ANTONIO DAVIS
Hutto,US
Summary
Dedicated professional with extensive experience in guiding individuals and families through long-term care services. Expertise in collaborating with community organizations and agency networks to deliver comprehensive care solutions. Proficient in electronic health records, appointment scheduling, and enhancing patient communication to optimize service quality.
Overview
25
25
years of professional experience
1
1
Certification
Work History
LTSS COMMUNITY ADVISOR
Superior Health Plan
05.2020 - Current
- Analyze client feedback to enhance programs, boosting satisfaction and outcomes.
- Streamline care coordination to increase efficiency and elevate client service delivery.
- Educate families on resources to enhance understanding and engagement in their care.
- Evaluated client feedback and service outcomes to identify improvement areas, leading to targeted adjustments in care strategies.
- Developed targeted educational materials for families, leading to improved client engagement and satisfaction in navigating available resources.
COMMUNITY LIAISON
Workforce Solutions Rural Capital Area
10.2022 - 12.2023
- Facilitated employment readiness, boosting client independence through personalized support.
- Built strong employer connections, addressing needs with effective workforce solutions.
- Extended outreach, engaging community members in workforce programs.
- Collaborated with consultants to organize successful career and hiring events.
- Formed alliances with social services and employers to improve service delivery.
BEHAVIORAL HEALTH SERVICE COORDINATOR II
Superior Health Plan
07.2016 - 03.2022
- Coordinated care plans for Medicaid’s Star Kids, enhancing service access and quality.
- Identified special needs through screenings, improving care compliance, and standards.
- Collaborated with community advocates, streamlining care coordination processes.
- Supported medical staff in assessing needs, ensuring eligibility, and service accuracy.
APPEALS COORDINATOR
Superior Health Plan
10.2015 - 07.2016
- Increased member satisfaction by resolving grievances and reducing response times.
- Enhanced communication with members and physicians through strategic response initiatives.
- Optimized data management with data-driven performance programs for better outcomes.
- Boosted efficiency in grievance handling by streamlining documentation processes.
- Ensured compliance and operational integrity through organized record maintenance.
BEHAVIORAL REFERRAL SPECIALIST I
Superior Health Plan
08.2013 - 10.2015
- Achieved seamless service by reviewing and verifying authorizations, minimizing errors.
- Enhanced service efficiency through collaboration with Medical Management on treatment requests.
- Improved service delivery by confirming member eligibility and reducing authorization errors.
- Reduced turnaround time by streamlining authorization review processes effectively.
- Resolved discrepancies through strong communication with providers, ensuring accurate authorizations.
PROGRAM COORDINATOR
Superior Health Plan
06.2012 - 08.2013
- Enhanced outcomes by conducting risk assessments for pregnant members.
- Streamlined care transitions in collaboration with healthcare providers, improving patient experiences.
- Increased engagement and health outcomes through targeted outreach for high-risk members.
- Identified risk levels in pregnant members to inform personalized care plans.
- Established community partnerships to connect members with local maternal health resources.
Education
Bachelor of Science - Business Management
Grambling State University
Grambling, Louisiana12.1991
Skills
- Registration Specialist
- Insurance Verification
- Problem Solving
- Process documentation
- Conflict resolution techniques
- Organizational growth
- HIPAA compliance
- Patient scheduling
- Patient care coordination
- Patient assessments
- Medical terminology knowledge
- Patient communication
Certification
Texas Health and Human Services
Texas Department of State Health Services
Certified in the State of Texas as a Community Health Worker
Expiration Date: 10/31/2027
Timeline
COMMUNITY LIAISON
Workforce Solutions Rural Capital Area
10.2022 - 12.2023
LTSS COMMUNITY ADVISOR
Superior Health Plan
05.2020 - Current
BEHAVIORAL HEALTH SERVICE COORDINATOR II
Superior Health Plan
07.2016 - 03.2022
APPEALS COORDINATOR
Superior Health Plan
10.2015 - 07.2016
BEHAVIORAL REFERRAL SPECIALIST I
Superior Health Plan
08.2013 - 10.2015
PROGRAM COORDINATOR
Superior Health Plan
06.2012 - 08.2013
Bachelor of Science - Business Management
Grambling State University