Amanda M. Loughlin
Stockton,Ca
Summary
Detailed-oriented and client-focused case management with strong experience in high-volume service environments, and regulatory compliance. Known for delivering compassionate support, maintaining accurate documentation, and ensuring adherence to CCDS guidelines. Demonstrates excellent communication, problem-solving, and organizational skills with a commitment to improving client outcomes. Ready to contribute advanced case management experience and peer support in a Senior Caseworker capacity.
Overview
5
5
years of professional experience
Work History
Caseworker II (Promoted)
Family Service Center
03.2024 - Current
- Managed case files and ensured documentation accuracy for full compliance with CCDS guidelines and regulatory requirements
- Conducted intake appointments with clients, completing required paperwork to facilitate timely recertification
- Completed client enrollments and processed notices of action (NOAs), denials, and terminations in accordance with policy.
- Coordinate with childcare providers to communicate approved service hours, resolve timesheet issues, and process adjustments.
- Participate in outreach activities and events, by engaging with parents, community partners, and resource agencies to promote program awareness.
Medicare Support Intermediate (Remote)
Blue Shield of CA
10.2023 - 03.2024
- Provided support to Medicare members regarding eligibility, benefits, provider information, copays, referrals and care coordination.
- Assisted clients with claim inquiries, submissions, and processing while ensuring accuracy and compliance.
- Supplied members with required collateral material, including Explanation of Coverage (EOC).
- Maintained strict adherence to HIPAA regulations and confidentiality standards.
Pricing Coordinator (Promoted)
NuCal Foods
11.2021 - 10.2023
- Managed pricing for multiple locations, including Rocky Mountain, Utah, Colorado, and Southern CA.
- Supported sales team by entering accurate pricing based on variances, fixed pricing with effective dates.
- Submitted daily corporate market changes and created Excel worksheets with formulas to track pricing trends.
- Managed high call and email volume, ensuring effective communication between sales teams and plant locations.
- Processed purchase orders, billing of lading, invoices, and credit adjustments when needed.
Education
BA - SOCIAL WORK
SACRAMENTO STATE UNIVERSITY
05-2028
A.A. - PSYCHOLOGY
SAN JOAQUIN DELTA COLLEGE
05-2026
A.A. - ARTS, HUM, SOCIAL SCIENCE
SAN JOAQUIN DELTA COLLEGE
05-2026
CERTIFICATE OF ACHIEVEMENT - ECE
SAN JOAQUIN DELTA COLLEGE
05-2026
HIGH SCHOOL EQUIVALENCY -
MANTECA ADULT SCHOOL
05-2024
Skills
- Case management and documentation
- Client communication and outreach
- Effective communication
- Information confidentiality
- Problem resolution
- Data entry accuracy
- Microsoft Dynamics AX proficiency
- MS Office expertise
- CC4 software knowledge
Timeline
Caseworker II (Promoted)
Family Service Center
03.2024 - Current
Medicare Support Intermediate (Remote)
Blue Shield of CA
10.2023 - 03.2024
Pricing Coordinator (Promoted)
NuCal Foods
11.2021 - 10.2023
BA - SOCIAL WORK
SACRAMENTO STATE UNIVERSITY
A.A. - PSYCHOLOGY
SAN JOAQUIN DELTA COLLEGE
A.A. - ARTS, HUM, SOCIAL SCIENCE
SAN JOAQUIN DELTA COLLEGE
CERTIFICATE OF ACHIEVEMENT - ECE
SAN JOAQUIN DELTA COLLEGE
HIGH SCHOOL EQUIVALENCY -
MANTECA ADULT SCHOOL