Ciarra Torres
Chicago,IL
Summary
Licensed Social Worker with over 10 years of experience in high-volume case management and care coordination. Proven expertise in healthcare navigation, compliance, and policy implementation, leading to exceptional audit scores. Recognized for strong leadership and staff training capabilities, ensuring readiness for audits. Committed to delivering comprehensive health plans and long-term patient care with a detail-oriented approach.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Medical Specialist
Walker Healthforce - BCBSIL
Chicago, IL
03.2025 - Current
- Coordinate patient care, including transitions of care, case management activities, and follow-up appointment support.
- Educate members on medical conditions, treatment plans, and available resources.
- Collect, analyze, and report clinical data to meet regulatory and accreditation requirements.
- Conduct clinical reviews and collaborate with physicians and interdisciplinary teams.
- Serve as liaison between providers and members, addressing barriers to care.
- Review medical records for documentation accuracy.
- Maintained 90%+ case performance scores.
- Received 100% on first audit.
Team Lead / Case Management Coordinator
AETNA/CVS Health
Chicago, IL
02.2020 - 03.2025
- Monitored team activities and documentation, ensuring compliance with audit standards.
- Trained new hires on workflows and procedures, enhancing operational efficiency.
- Supported staff in managing caseload challenges by sharing effective best practices.
- Participated in HSAG reviews and internal audits to uphold quality standards.
- Collaborated with leadership to develop policies aimed at organizational effectiveness.
- Evaluated referred members' needs and recommended case resolution approaches based on benefit plans.
- Identified quality of care issues and escalated them through established channels.
- Utilized critical thinking to facilitate appropriate healthcare outcomes through care coordination.
Intact Supervisor
Kaleidoscope
Chicago, IL
02.2016 - 02.2020
- Supervised case management and clinical services ensuring child safety.
- Reviewed and approved assessments, service plans, and court reports.
- Ensured compliance with performance-based contracting.
- Trained and evaluated IFS Specialists.
- Assisted with policy and program development.
Intact Case Manager
Children's Home & Aid
Chicago, IL
07.2013 - 02.2016
- Conducted assessments of family risk and needs.
- Developed Intact Family Service plans.
- Provided counseling, advocacy, and family preservation services.
- Supervised interns pursuing careers in child welfare.
Adoption Specialist
Children's Home & Aid
Chicago, IL
08.2011 - 06.2013
- Completed service plans, home studies, and adoption assessments.
- Prepared court reports and testified in hearings.
- Supported children and families through placement and post-adoption.
Education
Master of Social Work (MSW) -
University of Illinois At Chicago
Chicago, IL05.2011
Bachelor of Science -
Bradley University
Peoria, IL05.2010
Skills
- Licensed social worker (IL)
- Team leadership
- Problem solving
- CANS assessment
- CWEL certification
- CERAP certification
- Trauma-informed care
- Supervisory training
- High-risk case management
- EMR systems expertise
- Microsoft Teams proficiency
- Excel proficiency
Licenses And Skills
- Licensed Social Worker (IL)
- CANS, CWEL, CERAP Certified
- Trauma & Domestic Violence Training
- Supervisory Model Training
- High-Risk Caseload Training
- SACWIS, EMR Systems, Microsoft Teams, Excel
Certification
LSW
Timeline
Medical Specialist
Walker Healthforce - BCBSIL
03.2025 - Current
Team Lead / Case Management Coordinator
AETNA/CVS Health
02.2020 - 03.2025
Intact Supervisor
Kaleidoscope
02.2016 - 02.2020
Intact Case Manager
Children's Home & Aid
07.2013 - 02.2016
Adoption Specialist
Children's Home & Aid
08.2011 - 06.2013
Master of Social Work (MSW) -
University of Illinois At Chicago
Bachelor of Science -
Bradley University