Experience

Simply Healthcare Plans

• United States
• Insurance
• 200 - 300 Employee

• Auditor

  • Jul 2022 - Present

• Service Coordinator

  • Apr 2017 - Present

  ▪ Develop and implement a plan of care in collaboration with the member, caregiver, or appropriate healthcare professional to address the member’s needs. ▪ Communicate with healthcare providers to deliver exceptional service. ▪ Collaborate with inner departmental teams to assist with resolving any authorization issues, contractual concerns, or claim impact matters for existing providers. ▪ Manage a caseload of up to 80 home and community based members. ▪ Mentor new team members and… Show more ▪ Develop and implement a plan of care in collaboration with the member, caregiver, or appropriate healthcare professional to address the member’s needs. ▪ Communicate with healthcare providers to deliver exceptional service. ▪ Collaborate with inner departmental teams to assist with resolving any authorization issues, contractual concerns, or claim impact matters for existing providers. ▪ Manage a caseload of up to 80 home and community based members. ▪ Mentor new team members and assist with providing formal training. ▪ Conduct in person home visits per contract regulations. ▪ Identify critical incidents and develops prevention plans to assure member's health and welfare. ▪ Review member files for accuracy during quarterly and yearly audits. ▪ Complete all required monthly tasks and documentation within a timely manner.



United HomeCare, Miami, Florida

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

• Case Manager

  • Aug 2015 - Apr 2017

  ▪ Conducted assessment of clients needs and develop individualized care plan for the disabled and/or elderly adults. ▪ Managed a caseload of up to 70 home and community based members ▪ Was responsible for coordinating and monitoring home health services ▪ Collaborated with family members and healthcare professionals to prevent early institutionalization ▪ Completed home visits, documentation, and monthly contacts in a timely manner ▪ Coordinated and authorized services as needed;… Show more ▪ Conducted assessment of clients needs and develop individualized care plan for the disabled and/or elderly adults. ▪ Managed a caseload of up to 70 home and community based members ▪ Was responsible for coordinating and monitoring home health services ▪ Collaborated with family members and healthcare professionals to prevent early institutionalization ▪ Completed home visits, documentation, and monthly contacts in a timely manner ▪ Coordinated and authorized services as needed; assisted member in assignment of employed care providers; monitor services received on a monthly basis Show less ▪ Conducted assessment of clients needs and develop individualized care plan for the disabled and/or elderly adults. ▪ Managed a caseload of up to 70 home and community based members ▪ Was responsible for coordinating and monitoring home health services ▪ Collaborated with family members and healthcare professionals to prevent early institutionalization ▪ Completed home visits, documentation, and monthly contacts in a timely manner ▪ Coordinated and authorized services as needed;… Show more ▪ Conducted assessment of clients needs and develop individualized care plan for the disabled and/or elderly adults. ▪ Managed a caseload of up to 70 home and community based members ▪ Was responsible for coordinating and monitoring home health services ▪ Collaborated with family members and healthcare professionals to prevent early institutionalization ▪ Completed home visits, documentation, and monthly contacts in a timely manner ▪ Coordinated and authorized services as needed; assisted member in assignment of employed care providers; monitor services received on a monthly basis Show less



Neighbor To Family

• Non-profit Organizations
• 1 - 100 Employee

• Case Manager ( Temporary)

  • Jan 2015 - Jul 2015

  ▪ Managed and coordinated all services in order to ultimately place the UAC (Unaccompanied Alien Children) with their family or sponsor. ▪ Conducted weekly face to face contact with the UAC minor, monitor phone calls to the youth’s sponsor, and conducted home visits when needed. ▪ Ensured all required documentation was turned in by deadlines ▪ Monitored the child’s progress as outlined in the individualized service plan, tracked progress, and response to services. ▪ Maintained open… Show more ▪ Managed and coordinated all services in order to ultimately place the UAC (Unaccompanied Alien Children) with their family or sponsor. ▪ Conducted weekly face to face contact with the UAC minor, monitor phone calls to the youth’s sponsor, and conducted home visits when needed. ▪ Ensured all required documentation was turned in by deadlines ▪ Monitored the child’s progress as outlined in the individualized service plan, tracked progress, and response to services. ▪ Maintained open communication with the treatment team, and participated in weekly case staffings. ▪ Initiated and completed case closure when appropriate. Show less ▪ Managed and coordinated all services in order to ultimately place the UAC (Unaccompanied Alien Children) with their family or sponsor. ▪ Conducted weekly face to face contact with the UAC minor, monitor phone calls to the youth’s sponsor, and conducted home visits when needed. ▪ Ensured all required documentation was turned in by deadlines ▪ Monitored the child’s progress as outlined in the individualized service plan, tracked progress, and response to services. ▪ Maintained open… Show more ▪ Managed and coordinated all services in order to ultimately place the UAC (Unaccompanied Alien Children) with their family or sponsor. ▪ Conducted weekly face to face contact with the UAC minor, monitor phone calls to the youth’s sponsor, and conducted home visits when needed. ▪ Ensured all required documentation was turned in by deadlines ▪ Monitored the child’s progress as outlined in the individualized service plan, tracked progress, and response to services. ▪ Maintained open communication with the treatment team, and participated in weekly case staffings. ▪ Initiated and completed case closure when appropriate. Show less



Chrysalis Health

• United States
• Mental Health Care
• 300 - 400 Employee

• Case Manager

  • Nov 2012 - Dec 2014

  ▪ Provided consistent structure, supervision and behavioral management of client. ▪ Responsible for facilitating therapeutic psychological groups with up to 12 clients ▪ Documented client progress and participation daily ▪ Responsible for modifying and implementing material provided for group curriculum as deemed appropriate and therapeutic for the population being served. ▪ Experience with a diverse population of clients 18-65 ▪ Worked individually with adults and children with… Show more ▪ Provided consistent structure, supervision and behavioral management of client. ▪ Responsible for facilitating therapeutic psychological groups with up to 12 clients ▪ Documented client progress and participation daily ▪ Responsible for modifying and implementing material provided for group curriculum as deemed appropriate and therapeutic for the population being served. ▪ Experience with a diverse population of clients 18-65 ▪ Worked individually with adults and children with mental health and substance use disorders ▪ Psychologically assesed clients to identify needs based on current level of functionality. ▪ Developed treatment plans, worked carefully with clients to prevent further psychiatric hospitalization. ▪ Linked client to community resources necessary, medical, and psychiatric care as needed. ▪ Conducted home visits to ensure clients safety Show less ▪ Provided consistent structure, supervision and behavioral management of client. ▪ Responsible for facilitating therapeutic psychological groups with up to 12 clients ▪ Documented client progress and participation daily ▪ Responsible for modifying and implementing material provided for group curriculum as deemed appropriate and therapeutic for the population being served. ▪ Experience with a diverse population of clients 18-65 ▪ Worked individually with adults and children with… Show more ▪ Provided consistent structure, supervision and behavioral management of client. ▪ Responsible for facilitating therapeutic psychological groups with up to 12 clients ▪ Documented client progress and participation daily ▪ Responsible for modifying and implementing material provided for group curriculum as deemed appropriate and therapeutic for the population being served. ▪ Experience with a diverse population of clients 18-65 ▪ Worked individually with adults and children with mental health and substance use disorders ▪ Psychologically assesed clients to identify needs based on current level of functionality. ▪ Developed treatment plans, worked carefully with clients to prevent further psychiatric hospitalization. ▪ Linked client to community resources necessary, medical, and psychiatric care as needed. ▪ Conducted home visits to ensure clients safety Show less



Florida International University

• United States
• Higher Education
• 700 & Above Employee

• Administrative Assistant

  • Feb 2008 - Nov 2012

  ▪ Open office, answer department phone, and respond to department emails ▪ Assist students with course related issues and inquiries ▪ Compile evaluation envelopes and maintain confidential file results of student evaluation of faculty ▪ Assist with training and supervision of work study students ▪ Order office supplies for faculty and staff ▪ Prepare flyers, announcements, and memos for faculty, staff and students ▪ Open office, answer department phone, and respond to department emails ▪ Assist students with course related issues and inquiries ▪ Compile evaluation envelopes and maintain confidential file results of student evaluation of faculty ▪ Assist with training and supervision of work study students ▪ Order office supplies for faculty and staff ▪ Prepare flyers, announcements, and memos for faculty, staff and students



SAG Imports

• Miami, Florida

• Office Assistant

  • Jul 2006 - Feb 2008

  ▪ Management of keeping accounts payable up to date ▪ Accountable for sales and daily reports ▪ Assumed receptionist duties, greet public and refer them to appropriate staff members, answer phones, route calls, and takes messages ▪ Set-up and maintenance of filling system and files ▪ Management of keeping accounts payable up to date ▪ Accountable for sales and daily reports ▪ Assumed receptionist duties, greet public and refer them to appropriate staff members, answer phones, route calls, and takes messages ▪ Set-up and maintenance of filling system and files