Clinical Case Manager Resume Example

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

Results-driven Behavioral Case Manager offering more than 6 years of experience working with clients identified as high risks. Interview and motivate clients to identify needs and SMART goals. Facilitate process towards healing and self-sufficiency while emphasizing personal strengths to improve quality of life. Licensed Marriage and Family Therapist in CA and OR with significant background serving youth, young adults, families, LGBTQ and multi-cultural populations in an outpatient environment. Operates in high-pressure environments and recommends best resources and courses of action to help clients return to homeostasis. Proven history of success in collaborating with community-based organizations, county mental and behavioral health programs, school system, and medical staff.

Work History
03/2020 to Current Clinical Case Manager Children's Memorial Hospital | Arlington Heights, IL,
  • Perform day-to-day duties and responsibilities as a clinical case manager prioritizing case assignments, managing medical records for review, conducting research or consultation when necessary, entering documentation in Unity, checking for accuracy, adhering to established processes, and ensuring that timeliness is met
  • Evaluate treatment plans against individual goals and healthcare standards to ensure medical necessity compliance and determine under and over-utilization
  • Consult with medical directors and care managers to provide optimal service for members
  • Understand and comply with NCQA, HIPAA, state regulations, and company's policies and procedures
  • Meet established treatment guidelines, adhere to InterQual standards, and utilize Symphony and Unity platforms to process reviews and claims
  • Active engagement in Employee Inclusion Groups (EIG) initiative to support work improvement efforts, relations, offer solutions, and promote diversity and equity
01/2015 to 02/2020 Behavioral Health Manager Amita Health | Baltimore, MD,
  • Created and managed five (5) community-oriented outreach programs and workshops to positively impact stigma and help-seeking barriers
  • Oversaw EHR system and staff training to improve documentation accuracy by 20% and decrease note taking time by 35%
  • Implemented HIPPA compliant appointment reminder system reducing client no-shows by 40% while increasing client satisfaction
  • Conducted timely interviews, case management, counseling, and family work to high-risk youth who present chronic or acute mental illness in an outpatient setting
  • Screened and referred clients to appropriate agencies, utilize public or private resources and community-based organizations to meet clients and their families needs
  • Applied evidence-based practices such as Cognitive Behavioral Therapy , solution-focused interventions, motivational interviewing, mindfulness and trauma informed care
  • Empowered teens and young adults to reach their potential and offered access to integrated care and services
  • Responded and collaborated with team to resolve crises, initiated 5150s, reported to Child Protective Services, supported families, and linked clients to legal, treatment programs, and other social services
  • Trained personnel in health center procedures and clinical skills. Oversaw performance and progress of four (4) graduate program counseling interns
  • Effectively communicated and consulted with school staff, wellness counselors, county agencies to improve service outcomes
  • Assisted Executive Director in collecting, analyzing, reporting utilization data, and grant writing
07/2012 to 11/2014 Health Center Counseling Intern College Of San Mateo | City, STATE,
  • Counseled students and staff to help understand and overcome personal, social and behavioral problems, and helped them reach their clinical care goals
  • Created rapport and applied Motivational Interviewing methods in screening, assessment, and evaluation
  • Reviewed case files to better assess client needs and proper course of treatment while collaborating with clinical team and supervisor to provide the best possible solutions
  • Maintained high level of patient confidentiality to comply with all federal, county and school regulations
  • Case management and prevention
  • Clinical phone support, consultation and customer service
  • Assessment and clinical documentation
  • Treatment and discharge planning
  • Client empowerment and advocacy
  • Psychoeducation and counseling
  • Multidisciplinary team collaboration
  • Utilization optimization, post service review and authorization
  • Quality improvement
  • Data collection, analysis and grant writing assistance
  • Bilingual skills in spoken and written Tagalog
  • Technical skills and innovation

California Association of Marriage and Family Therapist (CAMFT), Member

Centene Employee Inclusion Group (EIG), Member

Sensorimotor Psychotherapy Institute, Member

Filipino Mental Health Initiative (FMHI), Pride co-chair

North County Outreach Collaborative (NCOC), Member


Licensed Marriage and Family Therapist LMFT #107842, by the California Board of Behavioral Science (BBS)

Licensed Marriage and Family Therapist T1764, by the State of Oregon Board of Licensed Professional Counselors and Therapists

Expected in 2013 Master of Arts | Counseling Psychology with Emphasis on Somatic Psychotherapy California Institute Of Integral Studies, San Francisco, CA GPA:
Expected in Bachelor of Science | Electronics and Communications Engineering University Of Santo Tomas, Manila, Philippines , , GPA:

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Resume Overview

School Attended
  • California Institute Of Integral Studies
  • University Of Santo Tomas, Manila, Philippines
Job Titles Held:
  • Clinical Case Manager
  • Behavioral Health Manager
  • Health Center Counseling Intern
  • Master of Arts
  • Bachelor of Science

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