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Monica H. Castellani, LMSW

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805 Colo Place
Cane Ridge, TN 37013
615-400-5444 Contact
mc995fe0@westpost.net
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PROFILE
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* Possess 21 Years of Practice Management and Clinical Social Work Experience *
Versatile and solutions-oriented professional with extensive healthcare administ
ration expertise gained in fast-paced office settings. Skilled in establishing a
nd managing prevention, support, and rehabilitation programs. Specialized knowle
dge and expertise in assessments, advocacy, support groups and self-help program
design. Bring proven critical thinking and decision-making skills that are valu
ed in leadership administration candidates. Accustomed to ensuring compliance wi
th prevailing healthcare regulations and corporate policies and procedures. Succ
essful in building working relations with healthcare professionals that include
physicians, insurance companies, vendors, patients and medical personnel.
>>KEY PROFICIENCIES<<
Psychosocial Assessments
Health Insurance Compliance
Case Management
Resource Identification
Treatment Plans
CPT / ICD-9 / DSM
Contract Negotiation
A/P & A/R
Medical Administration
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PROFESSIONAL EXPERIENCE
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Nashville, TN
Practice Manager/Social Worker, 1989 - 2009
Managed a staff of three employees while providing social work services and over
seeing daily operations for a successful private psychiatric practice.
Clinical Social Work - Gathered information and identified resources and referra
l services for patient care. Conducted preparation and evaluation of psychosocia
l assessments and development of social work service plans. Performed case manag
ement, coordination, and monitoring of social work service plans in areas of per
sonal, social or economic resources, conditions, and problems. Assisted with adm
inistration, development, implementation, and evaluation of programs and policie
s. Made arrangements for hospitalization as needed.
=> Triaged crisis calls and fielded high-stress cases by phone and in the office
setting.
Practice Management - Maintained, developed and organized office systems and med
ical records. Selected and set up medical software for insurance billing and sch
eduling. Handled accounts payable/accounts receivable, client and insurance comp
any billing, and office budget. Performed all coding and billing for mental heat
h services using CPT, ICD-9 and DSM coding methodology. Ensured proper credentia
ling of all practice professionals for insurance companies.
=> Successfully negotiated managed care contracts with HMOs, PPOs and Worker's C
omp insurance companies.
=> Served as the practice's HIPAA Compliance Officer.
Spina Health Center, Incorporated - Nashville, TN
Practice Manager/Co-Owner, 2005 - 2009
Oversaw daily operations of a physical therapy clinic specializing in spinal dec
ompression. Hired physical therapists and physical therapist assistants. Address
ed psychosocial and physical issues associated with various back diseases and pa
in. Maintained and organized medical records, performed billing, and handled acc
ounts payable/accounts receivable.
=> Managed all business start-up activities; developed operational policies and
procedures and marketing strategies.
March 2010 to Present
Care Coordinator for Long Term Care with EverCare
>> Presently I conduct Evaluations and Assessments with patients in Long Term He
althcare Facilities for determining their psychosocial needs, medical needs and
overall levels of functioning. Also, I conduct telephonic assessments with patie
nts or their POA's to help determine their level of functioning and needs for ho
me health care or other medical services.
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EDUCATION
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Master of Social Work, University of Houston - Houston, TX
=> Cullen Graduate Student Fellowship Award
Licensed Master Social Worker--Tennessee
Bachelor of Science - Recreational Therapy/Rehabilitation, Oklahoma State Univer
sity - Stillwater, OK
=> Top 10 Senior Award, Top 10 Freshman Woman
=> Who's Who among Students in American Colleges and Universities
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SOFTWARE SKILLS
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MS Word
MS Excel
Quicken
Therapist Helper
Practice Administration Software