Lori Libel , LSCSW, LCAC, CMQ/OE

Experience

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  Family Service and Guidance Center

  Jan 2005 - Sept 2007

  Staff Therapist

  Provided individual and family therapy and assessment outpatient services for all children including those with severe trauma needs, made accurate diagnosis to determine the appropriate level of care and pinpoint a course of beneficial action for the child, coordinated and facilitated care with schools and other resources that impacted the child's life

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  Kansas Health Solutions, LLC

  Sept 2007 - Dec 2012

  Manager of Clinical Utilization

  Directed a staff of seven clinicians in the management of Medicaid outpatient mental health services. Conducted staff and provider training, audits and clinical record reviews to ensure full compliance with state and federal regulations.Created alliances with multiple agencies for the benefit of the consumers, work closely with the State to implement programs while remaining in accordance with federal regulations, successfully navigate a highly political environment by demonstrating poise and facilitating ongoing dialogue with community mental health centers spanning the state during record reviews. Show less

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  Cenpatico

  Apr 2013 - Sept 2014

  Clinical Manager

  Promotion December 2013 from Clinical SupervisorConducted in-depth analysis of data, and market trends for business decisions | Contributed to an integrated care team | Leadership role in interdisciplinary rounds as a behavioral health consultant for the Sunflower Health Plan Team | Lead a team of 13 clinicians responsible for the utilization management of outpatient Medicaid behavioral health services, intensive case management, and discharge planning | Reviewed claims/utilization data and audited files to identify patterns | Developed and implemented plans of action based upon the data Show less

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  UnitedHealthcare

  Sept 2014 - Sept 2019

  Associate Health Services Director Clincal Programs

  Promotion Jan 2017 from Manager of Long-term Services and Supports | Remote | from September 2014 - December2016Led a team of Nurse and Social Work Program Managers who oversaw Medicaid HCBS Waiver Programs | Represented United Health Care at State meetings | Wrote and implemented policies | As a member of the leadership team participated in program evaluation, budget review, contract discussions, and RFP submission | Leadership role in integrated team meetings and benefit exception reviews |reduced costs and increased quality of life by consulting and developing plans on behavioral health and medical rounds |Saved company over $30K per month by recommending alternative options for interpretation services |Improved health outcomes by identifying efficiencies and innovative opportunities while overseeing the Maternal and Child Program, the Children and Youth with Special Health Program, Health Homes Program, the Foster Care Program and the local Cultural Competency Plan Show less

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  Talkspace - Online Therapy

  Dec 2016 - Sept 2021

  Mental Health Therapist

  Provide text and virtual meeting EAP services for clients.Earned five-star reviews for client engagement.

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  Washburn University

  Aug 2017 - Aug 2018

  Adjunct Instructor- School of Social Work

  Taught BSW/MSW Case Management Course and MSW Practicum Course.Completed three-day adult learning course design class.

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  Association of Community Mental Health Centers of Kansas, Inc.

  Oct 2019 - Jun 2021

  Clinical Integration Manager

  Provided clinical support to the Association and its members | Managed State grants/contracts and regulatory relationships | Effectively and quickly led the transition from 3 day in person Case Management training to creating virtual training during COVID

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  HealthSource Integrated Solutions

  Jun 2021 - Oct 2022

  Director of Clinical Operations

  Fulfilled a one year commitment to lead a 24/7 crisis call center with 37 staff including hiring, training, quality assurance, complaint resolution, data analysis, clinical consultation, policy development and customer relationships | Obtained Call Center and 988 accreditation

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  Valeo Behavioral Health Care

  Aug 2022 - Aug 2024

  Director of Quality and Risk Management

  Serve as Compliance and HIPAA Compliance Officer | Led Certified Community Behavioral Health Center (CCBHC) accreditation | Led 3-year CARF accreditation recertification | Revamped Policy and Procedure process | Led multiple successful Quality Process improvements using data analysis and regulatory and licensing knowledge| Effectively manage the Quality Auditor, Risk Manager, Health Information Management Team, and CCBHC Grant Manager

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  Crawford County Mental Health

  Aug 2024 - now

  • Chief Operating Officer

    Nov 2024 - now

  • Director of Quality Assurance

    Aug 2024 - Nov 2024