Joslyn C.

About Joslyn C.

As a Health Services Senior Advisor at Evernorth, I leverage my extensive experience in clinical psychology and behavioral analysis to improve the quality of care for patients. With over 7 years of experience in this role, I have developed expertise in performing clinical peer reviews and appeals, case management, and case consultation activities. I also participate in inter-rater reliability testing and clinical guidelines training, and serve as a mentor and coach to other professionals in the field.I hold a PhD in School Psychology from Louisiana State University and Agricultural and Mechanical College, and I completed an MBA from Lamar University. I am also a licensed psychologist and a board-certified behavior analyst at the doctoral level, with certifications issued by the Behavior Analyst Certification Board and the Washington State Department of Social and Health Services. My goal is to use my expertise and education to make a positive impact on the lives of others.

Experience

1. Health Services Senior Advisor

   Cigna Healthcare

   Jan 2018 — Present · Seattle, WA, US

   Performs clinical and administrative peer review and appeals, case management, and case consultation activities.• Participates in inter-rater reliability testing and clinical guidelines training. • Serves as mentor/coach to Care Managers, Clinical Managers, Providers and other Peer Reviewers in clinical quality improvement process. • Acts as behavioral health consultant in areas of clinical expertise. • Improves provider relations through knowledgeable, evidence-driven peer review and positive collegial relationships. • Improves clinical outcomes through excellence of negotiation, education, and communication skills. • Model the solution-focused management style for all clinical staff in order to assure the most positive work force possible. • Develop clinical and administrative trainings that help to educate the clinical staff to Cigna’s Clinical Philosophy, new Clinical Work Flows, Clinical Theory and Application, and Accreditation standards. • Participates in Clinical Team staff meetings and trends issues in order to proactively determine if there are any training needs or work flow modifications. Follows-up on the determined needs. • Interface with Customers, Participants and/or Providers as needed to attend to clinical issues. In addition, model for staff the need to take into account the Customer, the provider, and/or the participant’s world view when making decisions and enhancements to service delivery.

Education

• Louisiana State University

  PhD, School Psychology

  2006 — 2011

• Georgia State University

  MS, Educational Psychology

  2004 — 2008

• Lamar University

  Master of Business Administration - MBA

  2022

• The University of Georgia

  BS, Psychology

  1997 — 2001