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Yyyyyy x. yyyyyy

0000 xxxxxx xxxx , xxxx , xxxxx 00000 214-336--6613


Experienced Senior Manager with 10+ years of experience within high-stress environments with a strong background managing complex clinical programs. Experienced in creating/implementing unique processes focused on improving program productivity, providing training to staff members, analyzing program data, and maintaining program compliance with federal/industry regulations. Equipped with a significant level of communication and interpersonal abilities in addition to a strong background in effectively fostering positive relationships with co-workers, vendors, patients, and members of management.


Key Competencies



         Clinical Program Management

         Overseeing Operations

         Complex Data Analysis

         Financial Management

         Team Leadership

         Strategy Implementation

         Project Management

         Staff Development/Training

         Process Improvement

         Implementing Interventions

         Complex Problem Solving

         NCOA/URAC Standards

Professional Experience

Magellan Health Systems, Dallas, TX 2000-2015

Sr. Care Manager (2009-2015)

  • Direct several administrative and organizational functions within a fast-paced environment with a focus on increasing productivity and efficiency
  • Assessed individual in-patient needs and designed comprehensive discharge planning strategies which included providing referrals to community support services and programs
  • Maintained a keen knowledge of insurance authorization best practices, coordinated patient medical interventions, and continuously monitored patient progress
  • Utilized superior communication and interpersonal abilities in order to foster positive relationships with Psychiatrists and other medical professionals

Manager of Clinical Services (2000-2009)

  • Coordinated all daily operations within a high level clinical services program which included experience in managing financial operations, developing annual budget, and supervising cross-functional teams
  • Experienced in increasing employee engagement levels, improving efficiency thorough the implementation of streamlined processes, and achieving program metrics/financial goals
  • Maintained a keen knowledge of both NCQA and URAC standards, documented mental health/substance abuse reviews which assisted in staff development, and coached staff members during weekly clinicals
  • Played a lead role in providing clinical services to individuals affected by natural disasters such as the Northridge earthquake and hurricane Katrina
  • Successfully interviewed potential clinical staff members and made hiring recommendations while simultaneously fostering a positive working environment at all time


Additional Professional Experience Includes:

  • Clinical Administrator, CIGNA Behavioral Health
  • Management/Utilization Review Specialist, CIGNA Behavioral Health
  • EAP Counselor, Dallas Challenge EAP Program
  • Program Manager/Counselor, Family Violence Counseling Center




Master of Education, Counseling and Student Services, University of North Texas, Denton, TX

Bachelor of Arts, Communication, University of Texas at Arlington, Arlington, TX

Licensed Professional Counselor, State of Texas

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