Summary
Overview
Work History
Education
Skills
Affiliations
Jobrelatedtraining
Languages
References
Workschedule
Jobtype
Accomplishments
Languages
References
Timeline
Generic

Bernita M. Woody

Glendale,United States

Summary

Skilled in leading healthcare facilities through periods of significant change and improvement, with hands-on experience in strategic planning, staff development, and operational management. Known for strengths in enhancing patient care quality, implementing cost-saving measures without compromising service delivery, and fostering interdisciplinary collaboration. Demonstrated ability to improve patient satisfaction scores and streamline hospital processes for better efficiency across various departments.

Overview

14
14
years of professional experience

Work History

Care Manger/CHW

United Healthcare
Minneapolis, United States
02.2023 - Current
  • Advocate for United Healthcare (UHC) members as needed to ensure needs and choices are fully represented and supported by the health care team
  • Develop and maintain strong working relationships with multiple external partners associated with the care and well-being of UHC members
  • Engage members face to face or over the phone to assist with closing gaps in care, linking to necessary services and providing education about their health
  • Review available service records and relevant documentation (e.g., utilization history, functional level, stratification information, current plan of care)
  • Conduct health assessment that includes bio-psychosocial, functional, and behavioral health needs
  • Engage members to participate in the assessment process and collaboratively develop Health Action Plan based on their individual needs, preferences, and objectives with nursing oversight
  • Work with members to develop healthcare goals and identify potential barriers to achieving healthcare goals/ Identify children/families support systems available and incorporate into their Health Action Plan
  • Work collaboratively with the interdisciplinary care team to ensure an integrated team approach
  • Collaborate with members to create solutions to overcome barriers to achieving healthcare goals
  • Identify relevant community resources available based on member’s needs
  • Refer members to appropriate programs and services

Family Advocate

Esperanza Shelter
Santa Fe, United States
06.2016 - Current
  • Foster maximum self-determination on the part of the resident, to provide crisis intervention, personal and legal advocacy, individual life skills training and peer counseling for shelter clients and their children of all ages
  • Help residents develop goals toward safe permanent housing through positive goal setting
  • Handle the 24-hour crisis line
  • Meet with residents individually to develop and carryout service plan
  • Complete required paperwork
  • Prepare daily client logs
  • Assist with house meetings
  • Share pertinent information on all shelter residents to shelter staff
  • Provide daily education and goal setting sessions with shelter residents
  • Provide individual and group life skills training as requested
  • Coordinate with all other program components with referrals and case management at the request of shelter residents
  • Make appropriate out of agency referrals at the request of shelter residents to assist in obtaining permanent safe housing
  • Assist with facilitation of weekly resident meetings and in the distribution of responsibilities and chores
  • Coordinate legal services necessary to assist clients in obtaining Protective Orders from the District Court and Legal Aid services as needed
  • Provide client transportation to court, appointments, etc
  • As needed

BHT II/SMI Case Manager

Valle Del Sol Community Health Center
Phoenix, United States
08.2022 - 01.2023
  • Provide case management, care coordination, and psychiatric services for Adults with a Serious Mental Illness
  • Provide ongoing assessment, treatment planning, service coordination with physical and mental health systems, and other activities as identified by the clinical team

Community Health Coordinator

Healthcare Services Corporation
Chicago, United States
06.2017 - 07.2022
  • Created non-clinical partnerships in the communities to engage Blue Cross Blue Shield members into quality health care
  • Use innovative tools and approaches to help members get the most out of their plan benefits, as affordably as possible
  • Responsible for contacting members to inform and educate them on medical management programs plus the Dual Special Needs Plan, conducting research, performing data entry, responding to inquiries from members, and supporting the clinicians in the Medical Management department with their provider and member activities
  • Identify relevant community resources available based on member’s needs
  • Refer members to appropriate programs and services
  • Also, a member of the Santa Fe, Rio Arriba, Taos and San Miguel County Health Committee
  • Focus on the High ED utilization of BCBSNM members and attempt to form interventions

Investigator

State of New Mexico-Children, Youth and Family
Albuquerque, United States
01.2013 - 11.2016
  • Professional experience as an Investigator, with focus on high-risk families who are experiencing socio-economic hardships
  • Investigations of child abuse referrals, assess the risk and safety of the child and take appropriate action for safety intervention of family issues
  • Knowledge and experience in community outreach and local social programs, including experience working in a medical setting with all required State certifications, i.e., OSHA, HIPPA and BLS training
  • Conduct interviews for the purpose of collecting information for decision making utilizing other law enforcement or health agencies
  • Participate as a member of a team to implement social service programs including following agency policies and procedures
  • Provide short-term case management services which included identification of services and the coordination of activities designed to achieve the goals and outcomes of a case plan
  • Worked with individuals or families to develop case plans
  • Conduct assessments on individuals or on families to determining functioning levels and capacity

Substitute Teacher

Farmington Public Schools
Farmington, United States
03.2016 - 05.2016
  • Experience as a elementary, middle school and high school substitute teacher
  • Provided support and supervision in the classroom when the regular classroom teacher is out due to illness or attendance of professional development workshops
  • Classroom teacher, educational assistant, regular or special education classroom, half time and/or full-time assignments
  • Use and apply appropriate conflict resolution skills with students as needed
  • Maintain positive attitude and ensure classroom environment is conducive to student learning
  • Maintain order in the assigned classroom and follow all lesson plans provided by classroom teacher
  • Communicates with classroom teacher regarding activities, discipline and lessons covered during the assignment
  • Classroom duties, constant supervision and small group activities
  • Assist in caring for student needs, such as feeding, cleaning, diapering, transporting in wheelchairs, and transferring to and from wheelchairs
  • Assist students who may be disruptive or combative
  • Assist with supervision of students on the playground, cafeteria, restrooms, and hallways

Substitute Teacher

Albuquerque Public Schools
Albuquerque, United States
03.2011 - 05.2013
  • Experience as a elementary, middle school and high school substitute teacher
  • Provided support and supervision in the classroom when the regular classroom teacher is out due to illness or attendance of professional development workshops
  • Classroom teacher, educational assistant, regular or special education classroom, half time and/or full-time assignments
  • Use and apply appropriate conflict resolution skills with students as needed
  • Maintain positive attitude and ensure classroom environment is conducive to student learning
  • Maintain order in the assigned classroom and follow all lesson plans provided by classroom teacher
  • Communicates with classroom teacher regarding activities, discipline and lessons covered during the assignment
  • Classroom duties, constant supervision and small group activities
  • Assist in caring for student needs, such as feeding, cleaning, diapering, transporting in wheelchairs, and transferring to and from wheelchairs
  • Assist students who may be disruptive or combative
  • Assist with supervision of students on the playground, cafeteria, restrooms, and hallways

Social Support Services

First Nations Community Health Source
Albuquerque, United States
06.2011 - 01.2013
  • Provide direct service and support to individuals or clients of all ages and background, such as handling a referral for child advocacy issues, conducting a needs evaluation, or resolving complaints
  • Community outreach and collaboration with local charities, City, State and Tribal Governments for the program
  • Proficient use in MS Office Suite 2007; Type 40 WPM, experience in all office equipment
  • Working knowledge of OSHA in medical and health field, Public relations
  • Utilized good quality research, excellent writing and presentation for client’s education in healthy living an resources
  • Customer Service
  • Experienced medical records by maintaining files using confidentiality
  • Establish and maintain relationships with other agencies and organizations in community to meet community needs and to ensure that services are not duplicated
  • Establish and oversee administrative procedures to meet objectives set by boards of directors or senior management
  • Direct activities of professional and technical staff members and volunteers
  • Experience in maintaining allowances to budgets for programs, equipment and support services
  • Participate in the determination of organizational policies regarding such issues as participant eligibility, program requirements, and program benefits

Education

Bachelor's Degree - Psychology

University of New Mexico
Albuquerque, NM, United States
05.2013

Bachelor's Degree - Native American Studies

University of New Mexico
Albuquerque, NM, United States
05.2013

Master's Degree - Clinical Social Work

New Mexico Highlands University
Las Vegas, NM, United States

Skills

  • Case assessments
  • Medical chart documentation
  • Healthcare
  • Case management
  • Client assessment
  • Workflow coordination
  • Care planning
  • Technology proficiency
  • Department review
  • Patient education
  • Referral management
  • Program management
  • Quality improvement
  • Clinical documentation
  • Service coordination
  • Resource utilization
  • Policy adherence
  • Patient & family support

Affiliations

United Way - Volunteer

Jobrelatedtraining

  • Participated in the determination of organizational policies regarding such issues as participant eligibility, program requirements, and program benefits.
  • Research and analyze member or community needs to determine program directions and goals.
  • Baseline knowledge of Indigenous Issues Valuable to Native Communities, Leadership, and Governmental Agencies.
  • Experiences include Research Skills, Communication Skills, Problem Solving Skills and Community Building/Leadership.
  • Participated in Advocacy in Training and learned the history of the domestic violence movement and theories of violence in intimate relationships, including the disproportionate amount of violence met on women by men; the dynamics of domestic violence and tactics of abuse; trauma in the lives of victims and their children, and how it impacts behavior and functioning; secondary trauma and its effects in the lives of advocates; the legal context of domestic abuse, including state and federal statutes, protection orders, civil and criminal justice systems, and jurisdiction on tribal lands; challenges and resources for immigrant victims of abuse; the links between substance abuse and domestic violence; specific challenges faced by members of the LGBTQ community.

Languages

Navajo

References

References upon request

Workschedule

Full-Time

Jobtype

Permanent, Internships

Accomplishments

  • Recognition from the National Indian Youth Council

Languages

Navajo
Professional

References

References available upon request.

Timeline

Care Manger/CHW

United Healthcare
02.2023 - Current

BHT II/SMI Case Manager

Valle Del Sol Community Health Center
08.2022 - 01.2023

Community Health Coordinator

Healthcare Services Corporation
06.2017 - 07.2022

Family Advocate

Esperanza Shelter
06.2016 - Current

Substitute Teacher

Farmington Public Schools
03.2016 - 05.2016

Investigator

State of New Mexico-Children, Youth and Family
01.2013 - 11.2016

Social Support Services

First Nations Community Health Source
06.2011 - 01.2013

Substitute Teacher

Albuquerque Public Schools
03.2011 - 05.2013

Bachelor's Degree - Psychology

University of New Mexico

Bachelor's Degree - Native American Studies

University of New Mexico

Master's Degree - Clinical Social Work

New Mexico Highlands University
Bernita M. Woody