Director of Behavioural Health Resume

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Contact Information:

Objective:

Seeking for career as head Behavioral Health and utilize my knowledge in the field of accounts for the achieving organizational goal.

Experience:

Head-Behavioral Health, Southwest Region Dallas, TX, USA, March 2000 to present

• Provide clinical training, consultation on program development, grant proposal preparation, managed care plan participation and clinical risk management to behavioral health non-profit agencies and practitioners.
• Regional office of a managed behavioral healthcare company with over 600,000 members in commercial HMO/PPO plans and Medicare Advantage HMO plans in four states.
• Denton County Mental Health and Mental Retardation Center: public sector governmental agency with $19 million budget and 280 staff to provide range of clinical and rehabilitation services to persons with mental illness, chemical dependency and/or developmental disabilities.
• Managed operations and growth of outpatient mental health and substance abuse services to adults and children, crisis residential and supported housing programs for mentally ill adults, and case management for persons with disabling mental illness; secured grants to fund program expansion. Six program supervisors as direct reports.
• Positioned Center to be the preferred behavioral health provider group in Denton County for persons eligible for Medicaid, CHIP, Medicare, Crime Victims Assistance and other entitlement benefit programs.

Manager-Behavioral Health, ABC Clinic, Dallas, TX, USA, March-1996 to April-2000

• Managed Center’s activities as multidisciplinary community behavioral health provider group in the Tarrant County (TX) STAR managed Medicaid service delivery demonstration model.
• Managed outsourcing of non-clinical Center services via competitive bidding and contracting.
• Evaluated performance of contracted provider network. Developed new business and diversified revenue sources.
• Successfully diversified case mix and expanded payer source and provider network for provider group
• Participant on statewide task force to evaluate readiness of community mental health centers in Texas for managed care.
• Ensured that clinical utilization management (UM) decisions, customer telephonic access to call center, and provider appeals of UM decisions met stringent corporate, industry, state and federal regulations for integrity, timeliness, and consistency with medical necessity criteria.

Licenses/Certifications/Computer Software Proficiency

• Licensed Psychologist (TX)
• Licensed Marriage and Family Therapist (TX)
• Texas Qualified Mediator
• Certified Case Management Administrator (CMAC)
• Trained in Critical Incident Stress Debriefing (CISD)
• Medicare/Medicaid Health Services Provider
• Proficient with Microsoft Windows, Word, Excel, Power Point, Visio

Education

• Ph.D. Clinical-Family Psychology, Georgia State University, Atlanta, GA (Clinical Internship performed at TX Research Institute of Mental Sciences, Houston, TX), 1999
• M. A. Psychology, Georgia State University, Atlanta, GA, 1996
• B. A. Psychology, University of Massachusetts at Amherst, 1993

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