Mental Health Case Manager - Atrium Wake Forest Baptist High Point Medical - High Point, NC
(2023-01)
- Collected information about clients through interviews, observation, or tests. Maintained safe, organized and therapeutic environment to enhance patient comfort.
- Acted as client advocate, coordinating required services and resolving emergency problems in crisis situations.
- Designed and implemented scientifically researched and evidence-based interventions.
- Educated families about patients' diagnosis and appropriate intervention strategies to use at home.
- Assisted individuals with stress management, self-esteem and issues associated with emotional and mental health.
- Modified treatment activities or approaches as needed to comply with changes in clients' status.
- Collaborated with mental health professionals and other staff members to perform clinical assessments or develop treatment plans.
- Organized social activities to help patients apply new skills in public settings.
- Collaborated with probation officers and police to exchange necessary information during treatment process.
- Counseled family members to assist in understanding, dealing with or supporting clients or patients.
- Developed behavioral plans for clients based on assessment results and established goals.
- Attended professional development activities including workshops, conferences, seminars related to Behavioral Therapy.
- Participated in interdisciplinary team meetings regarding treatment planning for clients.
- Referred patients or clients to community resources or specialists.
- Encouraged clients to express feelings and discuss happenings in life to help develop insight into themselves or relationships.
- Conducted utilization review activities including concurrent reviews, retrospective reviews, and discharge planning.
- Managed appeals for denied services, providing additional information to support medical necessity.
- Contacted insurance carriers to obtain authorizations for services delivered to patients.
- Monitored patient admissions and discharges to optimize care coordination and resource utilization.
- Coordinated with healthcare teams to develop care plans that meet patient needs and insurance coverage.
- Conducted comprehensive reviews of patient records to ensure medical necessity and compliance with healthcare standards.
- Referred cases to secondary review for failure to meet criteria.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
Behavioral Health Clinician - Novant Health Thomasville Medical/ Forsyth Medical - Winston-Salem, NC
(2016-01 - 2023-01)
- Implemented evidence-based therapeutic interventions, such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT).
- Conducted psychoeducational groups to teach patients about the impact of mental health on physical well-being and lifestyle choices.
- Responded to crisis situations when severe mental health and behavioral issues arose.
- Assessed patient needs and recommended appropriate courses of treatment.
- Conducted comprehensive behavioral assessments to identify individual patient needs and develop tailored treatment plans.
- Monitored patient progress through regular follow-up sessions and adjusted treatment plans as necessary.
- Advised families on how to best support their loved ones struggling with mental illness.
- Performed psychosocial assessments to identify risk factors for behavioral health disorders.
- Evaluated new patients referred from primary care providers or other sources.
- Participated in assessments and visits with patients in various types of settings.
- Assisted clients in developing coping skills to manage stress, anxiety, depression, and other mental health issues.
- Provided guidance and support for patients transitioning back into the community or workplace after hospitalization.
- Utilized electronic health records (EHR) to document patient interactions, treatment plans, and outcomes.
- Engaged in continuous professional development to stay current with the latest research and best practices in behavioral health.
- Encouraged clients to express feelings and discuss happenings in life to help develop insight into themselves or relationships.
- Coordinated follow-up visits between clients and other service providers.
- Maintained confidentiality and adhered to ethical standards in all interactions with patients and their families.
- Provided one-on-one counseling sessions to support patients with mental health issues, including anxiety, depression, and PTSD.
- Prepared and maintained required treatment records and reports.
- Documented information for charts, progress reports, assessments and other paperwork within specific timeframes.
- Acted as client advocate, coordinating required services and resolving emergency problems in crisis situations.
- Attended continuing education courses related to behavioral health topics.
- Counseled clients or patients individually or in group sessions to assist in overcoming dependencies, adjusting to life or making changes.
- Assessed patients for risk of suicide attempts or harmful behavior toward others.
- Developed and implemented treatment plans for individuals with mental health problems.
- Actively participated in quality improvement initiatives within the organization.
- Liaised between patients, healthcare providers, and insurance companies to clarify coverage and authorize services.
- Participated in multidisciplinary team meetings to discuss patient care issues and utilization review findings.
- Conducted reviews of inpatient utilization for compliance with admission criteria and concurrent review requirements.
- Served as a resource for staff members seeking guidance on utilization review matters.
- Monitored pre-authorization requests to ensure that all necessary information was received prior to approval or denial of services.
- Conducted comprehensive reviews of patient records to ensure medical necessity and compliance with healthcare standards.
- Referred cases to secondary review for failure to meet criteria.
