Experienced Care Coordinator/ Master Level Social Worker with an exceptional background in the healthcare industry. Skilled in case management with adult and youth with social service and healthcare settings. Excelling in communication to coordinate comprehensive care plans to successfully improve patient outcomes. Working effectively with other professionals, families, and community resources to provide coordinated care and support. Organizational experience in delivering NCQA standards. Proven ability to successfully manage operations and work independently.
Overview
10
10
years of professional experience
Work History
Senior Care Coordinator Lead
AmeriHealth Caritas
11.2021 - Current
Managed and coordinated care plans for members, ensuring they received appropriate healthcare services in a timely manner
Direct as a liaison between patients, healthcare providers, and insurance companies to facilitate seamless communication and coordination of care
Conducted comprehensive assessments of members' healthcare needs, developing personalized care plans that aligned with their medical requirements and insurance coverage
Addressed and resolved any issues related to care delivery or insurance coverage, advocating for members to receive the best possible care
Manage and maintain members information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
Maintained accurate and up-to-date documentation of all interactions, care plans, and outcomes in compliance with company and regulatory standards
Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders
Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs
Managed programs within government contracts ensuring that we receive the necessary funding for client needs
Evaluates the needs of the member via phone or in-home visits related to the resources available and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs
Responsible for performing assessments for the identification, evaluation, coordination, and management of member's needs, including physical health, behavioral health, social services, and long-term services and supports
Mental Health Therapist
Lavante’ N Dorsey & Associates LLC.
08.2022 - 01.2025
Private practice providing expert therapeutic services
Counseling, public speaking, community events, trauma therapy
Experience with developing treatment plans, intervention, group, individual, and couple therapy
Assess and evaluate adults/adolescents/children experiencing symptoms of a behavioral health disorder
Direct psychotherapeutic treatments to treat mental, emotional, or behavioral disorders
Prepare and submit assessments, progress notes, reports, and summaries
Assist with developing and posting content on social media platforms to engage the community and promote mental health awareness
Conducted assessments to evaluate client progress and adjust therapeutic approaches
Implemented evidence-based interventions to address diverse mental health issues
Schedules follow up calls as necessary, makes appropriate referrals
Assessing the needs of clients, developing, and implementing treatment plans, and providing support and guidance to clients as they work towards their goals
Evaluate the effectiveness of the service plan and making appropriate revisions as needed in accordance with per policy & procedures and state contractual requirements
Experience working with electronic health records and documentation systems
Supervise/ led and managed a team of 10 employees, resulting in improved training, active listening of staff, ensuring workplace safety
Assisted in recruiting, coaching, evaluation and development of staff, workflow, and schedules
Correctional Officer/Corporal – Supervisor
Delaware Department of Corrections
03.2015 - 11.2021
Supervised and participated in the maintenance of discipline, order, security, and housekeeping of 7 locations and/or 300 staff
Implements policies and procedures, insures the enforcement of institutional departmental rules and regulations
Conducts periodic shakedowns of inmates and searches inmates, visitors, employees, cell blocks and/or other structures for such prohibited items as tools, weapons, or other contraband
Coordinated responses to emergency situations arising in different prison locations
Conducted research, gathered information from multiple sources and presented results
Supervise employees through case review, training, and team-building
Host training events, and Job hire fairs
Conduct interviews of onboarding employees.
Assisted in performance evaluations, productivity, development of schedules, and recruiting.
Education
Master of Social Work -
Delaware State University
Dover, DE
Bachelor's - Behavior Science
Wilmington University
New Castle, DE
Skills
Crisis Management
Team Collaboration
Supervisory
Case Management
Child Welfare
Healthcare Authorizations
Member Screening
Diagnostic Interviewing
Court Testifying
Court Proceeding/Procedures
Substance Abuse Treatment
Medically Fragile Populations
Long Term Services & Support Population
Time Management
Medication reconciliation
Performance Reviews
Behavioral health support
Electronic health records
Community resource management
Conflict resolution
Team leadership
Internships
Freire Charter School (Second Chances Foundation) - Wilmington, Delaware
August 2022-2024
Non- profit organization that provides services to youth girls from ages 8-19. A safe place to discuss controversial topics, with providing skills and knowledge on education, physical health, and mental health. Case manager for students with IEP, 504 plan and learning disabilities. Develop treatment plans, college application, jobs, and plan goals. Help students with bullying, low self-esteem by empowerment, coping skills, and possibilities.
Independent Contractor – Member Services at AmeriHealth Caritas Pennsylvania - Medicaid & Keystone First – AmeriHealth Caritas Pennsylvania Community Health Choices – Keystone First Community Health ChoicesIndependent Contractor – Member Services at AmeriHealth Caritas Pennsylvania - Medicaid & Keystone First – AmeriHealth Caritas Pennsylvania Community Health Choices – Keystone First Community Health Choices