Raquel Price
Norcross,MI
Summary
Hardworking, highly motivated professional eager to lend combined knowledge and skills to enhance business performance. Operates well in both individual and team capacities, leveraging seasoned work ethic to quickly adapt to different processes and drive company objectives. Resourceful and results-driven with a passion for growth and efficiency to meet company needs and increase service value.
Overview
16
16
years of professional experience
Work History
Utilization Review Specialist
Rogers Behavioral Health
Oconomowoc, WI
08.2023 - 02.2026
- Coordinates and Track Patient Care.
- Review active medical records to ensure medical necessity documentation requirements are met.
- Act as the liaison between RBH and third-party payers in advocating for authorization.
- Support process improvement initiatives within the UR department.
- Collaborate with other departments within Rogers to ensure quality care for the patient.
Intake Specialist - Admissions
Rogers Behavioral Health
Oconomowoc, WI
08.2021 - 08.2023
- Navigated in-person and phone inquiries for services by describing levels of care, screening for services, and providing program recommendations.
- Explained insurance coverage to patients throughout the admission process and answer related financial questions.
- Assisted in coordination of admissions with patients and their representative to include admissions information, directions, and information about the program the patient will be entering.
- Educated the patients and care team during the admissions process and the related intake forms.
Level II Case Manager
St. Charles Youth and Family Services
04.2020 - 07.2022
- Conduct initial intake with client and the family/guardian.
- Ensure timely completion of all intake paperwork, assessments and individual service plans in accordance with St. Charles Youth & Family Services policy.
- Transport clients to program activities, court hearings, school appointments or other treatment meetings as needed.
- Establish and maintain therapeutic relationships with clients and families.
Legal Assistant
Walton Law Group
11.2018 - 03.2020
- Review documents filed with the court, take appropriate action, and follow-up when necessary.
- Prepare and file required documents with the court.
- Compose and mail letters to clients and other parties.
- Calendar events such as appointments, hearings, follow-ups, etc.
- Perform any other duties needed to support the team, paralegals, or attorneys.
Jeti Case Manager
Southwest Key Programs
10.2017 - 10.2018
- Responsible for the submission of service plans and other assessment required for the compiling of a comprehensive case file.
- Establish and maintain a therapeutic relationship with the clients and families.
- Provide bi-weekly or as needed school visits to ensure client success in school.
Assistant Store Manager
Family Video
10.2013 - 02.2018
- Provide exceptional customer service to all customers.
- Key carrier in charge of opening and closing the store in a timely manner.
- Manage store when manager is not available, and handle any store operational tasks.
Level II Case Worker
Southwest Key Programs
Oconomowoc, WI
11.2016 - 10.2017
- Conduct initial intake with client and the family/guardian.
- Ensure timely completion of all intake paperwork, assessments and individual service plans in accordance with the Southwest Key Programs (SWK) policy.
- Transport clients to program activities, court appointments, school hearings or other treatment meetings as needed.
- Establish and maintain therapeutic relationships with clients and families.
Activities Assistant
Sunrise Care Center
02.2016 - 07.2016
- Lead group activities, document all resident involvement and participation in activities.
Shift Supervisor/Trainer
Starbucks Corporation
06.2011 - 09.2014
- Leading the shift by assigning tasks, handling all money and providing quality customer service to each person.
- Shift Supervisor also verified that all tasks were completed and the store was clean and sanitary.
Residential Counselor
Children's Home of Illinois
04.2010 - 03.2011
- Works Directly with clients to provide for their care, welfare, safety, security and protection of their rights in accordance with individual service plans, the program plan, and applicable licensing/accreditation standards.
Education
Bachelor of Arts - Interdisciplinary Studies
Western Illinois University
12-2008
Skills
- Proficient in Microsoft Office
- Crisis intervention
- First aid training
- Adaptability
- Team collaboration
- Case management
- Motivational interviewing
- CPR certification
- Active listening
- Communication skills
- Cultural competence
- Documentation and reporting
- HIPAA compliance
- Medicare compliance
- Insurance verification
- Interpersonal and written communication
- Utilization review
Timeline
Utilization Review Specialist
Rogers Behavioral Health
08.2023 - 02.2026
Intake Specialist - Admissions
Rogers Behavioral Health
08.2021 - 08.2023
Level II Case Manager
St. Charles Youth and Family Services
04.2020 - 07.2022
Legal Assistant
Walton Law Group
11.2018 - 03.2020
Jeti Case Manager
Southwest Key Programs
10.2017 - 10.2018
Level II Case Worker
Southwest Key Programs
11.2016 - 10.2017
Activities Assistant
Sunrise Care Center
02.2016 - 07.2016
Assistant Store Manager
Family Video
10.2013 - 02.2018
Shift Supervisor/Trainer
Starbucks Corporation
06.2011 - 09.2014
Residential Counselor
Children's Home of Illinois
04.2010 - 03.2011
Bachelor of Arts - Interdisciplinary Studies
Western Illinois University