Experienced healthcare professional with strong background in overseeing patient care plans and coordinating with multidisciplinary teams. Proven track record of improving patient outcomes through comprehensive care assessments and personalized intervention strategies. Demonstrated expertise in utilizing effective communication and problem-solving skills to enhance patient satisfaction and streamline care processes.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Behavior Health Care Manager II
The Anthem Companies, Inc.
05.2019 - Current
Managed complex caseloads, ensuring timely assessment, intervention, and documentation for optimal care outcomes.
Conducted thorough assessments to identify members'' needs, strengths, and barriers to achieving robust health outcomes.
Provided crisis intervention services when necessary by assessing risk levels promptly addressing safety concerns collaboratively with the treatment team.
Enhanced member care by developing and implementing individualized care plans.
Monitored member progress closely, adjusting care plans as needed to promote ongoing improvement.
Coordinated with internal departments and external agencies to secure additional support for patients facing various challenges.
Participated in interdisciplinary case conferences fostering teamwork collaboration sharing best practice insights to optimize member care outcomes.
Established and maintained relationships with members, families and community partners to coordinate services to meet member's needs.
Promoted member self-management by providing education on chronic condition management and healthy lifestyle choices.
Participated in team meetings and trainings to stay updated on best practices and new developments in care management.
Maintained up-to-date knowledge of community resources by networking with local organizations and attending professional development opportunities.
Reduced hospital readmission rates by assisting members with comprehensive discharge planning and providing follow-up support.
Spearheaded new projects to expand scope of engagement.
Maintained strict adherence to professional ethics and confidentiality guidelines, safeguarding sensitive information and promoting trust.
Field Care Manager, Behavioral Health 2
Humana
09.2015 - 04.2019
Improved quality of patient care by conducting comprehensive assessments and adjusting care plans accordingly.
Developed and implemented individualized care plans and coordinated necessary services to avail quality care for clients.
Conducted in-home visits to assess patient needs, ensuring proper support and resources were provided.
Streamlined referral processes, expediting access to necessary services for patients in need.
Promoted continuity of care across various settings through effective communication with interdisciplinary team members involved in patient treatment plans.
Increased efficiency in managing complex cases by staying current on industry best practices and emerging trends in field care management.
Maintained network of community resources to provide most comprehensive support services possible to clients.
Responded to emergency situations and provided support to promote client safety and wellbeing.
Maintained detailed records in compliance with agency standards and regulations.
Reduced hospital readmission rates through diligent monitoring and timely follow-up with patients.
Provided education on disease management, promoting self-care strategies and empowering patients to take control of their health.
Collaborated with healthcare providers to develop comprehensive discharge plans, facilitating smooth transitions from hospital to home settings.
Case Manager
Youth Opportunity Center (YOC)
06.2014 - 06.2015
Conducted thorough assessments to identify client needs, laying groundwork for effective case management.
Developed crisis management plans for at-risk clients.
Collaborated with multidisciplinary teams to address client needs and formulate tailored support strategies.
Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their attendance needs.
Advocated for client rights when interacting with external agencies or institutions, ensuring fair treatment at all times.
Assisted clients in setting achievable goals while providing ongoing encouragement and support throughout the process of reaching those objectives.
Monitored clients' progress.
Fostered open lines of communication with clients'' families and support networks, involving them in the case management process as appropriate.
Strengthened relationships with community organizations to increase access to supportive resources for clients in need.
Program Director
Louisiana Support Services LLC
07.2011 - 06.2014
Supported Clinical Director in overseeing daily operations, ensuring timely completion of tasks and meeting clinical notes entry deadlines.
Assisted Clinical Director in the successful completion of detailed assessments and treatment plans to demonstrate medical necessity for "Community Psychiatric Supportive Treatment" and "Psychosocial Rehabilitation" counseling services.
Developed and implemented program goals and objectives, establishing specific and measurable outcomes aligned with organization's overall mission.
Led monthly team meetings to discuss goals and review performance, fostering culture of continuous improvement.
Scheduled and supervised staff meetings to discuss new ideas and update employees on program details and milestones.
Monitored program performance to identify areas for improvement.
Boosted staff morale and productivity by fostering a supportive work environment and providing clear communication channels.
Developed and maintained standard operating procedures, ensuring consistency in staff performance and continuity of services provided.
Facilitated strong relationships with community partners, collaborating on initiatives to improve program reach and impact.
Organized stakeholder meetings to gather feedback and align program objectives with community interests.
Maintained accurate records related to client participation, progress tracking, and outcome reporting for internal use.
Assisted in recruiting, interviewing, hiring, and onboarding of new employees to maintain adequate staffing levels.
Developed Adult Literacy program from ground up, laying out framework, and defining roles.
Manged a caseload of clients
Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
Student Advisor
DallasCAN! Academy
08.2008 - 07.2011
Developed strong relationships with faculty members, fostering an environment of collaboration in support of student goals.
Enhanced student retention by providing personalized academic guidance and support.
Advised students individually and in groups on academic programs for individual interests.
Advocated for student needs within administrative processes, ensuring fair treatment and equitable access to resources.
Boosted graduation rates through proactive advising on course selection and degree requirements.
Developed targeted intervention plans for at-risk students, coordinating resources from multiple departments to provide comprehensive support solutions.
Participated in ongoing professional development opportunities related to student success strategies and industry trends.
Facilitated open communication between students, teachers, and parents to address concerns or issues promptly.
Conducted regular check-ins with students to assess their progress and identify any areas in need of additional support.
Supported students with special needs, adapting strategies to facilitate their academic progress.
Reduced instances of miscommunication by diligently updating parent contact information.
Implemented early warning systems to quickly identify patterns of unexcused absences or tardiness, allowing for timely intervention measures.
Supported students facing personal challenges by connecting them with appropriate resources and services, increasing their likelihood of consistent school attendance.
Empowered students to take responsibility for their attendance by tracking and sharing progress with them.
Promoted a positive school culture that prioritized punctuality and regular attendance through various school-wide initiatives.
Assisted in the implementation of incentive programs to encourage improved student attendance rates.
Education
Master of Social Work - Social Work
University of Texas At Arlington
Arlington, TX
12-2007
Bachelor of Art - Psychology
Southern University At New Orleans
New Orleans, LA
05-2004
Skills
Care planning
Case assessments
Clinical documentation
Service coordination
Certification
Licensed Master Social Worker, Louisiana State Board of Social Work Examiners, #10080
Certified in Mental Health First Aid USA
Timeline
Behavior Health Care Manager II
The Anthem Companies, Inc.
05.2019 - Current
Field Care Manager, Behavioral Health 2
Humana
09.2015 - 04.2019
Case Manager
Youth Opportunity Center (YOC)
06.2014 - 06.2015
Program Director
Louisiana Support Services LLC
07.2011 - 06.2014
Student Advisor
DallasCAN! Academy
08.2008 - 07.2011
Licensed Master Social Worker, Louisiana State Board of Social Work Examiners, #10080
Certified in Mental Health First Aid USA
Master of Social Work - Social Work
University of Texas At Arlington
Bachelor of Art - Psychology
Southern University At New Orleans
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