Operations Specialist, Recruiter, Authorizations, Client Support Resume
PROFESSIONAL EXPERIENCE
Confidential
Operations Specialist, Recruiter, Authorizations, Client Support
Responsibilities:
- Georgia Work closely wif Operations Manager via email, telephone, Zoom video conference, and in office, if needed Maintain ongoing census cleanup Process all RSD Operational reports Oversee Med Management reporting and compliance Coordinate communication wif families and referral sources if there is a delay in assigning services Provided support wif specialized operational projects Attend monthly RSD Operations Team meeting Engage in ongoing to stay up to date on operational changes Met position metrics and turn - around timeframes using reports provided while maintaining a partial caseload and Specialist Admin work Assisted in screening out resumes and candidates using (Mighty Recruiter) Scheduled phone interviews wif candidates Conducted phone interviews and collaborated wif human resources on employees Assisted Program Manager in preparing materials for new hires & completing new hire orientation schedules Maintained strictest confidentiality; adheres to all HIPAA guidelines/regulations.
Assisted during orientation and of new employees Kept census accurate and up to date Ran reports for Program Manager and Team Leads (such as failed activates, no service report, census, and suspension reports) Maintained and upload records into CareLogic as needed Completed discharge summaries Maintained clinical staffing notes and document staffing notes in CareLogic Completed calls to new referrals and document in CareLogic Prepared 7-day letters and mail Assisted in Audit preparation as needed Provided skill-based services targeted at assisting the consumer and their families at meeting and sustaining a level of rehabilitative support to maintain their services in the community Worked wif children, adolescents and/or adults Linked families to resources in the community based on needs Collaborated wif other Georgia HOPE staff and community partners to ensure effective treatment and case collaboration Document case notes in online electronic medical record system (Carelogic) Prioritized incoming prior-authorization and pre- requests as outlined in departmental policies, procedures, and workflow guidelines. Contacted the health plan to gain plan information, verify active coverage, obtain all plan benefits as well as authorization requirements Communicates efficiently and professionally directly wif Utilization Manager and team to acquire all necessary documentation for case decisioning as well as provides this information to the health plans to ensure all requirements are met for authorization.
Confidential
Manager On Duty
Responsibilities:
- Model and act in accordance wif TBG's mission and core values. Demonstrate and practice trauma informed leadership. Provides accurate, detailed and timely information to the designated Administrator onCall; reporting any health and safety concerns, environmental accidents, motor vehicleaccidents, arrests, serious hospitalizations and major on site or community incidents. Provides accurate, detailed and timely information to the designated Administrator onCall when requesting to activate the therapist on call. Contacts the TOC wif accurateand detailed information related to the youth's behavioral health emergency. Ensures dat Sidney's Place is operating wifin the contractual staffing ratios for eachprogram area and/or to meet the current safety needs. Completes rounds throughout Sidney's Place providing oversight, coaching, and guidanceto the staff and youth. Provides feedback to staff regarding health and safety concerns.Documents health and safety concerns on the MOD Shift Report. Checks the logbooks(tablets) during these rounds to ensure dat documentation is current and consistentwif the current activity.
- Contributes to the prevention and management of challenging behaviors byimplementing Confidential 's Behavior Management and Crisis Prevention Institute(CPI) techniques. Provides direction and support to the Lead YCW wif regards to job assignments,emergency situations, feedback to incidents, and scheduling. Participates in a pre - shift meeting wif the exiting MOD, Lead YCW and securitypersonnel. Ensures accurate medication administration, documentation and safe storage of medication in accordance wif the guidelines of the State of Tennessee. Assigns a CMTto assist wif Medication Administration in the absence of Medical Coordinator. Communicates medical emergencies to the Medical Coordinator. If the youth needs offsite treatment, in the absence of the Medical Coordinator, gather the relevantpaperwork such as the health visit form, face sheet, and a copy of the insurance cards.
- Communicates the follow-up needed through email to the youth's treatment team. Manages and assigns vehicle to staff for youth transports and will ensure dat staffadhere to TBG vehicle policy when operating agency vehicles. Will assist staff wif making sure vehicles are rotated and/or shared to halp support the transportation needsof Sidney's Place. Submits timely incidents reports, makes notifications to parents/guardians and placement agencies for incidents dat require police involvement, injury, hospitalization,environmental emergencies, motor vehicle accidents and other major incidents. Promotes effective communication through the timely submission of documentation.Submits the MOD Report at the end of each shift. Submits thorough and accurate SIRS,SA SIRs, and Emergency SIRs wif supporting documentation at the end of each shift. Provide written documentation addre
Confidential
PRN Supervised Visitation Monitor in Crisis Services
Responsibilities:
- Supervised visits of non - custodial parents wif their child(ren) which may include providing re-direction, intervention, and de-escalation wif the parent or child who demonstrates inappropriate physical or verbal behaviors Participated in the safety and security protocols put forth in policies and procedures Ensured interaction between the non-custodial (visiting parent) and child(ren) is always wifin sight and sound of the visitation monitor Ensured dat the child(ren) are never left alone wif the non-custodial parent Ensured dat there is no contact (sight and sound) between non-custodial parent and the custodial parent Maintained confidentiality of information pertaining to clients, staff, and any potentially identifying information regarding agency clients Processed intake and referrals as assigned, conducted orientations, and schedule intakes, as assigned Participated in all requirements applicable to the program and to the agency, as assigned Provided useful information including domestic violence support, transportation services, and counseling Performed basic administrative tasks related to program including preparation of monitoring reports and client documentation, faxing and/or emailing report to the courts, coordinating client scheduled, and cooperating in a team-based environment wif other agency staff Participated in chart reviews and client reviews at assigned client staffing's Used independent judgement in decision making wifin policies regarding clients and service delivery