Summary
Overview
Work History
Education
Skills
References
Timeline
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Carrie J. Cann

Ocala,FL

Summary

With a proven track record at Humana, I expertly led teams to surpass healthcare management goals, leveraging my supervisory experience and effective communication to develop cost-effective care plans and enhance customer relationships. Recognized for professionalism and problem-solving, I consistently achieved and exceeded performance metrics, driving significant improvements in client health outcomes.

Overview

19
19
years of professional experience

Work History

Manager, Care Management

Humana
Ocala, FL
04.2019 - 05.2024
  • Oversaw day to day operations for care management in FL Long Term Care Medicaid program
  • Led team of up to 18 nurses and social workers to achieve goals set by Humana and the Agency for Health Care Administration (AHCA)
  • Oversaw the assessment of needs and the development of cost-effective, supportive care plans.
  • Participated in Utilization Review meetings for complex, high-cost clients to establish safe care plans and respond to appeals and Medicaid Fair Hearings.
  • Fostered communication with clients, care managers, and other stakeholders to meet client needs and support best health
  • Provided coaching and feedback to enhance performance and meet metrics to maximize company revenue
  • Led weekly meetings of up to 35 associates/clients to provide education, build team, and address client needs

Transition Coordinator

Humana
Ocala, FL
02.2017 - 04.2019
  • Provided intervention to achieve goal of reducing/limiting Nursing Home population as set by AHCA
  • Collaborated with clients/representatives/caregivers, hospital/rehab social workers, vendors, and other stakeholders to provide effective transition planning and overcome client barriers
  • Analyzed information from interviews, educational and medical records, and diagnostic evaluations to assess clients' abilities, needs, and eligibility for services
  • Developed cost effective care plans to meet individual needs
  • Provided data and participated in Utilization Review meetings to ensure safe, cost effective care plans and mitigate likelihood of appeals and Medicaid Fair Hearings.
  • Assisted clients with securing housing in the community
  • Provided extensive support to clients and helped with acclimation to new setting

Case Manager

Humana
Ocala, FL
12.2015 - 02.2017
  • Assessed and evaluated 60+ member needs
  • Collaborated with clients/families/representatives to develop cost effective care plans to achieve best health
  • Monitored and provided intervention to allow members to reside in the least restrictive environment
  • Provided ongoing support to limit and decrease hospitalizations and long term care placements
  • Handled complaints, provided appropriate solutions and alternatives within appropriate timeframes, and followed up to achieve resolution
  • Provided data and participated in Utilization Review meetings to ensure safe, cost effective care plans and mitigate likelihood of appeals and Medicaid Fair Hearings.
  • Followed Humana and AHCA guidelines to meet performance metrics

Site Supervisor, Therapeutic Day Treatment

Humana
Ocala, FL
09.2013 - 12.2015
  • Oversaw day to day operations for care management in FL Long Term Care Medicaid program
  • Led team of up to 12 social workers to achieve goals set by Humana and AHCA
  • Oversaw assessment of needs and development of cost effective, supportive care plans
  • Provided data and participated in Utilization Review meetings to ensure safe, cost effective care plans and mitigate likelihood of appeals and Medicaid Fair Hearings.
  • Fostered communication with care managers and other stakeholders to meet member needs and support best health
  • Provided coaching and feedback to enhance performance
  • Led meetings of up to 35 associates to provide education, build team, and encourage positive morale
  • Stepped down from Manager to Care Manager after change in program structure in 2015

Care Manager

Humana
Ocala, FL
06.2013 - 09.2013
  • Assessed and evaluated 60+ client needs
  • Collaborated with clients/families/representatives to develop cost effective care plans to achieve best health
  • Monitored and provided intervention to allow clients to reside in the least restrictive environment
  • Provided ongoing support to limit and decrease hospitalizations and long term care placements
  • Handled complaints, provided appropriate solutions and alternatives within appropriate timeframes, and followed up to achieve resolution
  • Followed Humana and AHCA guidelines to meet performance metrics
  • Promoted to Management position in Aug 2013
  • Company acquired by Humana in Sep 2013

Mental Health Counselor

Anderson Counseling Services
Lynchburg
01.2009 - 01.2013
  • Completed assessments to identify needs and develop treatment plans for children K-5th grade in traditional public schools and private alternative school
  • Used advanced counseling skills and evidence based practices to lead individual and group therapy sessions
  • Collaborated with school officials, parents, psychiatrists, and patience to support students and reduce problematic behaviors in school
  • Analyzed and documented responses to treatment
  • MANDT system certified to support individuals, modify behaviors, and reduce injury and violence
  • Acted a liaison between agency owners and supervisory team during times of dispute resolution

Mental Health Counselor

Bridges Treatment Center
Lynchburg, VA
06.2005 - 02.2009
  • Utilized advanced counseling skills and evidence based practices to establish goals and treatment plans with children and adolescents 5-17yo
  • Provided behavior management and crisis intervention in a residential treatment center, mental health hospital, and group home
  • Documented psychiatric services and responses to treatment in patient case files
  • Led counseling groups to discuss topics such as anxiety, depression, and social interaction
  • MANDT System certified to support individuals, modify behaviors, and reduce injury and violence

Education

Bachelor of Arts - Psychology

Sweet Briar College
Sweet Briar, VA
01.2005

Skills

  • Supervisory Experience
  • Case Management
  • Customer Relationship Management
  • Effective Communication
  • Problem Solving
  • Negotiation and Conflict Resolution
  • Team Development
  • Professionalism

References

References available upon request

Timeline

Manager, Care Management

Humana
04.2019 - 05.2024

Transition Coordinator

Humana
02.2017 - 04.2019

Case Manager

Humana
12.2015 - 02.2017

Site Supervisor, Therapeutic Day Treatment

Humana
09.2013 - 12.2015

Care Manager

Humana
06.2013 - 09.2013

Mental Health Counselor

Anderson Counseling Services
01.2009 - 01.2013

Mental Health Counselor

Bridges Treatment Center
06.2005 - 02.2009

Bachelor of Arts - Psychology

Sweet Briar College
Carrie J. Cann