Care Advocate at OptumHealth
Houston, Texas Area
- Current
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- Care Advocate at OptumHealth
- Past
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- Intake Counselor at United Behavioral Health
- Staff Therapist at SouthBay Mental Health
- Education
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- Boston College
- University of Massachusetts, Amherst
- Recommended
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6 people have recommended Emmie - Connections
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53
connections
- Industry
- Mental Health Care
- Websites
Emmie Moore’s Summary
Emmie Moore’s Specialties:
managed health care benefits;
treatment planning; child/adolescent therapy; family therapy; crisis evaluations; diagnostic criteria;
Emmie Moore’s Experience
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Care Advocate
OptumHealth
(Public Company; UNH; Health, Wellness and Fitness industry)
May 2008 — Present (1 year 8 months)
Review clinical assessments and certify levels of care according to policy and regulations, Facilitate admissions to programs or treatment with providers, Ensure the most appropriate care for members, Actively case-manage chemical dependency and psychiatric cases by concurrently reviewing all levels of treatment from assessment through aftercare to resolution of treatment, Discuss treatment plans with providers and negotiate alternative treatment strategies consistent with level of care guidelines and best practices, Process inpatient admissions by providing authorizations for mental health and substance abuse patients in accordance with level-of-care guidelines, Take crisis calls and referring callers to community resources, Document member communication/status, Participate in consultation calls with ER doctors, Create accurate, comprehensive medical records for program members, Create care plans, and educate members, Make treatment recommendations, Escalate some cases to Peer Reviewers, Work with Network Services to develop positive relationships with providers, Consult with members, primary care physicians and onsite staff
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Intake Counselor
United Behavioral Health
(Mental Health Care industry)
March 2007 — May 2008 (1 year 3 months)
Responsibilities include providing accurate explanation of benefits, authorizing treatment, and appropriately triaging calls for members and providers of behavioral health services. Facilitate referral for clients. Aid members in timely appointment searches. Risk screen callers to ascertain appropriate level of care . Maintain concise case notes.
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Staff Therapist
SouthBay Mental Health
(Privately Held; 201-500 employees; Mental Health Care industry)
May 2004 — May 2005 (1 year 1 month)
Provided individual therapy, group therapy, and family therapy for a caseload of 25. Prepared and developed individualized client treatment plans. Maintained detailed case notes. Consulted with outside agencies, referral sources, and other professionals as needed. Advocated in areas of family and school when appropriate. Developed and implemented an original psycho-educational program to enhance the skills necessary to appropriately express anger. Participated in team meetings and program planning.
Emmie Moore’s Education
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Boston College
MA , Counseling Psychology , 2000 — 2002
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University of Massachusetts, Amherst
BA , Psychology , 1993 — 1997
Millstone Award
Senior Achievement Award- Activities and Societies:
- President, Psi Chi
Emmie Moore’s Contact Settings
Interested In:
- career opportunities
- new ventures
- job inquiries
- reference requests
- getting back in touch
