MARNIE D. LEVINE-EINFELDT, LCSW 19 Schroder Lane ml12d6668@westpost.

net Hamilton, OH 45013 513-327-8317 SOCIAL WORKER Empathetic, effective, and motivated Senior Mental Health Professional with proa ctive, service-driven approach reinforced by 13+ years of clinical experience in direct service and managed care environments. Keen understanding of diverse cul tural backgrounds and highly responsive to widely varied patient needs and circu mstances. Extensive familiarity with assessment techniques, differential mental health diagnoses, and complex case management. Collaborative team player with ex pert networking, mediation, and leadership skills. Positive and encouraging atti tude combined with consistent, patient manner. a Patient Counseling & Education a Community Outreach a Records Management/Documentation a Treatment & Discharge Planning a Intake Assessments a Regulatory Compliance a Family & Provider Relations a Individual & Group Therapy a Case Management a Inpatient/Outpatient Services a Service Referrals a Staff Training & Development PROFESSIONAL EXPERIENCE FIDELIS CARE NEW YORK, Rego Park, NY 2005 to 2010 State subsidized health insurance/health maintenance organization with 3K+ emplo yees and 600K members in New York State; ranked within top 5 New York State base d health plans. Senior Clinical Case Manager (2007a"2010) Promoted to Senior Position based on performance excellence, valued clinical kno wledge, and personal recommendation by former supervisor. Managed full inpatien t caseload between 12 and 20+. Audited and communicated results to Director and supervisors of 25+ staff membersa compliance with documentation for outpatient treatment requests. Collaborated with IT Department to retrieve data and track c are requests to streamline auditing process. Created inservice programs and led training for 30 clinical assistants in clinical diagnoses, varying clinical care levels, types of denials for care requested, and appeals process for denied car e. a Appointed by Director to attend Clinical Care Advance Software Training Semina r on her behalf; reported information on new clinical data entry software back t o entire department. a Reduced necessary quarterly audit time from 3 days to 2, giving Finance Depart ment additional day to complete reports. a Saved hundreds of dollars through quality assurance review of Finance Departme ntas quality incentive payments roster for providers; ensured members did not lo se health coverage and/or were not readmitted. a Identified unusually high billings by psychologist provider, reporting $160K w orth of charges for testing services over 10-month period; assisted Director in reporting data to Fraud Department for further investigation. a Utilized mastery of Facets program and requested reports from IT to monitor st aff productivity, saving significant labor hours for Supervisors by eliminating cumbersome data entry requirements; streamlined appeals for denials of inpatient care process, receiving personal commendation from Medical Director. a Served as ago-toa person for Eligibility and Claims Department Supervisors and Network Providers to provide information and guidance on Behavioral Health Depa rtment processes and protocols. a Entrusted by supervisors to assist case managers and clinical assistants with complex cases and processing of clinical denials; relieved supervisors of guidan

ce responsibilities and allowed them to focus fully on staff evaluation and mana gement tasks. Behavioral Health Case Manager (2005a"2007) Hired for extensive experience in Inpatient Social Work and expertise with devel opmentally disabled and substance-abusing populations. Determined medical necess ity inpatient and outpatient mental health and substance abuse care requests fro m providers. Reported findings directly to Supervisor and communicated conclusio ns to members and providers in accordance with Article 44/49. Followed up with h igh-risk members after discharge to encourage progress and compliance with refer red aftercare services. Assigned medical records to case managers for review an d/or forwarded information to Appeals Department as necessary. Worked with Physi cian Advisors to review and subsequently approve or deny all psychological and n europsychological testing requests. a Achieved Bronze Award for effective management of difficult Inpatient Substanc e Abuse Rehabilitation Care member with complex needs; received personal express ion of gratitude from member for patience, diligence, and compassion. a Selected by Supervisor to train 4 new case managers based on strong leadership abilities; recommended former colleague for hire who delivered positive results for company and received promotion to Behavioral Health Department Supervisor. BRUNSWICK HOSPITAL a" INPATIENT PSYCHIATRIC DIVISION, Amityville, NY 2000 to 200 5 Inpatient psychiatric care center with 8 units and approximate census of 100 pat ients; employ 350 staff members Coordinator of Adult and Geriatric Social Work (2005) Promoted to manage 2 units and supervise staff of 5 social workers. Directly man aged caseload of up to 20 patients, completing all administrative duties, assess ments, treatment planning, and discharge arrangements. Ensured social work and p atient record documentation processes were in compliance with OMH and DOH guidel ines. Evaluated staff performance and provided opportunities for development. a Collaborated with Social Work Director in revising treatment planning policies in response to DMH and OMH requirements. a Delivered safe, effective discharge plans for all patients; personally followe d up with each to evaluate success of aftercare services and continually encoura ge improvement. Psychiatric Social Worker a" Adolescent and Children Division (2000a"2005) Performed psycho-social intakes, created treatment plants, and coordinated disch arge for patients between ages of 4 and 17. Referred patients upon discharge to appropriate care programs including outpatient mental health care, intensive out patient care, partial hospitalization, and residential treatment. Contacted coll aterals to triangulate patient presentation and needs. Reported abuse, neglect, and/or abandonment to Child Protection Services. Led therapy sessions on anger m anagement, drug abuse education, and womenas issues. a Achieved successful discharge for psychiatrically compromised and developmenta lly disabled patient within 12 months despite failed referral efforts through ou tside service providers. a Appointed by Director of Psychiatry to carefully monitor all unit charts to en sure readiness for audits by Office of Mental Health, Inspectors of Care, or Dep artment of Health. a Placed abandoned, adopted child out of facility and into community residence a fter 2 months of persistent communication with Child Protective Services, achiev ing acceptance of guardianship and recommended placement. a Recognized by Child Protection Services and outpatient providers for persisten t dedication to advocating care for two sibling patients in Family Court. LAKE GROVE TREATMENT CENTER, Ridge, NY Senior Social Worker (1999) ASSOCIATION FOR THE HELP OF RETARDED CITIZENS, East Northport, NY Treatment Coordinator (1998a"1999) EDUCATION & PROFESSIONAL DEVELOPMENT M.S. in Social Work, Columbia University School of Social Work, New York, NY B.S. in Applied Social Sciences, State University of New York at Binghamton, Bin

ghamton, NY Summa Cum Laude Identification and Reporting of Child Abuse and Maltreatment a" Western Suffolk BOCES (2002); sponsored by The University of the State of New York Educational Department LICENSURE Social Work Certification a" University of the State of New York Licensed Master Social Work (NY) * Licensed Clinical Social Worker (NY) Licensed Social Worker through Ohio State CSWMFT Board