Utilization Review Quality Improvement Specialist Resume Example Company Name

UTILIZATION REVIEW QUALITY IMPROVEMENT SPECIALIST

Summary

Utilization review of medical records in departments of mental health and substance use disorders with County of San Diego Accomplished licensed Mental Health Clinician and certified substance use disorder counselor. Twenty plus years of experience with assessment, diagnosis, and treatment planning for a diverse clientele of individuals, couples, and families. Able to quickly build, support, and maintain therapeutic relationships while providing empathy and compassion. Influential consultant and skilled trainer. Insightful clinical supervisor promoting the development of sound clinical judgment for interns balanced with legal and ethical care.

Skills

Quality assurance reviewing
Quality improvement strategies
Addictions specialist
Co-occurring disorder expertise
Successful private practice

Family therapy background
Couple therapy expertise
EMDR therapist-Parts I & II and consultation
Mindfulness in the workplace teacher

Experience

Utilization Review Quality Improvement Specialist
City, StateCompany Name/Nov 2015 to Current

Ensure medical records conform with Federal and State regulations.
Evaluate medical records for accuracy and content of clinical documentation and quality of care.
Function calmly and tactfully in situations which require a high degree of sensitivity and diplomacy.
Communicate effectively orally and in writing.
Utilized Excel to compile data gathered from various sources.
Teach County staff weekly mindfulness meditations for workplace wellness.

Private Practice Therapist
City, StateCompany Name/Sep 2016 to Current

Conducted therapeutic individual and family therapy sessions in a group private practice.
Created client treatment plans based on assessments and goals.
Collaborated closely with treatment team to appropriately coordinate client care services.
Provided in-depth counseling for clients with depression, substance use disorders, and family issues and created plans for coping.
Educated clients and families on diagnosis and treatment equipping them with tools to achieve and maintain optimal psychiatric and mental health.

Private Practice Therapist
City, StateCompany Name/Nov 2003 to Jan 2016

Treated adults, couples, and families from civilian and military backgrounds.
Provided brief therapy with a solution-focused emphasis.
Treated EAP clients with mandatory referrals of work place issues.
Managed couples with domestic violence and/or substance use disorders.
Specialized in trauma treatment with EMDR therapy.

Clinician and Clinical Supervisor
City, StateCompany Name/Nov 2006 to Nov 2015

Designed and managed a supervision program with behavioral health professionals-substance use disorder counselors and mental health interns.
Expanded program from a staff of 9 to a staff of 21.
Reduced intern turnover by consistently retaining staff until licensure.
Collaborated with staff in treatment team meetings and addressed the needs of clients with co-occurring disorders and criminal justice involvement.
Conducted monthly staff trainings educating on trauma informed care, treatment of co-occurring disorders, and reducing burn-out.

Education and Training

M.S: Marriage and Family TherapyCalifornia State UniversityCity

Certificate of Achievement: Alcohol and Drug CounselingFresno City CollegeCity

Accomplishments

Supervised training in Train the Trainer program.
Trainer in Co-Occurring Disorders and Enhancing Motivation to Change.
Maintained strong knowledge of clinical documentation standards of substance use disorder programs by co-facilitating County of San Diego workshops for training with contracted providers.

Certifications

Licensed Marriage and Family Therapist MFC #40114
Certified Addiction Treatment Counselor-CATC #F0702211126
EMDR therapist-Parts I & II and Consultation

Publications

Fulan, J. "Focusing on Our Strengths," Counselor Magazine (2015): 68-71.
Fulan, J. "Contemplative Supervision," Family Therapy Magazine (2012): 85-87.
Hernandez-Hons, A & Fulan, J. "Developing Competent Counselors," Breining, M.J., Christopher, K.L, & Russell, T.J. (eds.) The Clinical Supervisor: Training Manual for Clinical Supervisor Competency in the Addiction Treatment Center (2010): 151-164.

Resume Overview

School Attended

California State University
Fresno City College

Job Titles Held:

Utilization Review Quality Improvement Specialist
Private Practice Therapist
Clinician and Clinical Supervisor

Degrees

M.S : Marriage and Family Therapy
Certificate of Achievement: Alcohol and Drug Counseling

Utilization Review Quality Improvement Specialist Resume Example

Resume Score: 80%

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