Danielle Evans
Scottsdale,AZ
Summary
Focused Group Home Manager with a background monitoring residents' health, scheduling appointments and delivering compassion and enthusiasm in all tasks. A highly collaborative individual with skills in effective communication, time management, and organization. Offering a strong understanding of quality service and federal and state group home regulations.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Patient Advocate/ Case Manager/Team Lead
Recovia-Deer Valley, AZ
Deer Valley, AZ
10.2017 - 02.2020
- Responded to patient concerns and questions with compassionate and knowledgeable service.
- Provided emotional support to patients and families during challenging medical situations, fostering trust and rapport.
- Managed patient complaints professionally and efficiently while maintaining strict adherence to HIPAA regulations.
- Assisted patients in navigating complex insurance processes, leading to successful claim resolutions and reduced financial burdens.
- Liaised between patients and medical staff, facilitating effective communication of needs, preferences, and treatment plans.
- Negotiated payment plan arrangements with medical billing departments on behalf of the patients experiencing financial hardship.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
Assistant Group Home Manager
Happy Children Group Home
Peoria, AZ
05.2020 - 07.2024
- Enhanced communication between staff and residents through regular meetings, leading to stronger relationships and trust.
- Coordinated community outings for residents, enriching their lives with socialization opportunities outside the group home setting.
- Developed strong relationships with family members of residents, providing regular updates on progress and addressing any concerns promptly.
- Monitored resident progress toward personal goals and adjusted care plans as needed, promoting continuous growth and development.
- Managed daily operations of the group home, ensuring compliance with state regulations and maintaining a safe living environment for residents.
- Conducted safety audits of the facility regularly to identify potential hazards or areas requiring maintenance attention, maintaining a secure living space for all residents.
- Trained new staff members in group home policies and procedures, contributing to a knowledgeable and consistent team.
Lead Caregiver/Med Tech
A Place At Home-Phoenix, AZ
Phoenix, AZ
05.2013 - 10.2016
- Ensured accurate record-keeping of vital signs, medication intake, and daily activities for effective monitoring of patients'' progress.
- Coordinated with healthcare professionals to develop comprehensive care plans tailored to each patient''s specific requirements.
- Developed strong partnerships with community resources such as senior centers, support groups, and local agencies to further enrich the lives of patients in our care.
- Streamlined workflow processes by implementing organizational systems that improved overall efficiency within caregiving teams.
- Conducted comprehensive assessments of new patients upon admission to determine appropriate level of support required for optimal care provision.
- Facilitated smooth transitions between shifts by preparing detailed handover notes outlining critical information about each patient''s status.
- Assisted patients with self-administered medications.
- Cleaned house, ran errands, managed laundry, and completed weekly grocery shopping.
Prior Authorization Representative
United Healthcare-Phoenix, AZ
Phoenix, AZ
02.2011 - 05.2013
- Extensive knowledge of processing and solving medical insurance claims
- Reviewed health-related claims to determine necessary procedures before payment to the client of Radiology Studies
- Scheduled wellness appointments also engaged members with other health incentives
- Skilled in communicating effectively, both oral and written
- Responsible for handling various insurance verification and authorization management functions
- Handle and resolve patient phone calls concerning insurance, reinsurance, workman compensation, third party liability and coordination of benefits claims.
- Provided exceptional customer service, addressing inquiries from both patients and healthcare providers promptly and professionally.
- Verified eligibility and compliance with authorization requirements for service providers.
- Ensured compliance with HIPAA regulations by maintaining strict confidentiality in handling sensitive patient information.
- Communicated pertinent information to client's prescribing provider to facilitate quality service.
- Reduced claim denials by thoroughly reviewing and analyzing medical necessity documentation before submitting for approval, ensuring all criteria were met.
- Reduced errors in documentation by meticulously reviewing medical records and verifying information accuracy.
- Developed strong relationships with key stakeholders such as physicians, nurses, pharmacists, and office managers to support seamless coordination during the prior authorization process.
Medical Application Processor (AHCCCS/Medicaid)
Department of Economic Security-Phoenix, AZ
Phoenix, AZ
11.2009 - 01.2011
- Utilized various software tools efficiently for document management, data analysis, and reporting purposes related to application processing.
- Actively sought feedback from supervisors regarding individual performance metrics tracked regularly as part of ongoing efforts towards personal growth within an Application Processor role context specifically tailored around results-driven accomplishments achieved over time thus far throughout career progression journey undertaken internally amongst peers alike collectively striving towards shared organizational goals focused on continuous improvement initiatives aimed ultimately at increasing overall company success rates concerning key performance indicator targets established annually by senior management teams responsible for overseeing strategic planning efforts undertaken across all divisions operating within a larger corporate structure contextually designed around achieving long-term business objectives outlined accordingly within broader industry contexts relevant to specific market segments targeted over time as part of ongoing efforts geared towards expanding overall company reach regionally, nationally or internationally depending upon target audience demographics identified through extensive market research activities conducted regularly throughout each fiscal year.
Caregiver
Adell Roberts and Shirley Cannon-Gilbert, AZ
Gilbert, AZ
04.2006 - 10.2009
- Performed light housekeeping duties to maintain cleanliness standards while respecting the patient''s personal space.
- Cleaned house, ran errands, managed laundry, and completed weekly grocery shopping.
- Assisted clients with activities of daily living, promoting independence and quality of life.
- Maintained a safe and clean environment for patients, reducing risks and ensuring optimal health outcomes.
- Enhanced patient comfort by providing compassionate and attentive care, addressing individual needs and preferences.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Provided emotional support to patients and their families during challenging times, fostering trust and strong relationships.
- Documented detailed daily reports on each client''s progress, informing adjustments in care plans when necessary.
Education
Liberty University
Virginia, IL05.2017
Skills
- Behavioral support
- Team Management
- Meal Planning
- Nutrition knowledge
- Medication Administration
- Care Coordination
- Exemplary communication skills
- Medication Management
- Staff Supervision
- Schedule Management
- Administrative duties
- Safety Monitoring
- Crisis Management
- Staff Scheduling
- Emergency Preparedness
- Staffing
- Resident support
- Policy and procedure implementation
- Supply Ordering
- Resident Documentation
- Developmental Disabilities
- Person-Centered Care Plans
Certification
- Fingerprint Clearance, 08/01/19, 09/01/25
- Driver's License
- CPR Certification, 05/01/24, 05/01/29
- Caregiver Certification, 05/01/24, 05/01/29
- First Aid Certification, 05/01/24, 05/01/29
Assessments
Work style: Reliability - Proficient, 11/01/21, Proficient, Tendency to be reliable, dependable, and act with integrity at work
Personal Information
Willing To Relocate: Anywhere
Timeline
Assistant Group Home Manager
Happy Children Group Home
05.2020 - 07.2024
Patient Advocate/ Case Manager/Team Lead
Recovia-Deer Valley, AZ
10.2017 - 02.2020
Lead Caregiver/Med Tech
A Place At Home-Phoenix, AZ
05.2013 - 10.2016
Prior Authorization Representative
United Healthcare-Phoenix, AZ
02.2011 - 05.2013
Medical Application Processor (AHCCCS/Medicaid)
Department of Economic Security-Phoenix, AZ
11.2009 - 01.2011
Caregiver
Adell Roberts and Shirley Cannon-Gilbert, AZ
04.2006 - 10.2009
Liberty University