Hardworking and reliable employee with strong organizational skills, eager to further my career in helping Tennesseans. Successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
24
24
years of professional experience
Work History
Managed Care Specialist 3
State of Tennessee Division of TennCare
01.2024 - Current
Maintained detailed records of patient health information in TEDS.
Determined eligibility for Medicaid / TennCare by using information provided by our members and utilized policy to make those determinations.
Maintained cases in a timely manner.
Completed weekly reports reviews and provided those to Program Manager.
Assisted with in office walk-in members.
DCS Maximization Specialist
State Of Tennessee Department Of Children's Services
12.2014 - 01.2024
Gathered, organized and input information into TFACTS system to make eligibility decision.
Used State and Federal Policy to make Title IV-E and TennCare/Medicaid eligibility determinations.
Acted on behalf of foster children with disabilities to file applications for SSI/SSA when necessary.
Completed various reports to send to upper management regarding cases pending and completed.
Trained other DCS employees on Title IV-E and TennCare.
Eligibility Counselor 2
State Of Tennessee Department Of Human Services
04.2003 - 12.2014
Facilitated referral to community resources to assist with other needs and intricate issues.
Performed eligibility assistance, case management, referrals or related function.
Assisted individuals and families by collecting required and accurate personal and demographic information to determine eligibility.
Uploaded and submitted verification documents and completed applications.
Complied with department, organization and government policies and procedures.
Reviewed applications for different aid programs and determined which qualification criteria for individuals.
Interviewed applicants and explained scope of different available benefits.
Assisted clients with accurate eligibility form, application and document completion.
Trained staff on current eligibility requirements and policies.
Case Manager 2 / Home Co Case Manager
State Of Tennessee Department Of Children's Services
11.2001 - 04.2003
Monitored clients' progress and tracked client services to provide crisis interventions.
Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
Developed and implemented comprehensive case management plans to address client needs and goals.
Assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources.
Participated in community events to promote services and engage with public.
Conducted foster home, parent home and school visits to ensure all parties' needs were being met and to assist with any barriers to permanency for the families I worked with.
Education
Sociology / Social Work Concentration
Tennessee Technological University
Cookeville, TN
12-1998
Skills
Strong organization
Active listening
Teamwork
Adaptability
Problem-solving
Professional demeanor
Excellent communication
Professionalism
Reliability
Timeline
Managed Care Specialist 3
State of Tennessee Division of TennCare
01.2024 - Current
DCS Maximization Specialist
State Of Tennessee Department Of Children's Services
12.2014 - 01.2024
Eligibility Counselor 2
State Of Tennessee Department Of Human Services
04.2003 - 12.2014
Case Manager 2 / Home Co Case Manager
State Of Tennessee Department Of Children's Services
Executive Administrative Assistant at The State of Tennessee – Division of TennCareExecutive Administrative Assistant at The State of Tennessee – Division of TennCare
Regular Program Specialist at Division of Tenncare, Eligibility Operations GroupRegular Program Specialist at Division of Tenncare, Eligibility Operations Group