Sheryl Kunath

Experience

1. Behavioral Health Care Advocate

   Optum

   Mar 2025 — Present

   Conduct outpatient reviews with providers to ensure appropriate and best level of care for members in addition to medical necessity of outpatient psychotherapy services• Shaping member treatment in partnership with providers through individualized clinical recommendations to ensure quality of care for members using measure informed care methods, best practices based on diagnoses, and coordination of care with other medical providers/mental health providers• Use of Medicare Coverage Summary Guidelines, LOCUS, CALOCUS-CASII, ECSII, and ASAM for guidance on clinical criteria decisions • Attend to providers’ requests, questions, and concerns regarding clinical reviews, collaborative discussions, prior authorizations, and more through telephone queue

Education

• University of Florida

  Bachelor of Science - BS, Psychology

  2014 — 2016

• Nova Southeastern University

  Master of Science - MS, Marriage and Family Therapy/Counseling

  2016 — 2018

• Miami Dade College

  Associate of Arts - AA, Psychology

  2012 — 2014