Domonique Elliott

Handled multi-state property damage claims, conduct research and investigation, calculated damages owed and issued payments in a timely manner.

• Achieved over 80% calls answered live in a call center environment.
• Performed various admin tasks, provided high quality customer service and conflict resolutions on claims.
• Demonstrated the ability to manage multiple workflows in a high volume, fast-paced enviornment.
• Met and exceeded goals and metrics within the department.

Provided clinical case management to youth and families utilizing comprehensive assessment tools to develop strategies within the care plan and linked families to providers and supports in the community.

• Facilitated Child Family Team (CFT) meetings using wrap around support to develop, implement and monitor the Individualized Service Plans (ISP)
• Conduced monthly face-to-face visits in the home to discuss goals achieved and authorized services on a 90 day basis.
• Coordinated and collaborated with all members of the care team to advocate for proper services, safe discharge planning & ongoing treatment to manage care.
• Shared clients success stories with the agency that resulted in a 97% scoring for CARF Accreditation.

Managed a caseload of 230 members while utilizing advanced critical thinking, judgement and analytical skills throughout the case management process to facilitate appropriate healthcare outcomes for members enrolled in MLTSS.

• Identified high risk factors, gaps and service needs to develop contingency plans for risk management.
• Assessed, planned and developed initial care plans and authorized services in a cost-effective manner.
• Facilitated and led care team meetings, demonstrating advocacy and support and provided case resolution for enhancement to ensure quality coordinated care.
• Presented challenging cases at case conferences, case rounds and state workshops to obtain multidisciplinary review in order to achieve optimal outcomes.
• Led south team for the most Interdisciplinary team meetings increasing productivity in the 4th quarter.
• Consistently achieved audit score of 100% during quality review.
• Coach, mentor and trained newly hired CM's to the team.
• Participated in the PA - Outreach Project to ensure 12,000 high risk members were notified of Aetna contract ending and to connect members with choosing a new health plan.

Worked on multiple projects including transitional housing and rapid-rehousing to assist homeless individuals living on the streets, encampments or shelters to finding suitable housing within a 45-day project period.

• Conducted home and apartment inspections to identify safety issues and needed repairs.
• Influenced a landlord/investor to work with the program that gave the agency access to available units that resulted in housing over 15 participants in 30 days.
• Promoted to Housing Locator within 2 weeks after developing partnerships with other stakeholders in the community