Behavioral Health Care Advocate Resume Sample
Mackenzie Hudson
57929 Goldner Village,
Dallas,
TX
+1 (555) 547 6584
Work Experience
Senior Field Behavioral Health Care Advocate
04/2017
-
PRESENT
Philadelphia, PA
- Use critical thinking skills to prioritize high impact behavior changes that maximize consumer’s ability to address gaps in treatment and successfully leverage the health care system
- Integrates a collaborative process which assesses, plans, implements, coordinates, monitors, and evaluates the options and services to meet the enrollee’s health needs, using education, communication, and all available resources to promote quality, cost-effective outcomes
- Assessing inpatient, residential, and partial treatment needs based on Level of Care Guidelines
- Independent management of daily caseloads, collaborating with other clinicians and MDs'
- Coordinate and collaborate needs with other individuals within local team including roles such as Community Health Workers, RN’s and Social Workers
- Support the mental and physical health care of patients on an assigned patient caseload. Closely coordinate care with the patient’s medical provider and, when appropriate, other mental health providers
- Facilitate referrals for clinically indicated services under the patient’s medical benefit
- Managing and administering inpatient behavioral health benefits
Behavioral Health Care Advocate
06/2011
-
12/2016
San Francisco, CA
- Reviewing clinical assessments and determining appropriate levels of care
- Identifying ways to add value to treatment plans and consulting with facility staff on those ideas
- Develops processes to coordinate behavioral health care between the member’s primary care provider (PCP) and behavioral health service provider
- Review of members’ medical records from providers to determine if mental health and substance abuse services delivered are medically necessary, if they are coordinated with other services and providers, if providers have individualized treatment plans for members, etc
- Visit Medicaid members in their homes and/or other settings, including community centers, hospitals or providers’ offices
- This is a position on the facility-based team – review cases while the member is in the facility
- Potential of field based visits with members in facilities
- Focus on person centered care model for psychiatric and chemical dependency patients
- Make referrals to Centers of Excellence (CoE) and work with CoE to coordinate care
On-site Behavioral Health Care Advocate
02/2006
-
03/2011
Boston, MA
- Focus on ongoing facility reviews for psychiatric and chemical dependency patients
- Consult with the treatment team and medical directors for appropriate ongoing treatment
- Utilize advanced clinical skills to engage and motivate Members and their families via a recovery, health and wellness, family – holistic and member centric oriented approach
- Assist members and their families / caregivers with connections to appropriate psychiatric, medical, and psychosocial referrals and services
- Provide supportive follow - up, monitoring and education as indicated, telephonically and facilities
- Meet with members and their families in - person at facilities, provider offices, and in homes as appropriate
- Partner with in the context of complex care internal teams and community and external providers to address the needs, gaps in care, and recovery goals of complex and high risk members and their families, in the context of care coordination within a holisitic interdisciplinary approach
Education
Westfield State University
2002 - 2006
Master's Degree in Psychology
Professional Skills
- Strong oral and written communication skills — specifically telephone skills being able to talk and type at the same time
- Excellent interpersonal and problem - solving skills
- Demonstrated experience in a related mental health environment
- Demonstrated experience in a related mental health environment
- Proficient Microsoft skills (Word, Excel, Outlook) with the ability to use multiple screens and type and talk simultaneously
- Demonstrated telephonic/office-based experience
- Demonstrated telephonic / office-based experience
How to write Behavioral Health Care Advocate Resume
Behavioral Health Care Advocate role is responsible for health, microsoft, clinical, software, travel, insurance, research, integration, training, advanced.
To write great resume for behavioral health care advocate job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Behavioral Health Care Advocate Resume
The section contact information is important in your behavioral health care advocate resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Behavioral Health Care Advocate Resume
The section work experience is an essential part of your behavioral health care advocate resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous behavioral health care advocate responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular behavioral health care advocate position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Behavioral Health Care Advocate resume experience can include:
- Co-occurring disorders experience with MH and substance abuse
- Experience working with Medicaid recipients
- Experience working on a call queue
- Experience in a related mental health setting
- Experience working in a Managed Care Organization (MCO)
- Experience where working with Opioid use disorder was the main focus of the job
Education on a Behavioral Health Care Advocate Resume
Make sure to make education a priority on your behavioral health care advocate resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your behavioral health care advocate experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Behavioral Health Care Advocate Resume
When listing skills on your behavioral health care advocate resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical behavioral health care advocate skills:
- Work effectively within in a fast paced, changing environment
- Proficient Microsoft Office skills (Word, Excel, Outlook)
- Experience in inpatient/acute setting or outpatient setting
- LTC including state hospital, institute for mental disease, adult residential facilities, and skilled nursing facilities
- Experience working in a behavioral health clinic
- Experience in a related mental health environment working in the local community
List of Typical Experience For a Behavioral Health Care Advocate Resume
1
Experience For Field Behavioral Health Care Advocate Resume
- Work closely with networked providers in the delivery of quality and effective substance abuse services
- Conducting outpatient utilization reviews to determine appropriate care
- Assessing if member care meets coverage guidelines
- Shaping member treatment in partnership with providers to ensure best practices
- Managing residential substance use treatment cases throughout the entire treatment plan
2
Experience For On-site Behavioral Health Care Advocate Resume
- Obtaining information from providers on residential substance use treatment and psychiatric requests for treatment
- Identify and address the needs of those who are high utilizers of services through case conferences and informal communications
- Participate in meetings, as needed, with providers to review clinical performance, identify areas of clinical opportunity, and oversee course for improvements
- Serve as Consultant and facilitate as needed meetings, including telephonic contacts with onsite visits as needed, with community - based organizations, practice and hospital leaders to report progress on high risk members
- Coordinate the development of comprehensive support system for members with serious emotional disturbance to promote the goal of children remaining in their own homes and communities
- Serve as an Optum behavioral health liaison and subject matter expert for Texas UnitedHealth Care Medical Partners; establish and foster positive relationships with medical team, participate in medical - behavioral integration activities and discussions
3
Experience For Telephonic Behavioral Health Care Advocate Resume
- Partner with internal Optum Behavioral Health Services Teams to coordinate a seamless transition for members from an inpatient setting to community based services
- Engages and manages high-risk enrollees, monitors utilization, creates care plans to address problems while maintaining quality of care
- Utilizes advanced clinical skills to make effective decisions to meet the enrollee’s health needs, using education, communication, and all available resources to promote quality, cost - effective outcomes
- Collaborates with regional care advocacy, provider network, and MHA nurse team to ensure proper resource allocation and utilization to facilitate quality cost-effective patient outcome
- Focus on outpatient Medicaid and Medicare behavioral health services
- Conducts face-to-face meetings with members, their integrated care teams, local MH plan, and the members’ health care providers to address barriers to success in the members’ care plans related to systemic issues
- Coordinates member BH care needs with the member’s local MH plan
4
Experience For Senior Field Behavioral Health Care Advocate Resume
- Participates in the identification of best practices for BH in a primary care setting (e.g. Screening, Brief Intervention, Referral and Treatment; SBIRT services)
- Conducts training with clinical team on BH issues
- Coordinates BH care covered by the health plan with medically necessary services
- Is liaison between the health plan, state entities, local MH plan, and provider community
- Manages the aftercare follow-up of identified high risk enrollees (manages follow-up calls / outreach and documentation)
- Inpatient admission for psychiatric and chemical dependency patients via telephone
- Review patient assessments and determine appropriate levels of care
5
Experience For Behavioral Health Care Advocate Possible Telecommute Resume
- Focus on initial inpatient assessment/admission criteria for chemical dependency patients
- Manage inpatient and outpatient substance use cases throughout the entire treatment plan
- Oversee initial inpatient admission for psychiatric and chemical dependency patients
- Make patient assessments and determine appropriate levels of care
- Oversee initial outpatient admission for psychiatric and chemical dependency patients
- Partner with designated external providers, programs, entities to address the needs, gaps in care, and recovery goals of complex and high risk consumers
- Managing inpatient and outpatient (Intermediate levels of care, i.e.: Residential and Partial) mental health/substance abuse cases throughout the entire treatment plan
6
Experience For Behavioral Health Care Advocate Telecommute Possibility Resume
- Partner with in the context of complex care internal teams and community and external providers to address the needs, gaps in care, and recovery goals of complex and high risk members and their families, in the context of care coordination within a holistic interdisciplinary approach
- Focus on review of concurrent facility based care
- Determine if additional care is needed
- Complete telephonic outreach to consumers at facilities, provider offices, and in homes
- Partner with designated providers, programs, entities to address the needs, gaps in care, and recovery goals of complex and high risk consumers
- Serve as an Optum behavioral health liaison and subject matter expert
- Meet all contractual requirements; collaborate early and frequently with other teams in the management of cases stratified as having moderate and lower-risk needs
7
Experience For Utilization Review Behavioral Health Care Advocate Resume
- Manage all facility based admissions for mental health and substance abuse through the continuum of care
- Effectively collaborate with treating providers and facilities to ensure consumers are receiving treatment in line with best practice and level of care guidelines
- Effectively communicate with consumers about their benefit coverage and provide appropriate resources and referrals
- Make decision about appropriate levels of care based on medical necessity guidelines
- Build relationships and work with a variety of populations within the community
- Work with low - income populations with complex social and medical needs including adults with serious mental illness and emotional disturbances, members with substance use disorders, and members with other complex or multiple chronic conditions
- Access to reliable transportation and the ability to accommodate field-based travel within the service delivery area
- Reside within 30 miles of the greater Baton Rouge, LA area
8
Experience For Utilization Review Behavioral Health Care Advocate Telecommute East Coast Resume
- Reside within a commutable distance of Kansas City, KS
- Knowledge of the Medi-Cal system
- Chemical Dependency Professional (CDP) in State of Washington
- Independent Clinical Mental Health License
- Reside within a commutable distance of New Orleans, Alexandria, or Monroe LA
9
Experience For Behavioral Health Care Advocate Resume
- Current, unrestricted license to practice in the state of California
- Knowledge of Level of Care Guidelines (i.e., Milliman, Interqual, etc.)
- Travel in designated territory
- Reside in state of Tennessee
- Designated work space from home
10
Experience For Field Behavioral Health Care Advocate Resume
- Independent, active and unrestricted Mental Health License to include PsyD, LP, LPCC, LISW, IMFT or RN in the state of Virginia
- Commute to the Baton Rouge, LA office on a daily basis
- Reside within a commutable distance of Wichita, KS
- Type and talk simultaneously
- Current, unrestricted license to practice in the state of Kansas
- Current, unrestricted license to practice independently in your state of residence
List of Typical Skills For a Behavioral Health Care Advocate Resume
1
Skills For Field Behavioral Health Care Advocate Resume
- Experience working with patients with Substance Use Disorders (SUD’s)
- Experience with working in a residential substance use treatment environment
- Experience working within a Managed Care Organization (MCO)
- Experience in an inpatient or outpatient setting
- Experience in a community mental health setting
- Utilization review experience in an insurance company or managed care setting
- Experience working with commercial lines of business
- Previous experience working in a Managed Care Organization (MCO)
- Experience in a related mental health environment working in the local community
2
Skills For On-site Behavioral Health Care Advocate Resume
- Experience working with special care needs patient population (emotionally disturbed, autism, developmentally disabled, foster care, etc.)
- Experience in a related mental health setting
- Experience working in psychiatric facility
- Experience in a related child and adolescent mental health environment working in the local community
- Experience in a related behavioral / mental health setting
- Total experience working in Duals (DSNP) and/or Medicaid environment
- Experience working in Duals (DSNP) and/or Medicaid environment
- Post-Masters experience in a related mental health environment
- Post-Masters experience in a facility based mental/substance abuse health environment
3
Skills For Telephonic Behavioral Health Care Advocate Resume
- Experience in facility utilization review or facility based cases
- Experience in Opioid Use Disorder or Substance Abuse Disorder
- Opioid Use Disorder experience
- Intensive Outpatient (IOP) experience
- Experience in a related Behavioral Health environment
- Experience in mental / behavioral health
- Licensed Mastered Health Professional, RN with behavioral health experience, LMFT, LMSW, LCSW, LMHC
- Experienced in substance abuse treatment
- Previous facility - based experience
4
Skills For Senior Field Behavioral Health Care Advocate Resume
- Experience in a facility based mental/substance abuse health environment
- Experience in a behavioral health / mental health environment
- Experience with the Medicaid patient population
- Inpatient and/or outpatient experience
- Experience in a field-based position
- More than 3 years of behavioral health experience
5
Skills For Behavioral Health Care Advocate Possible Telecommute Resume
- Post licensure experience
- Experience with the Medicaid publically funded population
- Facility based mental/substance abuse experience
- Facility based mental / substance abuse experience
- Hands-on experience with HEDIS, Stars, quality initiatives
- RN with psychology specialty or experience
- Experience in a related mental health environment
- Provide current care alerts, information on medication adherence, updates on referral results and other priority issues to community providers, as indicated
- Looking for candidates who are passionate about building their career
6
Skills For Behavioral Health Care Advocate Telecommute Possibility Resume
- Identifying ways to add value to treatment plans and consulting with facility staff or inpatient care providers on those ideas
- Identifying ways to add value to treatment plans and consulting with facility staff or providers on those ideas
- Managing inpatient mental health cases throughout the entire treatment plan
- Focusing on initial concurrent reviews for higher levels of care, ie: Inpatient, Residential and Partial hospital admissions
- Focusing on initial concurrent reviews for higher levels of care, i.e.: Inpatient, Residential and Partial hospital admissions
7
Skills For Utilization Review Behavioral Health Care Advocate Resume
- Obtaining information from providers on requests for treatment
- Managing mental health cases throughout the entire treatment plan
- There is a possibility of work at home after being in the role for 6 months and meeting all job standards.
- Make patient assessments in home setting and determining appropriate levels of behavioral care needed
- Use various computer applications and move through computer screens while speaking with members on telephone
8
Skills For Utilization Review Behavioral Health Care Advocate Telecommute East Coast Resume
- Work one late evening until 6pm
- Obtain and review information from referring providers on outpatient requests for treatment
- Determine if additional clinical information for initial/ongoing treatment is needed
- Identify ways to add value to treatment plans through consulting with facility staff or outpatient care providers
- Participate in standing meetings to review performance, identify areas of opportunity, and oversee course for improvements
- Present existing cases in clinical rounds format
9
Skills For Behavioral Health Care Advocate Resume
- Provide supportive follow-up, monitoring and education telephonically
- Registered psychiatric nurse or licensed master’s level mental health professional. LMFT, LCSW, LPC, Psych RN, PsyD, PhD
- Computer literacy with MS Office proficiency (Word, Excel, Outlook, Internet)
- Talk on the phone and type at the same time
- Reside in the state of Pennsylvania
- Licenses be active and unrestricted in California
10
Skills For Field Behavioral Health Care Advocate Resume
- Designated, distraction-free space in home for home office
- Access to high speed (DSL/cable) internet
- Knowledge of the Medi - Cal system
- Dedicated, distraction-free work space in home for home office with access to high speed internet
- Travel within your assigned territory (San Diego, CA)
- Reside in the greater San Diego, CA area
- Reside within 30 miles of the greater New Orleans, LA area
List of Typical Responsibilities For a Behavioral Health Care Advocate Resume
1
Responsibilities For Field Behavioral Health Care Advocate Resume
- Be in the field on a daily basis in Wichita, KS
- Role is based in Arizona. Role is ideally based in one of our Phoenix offices
- Reside in the greater Maricopa or Pima County, AZ areas
- Reliable transportation and the ability to accommodate field-based travel within the designated service delivery area (up to 50%)
- Access to high speed internet from home and a dedicated workspace
- Reliable transportation and the ability to travel as needed within the designated service delivery area on a daily basis
- Current, unrestricted license to practice in the state of Texas
2
Responsibilities For On-site Behavioral Health Care Advocate Resume
- Be onsite in the Richardson, TX office on a daily basis
- Active, Independent, unrestricted license in behavioral health
- Be in the field up to 80% of the time
- Current, unrestricted license to practice
- A work a split shift until 8pm EST, as needed (i.e. 12pm - 8pm or 8am – Noon; 4p – 8p)
- Work onsite in the office in Smithfield, RI office on daily basis
- Active independent behavioral health clinical license or RN license
3
Responsibilities For Telephonic Behavioral Health Care Advocate Resume
- Travel 90% regularly within market for patient visits
- Intermediate level of proficiency with Microsoft Office (Word, Excel, Outlook) and the ability to use multiple screens, type and talk simultaneously
- Be in the field up to 80% of the time in Northshore area of New Orleans, LA
- Work onsite in the office in Somerville, MA office 1 -2 days per week
- Current, unrestricted license to practice in Hawaii
- Travel in the field in the greater Seattle, WA area
- Make patient assessments
- Field based work
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