Manage all community based referrals and website referrals from Unite US
Manage Initial screening process
Determine the nature of all referrals
Determine service need and service delivery
Conduct insurance verification: Identification of PHP or MCO, Record numbers, policy numbers
Consult with billing staff to determine co-payment fees for all private insurance referrals
Conduct BLUEPRINT enrollment
Conduct new enrollments for state funding
Maintain master schedule and set up Initial CCA appointments
Communicate with all stakeholders outside of agency: MCO, DJJ, DSS, Primary care providers, Foster care providers;
Manged tracking device to monitor missed appointments, and rescheduling of all new patient referrals
Manage all initial Intensive In-Home referrals: Create person-centered plan, Submit for initial authorization, Communicate with all MCOs, Track authorization, Communicate to Regional director, Clinician staff, & Intensive In-Home staff
Assist Intensive In-Home staff with reauthorizations to all MCO
Assist administrative staff with maintenance of client's EMR
Data entry: Update patient EMR with updated clinical information and support documentation received from outside agencies
Managed a staff of 18 employees: Administrative, Intensive In-Home (three teams), AP staff, School-based therapists, Outpatient therapists, and Bilingual Interpreter
Took measures to market the company in order to promote new and existing programs
Managed service line to meet the needs of Hispanic children and families
Managed interpreter schedule: staffed and reviewed cases
Monitored to ensure program and facility operated within
applicable rules,regulations,and standards
Ensured each program had an updated copy of the appropriate policy and procedures manual, and standards
Reviewed policies and procedures with staff
Assisted with administering program policies and procedures and ensured all policy and procedure manuals are revised in a timely manner when revisions are distributed
Provided ongoing monitoring assessment; and revision of programs to ensure quality services that are consistent with the mission of the agency
Established and maintained positive working relationships with representatives of LME's, NC Division of MH/DD/SA, DJJ, DSS, and primary car providers
Stayed abreast of changes and communication set forth by the state of NC and Division of Medical Assistance
Monitored the quality and quantity of records for completion, accuracy and appropriate maintenance in accordance with policies and Service Records Manual
Ensured all data entered into the information management system was accurate, complete an entered with deadlines
Developed a system fo regular review of data in the information system
Provided staff trainings: Appropriate Record documentation and use of information management systems,
Managed In-Take coordinator duties: Initial/New patient referrals: Initial screening, scheduling, Insurance verification, tracked and updated data, Communicated with all stakeholders outside of agency: MCO, DJJ, DSS, Primary care providers, Foster care providers; Generated tracking device to monitor missed appointments, and rescheduling of all new patient referrals
Managed Service Records : Transitional planning and Discharge planning
Developed, monitored, reviewed person centered plans; Ensured persons served and families were involved in all decisions about treatment planning, service delivery, and outcomes
Routinely sought input from stakeholders through formal surveys and/or informal conversations or feedback
Used tact during discussions of sensitive issues with stakeholders and persons served
Respected the culture, diversity,and backgrounds of persons served and family members
Maintained confidentiality with regard to information concerning persons served parent, guardians, and family members
Ensured current release of information are maintained in the service record
Managed the employment process for new hire staff: Reviewed applications/resumes; Recruited employees whose philosophy about human services is consistent with agency
Conducted interviews of prospected candidates
Ensure screening of all new applicants was completed and all new hire paperworks was submitted to HR department prior to new employees working
Managed all new employees received initial orientation and pre-service training
Conducted and coordinated pre-service nd in-service training for staff
Ensured new staff is current in training, credentialing, and monitored continued training needs,
Reviewed information management system to ensure staff information has been entered correctly and in a timely manner
Conducted regular supervisory meeting with all staff and maintained documentation of meeting outcomes
Payroll: Reviewed payroll to ensure all employees were paid correctly; Compared payroll to billing to ensure staff were accurately recording their time based on the services provided
Developed and implemented a system to ensure all required billing elements were in place including authorizations, service order, and PCP prior to providing services
Ensured only billable services are provided
Supervised two interns (Master Level/SW) from ECU and Pitt Community College (Associate Level): Monitored field experience and completed requisite documentation for each; Coordinated with representatives from each college site
Manage all community based referrals
Manage Initial screening process
Determine the nature of all referrals
Determine service need and service delivery
Conduct insurance verification: MCO, Record numbers, policy numbers, Consult will billing staff for confirmation of co-payments for private insurance
Maintain master schedule and set up Initial CCA appointments
Communicate with all stakeholders outside of agency: MCO, DJJ, DSS, Primary care providers, Foster care providers;
Manged tracking device to monitor missed appointments, and rescheduling of all new patient referrals
Manage all initial Intensive In-Home referrals: Create person-centered plan, Submit for initial authorization, Communicate with all MCOs, Track authorization, Communicate to Regional director, Clinician staff, & Intensive In-Home staff
Assist Intensive In-Home staff with reauthorizations to all MCO
Data entry: Update patient EMR with updated clinical information and support documentation received from outside agencies
Responsible for the implementation of Community Support Services, Coordination of Day Treatment Services, and Medication Management
The independent management of 25+ cases: The
development, coordination, revisions of the Person-Centered Plans, Interagency linkage and the coordination and facilitation of Child/Family
Team Meetings
Assessments and evaluation of clients' potential cognitive, social, academic, and behavioral abilities, planning, coordinating,and arranging services
Obtained required authorization from LME-MCO and other authorizing entities
Responsible for the maintenance of clients' records to meet federal,state, and local guidelines
Provided consultation to community professionals/stakeholders
Developed Crisis management plans
Conducted discharge planning for consumers
First Responder for clients in crisis
Provided supervision for Associate and paraprofessional staff
Facilitated the instruction of core subject matter in mathematics and language arts courses;
Managed academic, attendance, and behavioral performance of students
Conducted parent conferences
Performed data entry tasks: Documentation of students' attendance, behavioral analysis, & grades