Summary
Overview
Work History
Education
Certification
Timeline
Generic

Amy Mullins

Summary

A Licensed Bachelor Social Worker with 15 years of experience in Private and Government settings.

Overview

14
14
years of professional experience
1
1
Certification

Work History

Medical Care Program Specialist II

Maryland Department of Health
12.2021 - Current
  • Utilization review of plans submitted for Home and Community Based Services. I interpret and analyze policy and regulations to confirm that services being provided for participants are in accordance with federal and state Medicaid regulations.
  • Perform qualitative and quantitative analyses on programmatic data, including program activities, such as participant eligibility and enrollment, supports planning, including annual audits, utilization review, including plan of service review, and appeals.
  • Apply program policies by verifying eligibility for the CPAS, CFC, HCBOW, and ICS programs and enrolling participants, engaging in utilization review, including POS review to help determine the program's impact on health care access, quality and cost, auditing SPAs, developing educational materials and providing training and technical assistance to participants and SPA's regarding program processes. Identifying and implementing enhancements for LTSSMaryland and collaborating with other Divisions regarding the OLTSS' overall quality program.

Case Manager

Queen Anne's County Area Agency on Aging
08.2010 - 12.2021
  • Maintained accurate documentation on all cases, ensuring compliance with state and federal regulations and confidentiality requirements for four community medicaid programs.
  • Testified in legal proceedings regarding state Guardianship and least-restrictive environments.
  • Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
  • Achieved positive client outcomes by developing and maintaining comprehensive case management plans.
  • Provided program education to clients in long-term care facilities and in the community regarding options available for living safely in community settings with available services and supports.

Education

Bachelor of Arts - Social Work

Salisbury University
Salisbury, Maryland
05.2006

Certification

Licensed Bachelor's Social Worker

Maryland License A05198

June 2007-Present

Timeline

Medical Care Program Specialist II

Maryland Department of Health
12.2021 - Current

Case Manager

Queen Anne's County Area Agency on Aging
08.2010 - 12.2021

Bachelor of Arts - Social Work

Salisbury University
Amy Mullins