Experience

Refuge for Women - Kentucky

• Non-profit Organizations
• 1 - 100 Employee

• Direct Support Professional

  • Mar 2022 - Present



Family Support Services

• United States
• Individual and Family Services
• 100 - 200 Employee

• Case Manager

  • Mar 1998 - Dec 2021

  Responsible for assisting clients with their benefits. Helping them gain employment, housing, and medical insurance. Assessing their socio-economic needs. Conducting job search activities to identify appropriate employment opportunities that accommodate the capabilities of the individual. Working as an intermediary between insurance providers, attorneys, health care professionals, and behavioral health facilities and personnel. Communication with employees and clients through emails, letters, and face-to-face meetings. Serve as an intermediary to interpret and educate the individual on his/her vocational capabilities and economic opportunities. Provide resources for clients and families. Coordinate with clients and families on short and long-term goal needs. Communicate/Report in accordance with case activity all of my findings and recommendations. Demonstrate professionalism within the workplace and in dealing with clients and prospective clients/families. Advocate on behalf of the client's specific needs. Adhere to all OSHA and HIPAA state-regulated procedures and guidelines. Carefully document all activities in reports, emails, and other correspondence. Show less



UnitedHealth Group

• Hospitals and Health Care
• 700 & Above Employee

• Claims Specialist

  • Jun 2018 - Jun 2020

  I learned the basics of insurance. Learned how to navigate the LuminX claim system Understand the claim adjudication process To process claims in accordance with the plan document in a timely and accurate manner. > Performing detailed analysis of medical treatment submitted for payment > Investigation and administer the terms of coverage > Communicate with Policyholders, Claimants, Providers, and Agents as required > Manage Individual mailbox according to company standards > Met and/or exceeded productivity standards > Met quality metrics monthly Maintained a working knowledge of State/Federal insurance regulations and mandates. Respond to email inquiries from providers and claimants. Demonstrate the ability to comprehend and interpret documents, manuals, correspondence, brochures, policies, etc. Respond to customer service inquiry forms within 2 business days. Processed Claimed in accordance with COB/SOB, subrogation & HIPAA provisions with little to no errors. Show less



Hope Hill Childrens Home

• United States
• Wireless Services
• 1 - 100 Employee

• Treatment Specialist

  • Jun 2002 - Mar 2007

  Provided case management services to foster parents and their children. Developed, with the foster parents and the TFC Team, a goal-oriented, time-specific outlined Treatment Plan. Performed intake assessments and gathered information from other available sources. Prepared reports and reviews in a timely, per Service Manual guidelines, including individual treatment plans or person-centered plans, contact logs, quarterly reviews, supervision notes, and discharge summaries. Completed all documentation within agency deadlines and regulations. Provide services in a manner that empowers clients and follows professionally recognized standards of ethical practice. Organized admissions, treatments, and discharge within the scope of program specifics. Maintained monthly contact with foster youth and foster family along with social workers, therapists, school, and other providers. Arranged respite placement when necessary. Assisted foster family in providing a safe and nurturing environment while also providing mental health and behavioral management supports. Keep current and accurate client records, case files, record notes, and medical records. Adhere to all OSHA and HIPAA state-regulated procedures and guidelines. Carefully document all activities in reports, emails, and other correspondence. Met weekly with supervisor to consult on cases. Completion of annual additional training. Implemented community resources and treatment modalities. Worked with biological families or identified permanent placement to ensure the success of post-program placement as appropriate to clients' needs. Monitored necessary medical/dental care and appropriate schooling, including transportation arrangements to such services provided by foster parents or other care providers. Demonstrated an understanding of the effects that trauma, including separation and loss, neglect, and physical and sexual abuse has on the child/children. Show less