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Medicaid Waiver Case Manager Resume Example

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MEDICAID WAIVER CASE MANAGER
Summary
Experienced professional with strong leadership and relationship-building skills. Meticulous case manager, excellent at juggling multiple tasks and working under pressure. Skill Highlights Aware of legal and ethical standards * Experience working with adults, children and the elderly. CPR and First Aid certified * Familiarity with Electronic Medical Records Excellent organizational skills * Familiarity with substance and mental health Excellent relationship building skills Systems Excellent writing and critical thinking skills * Group facilitation, presentation, and Experience in an inpatient psychiatric setting organizational skills Proficiency with Windows and Microsoft * Knowledge of chemical dependency issues applications * Knowledge of rehabilitation philosophy Ability to de-escalate clients * Ability to maintain required clinical records Experience with Medical documentation * Experience with clinical case management Prioritizing and multi-tasking Volunteered for the Race for Independence Time management Medical terminology Charting Grant Writing Medicaid billing Volunteered for Charity Golf Tournament
Experience
Medicaid Waiver Case Manager
September 2011 to CurrentUnited Cerebral Palsy － Fayetteville, Arkansas
  • Provided direct service and support to individuals or clients such as handling a referral for child advocacy issues, conducting a needs evaluation, or resolving complaints.
  • Successfully formed a partnership with Home Depot to remodel and refurbish a client's home to better insure the client's health and safety.
  • Maintained confidential client records and files and completed required paperwork Adhered to administrative procedures to meet objectives set by boards of directors or senior management.
  • Planned budgets for programs, equipment and support services.
  • Reviewed clients' progress in relation to measurable goals Administered research instruments such as tests, observations, and interviews Analyzed information from interviews, educational, and medical records, consultation with other professionals, and diagnostic evaluations to assess clients' abilities, needs, and eligibility for services Arranged for on-site job coaching or assistive devices to help clients adapt to work or school environments Arranged for physical, mental, academic, vocational, and other evaluations to obtain information for assessing clients' needs and developing rehabilitation plans Prepared records and case files Prepared reports based on observations made during the visit Developed service plans in consultation with clients, and perform follow-ups assessing the quantity and quality of services provided Maintained case files that included activities, progress notes, evaluations, and recommendations Maintained accurate records and reports regarding the patients' histories and progress, services provided, and other required information.
Mental Health Technician
October 2009 to April 2012Springwoods Behavioral Health － Fayetteville, Arkansas
  • Maintain confidentiality of records relating to clients' treatment.
  • Encourage clients to express their feelings and discuss what is happening in their lives, and help them to develop insight into themselves and their relationships.
  • Collect information about clients through interviews, observation, and tests.
  • Counsel clients and patients, individually and in group sessions, to assist in overcoming dependencies, adjusting to life, and making changes.
  • Guide clients in the development of skills and strategies for dealing with their problems.
  • Fill out and maintain client-related paperwork, including federal- and state-mandated forms, client diagnostic records, and progress notes.
  • Prepare and maintain all required treatment records and reports.
  • Evaluate clients' physical or mental condition based on review of client information.
  • Act as client advocates to coordinate required services or to resolve emergency problems in crisis situations.
  • Counsel family members to assist.
  • Served as a trainer for program staff Supervised visits between children and parents at various sites by ensuring children have age-appropriate opportunities for interaction with their parents and by maintaining safety of all participants Understood and adhered to the laws governing child abuse reporting Worked one on one with families and their children Coordinated and monitored daily activities.
December 2007 to October 2009Mental Health Paraprofessional Vista Health － Fayetteville, Arkansas
  • Maintain confidentiality of records relating to clients' treatment.
  • Encourage clients to express their feelings and discuss what is happening in their lives, and help them to develop insight into themselves and their relationships.
  • Collect information about clients through interviews, observation, and tests.
  • Counsel clients and patients, individually and in group sessions, to assist in overcoming dependencies, adjusting to life, and making changes.
  • Attended meetings, trainings, and conferences as required Guide clients in the development of skills and strategies for dealing with their problems.
  • Fill out and maintain client-related paperwork, including federal- and state-mandated forms, client diagnostic records, progress notes and Medicaid billing.
  • Prepare and maintain all required treatment records and reports.
  • Refer patients, clients, or family members to community resources or to specialists as necessary.
  • Maintained accurate records and reports regarding the patients' histories and progress, services provided, and other required information.
Account Service Representative
December 2006 to November 2007Transplace － Lowell, Arkansas
  • Compute reporting metrics, such as on-time delivery rates, order fulfillment rates, and inventory turns.
  • Confer with logistics management teams to determine ways to optimize service levels, maintain supply-chain efficiency, and minimize cost.
  • Maintain databases of logistics information.
  • Maintain logistics records in accordance with corporate policies.
  • Manage systems to ensure that pricing structures adequately reflect logistics costing.
  • Prepare reports on logistics performance measures.
  • Track product flow from origin to final delivery.
  • Communicate with and monitor service providers, such as ocean carriers, air freight forwarders, global consolidators, customs brokers, and trucking companies.
  • Contact carriers for rates or schedules.
  • Contact potential vendors to determine material availability.
  • Determine packaging requirements.
  • Identify opportunities for inventory reductions.
Education
Bachelor of Education : Human Resource Development Social Work Fayetteville, Arkansas United States, 8 2011University Of ArkansasHuman Resource Development Social Work Fayetteville, Arkansas United States
Skills
academic, administrative, billing, budgets, coaching, conferences, consultation, client, clients, databases, delivery, senior management, forms, inventory, logistics, notes, meetings, packaging, policies, pricing, progress, quality, express, reporting, research, safety, supply-chain, trainer
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Resume Overview

Companies Worked For:

  • United Cerebral Palsy
  • Springwoods Behavioral Health
  • Mental Health Paraprofessional Vista Health
  • Transplace

School Attended

  • University Of Arkansas

Job Titles Held:

  • Medicaid Waiver Case Manager
  • Mental Health Technician
  • Account Service Representative

Degrees

  • Bachelor of Education : Human Resource Development Social Work Fayetteville, Arkansas United States , 8 2011

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