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intensive case manager hiv tbi population resume example with 8 years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
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.
Work History
Intensive Case Manager-HIV/TBI Population, 12/2020 to Current
Yukon-Kuskokwim Health CorporationAlakanuk, AK,
  • 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.
Intensive Case Manager-HIV/TBI Population, 03/2019 to 11/2020
Centene Corp.City, STATE,
  • 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.
Medicaid-Medicare Case Manager-Aging and Disabled , 10/2016 to 02/2019
AetnaCity, STATE,
  • 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.
Case Manager-Developmental Disabilities, 03/2013 to 11/2016
Community Service OptionsCity, STATE,
  • 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
Education
Bachelor of Science: Human Services, Expected in 12/2012
Illinois State University - Normal, IL,
GPA:
  • Majored in Underserved Populations and People Living with Disabilities

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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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