Carvella Natachu

• Reviewed applications to determine eligibility for various programs and services according to established criteria.
• Conducted interviews with clients to collect information and verify accuracy of data on applications.
• Processed documents in accordance with applicable regulations, policies, and procedures.
• Assisted in the development of new forms and processes for determining eligibility.
• Provided technical assistance to staff regarding application processing and other related issues.
• Maintained accurate records of client information, program activities, and decisions made on cases.
• Researched complex cases requiring additional verification or clarification of eligibility requirements.
• Developed outreach strategies to inform potential applicants about available services.
• Collaborated with other departments to ensure timely resolution of client requests.
• Generated reports detailing eligibility determinations for management review.
• Performed quality assurance reviews of completed case files prior to submission for final approval by supervisor.
• Attended training sessions as needed to stay abreast of changes in policies or procedures.
• Monitored pending applications for compliance with deadlines and follow-up actions as needed.
• Provided guidance to less experienced colleagues when performing complex tasks or resolving difficult situations.
• Explained reasons behind application denials and recommended further action.
• Responded to client inquiries and concerns and escalated complex problems to department supervisors.
• Gathered financial information from clients regarding income, assets and debts.
• Improved eligibility determination accuracy by implementing efficient data verification processes.
• Streamlined application processing time for faster results, optimizing workflow management and prioritization strategies.

• Conducts health risk assessments ro assess members with health risk.
• Care Coordinator works together with member to develop a plan of care based on member's needs.
• Understands all enrollment benefits in order to assist member, identify community resources which are not part of centennial Care.
• Coordinator will develop a care plan for each member and monitor the member based on level of care as well as health needs.
• Care Coordinator will manage all clients and conduct home visits as necessary.
• Educating members of different aspects of their health care
• Educating member's on enrollment benefits in order to assist and gain understanding of their needs.
• Conducting telephone interviews and follow ups as needed.
• Utilizing various programs to view claims, ER utilization, and inpatient care for member and assessing needs after discharge and other resources.

• Reviewed applications to determine eligibility for various programs and services according to established criteria.
• Conducted interviews with clients to collect information and verify accuracy of data on applications.
• Conducting health risk assessments to determine health risks.
• Works together with member to develop a plan of care for the member bases on health risk needs.
• Providing education on different aspects of their health care.
• Completing assessments as well as submitted appropriate documentation for authorization for approval for Home Health Care Services for members.
• Assisting members post hospital stay and determining changes in health risk and requesting proper Durable Medical Equipment as necessary.
• Conducting telephone interviews, home visits, and health risk assessments for follow up care as well as changes in health condition.
• Maintaining a case file for member and utilizing the medicaid portal for eligibility.
• Utilizing various programs to view claims, ER utilization, and inpatient care for member and assess needs for discharge and other resources.

• Provide technical assistance and training to licensed and registered child care providers in order to improve the quality of child care services in the state.
• Plan and coordinate efforts to improve quality child care services.
• Taking on job responsibility and taking the initiative to make changes to training materials and updating information that is needed to help the providers.
• Handle complaints and referrals and determine appropriate action in a timely manner.
• Answering telephone calls,completing correspondence to appropriate agencies, xeroxing documents, mailing out notices, collaborating with food sponsor program to maintain compliance with providers, scanning documents and sending them as attachments, faxing documents to appropriate agencies, collaborating with various agencies for registered providers to maintain compliance with the program regulations.
• Maintaining a case record for each provider, documenting and reviewing contacts, conducting home visits and clearing the homes to obtain self-certification and continue to provide child care in their homes, complaints, and updating demographic information.
• Completed required training in Domestic Violence in the Workplace, HIPAA privacy training, NM Road Safety and Defensive driving. Also, Trained in FACTS system that is used by

Plan and implement activities in the community for youth and parents collaborating with various agencies to promote healthy activities and getting community

involvement.

• Promote awareness in the community with Red Ribbon, Life Skills Curriculum bullying, suicide, cutting, etc.
• By conducting seminars and educational events on educational material for the youth and families in coordination with other tribal/community providers.
• Develops presentations using training or conference informational tools.
• Plans, attends, and conducts monthly meetings for the program at local, state, and federal levels related to prevention issues.
• Collects appropriate data using the Microsoft excel program, documenting events, outcome, and evaluation for program strengths and weakness to improve program services, documentation for services rendered.
• Reviews and analyzes budget reports. Handles own financial account and cuff account comparing information and making sure that program budget is incompliance with federal spending and appropriate spending is within the proposal.
• Created power point presentations, xeroxed documents, scanned various correspondence, answered phones, ordered promotional items thru various vendors, maintained budget and cuff account for the program, collaborated closely with financial manager for program funding requirements.

• Worked with individuals with developmental disabilities assisting them with job placement, continuing education, and on the job training.
• The program goal was to assist the individuals in maintaining self sufficiency, making referrals to outside agencies such as the State Division of Vocational Rehabilitation Program.
• Outreach services to make contact with clients regarding services and follow up on individual plans for services.
• Assisting Social Security individuals with placement for ticket to work.
• Maintained client case files, documented contact with clients, answered phone calls and relayed messages for clients regarding services, xeroxed documents needed for files, made copies of receipts when assistance was to purchase items for self employment, collaborated with other agencies regarding placement, payment, and performance with job duties.
• Received training in Incident management system and also o the Tribal Vocational Rehabilitation Module(v.7.5) provided by Data Ops.

• Maintaining a case record for food stamp benefits, Medicaid , and Medicare benefits
• Scheduling appointments for interviews to determine eligibility for benefits
• Documenting contact with agencies, clients, and supervisor
• Attend mandatory staff meetings, and trainings
• Xeroxing, faxing, and answering phones
• Conducted interviews with clients to collect information and verify accuracy of data on applications.
• Reviewed applications to determine eligibility for various programs and services according to established criteria.
• Maintained accurate records of client information, program activities, and decisions made on cases.
• Answered inquiries from clients regarding their applications, status updates, and general questions about the process.