Highly motivated Healthcare professional, demonstrating the ability to develop and implement successful plans of action to address individual needs. Possesses strong problem-solving skills to reduce barriers. Committed to helping individuals and families.
Overview
8
8
years of professional experience
Work History
Health Navigator
Blue Cross Blue Shield Of RI
11.2022 - Current
Support D-SNP and Medicare members by completing health risk assessments
Engage assigned members in identifying and meeting care plan goals and interventions
Perform outreach to identified members with the targets of closing care gaps, getting Health Risk Assessments completed, explaining complicated service interactions, improving member experience
Identify resources for members to overcome barriers to care, such as transportation, housing, health condition and more
Identifies issues that need to be escalated appropriately and offers suggestions for resolution
Provides end to end accountability for the member
Collaborate with interdisciplinary team which includes, care managers, social workers and medicaid specialists' on patient care plans
Document all interactions with and on behalf of member in accordance with regulatory and company policies
Assists in maximizing benefits and provides EOB.
Participated in regular team meetings, huddles, staff meetings and quality improvement projects to improve patient care.
Consulted with medical staff and ancillary department to eliminate barriers to delivery of care and identified service delivery problems and potential for patient management intervention.
Direct Support Professional
Scituate Light Caregivers
09.2021 - Current
Interacting positively, actively and respectfully with persons supported
Assisted clients with daily living needs to maintain self-esteem and general wellness.
Maintained entire family's schedule and organized events.
Maintain optimal communication and cooperative working relationships with the team, family, guardians and other stakeholders
Ensure that people are supported to exercise their rights
Assisted disabled clients to support independence and well-being
Program Manager
Community Systems Inc.
07.2021 - 09.2021
Supervise Assistant Program Manager and Residential Counselors
Maintain compliance with MA DDS Licensure Standards
Schedule, guide and evaluate staff and provide progressive corrective actions as required
Ensure all staff training and development programs are maintained
Oversee maintenance of a person's home, furnishings, equipment and vehicle
Oversee the proper accounting of CSI resources and funds of the persons supported
Facilitate and/or participate in Leadership Trainings as requested by the Executive Director or their designee
Maintain optimal communication and cooperation with the team, family, guardians and other stakeholders
Delegate on-call responsibilities with Assistant Manager
Proficiency in MS Office software and web-based application skills.
Behavioral Health Care Coordinator
Duffy Health Center
01.2021 - 07.2021
Conducts outreach service to identify at-risk individuals in the community
Assess SUD and/or BH client needs and determine eligibility for case management services
Develop patient-centered case management plans based on client needs and desires
Monitor progress on plans and assists the clients in achieving their goals as outlined in care plan
Works collaboratively with members of a multidisciplinary team at DHC
Complete initial assessments and care plans with routine annual updates.
Conducted functional behavior assessments, functional analysis, preference assessments, and assessments of basic learning and language skills to identify target behaviors and purpose of behaviors
Used EClinicalWorks and EPIC to document patient information, progress notes, and treatment plans
Outreach Specialist
Health Perspectives Group
08.2019 - 03.2020
Manages daily workflow of recruitment and onboarding
Coordinate advocate outreach
Implementation and maintenance of P&P's and SOP's
Support weekly internal status meetings
Process patient health documents following compliant regulations
Support client and company relations
Report and manage adverse events
Maintain advocate relationship
Scheduling prep calls, meet-and-greets and interview.
Direct Support Specialist
Privatus Care Solutions
05.2016 - 08.2019
Developed rapport to create safe and trusting environment for care.
Supervised daily activities and provided assistance to staff.
Assisted clients with daily living needs to maintain self-esteem and general wellness.
Led patient or group recreational activities for enhanced patient outcomes.
Developed and implemented individualized care plans to meet individual needs of each client.
Transported clients to medical and dental appointments to provide support.
Updated patient files with current vitals, behaviors, and other data relevant to treatment planning.
Business System Analyst at Blue Cross Blue Cross Blue Shield of Tennessee (Facets Billing)Business System Analyst at Blue Cross Blue Cross Blue Shield of Tennessee (Facets Billing)