Candace Macias
Sunland Park,NM
Summary
Dynamic UR Case Manager with expertise in case management and client advocacy at El Paso Behavioral Health System. Proven ability to coordinate discharge plans and enhance patient outcomes through effective resource coordination and crisis intervention. Committed to empowering clients and ensuring compliance with treatment protocols, fostering independence and community integration.
Overview
19
19
years of professional experience
Work History
UR Case Manager
El Paso Behavioral Health System
08.2020 - Current
- Attend treatment team and help them understand treatment requirements through insurance plans to help coordinate the childs best discharge plan.
- Case load of 40-50 child and adolescent unit.
- Communicate with insurance providers for certification of inpatient stay and coordinate benefits.
- Facilitated communication with external agencies, ensuring patients have aftercare appointments upon discharge.
Clinical Support Supervisor
Emergence Health Network
01.2015 - 08.2020
- Supervises, directs, and evaluates assigned staff, processing employee concerns and problems, directing work, counseling, disciplining, and completing employee performance appraisals.
- Coordinates, assigns and reviews work and establishes work schedules; maintains standards; monitors status of work in progress; inspects completed work assignments; answers questions; gives advice and direction as needed.
- Troubleshoots problems in the clinic operations area.
- Monitors clinic and direct care productivity as it relates to budget, performance measures contract standards, and client census.
- Monitors and works in conjunction with the Utilization Management Department as it pertains to service delivery regarding authorized and non-authorized units of service.
- Makes decisions in conjunction with the Clinic Manager regarding services provided by support and administrative staff to ensure they are performed in an effective and efficient manner.
- Communicates with other staff regarding failed, canceled or late client appointments.
- Monitors general office operations and performs a wide variety of administrative tasks for the Outpatient Office, ensuring office operations are performed in an efficient and cost-effective manner.
- Obtains, organizes, reports and communicates data regarding Clinic outcomes and departmental deficits on an ongoing basis.
Caseworker II
Emergence Health Network
03.2006 - 02.2015
- Provides on-going case management services, skills training and rehabilitation services for youth and/or adults with mental illness and/or individuals with developmental disabilities.
- Provides rehabilitative services including general symptom management, community living skills, and employment related skills to increase our client's independence and increase their ability to maintain community tenure.
- Provides 24 on-call support, psychosocial rehabilitation three to five (3-5) times/week, mental health decompensation, safety plan, crisis intervention, medication support, and collaborate with inpatient hospitals.
- Collaborates with psychiatrist to formulate personalized treatment plans to fit individual needs. Medication management to include compliance with medication (track refills, medication monitor, obtain injections) provide transportation.
- Assists with improving living skills, finding appropriate housing (group/foster homes, assisting living, and independent), moving all belongings and set up utilities, ensure budget and payments, and food. Coordinates representative payee services.
- Maintains compliance with all Joint Commission training requirements relevant to job duties, including but not limited to those dealing with use of restraints and physical holding of individuals receiving services.
Education
Bachelor of Science - Social Work
University of Phoenix
Santa Teresa02-2006
Skills
- Case management
- Client assessment
- Resource coordination
- Client advocacy
- Crisis intervention
- Service planning
- Goal setting
- Client engagement
- Case documentation
Timeline
UR Case Manager
El Paso Behavioral Health System
08.2020 - Current
Clinical Support Supervisor
Emergence Health Network
01.2015 - 08.2020
Caseworker II
Emergence Health Network
03.2006 - 02.2015
Bachelor of Science - Social Work
University of Phoenix
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