Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Claire Brown

Lynchburg,VA

Summary

Skilled professional dedicated to timely and accurate completion of patient assessments, supporting development of comprehensive care plans. Collaborates with interdisciplinary team in monitoring progress and adjusting plans to achieve target results. Observes resident care, recommending opportunities for improvements.

Overview

17
17
years of professional experience

Work History

SMI Care Coordinator MLTSS

Sentara Health Plans
05.2018 - Current
  • Work with Medicaid and Medicare members that have serious mental illness, substance abuse and complex medical needs
  • In home assessments to develop a strategic plan with members and provider to increase healthy outcomes while reducing inpatient and emergency room visits
  • Multiple Interdisciplinary skills working with DMAS, MCOs, behavioral health, utilization, appeals and grievance, vendors, pharmacy, enrollment and local department of social services.
  • Used company software and databases to maintain records of services performed and patient conditions.
  • Training new hires in the field and enrolled in mentor training program with Sentara
  • selected for pilot programs including emergency room and inpatient reduction programs through collective medical/point click care
  • Developing flow charts, scripts for phone calls and resources for my team as needed

Medical Case Manager

Centra Infectious disease/Ryan White grant program
08.2017 - 05.2018
  • Assisting clients with linking to medical care, monitoring medication adherence, linking to community resources for housing, bill payments, and food
  • Assisting clients with completing applications for medication assistance programs, providing education about insurance plans and assisting with enrolling in benefits as needed
  • Provide education about HIV including transmission, safety, and risks
  • Complete assessments and documentation in timely manner per grant guidelines
  • Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
  • Trained new staff in proper techniques, care standards, operational procedures, and safety protocols.

Mental health case manager

Horizon Behavioral Health
06.2014 - 08.2017
  • Assisted clients with serious mental illness and substance abuse diagnosis with linking to community resources, meeting with providers in community, assisting clients with obtaining benefits, transportation, legal aid, housing, insurance, supports, medical services, and mental health services
  • Assigned crisis phone calls and in home visits to assess stability and or obtain ECOs or TDOs for patient safety
  • Coordinating with community providers including Department of Social Services, Lynchburg Police Department, Adult Protective Services, Virginia Legal Aid, and Social Security
  • This position included high risk case management and supervisory duties to two other case managers, this also included reviewing cases referred to my program and assigning cases, and assisting with new hire training.

Intern

White County Domestic Violence Shelter
12.2010 - 05.2011
  • Assisted women and their children with intake into shelter
  • Provided supportive level counseling, linking to resources, answering crisis calls, completed documentation and daily administrative work.

Receptionist

Pathstones Counseling Center
01.2008 - 11.2008
  • Answered phone calls, kept appointment books updated, kept client files organized and updated with doctors notes and insurance information
  • Provided excellent customer services and kept computer files updated with tax and office information.

Teachers assistant

Alpine Christian Academy
05.2007 - 08.2008
  • Prepared lesson plans during the summer for the class daily
  • Assisted with teaching and carrying out the lesion plans
  • Participated in arts and crafts, and provided a positive role model for the children.

Education

Human Services Marriage and Family Therapy MA -

Liberty University
Lynchburg, VA
12.2014

Psychology BA -

Harding University
Searcy, AR
05.2011

Skills

  • Excellent customer services skills
  • Case Management
  • Multidisciplinary team collaboration
  • Patient Advocacy
  • Critical Thinking
  • Technology savvy
  • Health Plan knowledge and programs used
  • Policy Adherence
  • Organizational standards
  • Documentation
  • Housing Case Management through Merriam’s House

References

Amy Honeycutt LCSW, Team Coordinator SMI, Sentara Health Plans,

 Danielle Ridgeway RN, Director of Behavioral Health Case Management, Sentara Health Plans, 

Donna Broock RN, Manager of care coordination, Sentara Health Plans, 

Elizabeth Ball QMHPA, Horizon Behavioral Health supervisor, 434-847-8000, 

Tabitha Roberson LPC, Program Director for Horizon Behavioral Health, 434-851-6302, 

Chad Giles, 931-223-7262, 

Dr. Brian Harder, 434-221-5605, 

Sandi Peery, 434-610-1859

Timeline

SMI Care Coordinator MLTSS

Sentara Health Plans
05.2018 - Current

Medical Case Manager

Centra Infectious disease/Ryan White grant program
08.2017 - 05.2018

Mental health case manager

Horizon Behavioral Health
06.2014 - 08.2017

Intern

White County Domestic Violence Shelter
12.2010 - 05.2011

Receptionist

Pathstones Counseling Center
01.2008 - 11.2008

Teachers assistant

Alpine Christian Academy
05.2007 - 08.2008

Human Services Marriage and Family Therapy MA -

Liberty University

Psychology BA -

Harding University

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Claire Brown