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Social Work Case Manager - ACO Resume Example

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SOCIAL WORK CASE MANAGER - ACO
Summary

Enthusiastic individual with superior skills in working in both team-based and independent capacities. Bringing strong work ethic and excellent organizational skills to any setting. Excited to begin new challenge with successful team.

Skills
  • Knowledge of legal standards
  • Budget planning and management
  • Planning and scheduling
  • Standard office practices
  • Positive and professional
  • Understanding of treatment options
  • Understanding of HR policies
  • Understanding of medical laws
  • Employee onboarding and offboarding
  • Knowledge of HMOs, Medicare and Medicaid
  • Proficient in creating and maintaining schedules
  • Personal and professional integrity
  • Planning and organization
  • Event and meeting planning
  • Reviewing standards of care
  • Understanding of medical terminology
  • Admissions and discharge processes
Experience
Company Name | City, StateSocial Work Case Manager - ACO05/2019 - 03/2020
  • Performed psychosocial assessments to identify barriers in patient's ability to obtain medical care.
  • Coordinated care for medically-complex patients experiencing barriers to obtaining services.
  • Acted as liaison between clients and community agencies to arrange for assistance in housing, education and social determinants of health.
  • Collaborated with multidisciplinary team of mental health case managers and disability workers.
  • Interviewed clients telephonically to determine what services would best address specific needs.
  • Supported members in obtaining medications through grants and community resources.
  • Case Managed 60 members after enrollment.
Company Name | City, StateDirector of Case Management and Discharge Planning08/2016 - 04/2019
  • Created agendas and communication materials for team meetings.
  • Improved customer satisfaction by finding creative solutions to problems.
  • Recognized by management for providing exceptional customer service.
  • Improved profit margins by streamlining operations and workflow and negotiating with a number of insurance providers for authorization of services.
  • Coordinated discharges with physician's to optimize services and needs of patients.
Company Name | City, StateReminiscence Cordinator - Memory Care Director12/2013 - 08/2016
  • Ensured thatquality service was continuously delivered, which resulted in high satisfaction levels from families and residents.
  • Personally gave prospective residents and families tours of memory care unit, answering questions about services and facility.
  • Interviewed and hired individuals bringing talent, well-developed skills sets and passion for assisting others, effectively creating a team of 30 care mangers.
  • Kept family members abreast of important information regarding loved ones, including care, health issues and medication.
  • Provided onboarding and coaching to new hires to help each feel comfortable in job positions and prepared to handle various responsibilities.
  • Participated in daily meetings with department heads to discuss census information, admissions and discharges for residents.
  • Resolved conflicts promptly among physicians, nurses and other healthcare employees to keep workflows on task.
  • Delivered income records, balance sheets and documents to board to keep executives informed of all potential financial issues.
  • Recruited well-qualified candidates to fill vacancies and offer residents unparalleled care.
  • Created and maintained facility documents and records, maintaining accuracy while managing sensitive data.
  • Reviewed and assessed staff processes, reducing hazards posed for residents and staff while promoting regulatory compliance.
  • Collaborated with multi-disciplinary staff to improve overall patient care and response times.
Company Name | City, StateDirector of Social Work and Bereavement Services06/2005 - 08/2013
  • Produced and updated organizational records and reports, including organizing budgets and documentation.
  • Presented talks at community groups to promote organizational mission and programs.
  • Identified and hired talented individuals bringing valuable skills and great experience to team.
  • Coordinated referrals to community services by advocating for individual needs and addressing roadblocks.
  • Developed and incorporated community-based programs to meet various needs and monitored each program's effectiveness.
  • Assessed each resident's psychosocial needs.
  • Analyzed data from surveys, referrals and follow-up services on financial, legal, crisis intervention, community referrals and outreach services.
  • Collaborated with team members to identify and accomplish agency objectives.
  • Consulted with local government representatives to understand community needs and strategize response plans.
  • Provided excellent service and attention to customers when face-to-face or through phone conversations.
  • Improved profit margins by streamlining operations and workflow and negotiating competitive vendor contracts.
  • Improved customer satisfaction by finding creative solutions to problems.
  • Recognized by management for providing exceptional customer service.
  • Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
Education and Training
University of Idaho | CityBachelor of Science in Sociology And Social Work12/1993
Brigham Young University | City, StateSome College (No Degree) in General Studies
McCall-Donnelly High School | City, StateHigh School Diploma05/1988
Accomplishments

Licensed Social Worker in the states of Idaho and Utah

Completion of 20 CEU hours annually to maintain Social Work licenses

Graduated Cum Laude from the University of Idaho

State of Idaho Bereavement Coordinator of the Year 2012

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Resume Overview

School Attended

  • University of Idaho
  • Brigham Young University
  • McCall-Donnelly High School

Job Titles Held:

  • Social Work Case Manager - ACO
  • Director of Case Management and Discharge Planning
  • Reminiscence Cordinator - Memory Care Director
  • Director of Social Work and Bereavement Services

Degrees

  • Bachelor of Science in Sociology And Social Work
    Some College (No Degree) in General Studies
    High School Diploma

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