Our Graduates: Career Profile
Additional Education: She is considering pursuit of a nursing degree. She is a Certified Professional in Utilization Management through McKesson.
Job Title: Utilization Management Specialist
Employer: KidsPeace National Centers
Position Description: Janet is responsible to evaluate clinical information documented by direct care staff and social workers, process the information using InterQual criteria, and present the information to insurance companies/MCO's as a means to procure funding and service authorization for children in need of residential treatment. For clients placed in care through probation or social services, she periodically assesses their progress to determine whether the client could be better treated in an alternate level of care within the KidsPeace continuum of services. Other duties include assistance with discharge planning and acting in the capa city of liaison between Treatment Team and the MCO.
Salary Range : $30,000 - $35,000 with a Bachelor's level degree; more with a licensed degree such as RN or LSW
Previously Held Positions: She initially interned with KidsPeace fostercare services while attending Messiah College. She was accepted to a full time position as a Child Care Counselor following graduation at KidsPeace Hospital. Since then, she has served the corporation as a Hospital Admission Specialist, and more recently as Utilization Management Specialist for the residential program.
Courses Found Most Helpful: While I'm sure the titles of the courses have changed since I was at Messiah, classes that focused in Child and Adolescent Development, Family Relations Theories, Public Speaking and Program Design and Implementation have been the most helpful.
How HDFS Helped to Prepare Her: “Most of the population that KidsPeace serves is not only behaviorally challenged, but also developmentally delayed in some capacity. Family dynamics also play a considerable part in the client's ability to progress in treatment. Having a background in HDFS helps me to identify potential obstacles to the client's success, educate insurance Care Managers and develop a sound argument as to why the child is not progressing as quickly as expected in treatment due to these obstacles.”
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