Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • Home: (555) 432-1000
  • Cell:
Professional Summary

Clinician skilled in assessments, intakes, referrals, crisis management and case management. Very effective at working with clients from a wide range of backgrounds. Passionate about providing meaningful support and services to all clients. Expertise in crisis intervention techniques and overseeing staff. Problem-solving licensed clinician qualified to manage health regulations, perform patient care and further motivate talented staff. Enthusiastic professional with background affecting positive patient outcomes, finding creative solutions to administrative issues and interacting with diverse personalities.

Work History
Utilization Review Specialist, 01/2021 to Current
State Of OklahomaTulsa, OK,
  • Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
  • Supervised and maintained all utilization review documentation through Kipu.
  • Performed admission reviews based for medical necessity based upon Medical criteria and ASAM specification.
  • Performed prior authorization review of services requiring notification.
  • Obtained authorizations from multiple insurance carriers for various levels of care.
  • Devise or identify solutions for irregular requests and issues.
  • Identified new areas of scientific research and provided internal training.
  • Fostered excellence by example by "setting pace" and being hands on mentor to clinical staff.
Assistant Program Director, 06/2020 to 01/2021
Heinzerling CommunityColumbus, OH,
  • Interacted with customers and clients to identify business needs and requirements.
  • Assisted program manager with developing budget and schedule.
  • Mediated conflicts within families to clarify and resolve underlying issues.
  • Facilitated smooth discharge by encouraging and reassuring clients throughout transitions.
  • Ran individual therapy and family therapy sessions for children ages 11 to 17.
  • Utilized positive uncertainty and multi-systemic family systems therapy to encourage clients and help to handle ambiguity, accept inconsistencies and trust intuition in decision-making.
  • Applied array of different methodologies to assist patients with therapy.
  • Displayed sensitivity to cultural and linguistic needs of clients and families served.
  • Developed goal-oriented psychoeducational and activity therapy groups to improve clients' level of functioning.
  • Worked collaboratively with other mental health professionals to provide consistent care and minimize diversion.
  • Guided clients in effective therapeutic exercises integrated from Cognitive Behavior Therapy and Dialectical Behavior Therapy (DBT).
  • Identified risks and developed mitigation plans.
  • Developed and organized routine and special programming by factoring in slot timing, demographics and other important parameters.
  • Improved success of program by making proactive adjustments to operations.
  • Orchestrated smooth and efficient program development by collaborating cross-functionally across departments.
  • Provided ongoing direction and leadership for program operations.
  • Scheduled and supervised staff meetings to discuss new ideas and update participants on program details and milestones.
Clinical Director, 09/2019 to 05/2020
Cypress Creek TherapyEdgewater, MD,
  • Monitored, analyzed and corrected staff performance and worked with HR manager to raise standards of practice
  • Developed, implemented, revised and evaluated policies and procedures
  • Participated in research and evidence-based clinical audits and leveraged data to improve research-based methodologies within clinical areas
  • Coached and trained newly hired employees so that each understood job responsibilities and requirements of positions
  • Provide ongoing case management to all patients to ensure implementation of appropriate treatment plan, adherence to quality model and utilization of services needed to achieve optimal outcomes
  • Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, OBRA, and general liability
  • Communicated with patients, ensuring that medical information was kept private
  • Provided Crisis Management for patients
  • Developed, implemented, revised and evaluated policies and procedures
  • Interviewed and hired highly talented individuals bringing great skills and passion to daily jobs
  • Provide ongoing case management to all patients to implement appropriate treatment plan, adher to quality models and maximize utilization of services needed to achieve optimal outcomes
  • Implement new policies and educate staff on changes
  • Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability
  • Conducted intake and assessments to formulate treatment plan and manage client records.
  • Performed individual and group psychotherapy and conducted teletherapy sessions to help clients pinpoint emotions underlying personal and relational conflicts.
  • Collaborated with social services, referral sources and other treatment professionals to meet patient care needs.
  • Leveraged practice management software to complete weekly progress notes, update quarterly treatment plans and maintain patient records.
  • Garnered excellent reviews from individuals and couples and maintained long-term counseling relationships to provide ongoing care and support.
  • Countered problematic behavior with healthy alternatives to enhance mental, emotional and physical wellness and increase energy.
  • Resolved conflicts and negotiated mutually beneficial agreements between parties.
  • Managed quality assurance program, including on-site evaluations, internal audits and customer surveys.
Executive Director, 01/2018 to 09/2019
Ymca Of DelawareMiddletown, DE,
  • Coordinated and implemented training to public health professionals
  • Provided exceptional services including counseling, case management, education and job training to a diverse client base
  • Devised improvements to target key areas of improvement
  • Established procedures to handle all types of operational questions
  • Worked closely with organizational leadership, including board of directors, to strategically affect the direction of operations
  • Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs
  • Monitored Infection Control and Critical Incidents, Risk Management and Quality Improvement plans
  • Instructed patients and family members on proper discharge care
  • Effectively managed clinical oversight for over 100 patients
  • Continually maintained and improved the company's reputation and positive image in the markets served
  • Assisted in resolving and satisfying client requests and internal operational issues
  • Maintained good communication between department heads, medical staff and governing boards by attending board meetings and synchronizing interdepartmental functions
  • Closely collaborated with management team to make necessary improvements and satisfy resident needs
  • Maintained all confidential personnel files, license and CPR compliance records
Clinical Therapist, 01/2011 to 12/2017
Care New England Health SystemRI, State,
  • Conducted therapeutic individual and family therapy sessions
  • Trained new clinical staff
  • Led summer day treatment groups and therapeutic activities to teach functional living skills and address behavioral issues
  • Kept abreast of new and developing information in the mental health field by regularly attending professional conferences and workshops
  • Consulted with and trained highly skilled mental health and medical staff
  • Displayed sensitivity to the cultural and linguistic needs of the clients and families served
  • Observed and monitored client behavior and responses to treatment
  • Facilitated a smooth discharge by encouraging and reassuring clients throughout their transitions
  • Developed and implemented treatment plans and modified when needed
  • Organized clinical interventions and treatment plans for patients suffering from chronic pain disorders
  • Trained in substance abuse, co-occurring disorders, and the effect of employment and housing issues on mental health
  • Documented psychiatric services and responses to treatment in patient case files
  • Group psychotherapy expert
  • Dual diagnoses expert
  • Expertise in crisis intervention techniques
  • Biopsychosocial assessments
  • Skilled in intake interviewing
  • Adept at treatment and discharge planning
  • Cognitive Behavioral Therapy (CBT) expert
  • Personality disorder treatment aptitude
  • Adept at conflict resolution
  • LICSW and LCSW
  • Psychotropic medications knowledge
  • Trained in indicators of child abuse
  • Team oversight
  • Performance feedback
  • Quality Assurance
  • Administration knowledge
  • Ability to mentor
  • Supervisor for College Interns

Certified in CPR and First Aid
Licensed Independent Clinical Social Worker (LICSW)

Licensed Clinical Social Worker (LCSW)

Licensed in the states of MA, PA, and FL

Bachelor of Science: Bachelor's in Social Work (BSW), Expected in
Florida Atlantic University - Boca Raton, FL
  • Top 10 % of class
Master of Social Work: Social Work, Expected in
Barry University - Miami Shores, FL
Doctorate : Clinical Social Work, Expected in
Barry University - Miami, FL

Currently obtaining Doctorate - started in August 2020-May 2023

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School Attended

  • Florida Atlantic University
  • Barry University
  • Barry University

Job Titles Held:

  • Utilization Review Specialist
  • Assistant Program Director
  • Clinical Director
  • Executive Director
  • Clinical Therapist


  • Bachelor of Science
  • Master of Social Work
  • Doctorate

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