Laura George
Petaluma
Summary
As an experienced behavioral health clinician, I have a successful track record in leading and managing clinical programs. My expertise lies in developing and implementing innovative strategies that enhance program effectiveness and efficiency. With extensive experience in overseeing clinical operations, I ensure compliance with regulatory requirements while optimizing patient outcomes.
Overview
17
17
years of professional experience
Work History
Provider Enablement Consultant
Optum, UnitedHealth Group
04.2023 - Current
- Build and effectively maintain relationship with the provider leadership and key clinical staff
- Regularly facilitate oversight meetings with the provider to monitor, present, and discuss performance
- Monitoring provider performance on program metrics, quality outcomes and adherence to contract requirements
- Conduct provider program audits and provide feedback and results
- Identify performance improvement opportunities through analysis of operational data, clinical outcome data and utilization/claims data
- Communicate with providers to initiate interventions focused on improvement of clinical outcomes and efficiency, as well as compliance with contractual obligations
- Initiate and monitor Quality Improvement Plans to drive performance
- Monitor and report effectiveness of interventions
- Modify interventions as appropriate
- Support those high performing providers such that performance remains at a high level
- Provide clinical and care coordination support
- Deliver education and training
- Interface with other OHBS departments including Care Advocacy, Affordability, Clinical Network Services, Program and Network Integrity, and Quality Improvement
Senior Care Advocate
Optum
01.2022 - 04.2023
- Analyze and interpret customer needs and requirements, utilizing strong communication and interpersonal skills to ensure the delivery of high-quality service
- Manage escalated concerns/cases to successful resolution, demonstrating exceptional problem-solving skills and a customer-focused approach
- Ensure timely completion of compliance training for all team members, utilizing organizational skills and attention to detail
Behavioral Health Advocate
Optum
10.2018 - 01.2022
- Conduct initial concurrent reviews for higher levels of care, such as Inpatient, Residential, and Partial Hospital admissions, with a focus on optimizing patient outcomes
- Present cases in clinical rounds format, effectively communicating patient needs (all demographics) and progress to medical professionals
- Perform patient assessments and determine optimal levels of care based on clinical information, ensuring the highest quality of care is provided
Program Manager
Therapeutic Alliance
07.2012 - 09.2018
- Managed and supervised a team of staff, providing guidance and support to ensure their success
- Monitored program activities and assessed client needs to identify areas for improvement and make necessary adjustments
- Ensured compliance with Medicaid requirements and other regulations related to documentation and service delivery
- Managed a caseload of 30-35 dually diagnosed clients, creating and maintaining individualized treatment plans and providing weekly psychotherapy sessions
- Collaborated with other team members, including medical staff and case managers, to coordinate care and address client needs
- Provided specialized services for pregnant and postpartum women through the clinic's family program
Substitute Teacher
Marin County School District
03.2011 - 06.2012
- Served as a substitute teacher in Marin County, California, filling in for absent teachers across multiple grade levels and subject areas
- Followed lesson plans and maintained classroom management to ensure a safe and productive learning environment for students
- Demonstrated flexibility and adaptability in adjusting to different classroom settings and student populations
Supervising Residential Counselor
BAART Methadone Clinic
05.2010 - 05.2011
- Company Overview: Dual diagnosis rehabilitation treatment center, serving adults over the age of 18
- Facilitated the women's group, led morning physical activities, and counseled clients through the use of Motivation Interviewing
- Supervisor for the Residential Counselors
- Dual diagnosis rehabilitation treatment center, serving adults over the age of 18
Case Manager
Center Point, Inc
08.2008 - 08.2009
- Worked with women with a history of criminal background, domestic violence/abuse, and chemical dependency, and facilitated group sessions on various topics including parenting, relapse prevention, anger management, and life skills
- Provided individual counseling sessions to clients and maintained a caseload of clients with personalized treatment plans
- Closely collaborated with treatment team members, including psychiatrists and case managers, to ensure coordinated care for clients
Education
MS - Counseling Psychology
Dominican University
01.2012
BA - Sociology
Sonoma State University
01.2007
College Prepatory -
Notre Dame High School
01.2003
Skills
- Leadership
- Organization
- Teamwork
- Compassion
- Microsoft Office
- EHR/Telehealth
- Operating Systems
Licenses
- Licensed Professional Counselor, Virginia, 0701007298
- LMHC, Washington, LH61018878
Affiliations
- Military Spouse
Timeline
Provider Enablement Consultant
Optum, UnitedHealth Group
04.2023 - Current
Senior Care Advocate
Optum
01.2022 - 04.2023
Behavioral Health Advocate
Optum
10.2018 - 01.2022
Program Manager
Therapeutic Alliance
07.2012 - 09.2018
Substitute Teacher
Marin County School District
03.2011 - 06.2012
Supervising Residential Counselor
BAART Methadone Clinic
05.2010 - 05.2011
Case Manager
Center Point, Inc
08.2008 - 08.2009
BA - Sociology
Sonoma State University
College Prepatory -
Notre Dame High School
MS - Counseling Psychology
Dominican University
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