ANA I VELAZQUEZ-MADERA
Chester
Summary
Experienced professional seeking a full-time, challenging position to leverage extensive background and expertise. Excited about the opportunity for career advancement and eager to contribute skills and knowledge to drive success within the organization. Committed to delivering exceptional results, thrives in fast-paced environments, known for strong work ethic and ability to adapt quickly to new challenges.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Case Manager
ADVANCED CARE ALLIANCE OF NEW YORK
11.2018 - Current
- Oversee the management of up to40 cases for a diverse population of children and adults with intellectual disabilities including autism, cerebral palsy and spastic quadriplegia, within a residential facility or home environment
- Utilize various resources for the achievement of goals including networking and information technology
- Act as client advocate and meet with clients and family members to initiate open communication with a person centered approach to the life planning meeting
- Implement comprehensive assessments based on client’s individual wants and needs, and execute the acquisition of services including Medicaid; physical, occupational and speech therapy; respite care; community habilitation services; mentoring services; etc
- Network with social service agencies and providers, and assist clients with the referral and brokering educational and vocational assistance
- Conduct follow-up visits based on case tier levels, re-evaluate life plans and institute amendments based on clients’ progression, regression and changes in individual goals
- Plan and implement individual educational programs in accordance with appropriate capabilities to enhance psychosocial and emotional development, and behavior modification
- Maintain and update clients’ case notes delineating service visit outcomes and submit electronically via MediSked Software on a monthly basis
- Work closely with interdisciplinary team members including physicians, therapists, social workers, and related healthcare and case management professionals
- Prepare and review highly confident documentation, respond to various inquiries and requests, and act as client representative on consistent basis
- Consistently act as point of contact among company superiors and provide exemplary resolution strategies in regard to service related challenges
- Demonstrate an independent initiative, resolve operational issues, interpret and apply company policies and procedures, and implement improvements as deemed necessary
- Utilize oral and written proficiency, and strong prioritization and organizational skills and generate accurate timelines for effective completion of projects
- Attend team meetings and training workshops on a continuous basis as per company mandates
- Answer to case manager supervisor and assist with time sensitive, emergent work assignments upon request
- Ensure the compliance of all HIPAA regulations and quality assurance procedures
- Demonstrate a professional level of confidentiality in regard to all facility/client affairs
- Display a proficient, versatile demeanor in a diverse body of circumstances, effectively contributing to the expedient resolve of facility/client challenges
Medicaid Service Coordinator
SPECIAL CITIZENS FUTURES UNLIMITED
11.2014 - 11.2018
- Assisted a diverse population of intellectually and developmentally challenged children and adults within a residential facility or home environment, with service plan initiatives, Medicaid and SNAP processing and the acquisition of benefit entitlements
- Oversaw a caseload of40 clients, conducted home, day rehabilitation and school visits and developed individual service programs utilizing a person-centered approach to service plans
- Interfaced with clients’ family members for the acquisition of documentation and responded to various inquiries and requests
- Obtained and recorded demographic, banking and financial data to determine eligibility of services and attached all corresponding data for submission to New York State and Westchester counties
- Submitted all Medicaid applications, and maintained ongoing communication with Medicaid service representatives in regard to new, existing and interim applications
- Processed recertification applications on an annual basis and troubleshot and resolved application discrepancies including date of eligibility and financial discrepancies
- Additional duties including general case management directives outlined above
Education
Master of Science - Human Services
Boricua College
Brooklyn, NY05.2019
Bachelor of Arts - Psychology, Sociology
Hunter College
New York, NY06.1997
Skills
- Exemplary leadership/managerial/interpersonal skills
- Troubleshooting and problem resolution
- Collaboration/independence
- Oral and written proficiency
- Cultural diversity; computer literate
Certification
- Boricua College Certificate of Academic Performance
- Advanced Care Alliance The Care Manager Skill Building
BILINGUAL
English/Spanish (oral/written/translation)
Timeline
Case Manager
ADVANCED CARE ALLIANCE OF NEW YORK
11.2018 - Current
Medicaid Service Coordinator
SPECIAL CITIZENS FUTURES UNLIMITED
11.2014 - 11.2018
Master of Science - Human Services
Boricua College
Bachelor of Arts - Psychology, Sociology
Hunter College
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