Proactive employee managing fluctuating caseload with various responsibilities in high-pressure environment. Adept in analyzing client and business needs for best outcome; organizing and prioritizing to complete time sensitive responsibilities; and identifying potential problematic areas and solutions to work more efficiently. Represents company in a positive light and increases program enrollment by providing great customer service to clients and providers.
Overview
18
18
years of professional experience
Work History
Case Manager Analyst
CVS-Mercy Care Long Term Care
Phoenix, AZ
11.2014 - Current
Manages fluctuating caseload of 55-68 clients and 7-15 facilities along with family representatives and contracted providers
Handles 20-30 calls and emails daily or more during escalated issues requiring assigned duties to be triaged
Develops comprehensive care plans every 3-months or as needed to determine appropriate services, supports, and resources to best meet our vulnerable client needs
Follows up with determined referrals for services, equipment, and supplies every 2-weeks documenting progress until completion
Effectively use Microsoft Office to manage time; develop presentations; create documents including two adapted by the department; and track caseload and department initiatives
Builds strong relationships by participating in facility, provider, and community events to promote coordination of care and company brand
Adapts to many modified federal and state regulations while learning new software to meet department time frames and client care plans with audit score of 95%
Participates annually in 3-4 educational opportunities to learn current health care trends and better outcomes to share with co-workers, clients, families, and providers
Uses strong analytical and problem-solving skills working independently while also collaboratively in team environment
Mentors new employees sharing resources, contacts, and documents to assist in their workload and team performance
Rehabilitation Specialist
Arizona Regional Behavioral health authority
Scottsdale, AZ
06.2009 - 11.2014
Participated in daily and weekly meetings to determine recommended services and supports for clients to better manage overall health
Assisted team of 12-14 case managers with overflow tasks such as care plans, data entry, referrals, and transportation while managing own responsibilities
Completed 4-6 quarterly and annual client service plans along with 1-3 provider referrals weekly being cautious of privacy practices
Developed several groups for 5-10 clients to increase confidence and self-sufficiency by exploring community, learning, and volunteering opportunities
Assessed and referred 3-6 clients monthly to Vocational Rehabilitation Program working together to develop an individualized plan to prepare, enter, or retain competitive employment
Communicated with hard of hearing or deaf clients and those with aphasia using sign language, simplified speech, hand gestures, and visual aids while monitoring facial expressions to confirm understanding.
Family Mentor
Arizona Regional Behavioral Health Authority
Scottsdale, AZ
08.2006 - 09.2008
Supported clients diagnosed with serious mental illness and their families providing education, network and community resources, and assistance navigating services.
Advocated for client rights and responsibilities along with reducing stigma associated with serious mental illness and neuro-cognitive disorders
Attended monthly provider and community events to develop rapport, coordinate care and learn of available opportunities for our clients
Volunteered every quarter to assist Mesa and Scottsdale Police Departments with their Crisis Intervention Training to learn appropriate intervention support and techniques to safely de-escalate client situations who are experiencing emergencies
Education
Bachelor of Arts - Public Administration
Northern Arizona University
Associate of Arts - Applied Science
Rio Salado Community College
Skills
Business Representation and Development
Healthcare industry understanding
Cross-Functional Teamwork
Coaching and Mentoring
Work Planning and Prioritization
Client Needs Assessments
Case Documentation and Reporting
Analytical and Problem-Solving
Service and Support Coordination
Policy and Procedure Adherence
Quality Assurance Controls and Utilization Management
Process Improvement
Quality Assurance Controls
Training and Development
Timeline
Case Manager Analyst
CVS-Mercy Care Long Term Care
11.2014 - Current
Rehabilitation Specialist
Arizona Regional Behavioral health authority
06.2009 - 11.2014
Family Mentor
Arizona Regional Behavioral Health Authority
08.2006 - 09.2008
Bachelor of Arts - Public Administration
Northern Arizona University
Associate of Arts - Applied Science
Rio Salado Community College
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Amy FickelAmy Fickel
Case Manager Analyst at CVS-Mercy Care Long Term CareCase Manager Analyst at CVS-Mercy Care Long Term Care