Shardae Lewis
Manager Behavioral Health Utilization Management @Centene Corporation
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WORK HISTORY
Manager Behavioral Health Utilization Management @Centene Corporation
OK, US
Position Purpose: Manages the behavioral health (BH) utilization review clinicians to ensure appropriate care to members. Manages BH utilization management issues related to member care, provider interactions, and facilitates operations within utilization management.Manages behavioral health (BH) utilization review clinicians and ensures compliance with applicable guidelinesReviews and analyzes BH utilization management activities, over/under utilization, operations, costs, and forecasted data to identify areas for improvement within utilization management (UM) to align to goals and objectivesDevelops, implements, and maintains compliance with BH utilization management policies and proceduresReviews BH utilization management and financial reports to identify trends and areas of improvement and provide recommendations to senior leadershipMonitors processes, regulations, contractual and accreditation standards, and industry best practices related to BH utilization managementEducates and provides resources for BH utilization management team on key initiatives.Works with the BH utilization management senior management team to develop and implement BH UM policies, procedures, and guidelines that ensure appropriate and effective utilization of healthcare servicesProvides feedback to BH utilization management team to improve care for members and optimize utilization management processesAssists BH utilization management onboarding, hiring, and training utilization management team members Provides support and career development feedback to SupervisorsLeads talent management activities to develop and cultivate future leaders.Attends company meetings in absence of people leaderEffectively manages escalated calls/issues that require additional research or special handlingLeads and manages others in a matrixed/cross functional environment with tight timeframes and strict deadlinesLeads and champions change within scope of responsibility
EDUCATION
Southern Nazarene University
Master of Arts - MA, Marriage and Family Therapy/Counseling
University of Central Oklahoma
Bachelor's degree, Psychology
ABOUT SHARDAE LEWIS
I am a Licensed Professional Counselor Supervisor and Manager, Behavioral Health Utilization Management leader committed to elevating the standard of care across clinical and organizational settings. With experience in trauma informed therapy, leadership development, care coordination, and quality improvement, I strive to bring excellence, empathy, and innovation to every environment I serve.As a therapist, I empower clients to heal from trauma roots, establish healthy boundaries, improve emotional regulation, and strengthen their sense of identity and self worth. My approach blends evidence based practices, cultural humility, and whole person care, helping individuals decrease symptomology, build confidence, and create sustainable change.As a Manager, Behavioral Health Utilization Management, I am passionate about strengthening systems that support member centered, high quality care. I lead with integrity, collaboration, and clinical expertise, prioritizing accurate reviews, timely decisions, NCQA compliance, and effective coaching for my team of clinicians. I enjoy developing staff, cultivating morale, and fostering clinical growth with the next generation of behavioral health professionals.Across both roles, my mission remains consistent.I create spaces, whether in therapy rooms or corporate rooms, where people feel valued, supported, and empowered to grow.If you are committed to improving behavioral health outcomes, developing strong clinical teams, or enhancing trauma informed care, I would love to connect.
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