Experience

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  Partners Health Management

  • Charlotte, North Carolina, United States

  • Behavioral Health Care Manager

    • Jul 2022 - Present
    • Charlotte, North Carolina, United States

    - Conducts thorough assessments, provides individualized care management, and closely monitors the progress and wellbeing of members with primary I/DD and co-occurring physical, mental health, and substance use disorders. Coordinates Medicaid deductibles, as applicable, with members and providers to ensure access to essential services and resources. - Analyzes, evaluates, and makes recommendations for long-term care insurance claims to ensure members receive consistent, transparent, and appropriate solutions that meet their unique needs. - Develops and fosters professional relationships and community-based activities to build resources and skills for members/stakeholders, empowering them to achieve their maximum level of independence. Utilizes advanced interviewing techniques and assessments to gather crucial information and identify support systems for individuals and families. - Supports members in managing their psychotropic medication regimes, monitoring for treatment, adherence, side effects, and effectiveness across all settings. Participate in investigations related to the abuse and neglect of adults, evaluating, and responding to the need for protective services. - Provides culturally competent and sensitive services to underrepresented members of the community, ensuring that all individuals receive equitable and inclusive care. - Educates members and families on budget development, total dollar value of the budget, and available mechanisms for modifying individual budgets, while ensuring services are outlined in the budget and meet waiver requirements and limits. - Compares competitive bids and scope of work whether informal or formal projects and ensures execution/completion of project from start to finish. Procurement of construction and AES.- Dispute resolutions to ensure a strong contractually guided working relationship with all vendors, contractors, and service providers.

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  Alliance Health

  • Charlotte, North Carolina, United States

  • Senior Care Manager

    • Nov 2021 - May 2022
    • Charlotte, North Carolina, United States

    - Conducted thorough and comprehensive assessments during enrollment, engaged with guardians and other contacts, tracked changes in condition, and developed customized care plans based on the assessments. Collaborated with medical and behavioral health providers as necessary to address functional needs. - Evaluated and provided expert recommendations on long-term care insurance claims to ensure transparency, consistency, and appropriate solutions for members. Assisted in enhancing and optimizing current Management Care programs and organizational processes by contributing to the development and analysis of procedures. - Established community-based activities and professional networks to maximize resources and skills for clients in their pursuit of greater independence. - Utilized person-centered planning, motivational interviewing, and assessment history to gather information and identify necessary support for individuals and their families. Determine financial eligibility and assess financial assistance needs, engaging outsourced assistance when necessary. - Collaborated with clients and service providers to develop and evaluate service plans, ensuring the quality and quantity of services provided. Participated in investigations concerning adult abuse and neglect and determined the need for protective services. Developed a positive and professional rapport for maintenance of symptoms relating to mental health conditions. Provided culturally sensitive and competent services to underrepresented members of the communities.

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  My Choice Wisconsin

  • Milwaukee, Wisconsin, United States

  • Long-Term Support Lead Care Manager

    • Jun 2013 - Aug 2021
    • Milwaukee, Wisconsin, United States

    - Managed, trained, and supervised a team of nine care managers and interns to ensure compliance with state-driven and Medicaid regulations, while maintaining high standards of work quality.- Organized and managed project resources, workflows, and timelines to successfully meet project goals. Interpreted, processed, and computed long-term care insurance claims to ensure consistency and appropriate resolution for clients. - Provided effective counseling and case management services to clients of diverse backgrounds and populations. - Identified, arranged, and coordinated high-quality and cost-effective support services such as counseling, child/adult care, vocational services, behavioral health therapies, and substance abuse treatment, to address underlying needs and prevent escalation of problems.- Coordinated care for clients, including but not limited to admissions/enrollments, guardianship referral and assistance, residential placement, Medicaid recertification, billing/claims processing and discharge planning. - Developed individualized service plans (ISP) and care plans and provided follow-up services.- Collaborated with interdisciplinary teams to meet member desired outcomes according to the plan of care and developed behavioral support plans for complex cases. - Monitored changes of conditions and referred to medical and behavioral health providers as necessary. Worked closely with adult protective services as needed to ensure the safety and well-being of clients. - Ensured accurate and timely data entry into systems to facilitate appropriate service delivery and billing.

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  Parallon Workforce Solutions

  • Milwaukee, Wisconsin, United States

  • PRN Certified Nursing Assistant

    • Oct 2011 - Nov 2019
    • Milwaukee, Wisconsin, United States

    - Assisted patients with ADLs, such as bathing, grooming, toileting, eating, and moving. - Ensured patients received appropriate nutrition including grocery shopping, preparing meals, and depending on health condition and circumstances, assisted with eating. - Assisted nurses and doctors conduct exams, such as preparing exam rooms or administering vaccines. - Obtained/Executed a wide range of information from physicians, caregivers, and nurses about patient conditions, treatment plans, and suggested activities.

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  SEASONS HOSPICE & PALLIATIVE CARE OF WISC INC

  • West Allis, Wisconsin, United States

  • Hospice Social Worker, Intern

    • Jun 2018 - Aug 2019
    • West Allis, Wisconsin, United States

    - Performed comprehensive psychosocial assessments, developed care plans, and collaborated with interdisciplinary teams to meet patient needs. - Ensured patient autonomy by advocating for their end-of-life wishes. - Provided education to patients and their families regarding diagnosis, treatment options, and resources for ongoing support. - Facilitated connections with local services and resources to help families cope with grief and loss and provided ongoing assistance and support as needed. - Advocated for patients and their families in accessing appropriate resources and services, including coordinating care with external providers and community agencies. - Participated in ongoing professional development activities to enhance clinical skills and knowledge and stay up to date with changes in the field. - Collaborated with peers and supervisors to identify areas for program improvement and participate in quality improvement initiatives to ensure the highest quality of care for patients.

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  Milwaukee County

  • Milwaukee, Wisconsin, United States

  • Children’s Long-Term Support & Service Coordinator

    • Sep 2015 - Apr 2017
    • Milwaukee, Wisconsin, United States

    - Advocated for clients and conducted regular, comprehensive evaluations of service providers to ensure the delivery of high-quality services. - Demonstrated proficiency in conducting and updating various assessments and evaluations, including annual functional screens, monthly collateral contacts, six-month and annual reviews, as well as fulfilling face-to-face contact requirements mandated by the state. - Conducted thorough psychosocial assessments, developed robust care plans, and facilitated the creation of effective service plans. - Collaborated closely with County and community resources to foster seamless coordination of services that align with individual goals and produce desired outcomes. - Identified and recommended suitable referrals and resources to address the specific needs associated with the child's disability including childcare programs. - Engaged community resources to outsource services that effectively supported both the child and the guardian, proactively preventing potential problems from arising.

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  University of Wisconsin-Milwaukee

  • Milwaukee, Wisconsin, United States

  • Field Education Assistant

    • Aug 2009 - Sep 2013
    • Milwaukee, Wisconsin, United States

    - Developed and executed strategic initiatives to identify and recruit prospective students by cultivating relationships through community outreach, resulting in a notable increase in the enrollment of licensed teachers and other professionals. - Collaborated with academic and industry partners to ensure students received practical, hands-on experiences that complemented their classroom instruction, promoting a well-rounded education and preparing them for their careers. - Championed the mission of the institution by fostering a culture of professional growth and development among students, cultivating their sense of professional identity, and reinforcing the value of education in achieving their career goals.