Summary
Overview
Work History
Education
Skills
Certification
Personal Information
Timeline
Generic

Denise Thornton

Newport News,VA

Summary

Dynamic Eligibility & Financial Determination Specialist with a proven track record at InnovAge, excelling in Medicaid compliance and documentation management. Skilled in patient care and team collaboration, I enhance operational efficiency and ensure quality service delivery. Recognized for training initiatives that foster teamwork and improve performance in fast-paced environments.

Overview

1
1
Certification
16
16
years of professional experience

Work History

Eligibility & Financial Determination Specialist

InnovAge
Newport News, Virginia
12.2025 - Current

Reviewed applications and collaborated with enrollment representatives to secure required documentation for timely approval.

  • Oversaw Medicaid application submissions from InnovAge PACE participants to county technicians.
  • Maintained Medicaid application tracking system, updating status from submission to approval to ensure efficient processing.
  • Ensured compliance with state Medicaid regulations and kept current on relevant policy changes.
  • Facilitated smooth transitions to Medicaid eligibility for private pay clients.
  • Collaborated with accounts receivable and Medicaid analysts to address monthly issues for IGCP participants.
  • Acted as the primary contact for ongoing training and best practices for enrollment representatives.
  • Led training sessions for enrollment representatives, enhancing teamwork and morale through ongoing support.

Eligibility & Financial Redetermination Rep.

InnovAge
Newport News, Virginia
05.2021 - Current

Completed all re-determinations for InnovAge PACE participants 30 days prior to case due dates.

  • Assisted participants and families in annual Medicaid redetermination process, ensuring completion of all necessary paperwork.
  • Monitored Medicaid aging report, promptly addressing aged items to maintain compliance.
  • Communicated long-term Medicaid policies, including spousal impoverishment and trusts, in accessible terms for families and caregivers.
  • Conducted home and day center visits to facilitate efficient Medicaid redeterminations within required time frames.
  • Collaborated with county government technicians to efficiently gather documentation for Medicaid re-determination.
  • Documented outcomes in participant tracking system, maintaining detailed contact notes for accurate record-keeping.
  • Managed participant caseload systematically to ensure timely processing of cases. and workspace effectively to enhance information accessibility.

Day Center CNA

Innovage PACE Center
Newport News, VA
09.2020 - Current
  • Provided routine care and assisted participants with activities of daily living, restorative and supportive care at the Day Center.
  • Followed plan of care and assisted participants with activities of daily living such as bathing, dressing, grooming, and toileting.
  • Assisted participants with restorative and supportive care, including ambulating, positioning, transferring, skin care, and oxygen administration, ensuring comfort and safety.
  • Monitored participants' health status, including vital signs, weights, skin condition, appetite, and changes in functional ability; reported pertinent information to clinical supervisor promptly.
  • Monitors participants' health status by taking vital signs and weights (monthly)
  • Monitors appetite in addition to looking for changes in functional ability and checking skin condition while assisting with toileting
  • Monitors/assists participants in a courteous manner with meals and provides assistance with feeding as necessary
  • Carries out, reports and documents care given in an effective, timely manner as observed by the RN and through periodic record reviews
  • Documents care provided in accordance with established policies, guidelines and applicable regulations
  • Collaborated with multidisciplinary teams to develop and implement personalized care plans for participants.
  • Collaborated with the interdisciplinary team to formulate Plans of Care for InnovAge PACE program participants.
  • Reports any variance, accident or unusual occurrence to the appropriate personnel
  • Assist the transportation department with participants' take home supplies
  • Rotated into In-Home Services as a Homecare C.N.A. as required by the ADHC Services Manager.
  • Creates and participates in group(s) and one-on-one activities in accordance with daily activity calendar when needed
  • Physical attendance at an InnovAge facility and/or an InnovAge participant home is essential to performing the job duties

Front Desk Receptionist

InnovAge
Newport News, VA
09.2020 - Current
  • Processed interoffice and outgoing/incoming mail efficiently, ensuring timely delivery.
  • Distributed mail while maintaining confidentiality and addressing sensitive issues.
  • Provided administrative support and executed general office duties.

Nursing Care Partner

Sentara Leigh Hospital
Norfolk, VA
03.2010 - 06.2021
  • As a Nursing Care Partner/Patient Care Technician with Sentara, you will have the opportunity to learn many new skills.
  • Took patient vitals, performed blood draws, and provided daily care to ensure patient comfort and safety.
  • Facilitated admission and discharge processes, assisted with changing, bathing, and ambulating patients, and provided foley catheter care.

CNA - Certified Nursing Assistant

Sentara PACE
Portsmouth, VA
03.2010 - 06.2021
  • Provided comprehensive patient care, ensuring personal hygiene, toileting, meal preparation, feeding, vital sign monitoring, intake/output tracking, ambulation support, and safe transfers between beds and other areas.
  • Assisted patients with daily living activities and personal care needs.
  • Monitored vital signs and reported changes to nursing staff promptly.
  • Maintained cleanliness and safety of patient environments according to health standards.

CNA - Certified Nursing Assistant

Bay pointe rehabilitation center
01.2014 - 02.2017
  • Monitored vital signs, reporting changes to nursing staff for timely interventions.
  • Collaborated with healthcare team to deliver quality care and promptly address patient needs.
  • Assisted patients during rehabilitation exercises and therapy sessions to promote recovery.
  • Supported patients with daily living activities, including bathing, grooming, and dressing.
  • Communicated effectively with patients and families regarding care plans and updates.
  • Responded promptly to call lights and addressed patient needs efficiently.
  • Ensured cleanliness and organization of patient rooms and common areas to promote patient comfort and safety.
  • Trained new staff on facility protocols and patient care techniques, enhancing team competency and service quality.

Customer Service Representative

QVC
Chesapeake, VA
  • Resolved escalated customer issues, enhancing customer satisfaction and loyalty.
  • Assisted customers with product inquiries and resolved complaints promptly.
  • Trained new employees on customer service protocols, improving their readiness to handle customer interactions.
  • Supervised customer service team to ensure consistent delivery of high-quality support.
  • Conducted performance reviews to promote team development and engagement.
  • Developed staff schedules to optimize coverage during peak hours.
  • Implemented feedback systems that improved service delivery processes.
  • Coordinated with departments to streamline communication and operations.

Education

Some College - Human Services

Tidewater Community College
Norfolk, VA
05-2028

High school - General studies

Stratford High School
Washington, DC
06-2001

Norfolk allied health training school - Medical assistant

Norfolk allied training
Norfolk, VA

Skills

  • CNA certification
  • Certified Nursing Assistant
  • CNA Senior Care
  • Patient Care
  • Nursing
  • Nursing
  • Dementia Care
  • Alzheimer's Care
  • Hospice Care
  • Catheter Care
  • Meal Preparation
  • Food Preparation
  • Memory Care
  • Quality Assurance
  • Client Relations
  • Administrative Support
  • Microsoft Word
  • Administrative Support
  • Team performance improvement
  • Troubleshooting techniques
  • Knowledge sharing
  • Analytical thinking
  • Goal setting
  • Teamwork and collaboration
  • Problem-solving abilities

Certification

  • CNA
  • CPR Certification
  • BLS Certification
  • State Tested Nursing Assistant

Personal Information

  • Willing To Relocate: Anywhere
  • Authorized To Work: US for any employer

Timeline

Eligibility & Financial Determination Specialist

InnovAge
12.2025 - Current

Eligibility & Financial Redetermination Rep.

InnovAge
05.2021 - Current

Day Center CNA

Innovage PACE Center
09.2020 - Current

Front Desk Receptionist

InnovAge
09.2020 - Current

CNA - Certified Nursing Assistant

Bay pointe rehabilitation center
01.2014 - 02.2017

Nursing Care Partner

Sentara Leigh Hospital
03.2010 - 06.2021

CNA - Certified Nursing Assistant

Sentara PACE
03.2010 - 06.2021

Customer Service Representative

QVC

Some College - Human Services

Tidewater Community College

High school - General studies

Stratford High School

Norfolk allied health training school - Medical assistant

Norfolk allied training
Denise Thornton