Andrea Ramus
Charlotte,NC
Summary
Experienced Bachelor Case Manager with over 10 years in community, clinical, and school-based settings. Expertise in case management, crisis intervention, and advocacy, focused on empowering individuals and families through culturally competent care. Proficient in developing and managing Individual Service Plans while effectively collaborating with multidisciplinary teams to connect clients with essential resources.
Overview
19
19
years of professional experience
Work History
Care Connection Manager
Advance Care Alliance of NY, Inc.
Jamaica, USA
10.2022 - Current
- Managed caseload of 100+ clients, facilitating timely referral linkages to appropriate services.
- Assists family with navigating OPWDD eligibility application process, and LCED application process. Obtain all necessary documentation and facilitates obtaining missing assessments with community services providers.
- Provided support to secure Medicaid for OPWDD eligible services by completing Medicaid applications and facilitating parental deeming.
- Conduct new and update existing Psychosocial assessments.
- Updated and maintained Intake Database, tracking required documents including eligibility, LCED, and Medicaid consent forms to ensure compliance.
- Maintained accurate case notes and reports, adhering to HIPAA standards to protect client confidentiality.
- Reviews and assists the person/family/advocate with the formal CCO intake and enrollment process.
Care Manager/QIDP
Advance Care Alliance of NY, Inc.
Jamaica, USA
01.2019 - 10.2022
- Applying a person-centered approach, scheduling, leading and actively collaborating with the Participant and IDT to conduct meetings and assessments to ensure the development of a comprehensive Life Plan that reflects the person's needs and desired life goals.
- Delivered case management services, achieving high consumer and family satisfaction as reflected in program surveys.
- Coordinated essential services, including housing, mental health counseling, and financial assistance, for clients.
- Utilized planning tools such as I AM, CQL POMs, the CAS/DDP2, the LOC, DDP1, and the Comprehensive Emergency Plan to assess client needs.
- Monitors caseload by observing and evaluating treatments and responses; advocates for needed services; obtains additional resources, intervenes in crises and provides personal support.
- Oversaw a caseload of 40 clients, providing regular support and guidance.
- Performed in-person visits to clients to comply with OPWDD regulations and ensure service delivery.
- Assist individuals with maintaining entitlements such as Social Security, Supplemental Security Income (SSI), guardianship, Medicaid and Medicare coverage and/or Food Stamps.
- Assisted individuals in resolving living challenges, including housing, utilities, judicial issues, and safety concerns.
- Coordinated IDT meetings, ensuring timely completion and filing of all necessary documentation.
Medicaid Service Coordinator/Program Assistant
Queens Center for Progress
Jamaica, USA
10.2015 - 01.2019
- Develops the individual's Individualized Service Plan (ISP)/ and Service Coordination Agreement (for all MSC enrollees).
- Located funded services, determined eligibility, completed referrals, and facilitated visits and interviews to ensure access to necessary resources.
- Uses a person-centered planning process to review the ISP, LCED and Service Coordination Agreement at least every six months, monitors implementation of that plan and modifies the plan as necessary; makes any necessary revisions to ensure these documents are up-to-date.
- Managed a caseload of 35 clients, providing individualized support and services.
- Locates funded services, helps determine eligibility, completes referrals, and facilitates visits and interviews.
- Applied, monitored, and updated each individual's eligibility for Medicaid, SSI, and SSA.
- Works with an HCBS Waiver participant who withdraws from MSC to identify a Plan of Care Support Services vendor.
- Participated in program operations by engaging in administrative, committee, and community-based meetings, representing the agency and individuals with OPWDD and other monitoring agencies.
- Prepares individuals' records for audits.
Assistant Teacher
Brighter Babies
LIC, USA
02.2015 - 10.2015
- Adapted classroom activities and materials to support classroom objectives.
- Communicated with teachers and district personnel to assist in evaluating progress and implementing IEP objectives.
- Provides, under the supervision of assigned teacher, instruction to students in a variety of individual and group activities for the purpose of implementing goals for remediation of student deficiencies and ensuring students' success.
- Fostered supportive relationships with families to enhance student engagement and communication.
Accounts Receivable Clerk/ Payroll Assistant
Rochdale Village Inc.
Jamaica, USA
03.2010 - 01.2014
- Manage all facets of accounts receivable and collections including factoring receivables and chargeback.
- Monitor all accounts and analyze aging reports, establish collection strategies.
- Working strategically with relevant departments to ensure timely and accurate billing of all clients.
- Contacted tenants via phone, fax, and email to collect past due balances, enhancing recovery rates.
- Engaged with tenants through various communication channels to secure payment of overdue balances.
- Supported tenants by resolving questions and implementing adjustments to promote timely payments.
- Maintained payroll records including timecard sheets and automatic bank deposit authorizations.
- Maintains various payroll records such as timecard sheets, automatic bank deposit authorizations; makes required adjustments through established procedure.
- Provide administrative support to the Controller.
Customer Service Agent
US Airways
LaGuardia Airport, USA
06.2007 - 10.2009
- Recorded and maintained files of expenses, work services performed, charges, inventory, customer requests, and dispatch information to ensure accurate tracking and reporting.
- Processed ticket sales at the counter and ensure cabin accommodations.
- Evaluated and prepared flights by arranging seat assignments and load, coordinating special requests, and upgrades.
- Provided accurate gate information and flight schedules, addressing customer inquiries to enhance passenger experience.
- Board/deplane flights and escort passengers to and from aircraft as needed, including pushing wheelchairs and assisting other passengers with additional needs.
- Record and maintain files and records of expenses, work services performed, charges, inventory, customer requests and other dispatch information.
Education
Bachelor of Arts - Sociology
York College CUNY
Jamaica, NYAssociate in Applied Science - Business Administration
LaGuardia Community College CUNY
Long Island City, NYSkills
- Case Management
- Person Centered Service Planning
- Developmental Disabilities Support
- Medicaid Waiver Programs
- Clinical Assessment and Intake
- Crisis Intervention
- Client Advocacy
- Psychosocial Assessments
- Treatment Planning
- Confidential Documentation
- Cultural Competency
- DSM-5 knowledge
- Electronic Health Records
- Health Records Management
- Microsoft Office
- Service coordination
- HIPAA compliance
- Social services
- Referral linkage
- OPWDD eligibility navigation
- Medicare/Medicaid
Volunteer Experience
- Caregiver and Counselor, to a 50 year old person with Down Syndrome
- Care Coordinator and Counselor, to a 5 and 18 year old Intellectual Disabled Individual
- Babysitter, to a 3 and 5 year old, Far Rockaway, NY
- English Tutor, to a 7 year old, Cambria Heights, NY
- Babysitter, to a 1 year old, Brooklyn, NY
Training
- Caregiver and Counselor, to a 50 year old person with Down Syndrome
- Care Coordinator and Counselor, to a 5 and 18 year old Intellectual Disabled Individual
- Babysitter, to a 3 and 5 year old, Far Rockaway, NY
- English Tutor, to a 7 year old, Cambria Heights, NY
- Babysitter, to a 1 year old, Brooklyn, NY
Timeline
Care Connection Manager
Advance Care Alliance of NY, Inc.
10.2022 - Current
Care Manager/QIDP
Advance Care Alliance of NY, Inc.
01.2019 - 10.2022
Medicaid Service Coordinator/Program Assistant
Queens Center for Progress
10.2015 - 01.2019
Assistant Teacher
Brighter Babies
02.2015 - 10.2015
Accounts Receivable Clerk/ Payroll Assistant
Rochdale Village Inc.
03.2010 - 01.2014
Customer Service Agent
US Airways
06.2007 - 10.2009
Bachelor of Arts - Sociology
York College CUNY
Associate in Applied Science - Business Administration
LaGuardia Community College CUNY