Medical social work professional with experience in patient education, referral coordination, and support planning. Skilled in documenting care changes and maintaining accurate records. Experienced in working with insurance entities to support coverage and treatment access.
Work History
Medical Case Manager
2 Years 2 Months
AIDS Healthcare Foundation | Atlanta, GA | 08.2024 - Current
Coordinated case management services for members through walk-in scheduled and on-call support while overseeing caseload up to 75 members.
Created and maintained individualized service plans for caseload members, completing 6-month updates.
Completed initial comprehensive assessments and intake for eligible members.
Performed monthly member follow-up contact to assess treatment plan goals and execute needed interventions.
Provided direct service coordination and support to people living with HIV/AIDS.
Advocated and mediated on behalf of members to remove barriers to care.
Educated members on the importance of medical care and access to primary care and medication.
Completed home and hospital visits and accompanied members to appointments as needed.
Planned and facilitated new member orientation to support understanding of case management services.
Reviewed member eligibility records and maintained documentation accuracy for case management and entitlement programs.
Provided active referrals, application support, and follow-up assistance to members.
Educated members on community resources and programs to improve access to appropriate referrals.
Worked alongside physicians, nurses, and clinical staff to design and carry out member care plans.
Tracked and managed statewide FCT training, ensuring compliance with requirements by maintaining the Training Indicator Report, WOC progress, and weekly training reports.
Ensure all team meetings are accurately recorded, uploaded in an appropriate electronic system, and tracked
Provide FCT-S training, supervision and development, including facilitate regular meetings of the FCT-S team
Assess, identify areas of need, and train staff in FCT implementation, maintaining fidelity to the model
Developed additional training to meet program and state needs
Completed company-required assessments as primary job function.
Completed detailed clinical assessments to document history and identify preliminary treatment concerns through interviews with child, family, and other relevant individuals.
Created individualized treatment plans, including person-centered plans for enhanced services and basic outpatient therapy, while supporting team collaboration.
Held scheduled face-to-face sessions with client and caretaker to provide therapy, monitor child progress, and review treatment strategies and services.
Built and coordinated discharge plans based on treatment goals, identified aftercare needs, and connected clients with community resources to support transitions.
Provided crisis intervention for assigned cases and remained available for crisis calls per company procedures.
Education
Master's - Social Work
Clark Atlanta University | Atlanta, GA | 05-2020
Bachelor's - Social Work
Shaw University | Raleigh, NC | 05-2018
Skills
Eligibility verification and client assessment
HIPAA compliance
Client advocacy
Treatment planning
Crisis management and resource navigation
Care coordination
Discharge planning
Case management
Personal Information
Work Permit: Authorized to work in the US for any employer