Behavioral Care Coordinator/Service Coordinator Resume Example Cenpatico/Envolve Healthcare/Superior Health Plan

BEHAVIORAL CARE COORDINATOR/SERVICE COORDINATOR

Summary

Innovative, quality healthcare administrator with background in managed behavioral health skills. Strong background in auditing, claim analysis and HEDIS measurements.

Skills

Microsoft Outlook, Word, Excel and Power Point
Database knowledge - SQL, R, and Tableau (Collect data)
Strong communication skills to include verbal and written
Strong Leadership skills - decision making.
Attention to detail - Active listener
Mental health experience

Auditor skills
Presentation skills
Problem solving skills
Coachable, flexible and able to work individual settings and or team environment.
Work well under pressure, flexible and coachable.

Experience

10/2006 - Current

Cenpatico/Envolve Healthcare/Superior Health Plan － Austin, TXBehavioral Care Coordinator/Service Coordinator

Interview and evaluate clients, to include safety and risk assessments.
Develop treatments and casework programs averaging 250 patients.
Assess clients for abuse and neglect.
Coordinate patient care from pre-admission to post-discharge hospitalization follow-up to address patient needs.
Screen individuals for behavioral health, substance abuse, and rehabilitation needs.
Audit, Review and Authorize Single Case Agreements Contracts for providers to continue patient care.
Collaborate special projects and communicate with departmental and plan administrative staff to facilitate daily operations. Take part in Project management groups to simply workflow's for daily operations.
Intervene with both medical and behavioral providers to ensure optimal care for members.

09/2005 - 07/2006

DFPS/HHSC － Austin, TXStatewide Intake Specialist/Texas Works Advisor

Addressed and resolved customer product complaints empathetically and professionally.
Effectively managed a high-volume of inbound and outbound customer calls with tact and professionalism.
Gathered and verified all required customer information for tracking purposes.
Defused volatile customer situations calmly and courteously.
Accurately documented, researched and resolved customer service issues.
Mastery of customer service management systems and databases.
Met or exceeded service and quality standards every review period.
Developed all process controls and metrics for daily management of operations.
Gathered and analyzed data for studies and reports, processed recommendations based on findings.
Served as the main point of contact to provide members with government benefit programs.
Achieved and developed goals, objectives, standards of performance, policies and procedures as part of an advisory team.

08/2003 - 08/2005

Eagle Pass Independent School District － Eagle Pass, TXHistory Teacher

Successfully improved student participation inside and outside the classroom through integration of creative role-playing exercises.
Developed program to work with students and increase interest in higher learning.
Planned, implemented, monitored, and assessed a classroom instructional program which was consistent with District regulations and Board of Education goals.
Fostered meaningful relationships among students through student field-trip retreats and team-work community service projects.
Consistently received positive teacher evaluations.
Lead Student Council, group of students, to achieve the highest monetary funds through my leadership years.

Education

Grand Canyon UniversityPhoenix, AZMaster of Science: Business Analytics

University of TexasSan Antonio, TXBachelor of Arts: Criminal Justice

Trainings

Cenpatico Training

-Motivational Interview August 2014 & August 2015,

-Service Coordination Training 2013, 2014 and 2015

-Leadership Course June 2014

Superior Health Plan Training

-Motivational Interview skills 2017, 2018, 2019

-Person Centered Training skills 2017, 2018, 2019

Resume Overview

Companies Worked For:

Cenpatico/Envolve Healthcare/Superior Health Plan
DFPS/HHSC
Eagle Pass Independent School District

School Attended

Grand Canyon University
University of Texas

Job Titles Held:

Behavioral Care Coordinator/Service Coordinator
Statewide Intake Specialist/Texas Works Advisor
History Teacher

Degrees

Master of Science : Business Analytics
Bachelor of Arts : Criminal Justice

Behavioral Care Coordinator/Service Coordinator Resume Example

Resume Score: 80%

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