documents education about medications, disease symptom identification, social skills, stress management, and impulse control regulation
Demonstrates use of application of restraints monitors patients in restraints provides fluids, food, ROM and bathroom. Assesses and assists with discharge criteria
Establishes and maintains a therapeutic alliance with patients by assisting the patient to use the therapeutic milieu

215

Aprn / pa Inpatient Behavioral Health Resume Examples & Samples

Uses effective listening, nonverbal, explanatory, interviewing and writing skills to elicit and provide information
Well developed diagnostic and prescriptive ability
Knowledge of state, federal, hospital and universityy regulations related to administering medications and maintaining appropriate medical records
Collaborates wiht the multidisciplinary team, patient, family and caregivers to formulate comprehensive plan of care for mental health patients, including appropriate education about recovery and rehabilitation
Ability to communicate effectively and appropriately with all members of the interdisciplinary team
Experience with electronic health record preferred. Computer skills required

216

Director, System of Care-behavioral Health Resume Examples & Samples

Leads strategic efforts, including the development of an annual Systems Transformation Plan, which includes the expansion of the contract specific programs, children`s services, adult services, cultural competence, and consumer and family voice/empowerment
Responsible for partnerships at all levels (stakeholders, including members, providers, agencies and state departments) supporting the contract, ensuring successes are perceived as wins by all involved
Responsible for ongoing system redesign to promote the use of outcome tools and strong member outcomes, expansion of evidence-based practices, a proactive crisis system, and better integration between physical and behavioral providers
Responsible for leading and administering the Governance Board
Responsible for effective coordination and collaboration with internal Magellan departments, including quality, network, clinical, and others and tapping Magellan`s subject matter experts as needed
5+ years’ previous experience in a leadership position with a behavioral health and/or managed care organization

217

Director Behavioral Health Svcs Resume Examples & Samples

Administrative oversight of behavioral health service line across inpatient, outpatient and emergency settings at PPMC
Overseeing PPMC behavioral health inpatient, outpatient, consult and emergency service line in collaboration with the Clinical Director; ensuring appropriate strategic processes are in place to meet fiscal and quality outcomes
Oversight of the Penn Addictions Assessment Center and the Recovery at Penn Outpatient and Intensive Outpatient Programs and reporting to the Associate Executive Director of Penn Presbyterian Medical Center
Interfacing with physician and clinical leaders
Leading and coordinating the operational, financial, and quality review activities of the behavioral health service line in collaboration with the Clinical Director
Integrating behavioral health offerings at PPMC into a multidisciplinary system of care across the hospital and health system
Identifying opportunities for service line expansion and collaborating with hospital administration to evaluate feasibility and benefit of new projects
Coordinating and collaborating with the Clinical Director in the development, implementation and maintenance of policies and procedures that reflect current standards of practice and philosophy of behavioral health care consistent with TJC, state and federal laws and regulations
Promoting performance improvement activities to monitor performance an continuously improving quality
Developing programs to gather and analyze data for trends and instituting actions to resolve problems promptly
Coordinating human resource activity of administrative staff, the OP programs, and providing administrative oversight of the faculty at the PPMC campus while promoting a culture for training and retaining qualified competent staff to provide services and optimal patient care
Providing coaching and support to hospital administrators in conjunction with clinical leaders to assess, plan, implement and evaluate system wide processes and strive for optimal performance
Fostering a culture of safety, respect, and trust for patients, families, staff and a supportive work environment in collaboration with the Clinical Director
Administrating OP operating budgets and expenditures; preparing reports on the status and implementation of behavioral health programs, services, and continuing education and quality initiatives in conjunction with the Clinical Director
Overseeing revenue reporting and charge capture for behavioral health service live
Serving as liaison to behavioral health managed care providers and state agencies
Functioning as an administrative resource and subject matter expert for interdepartmental activities, communication, and decisions related to behavioral health
Behavioral Health management, policy and system design
Program planning and evaluation techniques, including data analysis methodologies, financial analysis
Management principles and practices, including work planning, employee supervision and resource allocation
Federal, State and local regulations as they relate to behavioral health care services
Current trends in behavioral health care administration and service delivery
Functions and operations of related agencies and community organizations
Clinical standards of practice and licensure requirements
Budgetary, financial management, quality improvement, auditing and contract administration practices
Accreditation and regulations, policies, economic and social trends that may affect the organization
Computer applications and equipment related to work

218

Behavioral Health Clinician Resume Examples & Samples

Be part of a our team that will help us build a new approach to care management. These positions will be a key part of a multi-disciplinary care team working in partnership with providers to improve the quality of care our members receive
Must have licensure or certification, in a state or territory of the United States, in a health or human services discipline that allows the professional to conduct an assessment independently as permitted within the scope of practice for the discipline (RN, LCSW, LMHC, LPC) and at least 3 years (or full time equivalent) of direct clinical care
Must have at least one of the following
Bachelor’s degree (or higher) in a health or human services-related field (psychiatric RN or Masters’ degree in Behavioral Health preferred for behavioral health); or Registered nurse (RN) license (must have a current unrestricted RN license for medical care management)

219

Medical Director, Behavioral Health Resume Examples & Samples

Medical degree as Doctor of Medicine or Osteopathy
Current unrestricted license as Doctor of Medicine or Osteopathy Texas is required
Minimum of three years managed care experience preferred
Minimum of Five years clinical experience preferred
Previous HMO or PPO leadership position experience is preferred

220

Psych Tech-mckay Dee-behavioral Health Resume Examples & Samples

Assists patients with daily living tasks, providing emotional support to patients and families. May conduct community meetings, interfacing with family, and lead diversionary activities. May implement therapeutic recreational activities and may act as aides in a school setting
Assists, performs and accurately documents delegated patient care procedures, treatments, observations, groups/education, etc. in designated areas, legibly and in a timely manner. May monitor patient vital signs and provide limited medical intervention under the directions of a healthcare professional
Orients patients to the Behavioral Health unit or program, may inventory belongings, may give appropriate supplies and testing, and may transport patients to appropriate appointments, units or activities. May assist patient as appropriate in completion of patient history form
Appropriately communicates patient information regarding: patient condition, patient history data and provides input on the implementation and / or changes to plan of care or discharge plan. Demonstrates effective interpersonal relations and communication skills with co-workers, patients, families, and other personnel involved with patient care. Reports changes in the patient's condition to the applicable clinical staff
Maintains a safe, consistent and supportive environment by providing care in accordance with the multidisciplinary treatment plan using established behavioral interventions and programs to meet patient care needs. Ensures that assigned areas are clean, straight and in compliance with fire and safety hazards before leaving at the end of each shift
Maintains constant surveillance of assigned areas to ensure patient safety including visual patient checks, room checks and unit checks. May stock supplies and carry out general housekeeping tasks as assigned
Participates in quality activities or duties, i.e. chart checks/audits, fridge temps, committees for improvement and other quality oriented tasks as assigned. Reports and addresses real or potential problems with quality and appropriateness of care through the use of event reports, or other appropriate means. Follows appropriate chain of command regarding issues in a timely manner
Responsible for patient safety and the overall management of patient behavior on the behavioral health units. Has the ability to work with physically and mentally aggressive patients by anticipating and diffusing situations, which might lead to out of control behaviors. Performs appropriately in emergency situations. Responds efficiently and calmly, securing qualified assistance as needed
Recognizes critical situations and identifies options to manage crisis using sound judgment and problem solving skills to prevent escalation of the situation or injury to client/staff. Strictly adheres to behavioral health policy standards regarding the use of seclusion and restraint
Completes all mandatory and required education assignments in a timely manner. Demonstrates clinical proficiency and competency for age groups served. Treats patients and families with care and respect. Maintains corporate/department standards regarding compliance and confidentiality
May assist in mentoring and orientation of staff members and students. Takes initiative to improve the work environment and guide others to resolving problems/issues. Encourages accountability and professional growth. Integrates legal and ethical standards into practice and complies with regulatory standards. Provides accurate and timely documentation and understands the legal implications of care delivery. Serves as a patient rights advocate
May be actively involved in the development and updating of treatment plans. May Assist in planning, implementing and facilitating various skills, relaxation, and psycho-educational groups using knowledge of group dynamics and organizational skills to achieve treatment plan goals
Uses established plan of care to guide interventions and initiates interventions within Scope of Practice. Ensures documentation is accurate, thorough and based on the patient's treatment plan

221

Tricare Humana Behavioral Health Clinical Specialist Resume Examples & Samples

Ensuring all activities under TRICARE utilization management program meet defined outcomes to improve the wellness of beneficiaries
Adhere to all policies and performance standards in accordance with the URAC, TRICARE Operations Manual (TOM), TRICARE Provider Manual (TPM) or any other Defense Health Agency (DHA) directives
Serving as a Tricare HBH liaison to beneficiaries, guardians personal care managers and providers
Representing the HBH, HGB, other HBH departments, and Humana, Inc. in a professional manner when providing services to beneficiaries
Responsible for all utilization management and queue functions while meeting URAC, TOM, TPM, and DHA standards
Ensuring productivity levels meet all timeliness and clinical medical necessity standards
Serving as the first line of authority for answering daily operational questions and concerns posed by beneficiaries
Assisting with referrals and resources, discharge planning and education related to after-care follow-up, and answer benefit or treatment questions from beneficiaries
Conducting After-Care Follow-up Assessments within the clinical system and adhering to all processes and timeliness standards
Meeting all performance standards as indicated within HBH’s Policies and Procedures and provided to associates on a daily/weekly basis. This includes responsibility for staying up to date on any changes in procedures due to policy, DHA change orders, etc
Ability to modify phone calls as indicated to meet the specific needsof the member/phone call
Effectively identify situations that require additionalassistance and seek that assistance from licensed staff
Conducting prepayment reviews within established timeframes and entering information into the claims system
Bachelor’s Degree Preferred in behavioral health related field
Successful completion of eQIP
Direct or Indirect Military experience a plus

222

Behavioral Health Intake Resume Examples & Samples

Establish and maintain relationships with referral sources
Follow up with referral sources to solicit patient information and communicate outcomes
Provide conflict resolution and follow-up to concerns from agencies and referral sources
Solicit rapid dispositions for referral sources to prevent patients from being sent to other facilities
Advocate for clinically indicated patient level-of-care needs to internal and external staff
Attend appropriate seminars, meetings, trainings and conventions with referral sources
Provide feedback to Administration regarding changes in MCO contracts, rates or procedures
Ensure the accuracy and thoroughness of written and computer entries of intake call, assessment and admission data
Monitor and evaluate intake/admission information that pertains to insurance benefit verification and prior-authorization requests
Act as administrative resource to other staff on how to handle inquiry calls and other aspects involved in the admission process
Obtain and disseminate pertinent clinical information related to potential or admitted patients to appropriate staff/disciplines
Complete accurate and thorough intake assessments in a timely manner and make appropriate referrals for clients who lack acuity for admission to Coastal Harbor Health System
Identify patient safety risks in accordance with established policies and procedures for documenting and communicating risk factors
Maintain accurate documentation of and adherence to EMTALA and HIPAA mandates
Complete timely and accurate insurance pre-certifications to advocate for patients' LOC needs and minimize out-of-pocket liabilities
Follow up on outstanding prior authorizations to minimize financial losses
Actively participate in the daily functions of the Administrative Team, including the minimization of errors related to patient call and census data
Closely monitor current and projected admissions and discharges daily
Support the Director of Intake and Admissions by completing assigned tasks related to the Intake and Admissions Department
EDUCATION and/or EXPERIENCE
CERTIFICATIONS, LICENSES, REGISTRATIONS
MATHEMATICAL SKILLS
REASONING ABILITY
DATA PROCESSING

223

Tech-behavioral Health Resume Examples & Samples

Assists patients with performing activities of daily living
Provides or assists with providing direct patient care, diagnostic procedures and therapeutic interventions
Appropriate monitoring while accompanying patients between departments and facilities as needed

224

Behavioral Health Center Manager Resume Examples & Samples

Implement and oversee all components of Behavioral Health Center operations in accordance with the Agency’s mission and the vision/direction established in the CHI St. Joseph Children’s Health strategic plan
Supervise the day-to-day operational functions of the behavioral health center
Coordinate the equipment and facility maintenance for the behavioral health center to assure ongoing operational performance
Monitor and evaluate the effectiveness of the behavioral health center in fulfilling objectives and expectations determined by the Director of Behavioral Health
Generate requested reports and data collection to document programmatic impact and effectiveness
Assure accuracy of CHI St. Joseph Children’s Health’s practice management and electronic health record data including the timely and accurate entry of patients into the system and the submission of all billable activity to the appropriate party
Collaborate with internal and external partners to enhance patient experience and behavioral health center operations
Experience working with electronic health records, practice management software and insurance billing preferred
Prior experience leading a behavioral health center/clinic helpful but not required
Have excellent communication skills
Be able to handle multiple tasks
Demonstrate leadership qualities
Possess a working knowledge of Microsoft Office
Demonstrate an understanding of the cultural and social barriers that can exist when accessing health or health-related care
Promote a positive, team-based approach to care and operations

225

Behavioral Health Medical Director Resume Examples & Samples

Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective implementation of performance improvement initiatives for capitated providers
Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members. Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements
Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership. Oversees the activities of physician advisors. Utilizes the services of medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. Participates in provider network development and new market expansion as appropriate. Assists in the development and implementation of physician education with respect to clinical issues and policies
Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components. Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care. Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality. Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment
Develops alliances with the provider community through the development and implementation of the medical management programs. As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues. Represents the business unit at appropriate state committees and other ad hoc committees

226

Behavioral Health Admissions Specialist Resume Examples & Samples

Demonstrates clinical knowledge of psychiatric care
Utilizes knowledge of growth and development, psychopathology, and psychosocial systems to ensure appropriate evaluation of patients across various ages
Utilizes appropriate skills in telephone etiquette when answering the telephone, making sure to record correct messages and pass along to appropriate staff, including patient inquiries
Provides provisional diagnosis using the DSM 5 for each patient assessment
Communicates recommendation of treatment with psychiatrist for approval
Maintains positive relationships with members of the community both formal and informal
Converses with various insurance companies to ensure payment for services
Treat all patients and their families with respect and without judgement
Makes necessary contacts with community resources to ensure continuity of care
Knowledge of developmental stages to ensure appropriate evaluation of patients of various ages
Must be Licensed by the state of Tennessee as an RN, LCSW or LPC
Experience in behavioral health strongly preferred

227

Behavioral Health Partial Resume Examples & Samples

High School Diploma Required
Two years of college preferred
Requires verbal and written communication skills
Ability to work in collaboration with others
One year patient care or related experience preferred, preferably in a psychiatric setting
Driver’s license (MA, CT, NH, NY, RI, VT) preferred (varies by program), and ability to satisfactorily meet hospital driving standards
Must have Medication Administration Program Certification, or successfully complete the Medication Administration Certification course provided by the Hospital

228

Behavioral Health Clinician, Salem Clinic Resume Examples & Samples

Completes clinical assessments of individuals and families, reviews medical records, and collaborates with other professionals to evaluate needs of person requesting services
Obtains and documents in a precise and timely manner all relevant assessment material. Assess person?s continuing care needs, contacts appropriate aftercare resources, and arranges for transfer or admission to appropriate rehabilitation facilities and/or liaison with self-help organizations
Formulates a treatment plan based on comprehensive biopsychosocial assessment of person. Continuously review and revise treatment plan based on clinical needs and regulatory bodies
Utilize clinical skills to create a positive working relationship with individuals/families in order to facilitate desired change using appropriate clinical models
Meet monthly productivity expectations (see attached productivity policy)
Complete all clinical documentation (intake packets, termination/transfer, billing sheets, insurance forms etc.) within expected timeframes and in compliance with organization policies. Documentation must meet quality standards established by regulatory bodies and the agency and monitored by the Director of Clinical Services
Adhere to all organization, federal and state regulations, guidelines and/or contractual obligations. Knowledge of or ability to learn insurance standards for both commercial insurances and Mass Health products
Develop supervision plan with Clinical Supervisor and meet on a regular basis to discuss clinical, organizational, and agency issues and review performance
Build and maintain effective working relationships with internal, external providers, as well as other regulatory bodies

229

Behavioral Health Case Management Coordinator Resume Examples & Samples

Masters-level Behavioral Health Professional or Doctoral degree in a Behavioral Health field (LCSW, LPC, LMFT, Licensed PhD Psychologist) with a license to practice at the independent level in this field. Current, valid, unrestricted clinical license in good standings in state of operations
Discharge planning or managed care experience
3 years clinical practice experience
Familiarity with ancillary services, for example, wellness or community based programs (housing, family support services)
*THIS POSITION WILL BE BASED IN DOWNTOWN DALLAS***

230

Behavioral Health Case Management Coordinator Resume Examples & Samples

2 years of experience of direct clinical care to the consumer
Discharge planning or managed care experience
Customer service oriented
PC and database experience
Verbal and written communication skills
Case Management Certification (CCM)
Familiarity with ancillary services, for example, wellness or community based programs (housing, family support services)

231

Behavioral Health Member Services Specialist Resume Examples & Samples

Experience with PCs in a Windows based environment required
Ability to use PC’s in a Windows based environment
Ability to respond sensitively to Member’s requests for services

232

Behavioral Health Utilization Management Review Resume Examples & Samples

Graduate degree from an accredited educational program in Social Work, Clinical/Counseling Psychology, or Nursing
Direct practice with an Adult Behavioral Health Level of Care ( ie. MH IP. PHP ACT, etc)
Required PA licensure for RN, LCSW, LSW, LPC, LMFT, Licensed Psychologist, Licensed Psychiatrist
Demonstrated knowledge of plan benefit information and managed care
PC Skills and Experience utilizing Microsoft Office, Outlook, Excel and PowerPoint
Ability to communicate in a positive/professional manner both orally and written
Ability to work independently, complete multiple tasks in the allotted timeframe

233

Behavioral Health Supervisor, Member Services Resume Examples & Samples

Provide supervision, which includes, hiring, performance evaluations, and any disciplinary actions for Member Services Specialists
Assist the Manager of the Contact Center by providing technical guidance, training, coaching, direction to staff, and assists with scheduling
Provide leadership, develop and monitor goals and objectives, and maintain appropriate staffing levels/coverage of shifts. The Supervisor of Member Services fills in as needed to cover shifts as a last resort
Perform intake duties in order to ensure the effective/efficient operation of the department
Research and compile information related to any problem areas or special projects as required
Provide input towards the development of proposed policy guidelines and assist in the clarification, support, and enforcement of existing policies and procedures
Assist the Manager of Member Services in the implementation of new lines of business
Answer central question; provide expertise with regard to procedural and contract administration and serve as a source for communication with other departments
Ensure call queue standards are achieved within established guidelines
Complete quality assessment activities, such as documentation audits and call audits to ensure that service level standards are met
Adhere to all policies and procedures including but not limited to: Employee Handbook, Corporate Code of Conduct, Confidentiality and the Corporate Compliance Program, which includes Fraud, Waste and Abuse
Bachelor's Degree required, preferably in healthcare/Human services or related field
Minimum of 2 years experience in Managed Care or insurance setting preferred OR equivalent amount of leadership/supervisory background and experience in a healthcare related field
Previous Customer Service experience preferred
Training, coaching and mentoring skills
Sound knowledge of telephone soft skills
Microsoft Office skills, including Word, Excel, and Outlook
Strong time management and organizational skills

234

Behavioral Health Utilization Management Review Resume Examples & Samples

Graduate degree from an accredited educational program in Social Work, Clinical/Counseling Psychology, or Nursing. Pennsylvania licensure required
1-3 years' Direct practice with an Adult Behavioral Health Level of Care ( ie. MH IP. PHP ACT, etc)
Direct practice in Substance Use Disorder treatment highly desired and CAC preferred

235

Psychiatric Utilization Review Case Manager Center for Behavioral Health Orlando Resume Examples & Samples

Excellent communication, negotiation and advocacy skills with staff, providers and health care team
Working knowledge of payer sources including PPO, HMO, Medicaid and Medicare
Working knowledge of diagnosis, assessment and treatment of psychiatric patients
Ability to organize and prioritize job duties in a timely and efficient manner
Registered Nurse, Licensed Clinical Social Worker or Licensed Mental Health Counselor
Experience with acute care psychiatric nursing, leadership, utilization management, managed care and Medicaid/Medicare reimbursement
Current active State of Florida license as a: Registered Nurse OR Licensed Clinical Social Worker OR Licensed Mental Health Counselor
Bachelor's degree in Nursing
Experience with acute psychiatric nursing, leadership, utilization management, managed care and Medicaid/Medicare reimbursement

236

Behavioral Health Tech Resume Examples & Samples

Provides therapeutically effective relationships with assigned patients incorporating developmental and age-related factors. Provides for a safe, comfortable environment and therapeutic milieu for the patients and assists in physical management procedures. Uses tact and sensitivity and communicates effectively with patients, visitors, referral sources, co-workers, and other hospital personnel
Observes, records, and reports to the registered nurse significant signs and symptoms exhibited by the patients. Documents appropriate information in the medical record. Communicates patient changes in condition with nursing staff. Provides, as directed, for the physical needs of patients and assists each designated patient with his/her activities of daily living
Participates in treatment planning with the attending psychiatrist and treatment team. Demonstrates an understanding of professional ethics and a respect for privileged communication
Updates knowledge and skills by attending department meetings, staff development conferences, inservices and educational programs as required. Serves as a role model for other staff and may assist in orientation/training of new staff. Recommends quality and/or process improvement initiatives in order to more effectively and efficiently perform the functions of this job

237

Behavioral Health Tech, Adol Psychiatry Unit Resume Examples & Samples

Observes and records patient behavior and activities
Reports any changes in condition and suggests modifications to the treatment plan
Uses tact and sensitivity and communicates effectively with patients, visitors, referral sources, co-workers, and other hospital personnel
Communicates patient changes in condition with nursing staff
Provides, as directed, for the physical needs of patients and assists each designated patient with his/her activities of daily living
Demonstrates an understanding of professional ethics and a respect for privileged communication
Updates knowledge and skills by attending department meetings, staff development conferences, inservices and educational programs as required
Serves as a role model for other staff and may assist in orientation/training of new staff
Recommends quality and/or process improvement initiatives in order to more effectively and efficiently perform the functions of this job

238

Behavioral Health Tech Resume Examples & Samples

Provides therapeutically effective relationships with assigned patients incorporating developmental and age-related factors
Provides for a safe, comfortable environment and therapeutic milieu for the patients and assists in physical management procedures
Observes, records, and reports to the registered nurse significant signs and symptoms exhibited by the patients
Documents appropriate information in the medical record
Participates in treatment planning with the attending psychiatrist and treatment team

239

Behavioral Health Associate Resume Examples & Samples

Complete all paperwork and; ensure quality of care
High School diploma required
2 - 5 years experience required

240

Supervisor, Behavioral Health Associates Resume Examples & Samples

Oversee individuals who apply clinical judgment and develop chemical dependency treatment plans to help identify the most appropriate level of care for members
Provide assistance to Case Management associates in resolving service complaints to answer questions regarding services or billing
Investigate infrastructure tools and communicate and implement findings to optimize productivity and performance
Use objective tools, information, data, and feedback to establish performance goals for individuals and the team; create spreadsheets with appropriate data to provide others with organized statistical reports concerning performance goals; supervise individuals who support quality services to serve client needs and maintain retention standards
Research and use best practices to achieve project implementation goals and preferred outcomes
Follow organization standards to maintain quality service
Make periodic visits, explore specific needs, and resolve problems to build and maintain client relationships
Collect, analyze, and summarize data to prepare reports and make recommendations
One to three years Supervisory experience working in a heavily regulated environment, managing individuals who provide quality behavioral health services to customers
Associate's Degree or equivalent required
Bachelor's Degree preferred

241

Director of Behavioral Health Resume Examples & Samples

Current Texas State RN license or compact license is accepted
Four years of progressively responsible experience in an inpatient psychiatric setting, to include two years supervisory experience
SAMA training is mandatory
Prefer at least one year experience with population that program serves

242

Behavioral Health Supervisor Resume Examples & Samples

Supports the Diversion First initiative through partnerships with the Fairfax County Courts, Court Services, Fairfax County Sheriff's Office and community providers
Provide clinical services, case management and crisis intervention to a population of adults with serious mental illness (SMI) and co-occurring disorders who are involved in or at risk of involvement in the criminal justice system
Provide supervision and evaluation of mental health therapists, substance abuse counselors, and other support staff in the provision of services
In conjunction with two other behavioral health supervisors and the behavioral health managers, provides behavioral health assessment individual, group, and family therapy services utilizing evidence-based therapies
Supports evidence based and best practices in treatment
Experience supervising clinical staff
Experience working with seriously mental ill adults, including those with co-occurring substance use disorders
Ability to effectively work as part of an interdisciplinary team
First Aid and CPR certification within 90 days of appointment and maintained throughout Community Services Board employment, for positions in residential and some outreach programs
Medication Administration Assistance Certification within 90 days of appointment, for positions in residential and some outreach programs
Valid driver's license with fewer than six demerit points (or equivalent in another state) at the time of appointment and must be maintained throughout employment with Community Services Board

243

Behavioral Health Concurrent Review Clinician Resume Examples & Samples

Licensed Mental Health Professional with unrestricted LA state license required
Experience and knowledge in clinical guidelines, systems and tools i.e., Milliman, LOCUS, ASAM required
Knowledge of provider networks and delivery, ability to interface with providers required
Behavioral health and physical health integrated care experience
Possesses sound clinical judgment
Strong organizational skills with an attention to detail
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Ability to work with all levels of management
Strong documentation skills and broad based clinical knowledge
Self-motivated and confident making clinical decisions, ability to influence and shape clinical outcomes
Proficiency with computer skills, which includes navigating multiple systems and keyboarding
Work requires sitting for extended periods, talking on the telephone and typing on the computer
Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor

244

Mgr, Behavioral Health Resume Examples & Samples

Works directly with staff and members to assess, plan, implement, coordinate, monitor and evaluate services and outcomes to maximize the health of the member. Implements utilization and/or case management workflows and policies and procedures for integrated behavioral health programs
Proactively monitors appropriate metrics to drive efficiency
Provides leadership and support to front-line staff and supervisors of behavioral health services in the assigned market(s) or state
Provides recommendations and support to behavioral health leadership for future expansion and growth efforts
Serves as an instrumental partner in monitoring and tracking key performance indicators to include identification of over/under utilization and/or case management patterns and/or deviation from expected results for assigned market(s) or state
Assists with development of clinically-focused training associated with behavioral health assessment, care plan development and behavioral health services in the market(s) or state
Performs audits of assessments, case plans and service notes to verify cases are properly established and that member coordination activates are occurring and appropriately documented
Provides training and guidance to new and current behavioral health associates regarding policy and procedure, systemic tools, workload and care plan development
Function as subject matter expert for behavioral health processes, mental health services and psychosocial programs
Required 5+ years of experience in behavioral health management and/or acute behavioral health care setting focusing on outpatient/inpatient utilization, case management and discharge planning
Required 1+ year experience in leading/supervising others
Required 3+ years of experience in a managed care environment (as a licensed mental health professional )
Required Licensed Clinical Social Worker (LCSW)
Required Intermediate Microsoft Outlook

245

Behavioral Health County Administrator Resume Examples & Samples

Must have minimum of a Master’s degree in psychology, counseling or social work or a Bachelor’s degree in nursing; and, must have a valid Independent California clinical license: LMFT, LPC, Licensed Independent Social Worker (LISW), or be a Licensed Psychologist (LP), Advanced Registered Nurse Practitioner (ARNP) or is a Registered Nurse (RN)
5 years of experience in the management of BH services providing the provision and supervision of treatment services for mental illness and substance use disorders
Demonstrates knowledge and understanding of the California overall behavioral health system which includes mental health, alcohol and drug addiction services
Has prior experience in public sector mental health or non-profit community mental health, with knowledge of Medicaid populations a plus
2 years of managed care experience (Medicaid managed care) preferred to include understanding of managed care principles, models, and financing a plus
Experience in a recovery-oriented delivery system a plus
Demonstrated project management experience
Strong data analysis skills
Demonstrated skill in the use of computers, Microsoft Office, email systems, as well as in overall written communication

246

Behavioral Health Tech-u Resume Examples & Samples

Performs ongoing observation of patient response to illness and treatment; promotes optimal patient outcome
Collects data through observation; provides clinical expertise in the evaluation and treatment of patients
Plans and implements safe milieu interventions consistent with treatment goals
Ensures group therapies occur on schedule
Two years experience in Behavioral Medicine/Health Field or equivalent education required

247

RN Quail Run Behavioral Health Hour Shifts Resume Examples & Samples

Completes an assessment for each patient by performing a thorough mental, physical, nutritional and functional assessment on admission, and as needed, based upon patient's condition
Provides/coordinates education of patients based on assessment of learning needs and readiness
Respects patient confidentiality in and outside of group setting and uses discretion when discussing patient information

248

Group Leader Behavioral Health Bayridge Hours First Shift Resume Examples & Samples

Support the hospital in such a manner that there is a strong and positive commitment to quality patient care
Attend all appropriate administrative meetings that support the mission of the hospital
Support and implement administrative decisions
Utilize supervision in a positive and thoughtful manner to enhance professional improvement and development
Maintain a clear understanding of hospital policies and protocols, and practices within those policies and protocols
Participate in any ongoing quality improvement studies that will have positive patient care outcomes
Consistently prepare and plan groups according to patient needs. Make appropriate programmatic changes in response to patient population and system-wide needs
Demonstrate strong group leadership skills, shows awareness of both content and process, focusing on either or both when appropriate
Consistently complete all paperwork in an organized and timely fashion
Consistently monitor patients and communicate to treatment team patient?s level of participation and ability to utilize groups
Maintain yearly/biyearly requirements of CPR, Risk Management and Aggression Management
Leading a group
Ability to evaluate patient needs
Development of group treatment programs

249

Director of Behavioral Health Admissions & Emergency Referral Services Resume Examples & Samples

Directs inpatient and outpatient admission policies and practices. Reviews admitting department to ensure compliance with applicable standards. Works with medical, nursing and registration staff to ensure appropriate patient placement. Responsible for the hiring, training and supervision of all intake coordinator staff, social workers and mental health counselor technicians. Assumes 24/7 responsibility and accountability for the staffing and operational management of the departments. Maintains and analyzes referral data, market changes and referral satisfaction. Completes all required paperwork to ensure a smooth transition for the patient
Is responsible for verifying and obtaining all insurance authorizations for patients referred to the Leonard Morse and St. Vincent’s Hospital inpatients units. Will maintain an active working knowledge of insurance systems in order to facilitate timely verification of benefits
Is responsible for administrative contact with Mass Rev and originates individual user IDs and passwords for all staff involved with electronic contact with the Mass Rev’s website. Responsible for upgrading user ID’s and password data
Is responsible for working closely with St. Vincent’s CAT clinicians and apprises staff of change in census, insurance, MD/NP coverage and policies
Is responsible for working closely with the Executive Director of Behavior Medicine to develop and maintain procedures and policies and staff competencies
The Director will recruit clinically competent ERS staff to cover Framingham Union, Leonard Morse Hospital and St. Vincent Hospital emergency rooms for psychiatric emergencies
The Director will oversee and manage St. Vincent’s Hospital Crisis Assessment Team (CAT), MetroWest Natick ERS Team and Mental Health Counselor Technicians in Natick
The Director will work closely with both the upper management of CHL – Worcester Mass Health team and Advocates – PES – Natick/Framingham management to ensure flow of psychiatric patients in the Emergency Rooms
The Director will manage all inpatient psychiatric admissions to St. Vincent’s Hospital
The Director will maintain appropriate staffing levels 24/7 for ERS, CAT, MHC Technicians and Central Access
The Director will continually evaluate the clinical competencies of ERS and CAT staff, and provide educational opportunities to improve clinical performance
The Director complete all performance evaluations on ERS, CAT, Central Access and MHC Technicians staff according to MetroWest Medical Center/Tenet personnel policies
The Director will provide staff supervision (clinical and administrative) to ERS, CAT, Central Access and MHC Technicians team
Monitor the development, timeliness and effectiveness of psychosocial assessments, discharge plans, case coordination and collaboration, and written documentation in conjunction with DMH and TJC standards
The Director will update and input Kronos for CAT, ERS, Central Intake and MHC technicians daily
The Director will be responsible for the Monthly calendar/Schedule for the CAT, ERS, Central Access and MHC Technician employees
LICSW, LMHC (or license eligible within 1 year), APRN, PSY.D., PhD in Behavioral Health
Licensed by the State of Massachusetts at the highest level of independent clinical licensure
Five + years of progressively responsible management experience in a mental health setting, including supervision of clinical staff
Knowledge of inpatient psychiatric settings-adult, geriatric and child
Knowledge of DMH statutes pertaining to the involuntary commitment of mentally ill adults and children
Facility with Microsoft Office Outlook, Word, EXCEL
Experience with Meditech and Medhost software
Must have excellent interpersonal skills and be able to interact with multidisciplinary clinicians
Must have excellent phone skills
Must be able to respond calmly and effectively in high pressure situations

250

Behavioral Health Assessment Specialist Resume Examples & Samples

Advises the care team about which clients are better served at in a different setting as well as and which should be referred to other mental health facilities or specialties
Develops relapse prevention plans and helps clients maintain stable functioning, when necessary
Monitors and coordinates the delivery of health services for clients related to behavioral health , including linking with other treatment providers not only within the primary care setting but, , outside it as well
Assists in process for any recommendations that need required authorizations prior to arranging for treatment
Provides clients with self-management skills and educational information, so that, they can be a full participant in their own treatment and recovery
Master's Degree in Social Work from an accredited college or university
2 plus years of experience diagnosing serve mental illness and/substance abuse disorders
Licensed Master Social Worker (LMSW), Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC)
Certification in Non-violent Crisis Intervention (CPI) but may be obtained subsequent to hire
Basic Life Safety Certification (BLSC) required but with 90 days of employment

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