Provides long term care management services to adults living with chronic illness, drug and alcohol abuse, homelessness and terminal illness.
Designs individualized service plans that took into account clients goals and preferences.
Provides Managed Long Term Supports and Services (MLTSS) care management within guidelines and fiscal requirements of United Health Care's contractual requirements with State of New Jersey Department of Health and Senior Services.
Completes care conferences with medical treatment team, client’s and their informal support systems annually and as needed to address immediate concerns.
Serves as a preceptor to new hires.
Completes state clinical assessments and asses care delivered by NJ Medicaid providers in long term care, assisted living facilities and in the community.
MLTSS Case Management Coordinator
Aetna Better Health of NJ
12.2017 - 09.2020
Responsible for conducting face to face visits using comprehensive assessments of members enrolled in MLTSS.
Coordinated and collaborated care with member/authorized representative, PCP, and any other care team participant.
Attended interdisciplinary meetings and advocated on members behalf.
Worked with member and care team to develop care plan and authorize services within the MLTSS benefit.
Collaborated with the member and care team to coordinate and assist with community resources.
Documented accurately and timely in the electronic health record.
Served as a mentor training new hires to MLTSS team.
Clinical Team Leader-Supervisor
Catholic Charities
04.2016 - 12.2017
The Clinical Supervisor oversees clinical service delivery for the program.
Maintained accountability for the professional standards within the program.
Developed and implemented policies in and procedures for the program relevant to clinical services and care.
Provided clinical supervision to program staff.
Performed clinical assessments.
Provided clinical services, and ran weekly clinical team meetings.
Ensured progress was being made toward individualized service plan goals.
Provided clinical perspective on admission decisions and intake assessments; review, approve and develop safety plans.
Encouraged and facilitated professional development practices aimed at improving staff competencies around serving the consumers impacted by trauma and experiencing behavioral health issues.
Ensured compliance with all licensing requirements.
Served as a contact person for the on-call system
Worked with family as well as family-teams and local care providers to coordinate care, transition and follow-up services, and safety planning.
Implemented strength based strategies in the clinical care of residents and in the work with family members; by using strong engagement, crisis intervention, anger management and mental health counseling skills.
Lead Case Manager
Care Plus NJ, Inc.
10.2007 - 04.2016
Trained staff
Case management and service coordination with multiple agencies
Assessed, counseled, and placed individuals with mental health barriers and substance abuse history to work
Developed individualized service plans consistent with WFNJ requirements leading to employment
Provided client advocacy, follow up, and support and ongoing evaluations and re-assessments of client needs
Mentoring and group facilitation
Conducted presentations about agency and services to potential clients
Acted as Team Liaison with collaborative agencies
Job development (including job leads, resume/interview preparation), client advocacy, referral, follow-up and support, case management and service coordination, linkages to community resources, mental health care services and/or alternative benefit programs, group facilitation, mentoring development of case plans and long-term career goals, along with leveraging of State and County services.
Education
Associates Degree - Nursing
Bergen Community College
Masters of Arts - Professional Counseling
Liberty University
Bachelor of Science - Bio-Behavioral Health
The Pennsylvania State University
License And Certifications
Registered Nurse, New Jersey Board of Nursing, #26NR25911100 expires: 5/31/2026