Elizabeth Oakes
Wilmington,NC
Summary
Knowledgeable patient representative offers demonstrated skills in case management and service coordination. Expertly handles complaints, inquiries and service questions to meet patients' access needs and correct problems related to care. Well-versed in policies, procedures and standards. Patient-focused I/DD Care Coordinator equipped with administrative and customer service expertise. Helps keep healthcare services proceeding smoothly by coordinating communications, referrals and policy enforcement. Talented in finding balanced solutions and resolving conflicts. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
12
12
years of professional experience
Work History
I/DD Care Manager
Eastpointe legacy/Trillium
Kinston, NC
05.2023 - Current
- Conducted initial assessments and evaluations of patient's needs.
- Provided case management services to ensure the delivery of quality care.
- Coordinated with other health professionals to develop individualized plans of care for patients.
- Monitored and evaluated patient progress, adjusting treatment plans as needed.
- Maintained accurate client records in accordance with agency policies and procedures.
- Collaborated with physicians, social workers, and other healthcare providers to provide comprehensive care for patients.
- Assisted in the development of discharge plans for clients transitioning out of care programs.
- Participated in clinical reviews and audits as required by funding sources or regulatory agencies.
- Educated clients on available resources and services within their communities.
- Attended meetings with families and other members of the interdisciplinary team to discuss patient progress and plan for future interventions.
- Ensured compliance with state regulations related to healthcare service provision.
- Scheduled appointments for clients with appropriate medical specialists.
- Supported clients during hospital admissions and discharges.
- Developed individualized service plans based on assessment findings.
- Provided crisis intervention services when needed.
- Investigated and reported issues relating to patient care and conditions which might hinder patient well-being.
- Observed patients for changes in physical, emotional, mental or behavioral condition and injuries.
- Explained policies, procedures and services to patients.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
- Maintained records management system to process personnel information and produce reports.
- Managed changes in integrated health care delivery systems and technological innovations while keeping focus on quality of care.
Habilitation Manager
BAYADA
WILMINGTON, NC
06.2019 - Current
- In collaboration with the Clinical Manager, act as internal case manager and advocate for clients in the Habilitation program
- Participate in Person Centered Planning processes
- Collaborate with the client, family, Case Managers, Hab Techs and other members of the multi-disciplinary teams to implement and evaluate client care needs and individual goals identified in the Person Centered/Individual Support Plan
- Submitting at TARS, SARS, and completing all documentation for the year contracts
- Performing admission intake when client meets certain criteria
- Make regular client visits, as per policy, to evaluate client progress and to monitor that client services are implemented according to the Person Centered/Individual Support Plan and the service definitions
- Evaluate the progress of goals identified in the Person Centered/Individual Support Plan
- Documentation of progress summaries and report to local MCO
- Maintain ongoing communication with Case Managers/Care Coordinators from three MCO across the state
- Provide complete, accurate, and timely documentation in the client chart, home chart and computer system
- For 84 innovation waivers cases and 10 of B3 Medicaid respites
- Carry out supervision of Habilitation Technicians according to policy and procedure and as mandated by state regulation
- Participate in the hiring of field staff and interview process, as applicable
- Participate in new hire orientations and onboarding process
- Participate in client specific orientations as directed by the Clinical Manager
- Provide feedback to employees including recognition, counseling and termination of employment
- Provide input to the Client Services Manager and Clinical Manager for completing field staff performance evaluations
- Provide guidance to office colleagues to promote understanding of and response to the needs of clients with intellectual/developmental disabilities and related conditions
- Assist in the development, management and implementation of Habilitation services and contracts by maintaining positive relationships with area referral or funding sources
- Represent BAYADA in community and marketing activities
- Participate in Performance Improvement activities
- Participate in office and company meetings, events and functions.
Team Lead IPS - SE
RHA
NEW BERN
04.2016 - 04.2019
- Knowledge and application of evidence based model and applicable approaches with benefit counseling, career profiling, behavioral health integration, addressing barriers to employment, ongoing skill building and psychiatric rehabilitation
- Overseeing the operation of the program and team
- Providing oversight of employment services and collaborating with behavioral health support
- Supervising staff of ten to assure the delivery of evidence based and ethical practices
- Providing individual supervision at least monthly with each staff member, including the development of field mentoring and supervision logs
- Managing human resources and continuing education for ESP
- Collaborating with VR on monthly basic to discuss referrals
- Providing direct services to individuals as well as developing PCP or employment plan and convening clinical treatment meeting with MCO.
ABA Therapist
F.A.I.T.H
JACKSONVILLE, NC
05.2012 - 08.2016
- Provided ABA Therapy and therapeutic support for children diagnosed with autism
- Educated clients using principles of Applied Behavior Analysis
- Provided early intervention service to young clients to increase readiness skills
- Collected and analyzed data on client progress
- Maintained all required records and reports as determined by IPP or company policies
- Implemented academic and behavioral programs.
Clinical Care Coordinator
AUSTISM SOCIETY OF NC
GREENVILLE, NC
09.2014 - 04.2016
- Coordinated caseload of 45 individuals within the autism spectrum
- Advocated for participants and families to MCO for services and resources
- Attending IEP, working with all parties to achieve long term goals
- Created goals for home and community supports based on individuals' present level of performance and continued areas of needs
- Trained staff on implementation of goals and strategies for most effectively addressing deficits
- Provided ongoing supervision and training to staff in order to ensure follow through on strategies for addressing communication skills, social skills, and behaviors
- Adjusted strategies as needed to most effectively address current areas of need
- Worked as a member of a team with parents, case managers, related therapies, and direct care staff in order to provide goal-oriented instruction within the home and community
- Developed working knowledge of Medicaid funded services; educated parents and other team members regarding related information
- Scheduled and managed employees
- Overseeing a group home of six individuals within autism spectrum.
Education
Human Development and Family Studies / BS Psychology -
UNIVERSITY OF CONNECTICUT
06.2006
Skills
- Multidisciplinary Team Collaboration
- Progress Monitoring
- Patient Education
- Documentation within 48hour of bill of services
- Database Coordination (Altruista Guiding Care , Connection , Alpha)
- Quality Assurance
- Monthly monitoring
- Organizational Skills
- Smartsheet
- Case Management
- Strategic Planning
- Tailored Care Management
- Health Opportunity Pilot
- MACHEC
References
References available upon request
Timeline
I/DD Care Manager
Eastpointe legacy/Trillium
05.2023 - Current
Habilitation Manager
BAYADA
06.2019 - Current
Team Lead IPS - SE
RHA
04.2016 - 04.2019
Clinical Care Coordinator
AUSTISM SOCIETY OF NC
09.2014 - 04.2016
ABA Therapist
F.A.I.T.H
05.2012 - 08.2016
Human Development and Family Studies / BS Psychology -
UNIVERSITY OF CONNECTICUT
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