Julia Wilson

Julia Wilson

Chemical Dependency Counselor

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location of Julia WilsonSt Peters, Missouri, United States

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  • Timeline

  • About me

    Behavioral Health Utilization Management Lead

  • Education

    • Washington University in St. Louis

      -
      Master's degree Social Work

      Concentration in Health/Management

    • Saint Louis University

      -
      Bachelor of Arts - BA PSYCHOLOGY

      Bachelor of Arts in Psychology with a Minor in Philosophy Summa Cum Laude, August, 1995

  • Experience

    • Skagit Recovery Center

      Apr 1996 - Dec 1997
      Chemical Dependency Counselor

      ical Dependency Counselor Responsibilities Included:· Determined extent of an individual’s needs and developed individualized treatment plan to address those needs; maintained client files· Provided individual, family and group counseling· Coordinated services with other agencies for clients with special needs· Relayed evaluations, follow-up compliance, and client progress to Probation Officers, Courts and other recognized agencies regarding client progress· Assisted in teaching high school English Classes to residents Show less

    • Barnes-Jewish Hospital

      May 1998 - Apr 2000
      Medical Social Worker

      Case Coordination / Social Work for Bone & Joint / Spinal Cord Injury/Stroke RehabilitationService; Inpatient Trauma Service Social Work Student; Outpatient Internal Medicine Social Work StudentMedical Social Work Responsibilities Included:· Crisis intervention for domestic violence, elder abuse and child abuse· Collaboration with other disciplines · Patient referrals to appropriate resources· Ability to effectively utilize medical terminology· Arrangement of patient discharge to extended care, skilled nursing and rehab facilities, or home with home health care and durable medical equipment· Active in psychosocial assessment, discharge planning, case management/insurance pre-certifications, facilitation of interdisciplinary team collaboration, family/patient education, supportive counseling and crisis intervention Show less

    • Life Crisis Services

      Jan 1999 - Oct 2001
      Crisis Counselor

      Social Work Responsibilities Include:· Crisis intervention and counseling (regarding suicide, domestic violence, mental illness, rape, child abuse, financial crisis, gambling issues, sexuality issues, aging issues and drug and alcohol abuse) for hotline callers· Assessment of caller needs and referral to service delivery systems within the community

    • Community Housing Management Corp. - Covenant House / CHAI Apartments

      Apr 2000 - Sept 2006
      Director of Resident Services / Admissions

      Management Responsibilities Included:· Hired, trained and supervised Social Service staff, supervised housekeeping, assisted living program, and Title V program staff· Oversaw and supervised Program for Assistance in Living (Social Model) as well as ongoing support service / activities programs· Developed & administrated computer database designed for Social Services documentation · Managed admissions process, wait list movement, rent subsidy eligibility, compliance with HUD regulations, marketing, and facilitate the move-in process for new tenants· Facilitated staff meetings as well as 2 committee meetings for the Board of DirectorsSocial Work Responsibilities Included:· Specialized in aging, end of life, and caregiver issues/needs· Performed psychosocial assessments for elderly clients, provided counseling, coping strategies, crisis intervention, education, information & referral and tenant/family support services Show less

    • Barnes-Jewish Hospital

      Sept 2006 - Aug 2009
      Medical Social Worker

      Social Work for Liver Transplant Program and Inpatient Services Social Work Responsibilities Include:· Evaluated patients for psychosocial barriers to transplant eligibility· Collaborated with Medical Team, including other disciplines · Provided information and referral services to patients and family members· Facilitated the arrangement of social services for low-income patients including lodging, transportation, insurance counseling, supportive counseling, patient assistance programs through pharmaceutical companies, etc.· Provided crisis intervention for domestic violence, elder abuse and child abuse· Effectively utilized medical terminology· Arranged patient discharge to extended care, skilled nursing and rehab facilities, or home with home health care and durable medical equipment· Arranged transportation for patients to and from hospital· Active in psychosocial assessment, discharge planning, case management/insurance pre-certification, facilitation of interdisciplinary team collaboration, family/patient education, supportive counseling, support group and crisis intervention· Presented to / educated patients through mentor training program, one-on-one interaction and support group· Member of Education Committee: Created and updated field instructor and student practicum manuals, coordinated student orientation, and supported students and field instructors through practicum· Member of Professional Development Committee: Assisted in obtaining speakers for CEU presentations, assisted in set-up/break down of programs Show less

    • Anthem, Inc.

      Aug 2009 - now
      Behavioral Health Care Manager

      • Assesses the medical necessity, using appropriate screening criteria, of member treatment for members with behavioral health needs . • Initiates, reviews, monitors and documents (in multiple medical management database systems including FACETS, MACESS and AUMI) utilization review activities and determinations related to members’ behavioral health. • Authorizes services that meet BH clinical guidelines; refers cases that do not appear to meet clinical guidelines for peer review with physician reviewers.• Comprehends complex policies and clinical guidelines as it pertains to member treatment from pre-admission through discharge. • Ensures quality member care is provided, identifies treatment delays, including avoidable delays, identifies alternative treatment programs or specialty care if beneficial to the member and if covered under the members’ benefit plan. • Possesses broad clinical knowledge base of behavioral health with the ability to interpret and analyze clinical information. • Comprehends and applies medical policy and criteria.• Exhibits strong computer, written, oral and interpersonal communication skills. • Manages expansive books of business with varying state, legal and administrative requirements, remaining flexible and committed to understanding and applying those requirements appropriately. • Provides crisis intervention for members in distress or those who are seeking referrals to providers/community resources to meet their behavioral health needs; offers support and education to members or providers who have concerns or complaints. Show less

    • Elevance Health

      Mar 2022 - now
      Behavioral Health Care Manager Lead
    • Julia Elaine Photography

      Jan 2023 - now
      Professional Photographer

      Engagement, Family, Senior, Portrait Photography https://www.facebook.com/share/14ueuaVsuD/?mibextid=wwXIfr

  • Licenses & Certifications

    • Licensed Independent Clinical Social Worker

      Missouri State Committy For Social Workers
      Feb 2002