Highly-motivated community service professional skilled at networking, media outreach and relationship development. Flexible and versatile team player who maintains a sense of humor under pressure. Dedicated case manager who interacts effectively with city officials and citizens alike.
Provide assistance and case management to Medicaid members in identifying problems and barriers to achieving set goals. Provide education in person, through booklets and web resources to Medicaid members. Encourage participation with Primary Care Providers instead of frequent use of Emergency room. Plan for healthy choices and increased exercise and ways to incorporate these into daily routines. Maintain case load, document all activities. Interact with medical professionals as needed. Advocate for members as needed to assist with identifying potential resources and initiate collaboration with community centers; mental health centers; faith/ethnic-based social service organizations; and school organizations to improve member health outcomes and HEDIS measures. Represent WellCare at community events/health fairs, from initial contact with community partner to setting up display and providing information to current and prospective members.
Provide case management services to abused and/or neglected children who have been placed into foster care. Provide support to foster families, help access community resources, work with court system and Guardian ad Litem. Conducted needs' assessments and referred clients to financial, medical, social and community assistance and services. Cordinated and conduct Independent Living Classes and document. Serve as liaison to DCBS Independent Living Coordinator. Provide training to families as needed. Advocate for and assist children with educational, medical and addiction recovery needs as required. Maintained up-to-date and accurate program files and records. Collaborated with community leaders, organizations and public agencies to promote the organization's community service programs. Collected and entered statistical data into databases. Attended community meetings each week to answer questions, address complaints and explain procedures. Collaborated with community members to educate the public regarding issues such as drug abuse prevention and truancy and the foster care system. Wrote an average of 25 comprehensive reports and presentations each month.
Independent contractor providing service coordination to children who have a developmental delay, known diagnosis or who are at risk for a delay. Services were provided in home one or two times per month. Duties include, meeting with the family, discussing child's condition, evaluating other services received, scheduling team meetings, facilitating team meetings, instructing on procedures, advocating for services needed, record keeping, time keeping, billing submission, ordering needed durable medical equipment and supplies. Additionally, problem solving/mediation and ensuring compliance with state and federal statutes and providing education and support to team members. Serve as community liaison during community events/school ready fest/fairs to conduct child find activity and educate public on services offered to the 0-3 community. Recruited, trained and supervised up to 4 new staff members each year. Solicited contributions and participation from local businesses to promote and improve community events and activities. Addressed questions and concerns from the general public. Maintained up-to-date and accurate program files and records. Reviewed staff work and gave comprehensive and constructive feedback.
Sub contractor for WV Worker's Compensation Division, individual contact with claimants, duties include medical case management, serving as advocate/liaison between employer/employee-claimant and physician-medical professional/claimant and attorney/claimant, vocational analysis, job search, re-training search, job skills training, report writing and communicating with government employees. Assess family situation to assist with meeting needs of family members, involve/link with other agencies as needed.
Performed office duties including AP/AR, inventory control, material ordering, quote jobs, maintain MSDS files, interview, hire, train, discipline employees. Maintain employee files. Ensure compliance with state and federal wage and benefit statutes and reporting requirements of each. Administer benefits, explain policies and benefits of each, assist with claim filing and obtaining needed documents for such.
Law Enforcement coursework
Business, Management and Education coursework
Public speaking classes
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