
Louisa Eyler
Medical Social Worker

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About me
Transformation Consultant • AirBnb Superhost • Entrepreneur • Founder • Humanitarian • Investor/Owner • Licensed Clinical Social Worker • Producer • Professor • Psychotherapist • Weight Loss Expert • TEDx Speaker
Education

University of South Carolina
-B.A. Interdisciplinary Studies Psychology, Sociology & Social Psychology
Drexel University College of Medicine
-Behavioral Healthcare Education Trauma Informed Treatment
University of South Carolina-Beaufort
-Associate of Arts - AA Hospitality Administration/Management
University of South Carolina College of Social Work
-Master of Arts (M.A.) Individuals & Families | Organizations & Communities
Durham Technical Community College
-Associate of Science - AS Business/Managerial Economics
Chatham University
2018 -Healthcare Informatics and Analytics
Experience

Lexington Medical Center
Aug 2001 - Jul 2002Medical Social WorkerGraduate Intern. Provided sound advice to the patients and family supports regarding health conditions; connected to appropriate resources and support groups; provided psychotherapy and counseling; provided financial support and legal assistance; collaborated with other healthcare practitioners in assessing the patient. Formulated discharge plans.

University of South Carolina
Jun 2002 - May 2003Supervisor, S.H.A.R.E. ProgramGraduate Assistant. Supervision and training of 100 student peer coordinators. Delivered educational programs to university population of 30,000 students. Provided advocacy and support services to students, faculty and staff, with special focus on survivors of sexual assault, attempted sexual assault, relationship difficulties, dating issues, domestic issues and/or any other forms of interpersonal violence. Services include: 24-hour; on-call services to assist students; faculty and staff; academic assistance; Medical and legal advocacy; and referral assistance. Show less

Youth Advocate Programs, Inc.
May 2003 - Aug 2005Assistant Director of Clinical ServicesBehavioral Specialist Consultant (BSC) member of interdisciplinary clinical team in “wraparound” Behavioral Health Rehabilitative Services (BHRS). Created and monitored behavioral treatment plans for children diagnosed with behavioral and mental health disorders including: Autism Spectrum Disorder (ASD), Attention Deficit Hyperactivity Disorder (ADHD) and Oppositional Defiant Disorder (ODD). Provided assistance in the development of adaptive skills in order for the diagnosed child to take a more positive role in the school, home & community setting. Provided prescribed behavioral consultation to the family and / or school. Trained Therapeutic Staff Support (TSS) on appropriate therapeutic interventions. Performed Functional Behavioral Assessments (FBA). Show less

HACC
Aug 2003 - May 2011Adjunct ProfessorIntroduction to Human Services, Sociology, Clinical Methods, High-Risk Populations, Group Dynamics, Adult Basic Education. Curriculum development including interaction with on-site visits to community organizations to promote program growth and expansion. Above average performance on instructor evaluations.

UPMC
Aug 2003 - Sept 2005Quality ManagementBehavioral health managed care operations for PA Medicaid. Systematically measuring and analyzing performance indicators pivotal to improving organizational functioning with data-driven outcomes; adhering to risk management protocols; assessing compliance with regulatory/accreditation standards (NCQA/URAC preparation); developing best practice standards/clinical practice guidelines; and implementing evidence based Quality Improvement Initiatives and HEDIS measures. Responsible for quality improvement benchmarking; assessment of Provider contract requirements related to quality of care/fraud and abuse standards; implementation of multi-level, company-wide performance objectives; and RFP development. Co-chair of Quality/Care Management Committees for reporting on contract deliverables, performance outcomes, and quality assurance initiatives. Show less

PerformCare
Jul 2005 - Dec 2010Afterhours Manager | Utilization ReviewPre-certification, authorization, and review of utilization of mental health and substance use services. Determined appropriate level of care related to mental health and substance use treatment for members based on medical necessity criteria. Supported new business and new staff through training on InterQual documentation, policies and procedures and standards of operation. Analyzed specific utilization problems, and plans and recommended solutions to improve quality of care. Performed telephonic case review for pre-admission and continuing care in psychiatric and substance use treatment facilities as assigned. Provided telephone triage and crisis intervention to callers. Provided information to members and providers regarding mental health and substance use benefits, and community treatment resources. Proposed alternative plans of treatment when requests for services did not meet medical necessity criteria. Assisted with NCQA, URAC and other QI initiatives. Show less

AmeriHealth Caritas
Sept 2005 - Jun 2010Director of Special Needs Unit | Complex Case ManagerManaged Care Organization. Physical Health Plan. Medicaid MCO. Management of 1200+ Special Needs Unit cases involving public relations and corporate crisis communications. Procedural decisions and judgments on sensitive and confidential issues; Completed comprehensive assessment of environmental, psycho-social and support needs. Identified problems/barriers for care coordination and appropriate care management interventions. Created plan of care to assist members in reducing/resolving problems and or barriers so that members could achieve optimal level of health. Identified both short and long term goals and associated time frames for completion. Responsible for negotiating inter-agency agreements and maintaining interactions with various agencies across Pennsylvania including Behavioral Health Managed Care Organizations, County Assistance offices, Children and Youth Agencies, Medical Assistance Transportation Programs, and School Districts. Directly responsible for trouble-shooting and reporting corrective action plans for high level interactions with Department of Public Welfare and State Legislators. Monitored Medical Management practices in the development of Physical Health-Behavioral Health initiatives with emphasis on Disease Management, Special Needs and Co-Occurring, and Preventative Health strategies. Additional responsibilities included: presentation of staff development, community education, and professional seminars. Responsible for facilitating and organizing committees, task forces, work groups, steering committees, and consumer advocacy groups. Demonstrated expert ability to anticipate and be responsive to management needs and exercise proper judgment in performing tasks. Responsible for maintaining aggregate general and administrative budget targets by effectively using resources. Assisted with RFP, grant writing, and resource allocation projects. Show less

Positive Distribution LLC
Oct 2009 - Oct 2014President | Partner | Co-FounderGlobal brand management of exclusive licensing and distribution agreement. Provided expertise in process improvement, financial analysis and management, program and change management, organizational redesign, requirements analysis, and performance measures. Lead the development, roll-out, and oversight of a standard methodology for defining, collecting, and monitoring performance measures as part of a larger performance management program.Product redesign, securing global trade partners, streamlining logistics and fulfillment. Complete build out of Ecommerce platform. Defined the development and enhancements of enterprise CRM system, fraud management solutions, benefits processing, payment processing, logistics and supplier integration. Grew sales by 400% in 18 months. Annual single SKU product sales in excess of $2M. Achieved #1 broad category position in amazon sports and outdoors and running footwear. Created and executed growth strategy to include business drivers, trends, problems, solution messaging and value propositions, through to tactical operations – collateral, campaigns, lead generation, customer retention and linkage with PR and internal communications. Demand generation expert. Brand architecture and construction, exponential web site traffic growth. Social media management. marketing and public relations, designing perfect pitch campaigns and reputation repair. Corporate coaching, delivery of motivational team building experiences. Public Speaking, creation of infomercials, educational tools, and reports for dissemination. Social responsibility, generating a following of supporters for noble works. Development and execution of sponsorship agreements/contracts and ensuring delivery against budget. Strategic consulting, including business plan & sales strategy formation, preparation, reporting, quality improvement initiatives, and development of product line extensions. Amazon and Ecommerce Expert. Show less

LouisaEyler.com
Jan 2010 - nowPersonal Transformation & Life ExpertPersonal Transformation coaching designed to: 1.) Create a compelling vision of your ideal self and life--without limits. 2.) Set accountability goals and identify support system. 3.)Teach tools and strategies to eliminate obstacles and overcome barriers to success. 4.) Evaluate the evidence and understand the stages of change. **Upgrade yourself, breaking free from the negative self-talk of the past that slowed you down and took your energy away. Quit hiding behind the fat! Start living an easier, more fulfilling and authentic life--Your healthy body and mind are waiting. Show less

Harrisburg School District
Oct 2010 - Nov 2011Member Board Of DirectorsUnanimously elected in Special Session.

Andculture
Oct 2014 - Apr 2015Director of Demand GenerationOwn strategy, execution and measurement of demand generation efforts. Continually evaluate existing demand generation strategy and identify new avenues for growth with startups and existing business with special focus on product launch for new consumer products. Responsible for demand generation KPIs including Traffic, CAC, and ROI. Develop cohesive and integrated demand generation strategies using a full funnel Growth Marketing approach that includes building audiences, nurturing and converting them. Lead content creation strategy & efforts – own strategy and execution of performance creative across Marketing channels used in creating the demand. Track, report, analyze and optimize all demand generation programs based on a comprehensive view of full funnel analytics. Oversee the Digital Marketing team responsible for Paid Social, Programmatic and other Marketing channels as the role grows. Plan and manage media budgets and identify and manage external agencies and vendors that serve as an extension to the lead generation team. As part of the eCommerce leadership team, serve as the primary contact for all demand generation functions within the marketing team. Show less

Pyramid Healthcare, Inc.
Apr 2015 - Mar 2019Liscensed Psychotherapist & EAP CounselorProfessional counseling services to individuals, spouses and dependents with personal, family, career/work-related, and behavioral health problems. Conduct assessments and evaluations, information and referral and crisis intervention services. Offer individual, couples, and group EAP counseling services. Provide consultation and training to supervisors, managers and administrators. Monitor progress of clients and provide feedback to both clients and administrators as needed while maintaining client confidentiality.Clinical therapeutic services to children, adolescents, and adults with identified mental health or substance abuse diagnosis. Psychoeducational activities/interventions designed to assist the client of the reduction of dysfunction. Services provided with client-centered and family-centered approaches. Deliver intensive, time-limited, goal specific interventions. Show less

American Homestay Services
Sept 2016 - Jun 2019Mentor and English Language FacilitatorEnhancing time management and organizational skills. Reinforcing best practices in studying. Teaching Note taking and test taking skills. Providing strategies for learning based on student-athlete's individual learning style. Coordinating English Language resources to best target student needs.

Highmark Health
Oct 2016 - nowClinical Transformation Consultant | Strategic IntegrationResponsible for innovation, design, and implementation related to value-based programs, which encompass risk-based programs and custom reimbursement designs. Work with actuarial and operations departments to develop and design value based programs across the continuum of care. Manage partnerships with providers, operations, and other internal and external stakeholders as needed to bring programs from conception to deployment. Support the enterprise on issues related to value-based reimbursement, including impact to organizational strategic efforts or new programs in development. Build and maintain collaborative relationships at all levels to ensure value-based reimbursement vision. Lead innovation workgroups with internal stakeholder, and external stakeholders to create new innovative reimbursement designs to produce overall total cost of care savings. Interaction with business partners from Product, Network, and Clinical Services to create robust, all-encompassing strategies. Show less

Princeton Educational Services
Aug 2017 - Jun 2019International Host and MentorFoster relationships among the partner schools, students, parents and families to help students gain a better understanding of American culture, improves studies, facilitate personal development and assist with college application process, admissions counseling, and academic achievement.

Harrisburg University of Science and Technology
Aug 2018 - Jan 2021Corporate Faculty ProfessorCreative Mind: Psychology, English Literature and Sociology. Learning through self-analysis and creating self-identity through interactions with other individuals and small groups. Enhanced understanding of communities by strengthening ability to navigate social policy and advocate for restorative justice.

LaunchX Entrepreneurship Program
Apr 2020 - Apr 2022Program Manager | Lead InstructorLaunchX 2021 brings together high school students from around the world to launch real startups, test their offering, and build the foundation for a sustainable company. Over the course of the program students gain the initiative, grit, confidence, and resourcefulness they will need to take on the challenges of tomorrow. The 2021 program is held virtually, giving students the opportunity to develop their entrepreneurial mindset in a safe and socially distanced learning environment.Working with the founder and program participants/future leaders of startups to 1) identify technical and commercial challenges/opportunities 2) map those needs onto people, technology, knowledge, programs, relationships across multiple platforms/channels, and 3) mobilize those assets to work on behalf of young high-school and college entrepreneurs. Collaborating with generalist colleagues across the global Startup Business Development team to better serve the needs of leveraging all stages of startup life from conception to exit. Discovering, capturing and reporting back patterns and learning from the field about challenges and opportunities. Thought leadership and technical-leaning content, workshops, and events for the startup ecosystem. Serving as a creative evangelist and Amazon/E-commerce/Logistics subject matter expert. Conceiving, authoring, securing support for, launching and executing new initiatives and programs to meet the needs of young entrepreneurs enrolled in LaunchX programs. Show less
Licenses & Certifications

Blue Cross and Blue Shield STAR Award
Highmark Inc..webp)
CCMC Certified Case Manager
Commission for Case Manager Certification (CCMC)
CMS National Provider
Centers for Medicare & Medicaid Services
Council for Affordable Quality Healthcare
CAQH
Healthcare Heroes Award
Central Penn Business Journal
Master Level Social Worker
Council on Social Work Education
Member
Obesity Action Coalition
Member in Good Standing
National Association of Social Workers
Scholastic Gold Key for Essay Writing
Scholastic
Six Sigma Yellow Belt
GoLeanSixSigma.com
Certified Grief Informed Professional
Evergreen CertificationsFeb 2022
Licensed Clinical Social Worker
Commonwealth of PennsylvaniaJan 2022
Certified Relationship Coach & Marriage Facilitator
PREPARE/ENRICHDec 2016
Volunteer Experience
SBI Prep Program Mentor
Issued by Harrisburg School District
Associated with Louisa EylerHealthy Athletes Program Sponsor
Issued by Special Olympics
Associated with Louisa EylerBlood Drive Site Coordinator
Issued by American Red Cross
Associated with Louisa EylerAndean Rural Health Program Technician
Issued by United Methodist Committee on Relief
Associated with Louisa EylerCommunity Outreach
Issued by South Carolina Hospital Association
Associated with Louisa EylerContributor
Issued by Fast Company
Associated with Louisa EylerIndividual Contributor
Issued by Inc. Magazine
Associated with Louisa EylerContributor
Issued by U.S. News & World Report
Associated with Louisa EylerContributor
Issued by Small Business Trends
Associated with Louisa EylerExtreme Makeover Home Edition Volunteer Coordinator
Issued by Walt Disney Television
Associated with Louisa Eyler
Languages
- spSpanish
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