Utilization Review Mental Health
Resume:
Sheila Swipes
Boerne, TX ***15
************@*****.***
PROFESSIONAL EXPERIENCE
UTILIZATION REVIEW CARE MANAGER
Clarity Child Guidance Center, San Antonio, TX.2020-2025
● Performed Utilization Review functions for the child and adolescents inpatient and partial units for mental health
● Review clinical information for concurrent reviews and extended length of stay
● Work in partnership with the interdisciplinary team through rounds and staffing to facilitate that care meets the clinical needs of the patient and reduces financial risk to the facility UTILIZATION REVIEW CARE MANAGER
Laurel Ridge Treatment Center, San Antonio, TX.2017-2020
● Performed Utilization Review functions for the adult, adolescents, and child inpatient and partial units for mental health and substance abuse
● Review clinical information for concurrent reviews and extended length of stay
● Work in partnership with the interdisciplinary team through rounds and staffing to facilitate that care meets the clinical needs of the patient and reduces financial risk to the facility UTILIZATION REVIEW CARE MANAGER
Rockford Center UHS, Newark, DE.2003-2017
● Performed Utilization Review functions in all units of the hospital: Inpatient mental health for adults, adolescents, and children. Inpatient detox and CDIOP for adults. Partial Hospital (php) mental health for adults, adolescents, and children
● Developed and implemented utilization review process used with Child Mental Health Programs for the State of Delaware
● Facilitate multidisciplinary treatment team meetings
● Review clinical information for concurrent reviews and extended length of stay as appropriate
● Utilize effective management, coordination of services, resource management, patient advocacy, education and related interventions
GROUP HOME MANAGER 2001-2003
Connections CSP, Wilmington, DE
● Efficiently managed a group home for residents with chronic mental illness through motivating direction of a team of 9 staff
● Effectively interviewed, hired and trained new staff, created schedules, and supervised personnel; facilitated ongoing mandatory training and monthly staff meetings
● Provided direct resident care from administering medication, facilitating group and individual psychotherapy, and connecting with outside resources as needed
● Strategically allocated and administered budget to optimize the use of resources and control costs for the facility
CLINICAL SUPERVISOR
Connections, CSP, Wilmington, DE 1998-2001
● Worked with a clinical team of 13 staff including physician, program manager, nurses and clinical technicians caring for 110 chronically mentally ill adults in the community
● Completed in home psychiatric assessments to determine specific needs for patients
● Developed and implemented treatment plans and modified as needed
● Administered medication per doctor’s orders
● Assisted the program manager with all development and maintenance of written policies and procedures for all significant team functions and tasks JOB PLACEMENT COORDINATOR
Ministry of Caring, Wilmington, DE.1997-1998
● Provided job placement assistance to disadvantaged residents in the community
● Built strong relationships with employers in the community and basic job training to community residents to facilitate successful job placements
● Provided budgeting assistance to disadvantaged community residents EDUCATION
Wilmington College - New Castle, DE. - Masters in Science in Community Counseling - 2000 University of Alabama - Tuscaloosa, AL. - B.A. in Psychology - 1994
● Double minor in Human Development and Criminal Justice SKILLS AND ACCOMPLISHMENTS
● Proficient in Microsoft Word, Midas, HCS
● Proven strong analytical, problem solving, oral and written communication skills
● Enthusiastic team player
● Able to prioritize work and manage time efficiently to meet deadlines
● Received multiple Service Excellence Awards at Rockford Center
● Member of Kappa Delta Pi
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