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Enrollment Manager Resume Example

Resume Score: 90%

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ENROLLMENT MANAGER
Education
Masters in Social Work2020Silver School of Social WorkNew York, NY, United States
Bachelor of Science: Computing and Management2002Lehman CollegeBronx, NY, United StatesComputing and Management
Language: Fluent in Spanish
Professional Experience
Enrollment Manager05/2017 to CurrentMontefiore Diamond Care PlanYonkers, NY

Responsible for managing the overall eligibility and enrollment strategy and operations for Montefiore Diamond Care Managed Long Term Care (MLTC) Plan. Subject matter expert on all Medicaid, plan eligibility, enrollment policies and processes, and the Plan's liaison with relevant agencies including the New York City Human Resources Administration, Local Departments of Social Services, and the New York State Enrollment Broker. Manage a team of two Enrollment Specialists.

Team Lead Enrollment Medicaid/Enrollment Medicaid Supervisor09/2014 to 05/2017HealthfirstNew York, New York
  • Lead a team of seven Enrollment Specialists. Assisted in hiring, training and coaching of direct reports. Observed staff in the field and conducted customer phone surveys to ensure all enrollment and Medicaid applications were completed in accordance with company protocols and state regulations. Conducted individual and group staff meetings, annual performance evaluations, and handling disciplinary actions. Tracked the enrollment/Medicaid application outcomes, in order to meet department enrollment conversion goals. Coordinated a synchronized workflow by interacting with staff in Marketing, Relationship Coordinators, Intake RN, Intake coordinators, Welcome Team Supervisors, and referral sources. Prepared monthly summary reports for Director/VP operations to show status of renewals, Medicaid issues and applications. Served as a resource on Medicaid and other entitlement programs
Entitlement Supervisor12/2008 to 09/2014HHH Choices Health PlanBronx, NY
  • Supervised two Entitlement Specialists. Conducted individual pre-enrollment screening. Identified obstacles and opportunities for plan's enrollment. Completed Medicaid applications, recertification, and food stamps applications for new enrolles. Traveled throughout the 5 boroughs and Westchester county explaining the program features, benefits and Commitments. Submitted documentation to the Human Resource Administration(HRA)within specified time-frame to assure Medicaid coverage for participant. Serving as liaison between all parties and acting as member's advocate. Conducted visits to public assistance offices to reopen cases or report change of information. Generated progress report for program director and Intake Dept
  • Performed psychosocial needs assessment, referral, linkage, advocacy and follow-up for clients and completed appropriate paperwork associated with such services as Medicaid and Housing applications etc.
  • Conducted periodic chart reviews to to to to EDUCATION Worked cooperatively with other Case Management staff to identify resources and disseminate information about how to effectively use those resources.
Social Work Internships
Social Work Intern
Vibrant Emotional Health, ACT Program-Bx NY May 2019 to April 2020 
Provided psychosocial counseling/treatment services to older adult clients suffering from chronic mental illness. Established therapeutic alliance with the patient and family. Participation in weekly clinical team meetings to discuss client progress, assure consistent implementation of treatment plan goals/objectives, and promote team involvement in problem solving/resolution.
Social Work Intern
Pibly Residential Inc-Bx NY  May 2018 to April 2019
Utilized evidence-based interventions/protocols in individual and group therapy. Designed and facilitated a weekly therapeutic group to adult clients living with a chronic mental illness and battling addiction problems.
Social Services Experience
Case Manager           
Narco Freedom Inc-Hope Case Management-Bx NY April 2008 to November 2008
Reported to assigned Assistant Director and met with Assistant Director on a bi-weekly basis for supervision or more often if needed. Supervised the Case Management Technician and Community Follow-up Worker on the team and trained them in conjunction with the program Assistant Director. Performed psychosocial needs assessment, referral, linkage, advocacy, and follow-up for clients Conducted periodic chart review
 
Case Manager Technician
Narco Freedom Inc-Hope Case Management-Bx NY April 2006 to April 2008
Provided aid to case management team in identifying, screening and developing a   care plan for patients with HIV/AIDS.  Participated in the process of assessment, referral, linkage, and advocacy.  Assisted in developing resources for referrals in all areas needed to assist clients and their families.  Participated in case conferences with service providers to assure continuity of Care.  Ongoing field work by visiting client's residence, local hospitals and community-based clinics.
 
Community Follow-Up Worker
Narco Freedom Inc-Hope Case Management-Bx NY June 2005 to April 2006
Supported Case Management team in processing referrals of clients with HIV/AIDS.  Assisted clients with entry into substance abuse treatment programs as well as monitoring the receiving of proper medical/mental health services. Escorted clients to agency visits and advocated for their needs.  Helped clients in obtaining entitlements such as Medicaid and adequate housing assistance.
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Summary
Creative and resourceful community service professional talented at quickly mastering new skills and processing new information. Diplomatic and gracious with a desire to deliver exceptional customer service.
Accomplishments
  • Delivered services that resulted in 90% of enrollments in a month.
  • Secured thousands of dollars that was owed to the company by the Human Resources Administration Program (HRA)
Affiliations
Leadership Skills For Women In The Workplace American Management Association(AMA) New York, New York, USA
Management Skills For New Supervisors American Management Association(AMA) New York, New York, USA
Highlights
  • Excellent interpersonal skills
  • Basic computer skills(Microsoft Word, Excel, Outlook, Epaces) 
  • Valid New York State drivers license
Skills
  • Leadership                       
  • Assessment
  • Case Management             
  • Crisis Intervention
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Resume Overview

Companies Worked For:

  • Montefiore Diamond Care Plan
  • Healthfirst
  • HHH Choices Health Plan

School Attended

  • Silver School of Social Work
  • Lehman College

Job Titles Held:

  • Enrollment Manager
  • Team Lead Enrollment Medicaid/Enrollment Medicaid Supervisor
  • Entitlement Supervisor

Degrees

  • Masters in Social Work 2020
    Bachelor of Science : Computing and Management 2002

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