Experience

Venture Forthe Inc.

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Community Outreach Specialist

  • Nov 2022 - Present

  Responsible for the identification of potential referral sources within the Erie County, by developing and maintaining relationships within the community. Coordinating detailed marketing strategies and plans. Conducting presentations and leading symposiums educating the community on services to both clients and providers · Developing and maintaining relationships with hospitals, doctor's offices, nursing homes, and community service agencies. · Conducted outreach and engagement activities including initial Intake Referral visits/assessments while serving as a liaison in matters relating to referral source satisfaction and needs determination. Show less



Horizon Health Services

• United States
• Hospitals and Health Care
• 300 - 400 Employee

• Senior Case Manager

  • Feb 2021 - Nov 2022

  Comprehensive Health Home case management of 55+ patients enrolled in NYS Medicaid program with various serious mental health illnesses and physical health conditions. Extensive collaboration with clinical providers, billing and care team members by coordinating linkage to home and community-based services, referrals to public entitlements, housing, medical/behavioral health, education/vocational services and community resources. · Executed billing tasks, verified insurance, submitted bills and claims · Worked closely with clinic psychologists, nurse practitioners and counselors to development individualized treatment plans · Developed multiple spreadsheets and user-friendly guides for audits, referral sources, community resources · Coordination with insurance, government benefits, workers compensation, no fault injury and other income revenues · Promoted to Senior case manager in under 6 months due to high productivity and advanced skillset · Active role in hiring committee with onboarding new hires, served as a mentor in the intern program Show less



The Brothers of Mercy Wellness Campus

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Medical Social Worker

  • Oct 2019 - Aug 2020

  Managed steady mixed caseload of 40 patients including: hospice care, rehabilitating, long-term and transitional residents. Provided individualized care based on resident’s needs by coordinating supportive services/counseling for both patient and family members to address special concerns and ease transition back into the community. Directed a multidisciplinary staff on appropriate interventions and coordinated treatment plans to ensure safe discharge. • Conducted monthly BMARC meeting to review all psychotropic med use effectiveness with MD & pharmacist • Trained interns students and new hire extensively on all social work tasks, documentation and case management skills • Provided legal services with Center for Elder Law & Justice for Power of Attorney, Health Care Proxy, Legal Guardian & Living Will Show less



Ascension

• Hospitals and Health Care
• 700 & Above Employee

• Medical Social Worker

  • Aug 2015 - Aug 2019

  Worked on both Sub-acute rehab & Long-term care units. Responsible for facilitating comprehensive discharge planning; processed on average 60-90 admission/discharges monthly. Review and discuss plan with patient, family and professional staff to ensure patient to receive next phase of treatment by collaborating with interdisciplinary team. • Administered Mini Mental status exams to extract data for treatment forecast • Coordinate all referrals required for discharge planning both within the community and facility • Developed educational seminars regarding Advanced Directives with M.D. Show less



Independent Health

• United States
• Insurance
• 700 & Above Employee

• Utilization Management

  • Jan 2014 - Aug 2015

  Responsible for data maintenance and documentation on variety of data and billing reports, clinical records and daily logbooks. Developed reference materials and guides to reduce cycle time and improve process accuracy and consistency. Emphasis on collaborating closely with clinical staff (MD/NSG) to determine surgical prior authorization. • Led multiple training sessions for company associates • Subject matter expert for claims bridge team; responsible for analyzing system methods to determine feasibility, redesign process to meet needs, and evaluate test system to identify issues • Contributed and assisted in development of company-wide used prior-authorization/billing program (CODEY) • Initiated implementation of Special Case Review SOPs to define, clarify and improve processes Show less



Ithaca College

• United States
• Higher Education
• 700 & Above Employee

• Undergraduate Research Assistant

  • Aug 2010 - Jun 2014

  EPIC research team (Emotional and Physiological Influences in Cognition). Our research was based on signal detection analysis to explore the influence of emotion on cognitive processing and response bias in recognition memory. Responsibilities included: recruiting participants, conducting interviews, focus groups and systematic observations. Tasked with explaining testing procedures including the psychometric tests to all participants. I coordinated scheduling and location amongst subjects of the study as well as the staff. I also performed data collection and analysis with SPSS & SAS programs, as well as assisted in grant writing and poster creation. We later presented our findings at the Eastern Psychological Association conference in March 2013 to approximately 200 audience members. Show less