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Intensive Case Manager Hiv Tbi Population Resume Example

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Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
:
Professional Summary

I am a talented Case Manager adept at handling high caseloads without sacrificing quality of care. I operate in high-pressure environments while recommending best resources and courses of action to benefit patient needs and return each to optimal quality of life. I am able to efficiently coordinate delivery of optimal patient care to diverse patients (HIV/TBI/People with Disabilities/Aging and Elderly) through effective monitoring and treatment. I am adept at conducting state and federally required assessments, updating required documentation and completing ongoing case reviews to strengthen support with clients and medical providers.

Skills
  • Extensive knowledge and understanding of Medicaid Waiver Services and processes.
  • Ability to organize professional activities so that deadlines are met, appointments are kept and non-productive time is minimized.
  • Ability to empathize with others' points of view while acknowledging cultural and personal preferences.
  • Highly skilled in conflict resolution, including facilitating communication and developing alternative strategies and to help restore normalcy.
  • Ability to identify, utilize, and develop resources that are important for the service planning process and service delivery.
  • Ability to maintain professional demeanor that presents a positive approach to consumer issues when faced with adversity.
  • Ability to efficiently use a variety of technology for documentation purposes.
Education
Illinois State University Normal, IL, Expected in 12/2012 Bachelor of Science : Human Services - GPA :
  • Majored in Underserved Populations and People Living with Disabilities
Work History
Yukon-Kuskokwim Health Corporation - Intensive Case Manager-HIV/TBI Population
Alakanuk, AK, 12/2020 - Current
  • Conduct complete, timely and accurate Health Risk Assessments (face-to-face) for members seeking services through the HIV and TBI waiver.
  • Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems.
  • Addressed disruptions in patient care, including delays in discharge, postponed procedures and discharge equipment unavailability.
  • Conducted functional behavior assessments, functional analysis, preference assessments and assessments of basic learning and language skills to identify target behaviors and purpose of behaviors.
  • Consulted with clinicians to devise and manage effective ongoing care plans for at-risk patients.
  • Collaborated with community providers to assist clients in identifying resources, including mental health treatment, substance abuse programs, domestic violence services and housing assistance.
  • Educated clients about living with HIV, preventing further transmission, benefits and challenges of HIV care and treatment and access to resources.
Centene Corp. - Intensive Case Manager-HIV/TBI Population
City, STATE, 03/2019 - 11/2020
  • Conduct complete, timely and accurate Health Risk Assessments (face-to-face) for members seeking services through the HIV and TBI Waiver.
  • Managed support services and fostered communication among medical providers,social workers, therapists, hospital staff and patients.
  • Educated patients and loved ones about different treatment options and outside care approaches, reducing burden on hospital resources.
  • Conducted functional behavior assessments, functional analysis, preference assessments and assessments of basic learning and language skills to identify target behaviors and purpose of behaviors.
  • Created all documentation, including progress reports, assessments and charting within required timeframes.
  • Worked closely with adults in various settings, including in community, at residential facilities and within homes.
  • Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems.
  • Collaborated with community providers to assist clients in identifying resources, including mental health treatment, substance abuse programs, domestic violence services and housing assistance.
Aetna - Medicaid-Medicare Case Manager-Aging and Disabled
City, STATE, 10/2016 - 02/2019
  • Conduct complete, timely and accurate Health Risk Assessments (face-to-face) for members seeking services through the Aging and Disabilities Waiver.
  • Educated patients and loved ones about different treatment options and outside care approaches, reducing burden on hospital resources.
  • Coordinated program referrals for community-based resources.
  • Updated treatment plans on monthly basis with latest intervention strategies and progress note
  • Documented case notes daily and coordinated follow-up for seamless case management.
  • Coordinated individualized discharge plans to manage safe transition back into community and home environments.
  • Supported individuals with legal, physical or mental health concerns in dealing with routine needs and complex problems.
  • Worked with clients to improve life choices and maximize benefits of programs.
Community Service Options - Case Manager-Developmental Disabilities
City, STATE, 03/2013 - 11/2016
  • Directed the investigation and determination of eligibility for the Medicaid Home and Community Base Service (HCBS) Waiver for individuals with developmental disabilities.
  • Conducted in-home assessments, coordinated services, and developed and implemented care plans for individuals residing at home and in CILAs.
  • Met with people residing in nursing homes that wished to transition into community based supports under the Money Follows the Person demonstration grant.
  • Provided advocacy, coaching, and information to consumers for the purpose of making empowered decisions regarding benefits, healthcare, housing, and community integration.
  • Chaired/co-chaired interdisciplinary team meetings to develop, review and implement individual service/care plans; ensured all relevant information was addressed and plan reflected the
    consumer’s choices.
  • Implemented and interpreted new initiatives related to Medicaid waiver reform; served on project teams and planning committees to provide input into recommended changes in service delivery.
  • Provide referrals/linkages to concrete services: SSD/SSI, vocational rehabilitation community support services, financial assistance, housing, meals, and transportation
Advocacy
  • Advocacy is a concept embraced by social work and advocating for clients is vital for the social work profession. The primary goals of advocacy are achieving social justice and people empowerment. In achieving these goals, a proactive, responsive and participatory approach is necessary. My role as an advocate is to speak on behalf of my clients and to empower them to advocate on their own behalf, whenever their rights have been denied; for example, accessing state benefits, medical treatment, housing, nutrition, education, or employment. The advocacy role, from a social context, includes the redistribution of power and recourse to an individual or group, guarding their rights and preserving their values, conserving their best interests and overcoming the sense of powerlessness. I believe we can create stronger communities by promoting access and encouraging self-advocacy.

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Resume Overview

School Attended
  • Illinois State University
Job Titles Held:
  • Intensive Case Manager-HIV/TBI Population
  • Intensive Case Manager-HIV/TBI Population
  • Medicaid-Medicare Case Manager-Aging and Disabled
  • Case Manager-Developmental Disabilities
Degrees
  • Bachelor of Science

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