Summary
Overview
Work History
Education
Skills
Accomplishments
Electronic Health Records
Languages
Certification
Timeline
Generic

Aleesha Covert - Himes

Quincy

Summary

Dedicated Mental Health Care Coordinator with over 10 years of expertise in functional case management and leadership. Recognized for fostering a collaborative approach across the care continuum while effectively managing workflows to empower dynamic teams. Committed to addressing client needs with precision and actively engaging in hands-on case work. A compassionate professional devoted to enhancing community well-being through meaningful service.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Aetna SKY Case Management Coordinator

CVS
01.2025 - Current
  • Member Evaluation: Conduct the annual Health Risk Survey to support needs identification for the member’s Individual Plan of Care.
  • Risk Escalation: Inform the assigned care manager of newly identified health/safety risks or service needs
  • Care Coordination: Complete care coordination activities delegated by the care manager within an established timeframe.
  • Quality Issue Escalation: inform the assigned care manager and/or associate manager of any identified quality of care issues.
  • Advocacy: Passionately support the member’s care coordination needs and drive solutions to address those needs.
  • Member Engagement: Use problem-solving skills to find alternative contact information for members who are unreachable by care management. Employ motivational interviewing techniques to maximize member engagement and promote lifestyle changes for optimal health.
  • Monitoring and Documentation: Adhere to case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies.
  • Meet performance and productivity metrics, including call volume, successful member engagement, and compliance with state/federal regulatory requirements.
  • Conduct oneself with integrity, professionalism, and self-direction.
  • Demonstrate a willingness to learn about care management within Medicare and Medicaid managed care.
  • Familiarity with community resources and services.
  • Navigate various healthcare technology tools to enhance member care, streamline workflows, and maintain accurate records.
  • Maintain strong collaborative and professional relationships with members and colleagues.
  • Communicate effectively, both verbally and in writing.
  • Exhibit excellent customer service and engagement skills.

OhioRISE Care Coordinator

Child Focus, Inc.
06.2022 - 01.2025
  • To coordinate the triage and referral of infants, children and adolescents into appropriate psychiatric, developmental disabilities or other services within a complex medical center and related services/agencies dedicated to the care of infants, adolescents and children in all of Catchment G of OhioRISE programming
  • Responsible for providing community based, high fidelity wrap-around care coordination services to youth and their families or caregivers who are experiencing serious emotional disturbance (SED), trauma, cooccurring behavioral health disorders and who are engaged with one or more child-serving systems (e.g., child welfare, intellectual and developmental disabilities, juvenile justice, education).
  • Completion of various important documentation/submission in Dynamo and EPIC electronic health records.
  • Assisted in quarterly chart reviews and assist with providing training to new incoming care coordinators.

School- Based Mental Health Support Counselor

Child Focus, Inc.
06.2018 - 07.2022
  • Provide individual and group behavioral health services for youth.
  • Provide emotional, social and psychoeducational support services in schools, homes and community settings.
  • Research Curriculum and Create Prevention Mental Health Groups.
  • Create and maintain Individual Treatment Plans with clients and their families.
  • Link clients with community resources and effectively collaborate with school or community professionals.
  • Work closely with School Guidance Counselors as well as School Administration.

Mens AOD Counselor

The Counseling Center, Inc.
02.2017 - 06.2018
  • 1. Conducts intensive individual counseling sessions with client on a one-to-one basis; ensures flow of client’s case during treatment. Ensures individual treatment plan is appropriate to clients needs and being implemented properly.
  • 2. Conducts educational and group counseling services in an effort to improve coping skills and provide a forum in which to share and learn communication skills.
  • 3. Provides written documentation of client activity, develops treatment plans, and written updates in order to maintain compliance with requirement standards, provides documentation for billing of services. Initiates all correspondence and paperwork related to assessments and client service reports (i.e., letters, progress notes, etc.).
  • 4. Provides input to treatment team regarding the developments of treatment plans and client progress. Meets with clinical staff and Clinical Director for review, input and consultation into client plan.
  • 5. Provides case management services, such as community linkage and development of resource for clients.

Case Manager

The Counseling Center, Inc.
02.2015 - 02.2016
  • 1. Ensures individual treatment plan is appropriate to clients needs and being implemented properly.
  • 2. Conducts educational and group counseling services in an effort to improve coping skills and provide a forum in which to share and learn communication skills.
  • 3. Provides input to treatment team regarding the developments of treatment plans and client progress. Meets with clinical staff and Clinical Director for review, input and consultation into client plan.
  • 4. Provides case management services, such as community linkage and development of resource for clients.

Education

Bachelor's - Psychology

Shawnee State University
Portsmouth, OH
12.2016

Skills

  • Addiction Counseling
  • Behavioral Health
  • Case Management
  • Crisis Intervention
  • Crisis Management
  • Mental Health Counseling
  • Group Therapy
  • Behavioral Therapy
  • Medication Administration
  • Intake Experience
  • Child & Family Counseling
  • Motivational Interviewing
  • Cognitive Behavioral Therapy
  • Behavior Management
  • Applied Behavior Analysis
  • Autism Experience
  • Meeting Facilitation
  • Curriculum Development
  • Conflict Management
  • Program Development
  • School Based Mental Health Supports
  • Mental Health Crisis Responder

Accomplishments

  • Used Microsoft Excel to develop care planning timeline and tracking spreadsheets.
  • Collaborated with team of 10+ members in the development and streamlining of Child Focus's OhioRISE program partnered with Cincinnati Children's Hospital

Electronic Health Records

- Dynamo/ CaseTrakker

- CATT

- ARIZE

- EPIC 

Languages

English
Full Professional

Certification

  • CPR/AED
  • Certification in the Ohio Children’s Initiative Brief and Comprehensive CANS assessment as the level of care tool for youth entering a Qualified Residential Treatment Program (QRTP) on or after implementation of the Family First Prevention Services Act. June 2022 to June 2025
  • Substance Abuse Counseling Certification (CDCA II: April 2017 - April 2025)

Timeline

Aetna SKY Case Management Coordinator

CVS
01.2025 - Current

OhioRISE Care Coordinator

Child Focus, Inc.
06.2022 - 01.2025

School- Based Mental Health Support Counselor

Child Focus, Inc.
06.2018 - 07.2022

Mens AOD Counselor

The Counseling Center, Inc.
02.2017 - 06.2018

Case Manager

The Counseling Center, Inc.
02.2015 - 02.2016

Bachelor's - Psychology

Shawnee State University

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Aleesha Covert - Himes