Stephanie Watson-Drayton
Philadelphia
Summary
Licensed Social Worker (LSW) with experience in mental health and social services. Expertise in care advocacy, case management, and clinical supervision. Proven ability to manage caseloads, coordinate benefits, and provide therapy and support to diverse populations. Strong leadership and communication skills.
Overview
18
18
years of professional experience
Work History
Behavioral Health Care Manager I
Elevance Health
11.2021 - Current
- Ensuring appropriate treatment plans are followed, coordinating care with providers, and monitoring utilization to optimize quality and cost-effectiveness
- Reviewing and authorizing behavioral health services for Medicaid members
- Adhere to clinical guidelines and insurance policies related to mental health and substance abuse treatment
- Interfacing with team Medical Director to ensure medical necessity and scheduling peer to peer reviews.
- Collaborate with a team of mental health professionals to foster a positive work environment and share innovative professional ideas.
Care Advocate
Optum Health
08.2018 - 11.2021
- Worked with both psychiatric and substance abuse admissions
- Triage calls/chats based on presenting mental health and/or substance use disorder symptoms
- Completed concurrent reviews for commercial insurance plans
- Worked with facilities to negotiate step downs to lower levels of care
- Managed full case loads
- Consulted /Staffed cases with team doctors and completed peer reviews if recommended
- Made patient assessments and determining appropriate levels of care
- Obtained information from providers on outpatient requests for treatment
- Determined if additional clinical treatment sessions are needed
- Managed inpatient and outpatient mental health cases throughout the entire treatment plan
- Administered benefits and review various plans with providers
- Coordinated benefits and transitions between various areas of care
- Identified ways to add value to treatment plans and consulting with facility staff or outpatient care providers
- Outreached parents and provide education regarding benefit plan
- Educated parents on medical necessity
Employee Assistance Counselor
Optum Health
06.2015 - 08.2018
- Managed incoming calls from a phone queue system
- Gathered clinical information from members, such as family difficulties, marital problems, issues related to substance abuse or alcoholism, or simply stress related to the job, or life stressors
- Completed provider searches, generated authorizations and educated families on benefit packages
- Evaluated and staff Transcranial Magnetic Stimulation (TMS) requests with team doctor as appropriate
- Provided authorizations for based on commercial plan benefits in compliance with medical necessity regulations
- Conducted follow up calls to members after initial contact to check the progress and provide additional support if needed
Senior Admissions Counselor
Belmont Admission Center
04.2013 - 06.2015
- Assessed walk-in patients who presented to Access Center for admission
- Reviewed Clinical information from crisis response centers for potential admissions
- Assessed and reviewed phone triages from patients and families
- Verified patients’ insurance
- Interfaced with various insurance companies to facilitate admissions
- Pre-registered and registered patients for appropriate levels of care
Director of Children & Youth
NorthEast Community Center for Behavioral Health
08.2012 - 05.2014
- Responsible for organizing and coordinating the administrative and clinical functions of the behavioral health outpatient program
- Implemented policies and procedures for the outpatient department
- Responsible for compliance with DPW & CBH criteria
- Supervised fee for service personnel, conducted staff meetings and facilitated in-service trainings
- Liaison to referral sources and adjunct services
- Provided coverage as requested to the program’s intake system as requested
- Provided outpatient therapy services to a small caseload of children and families
Clinical Supervisor
New Jersey Mentor
01.2007 - 08.2012
- Responsible for supervising 8 licensed mental health professionals who provided intensive case management and clinical services to children in treatment foster care
- Supervised one direct service person that provided therapeutic activities to clients in the community
- Maintained a caseload with clients who have substance abuse issues
- Provided monthly in-service for foster parents, potential foster parents and regular staff
- Provided weekly individual and group supervision to clinical coordinators
- Worked closely with child welfare, educational, and contracted behavioral health systems
- Monitored and maintain documentation for quality assurance matters
- Met weekly with management team
- Reviewed weekly progress notes and monitor clients’ treatment planning process
- Educated treatment foster care parents on behavioral interventions and crisis management techniques
- Facilitated pre service for newly contracted foster parents
- Facilitated psycho educational and support groups for clients and foster parents
Education
Graduate Social Work Program -
Widener University
Chester, PaBachelor of Arts - Psychology
Temple University
Philadelphia, PaSkills
- Utilization Review Management
- Individualized Service Planning
- Clinical Documentation
- Clinical Documentation
Timeline
Behavioral Health Care Manager I
Elevance Health
11.2021 - Current
Care Advocate
Optum Health
08.2018 - 11.2021
Employee Assistance Counselor
Optum Health
06.2015 - 08.2018
Senior Admissions Counselor
Belmont Admission Center
04.2013 - 06.2015
Director of Children & Youth
NorthEast Community Center for Behavioral Health
08.2012 - 05.2014
Clinical Supervisor
New Jersey Mentor
01.2007 - 08.2012
Graduate Social Work Program -
Widener University
Bachelor of Arts - Psychology
Temple University
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