Experience

Simply Healthcare Plans

• United States
• Insurance
• 200 - 300 Employee

• LTSS Case Manager

  • Sep 2019 - Present

  • Manages non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of long term services and supports. • Obtains a thorough and accurate member history to develop an individual service plan. • Establishes short and long term service and support goals in collaboration with the member, caregivers, family, natural supports, physicians. • Identifies members that would benefit from alternative level of care… Show more • Manages non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of long term services and supports. • Obtains a thorough and accurate member history to develop an individual service plan. • Establishes short and long term service and support goals in collaboration with the member, caregivers, family, natural supports, physicians. • Identifies members that would benefit from alternative level of care or other waiver programs. • Identifies members with potential for high risk complications and refers those members' cases to the clinical healthcare management team. Show less • Manages non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of long term services and supports. • Obtains a thorough and accurate member history to develop an individual service plan. • Establishes short and long term service and support goals in collaboration with the member, caregivers, family, natural supports, physicians. • Identifies members that would benefit from alternative level of care… Show more • Manages non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of long term services and supports. • Obtains a thorough and accurate member history to develop an individual service plan. • Establishes short and long term service and support goals in collaboration with the member, caregivers, family, natural supports, physicians. • Identifies members that would benefit from alternative level of care or other waiver programs. • Identifies members with potential for high risk complications and refers those members' cases to the clinical healthcare management team. Show less



Independent Living Systems, LLC

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

• Field Base Case Manager

  • May 2012 - Jun 2017

  • Conducts 701B comprehensive pre-admission screening assessments of candidates in the home in Miami-Dade and Monroe counties to provide candidates with community-based services that they require to continue to receive care in their own home. • Maintains accurate and up-to-date medical information on clients through regular documentation of casework activities, ensures timely and accurate data collection and reporting. • Maintains regular contact with clients to ensure that their needs… Show more • Conducts 701B comprehensive pre-admission screening assessments of candidates in the home in Miami-Dade and Monroe counties to provide candidates with community-based services that they require to continue to receive care in their own home. • Maintains accurate and up-to-date medical information on clients through regular documentation of casework activities, ensures timely and accurate data collection and reporting. • Maintains regular contact with clients to ensure that their needs are being met and that the services that they are receiving remain consistent and satisfactory. • Maintains updated data in the Client Information and Registration Tracking System (CIRTS) on cases assigned and inputs assessment data in CIRTS. • Performs other related duties assigned by the supervisor. Show less • Conducts 701B comprehensive pre-admission screening assessments of candidates in the home in Miami-Dade and Monroe counties to provide candidates with community-based services that they require to continue to receive care in their own home. • Maintains accurate and up-to-date medical information on clients through regular documentation of casework activities, ensures timely and accurate data collection and reporting. • Maintains regular contact with clients to ensure that their needs… Show more • Conducts 701B comprehensive pre-admission screening assessments of candidates in the home in Miami-Dade and Monroe counties to provide candidates with community-based services that they require to continue to receive care in their own home. • Maintains accurate and up-to-date medical information on clients through regular documentation of casework activities, ensures timely and accurate data collection and reporting. • Maintains regular contact with clients to ensure that their needs are being met and that the services that they are receiving remain consistent and satisfactory. • Maintains updated data in the Client Information and Registration Tracking System (CIRTS) on cases assigned and inputs assessment data in CIRTS. • Performs other related duties assigned by the supervisor. Show less