Gerardo Rivera, Psy.D., M.P.H., HSPP

Experience

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  Private Practice

  Oct 2006 - now

  Clinical Psychologist
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  HIMA San Pablo Bayamon

  Jul 2014 - Jun 2023

  Clinical Psychologist / Faculty Member
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  Molina Healthcare

  Feb 2015 - Feb 2021

  Director of Behavioral Health

  Responsible of the operational and clinical component of Molina’s behavioral health services to the Medicaid beneficiaries island wide Puerto Rico. In charge of overseeing the operation of a 40 staff department in areas such as Case Management, Utilization Management and Transitions of Care. Developed and implemented community connectors to enhance case management program. Duties include preparing weekly and monthly utilization trends reports. Monitoring of high utilizers and readmissions. Responsible for overseeing a Collaborative Care Model operation in contracted Primary Medical Clinics as well as Behavioral Health Facilities. Responsible for overseeing the compliance of a Behavioral Health Crisis Call Center. Responsible for training clinical staff in patient centered strategies and support. Responsible for assisting pharmacy department in medication adherence and treatment programs. Responsible for the development of telehealth initiatives within the health plan. Responsible of serving as liaison between health plan, provider network and stakeholders. Member of transition and RFP committees. Provided consultancy and recommendations on topics such as Social Determinants of Health and Integrated Health Model for the RFP process submission. Member of the Employee Resources Advisory Group focused on diversity and inclusion. Show less

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  Impactivo Consulting

  May 2021 - Feb 2022

  Senior Healthcare Consultant

  Healthcare System Transformation. Patient Centered Medical Home, Behavioral Health Integration, Telehealth and Social Determinants of Health.

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  Department of Health City of San Juan

  Feb 2022 - now

  Director Of Behavioral Health