Beth Burke
Madison,Wisconsin
Summary
Knowledgeable patient representative offers demonstrated skills in case management and service coordination. Expertly handles complaints, inquiries and service questions to meet patients' access needs and correct problems related to care. Well-versed in policies, procedures and standards. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Hardworking employee with customer service, multitasking, and time management abilities. Devoted to giving every customer a positive and memorable experience.
Overview
7
7
years of professional experience
Work History
Care Manager
Care Wisconsin/Molina Healthcare Inc
Milwaukee, WI
06.2017 - Current
- Developed and implemented care management plan to address needs and goals.
- Audited charts to drive accurate and thorough documentation, supporting reimbursement of services rendered.
- Participated in team meetings with other staff members to discuss case management issues.
- Ensured that all documentation is completed accurately according to state regulations.
- Maintained awareness of government regulations, health insurance changes and financing options.
- Provided advocacy for clients to ensure their needs are met through appropriate services.
- Maintained accurate records of client visits and progress notes in accordance with agency policies and procedures.
- Monitored client's compliance with medications prescribed by physician or psychiatrist, if applicable.
- Evaluated potential living arrangements for clients including independent living facilities or supervised residential settings.
- Offered emotional support to help patients cope with stressors associated with their illness or disability.
- Developed service plans based on assessment findings; monitored effectiveness of plans regularly.
- Served as a liaison between clients' families and community agencies providing services to them.
- Used motivational interviewing to educate, support and motivate change.
- Provided counseling sessions to individuals or groups focusing on behavior modification techniques.
- Communicated with patients with compassion while keeping medical information private.
- Arranged referrals for additional services such as housing assistance or financial aid programs when needed.
- Monitored care plan to evaluate effectiveness, document interventional achievement and suggest changes.
- Facilitated the coordination of medical appointments and transportation for clients when needed.
- Coordinated with other health care providers, such as physicians and psychiatrists, to develop comprehensive treatment plans.
- Explained policies, procedures and services to patients.
- Collaborated with outpatient team to identify patients for handover and post-discharge follow-up.
- Promoted integrations of long-term services and support to enhance continuity of care.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
- Monitored risk assessment by using available tools and implementing discharge interventions.
- Established solid relations with leadership and staff by attending board meetings and coordinating interdepartmental information exchanges.
- Provided crisis intervention services to clients when necessary.
- Conducted assessments of client's physical, psychological, cognitive, social, economic and environmental needs.
- Assisted clients in developing and achieving short-term and long-term goals.
- Facilitated communication between members of health care delivery while involving clients in decision-making processes to minimize service fragmentation.
- Attended and actively participated in meetings to provide and receive information on patient progression.
- Understood and followed oral and written directions.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Completed day-to-day duties accurately and efficiently.
- Approached customers and engaged in conversation through use of effective interpersonal and people skills.
- Maintained updated knowledge through continuing education and advanced training.
- Assisted with customer requests and answered questions to improve satisfaction.
- Maintained open communication with team members and stakeholders, resulting in successful project outcomes.
Education
Master of Science - Speech Pathology
University of Wisconsin-Eau Claire
Eau Claire, WI08-1987
Bachelor of Science - Communication Disorders
University of Wisconsin-Eau Claire
Eau Claire, WI05-1986
Skills
- Treatment Management
- Medical Chart Documentation
- Resource Utilization
- Case Assessments
- Care Quality Assessments
- Discharge Planning
- Patient Education
- Critical Thinking
- Workflow Coordination
- Interdepartmental Functions Coordination
- Process Implementation
- Risk Management
- Decision-Making
- Schedule Management
- Patient Safety
- Patient Advocacy
- Patient Relations
- Electronic Medical Record Software
- Problem Identification
- Training and Mentoring
- Organizational Goal Development
- Records Maintenance
- Goal Attainment
- Acute and Rehabilitative Care
- Risk Analysis
- Patient Care Assessment
- Risk Mitigation
- Care Delivery
- Medicare Compliance
- Multidisciplinary Team Collaboration
- Resource Allocation
Affiliations
- Volunteer at Overture Center for the Arts in Madison
- Previously involved in Junior Chamber of Commerce (Jaycees) holding positions of President of local Chapter and Regional Director
- Volunteer at Badger Prairie Food Network
- Previously President of the Poynette Music Parents including development of the webpage on Facebook
- Former member of the Poynette Library Board
Experience Explanation
I have worked as a Care Manager since 2017 starting with Care Wisconsin. In 2020, Care Wisconsin merged with My Choice Family Care becoming My Choice Wisconsin. My Choice Wisconsin was bought by Molina Healthcare Inc in September 2023. I have provided continued care for my caseload through all of these changes while incorporating new policies and procedures.
References
References available upon request.
Timeline
Care Manager
Care Wisconsin/Molina Healthcare Inc
06.2017 - Current
Master of Science - Speech Pathology
University of Wisconsin-Eau Claire
Bachelor of Science - Communication Disorders
University of Wisconsin-Eau Claire
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