Indira Maharaj-Walls, LICSW
Madison,AL
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
12
12
years of professional experience
Work History
Telephonic Care Manager
Humana
11.2022 - Current
- Consulted with supervisors to assess cases and plan strategies for enhancing care.
- Assessed clients and developed plans to meet needs.
- Educated clients and families on community resources, treatment options and health care services to better manage conditions.
- Managed high-volume caseloads while maintaining a strong focus on delivering personalized attention and exceptional service to each patient.
- Participated in team meetings and trainings to stay updated on best practices and new developments in care management.
- Managed caseload to satisfy multiple patients with diverse needs.
- Responded to emergency situations and provided support to promote client safety and wellbeing.
- Assessed risk factors of patients and made referrals for further services.
- Coordinated individualized discharge plans to manage safe transition back into community and home environments.
- Provided education on disease management strategies, empowering patients to take control of their own health.
- Maintained detailed records in compliance with agency standards and regulations.
Social Worker
Crestwood Medical Center
09.2020 - 10.2021
- Responsible for screening all patients for any discharge needs, and assisting in the transfer of patients from an acute care setting to an appropriate lower level of care.
- Provides up-to-date healthcare information to help facilitate the member's understanding of his/her health status
- Ensure a timely discharge plan for med/surg/ED/outpatients identified as needing post-hospital services
- Applies understanding of medical conditions, insurance coverage and how physical/psychosocial may affect the patient once a patient leaves the medical setting and initiate an individualized discharge plan
- Analyzes medical reports, test results, and treatment plan to determine proper payment or reimbursement
- Develops a proactive course of action to address issues presented to enhance the short and long term health outcomes as well as opportunities to enhance a member's overall wellness through integration
- Applies judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact healthcare access, services and resolution of member issues
- Through motivational interviewing and the use of various tools, uses healthcare knowledge and experience of health risk behaviors to conduct evaluation of member's health status for either HEDIS health screening/control or Medication Adherence.
- Demonstrated leadership skills in managing projects from concept to completion.
- Organized and detail-oriented with a strong work ethic.
Behavioral Health Care Manager
Sequel Youth Services
11.2017 - 08.2019
- Utilized case management skills to provide support to students with their emotional, behavioral, and substance abuse needs
- Attended trainings to participate in regular supervision and continued education to maintain professional competence and ethical standards.
- Provided individual and group counseling sessions to provide information and assistance with the program
- Coordinated treatment with law enforcement and behavioral health psychiatrist to make appropriate care decisions
- Served as liaison with community educational facilities to provide on campus support to students
- Provided problem solving counseling to a diverse adult population with a wide range of disabilities to facilitate the achievement of rehab objectives
- Conducted psycho-social assessments to determine appropriate level of care for treatment and the ability to understand the variety of clinical options available through the program
- Used holistic approach consults to overcome barriers with assisting students in meeting goals and objectives.
Renal Social Worker
Davita Dialysis
08.2016 - 06.2017
- Utilized interviewing and active listening skills, provides coaching, information and support to empower the member to make ongoing independent healthy healthcare choices
- Enhanced interdisciplinary team collaborations for optimal patient care through effective communication and coordination.
- Provided crisis intervention services to individuals facing medical, emotional and mental health challenges in hospital setting.
- Explained medical care options to help families make informed healthcare decisions.
- Coordinated transportation services for dialysis treatments, reducing missed appointments due to logistical barriers.
- Conducted regular case reviews with interdisciplinary team members, ensuring continuity of care across all aspects of treatment efforts.
Social Worker
Department Of Veteran Affairs
02.2016 - 08.2016
- Researched discrepancies in regards to billing and account status
- Audits payment determination, reconsiderations, and re-reviews on Medical Bill Data
- Prepared, executed, and tracked revenue program specific information
- Knowledge in applying the laws, rules, and regulations pertaining to healthcare eligibility, means and co-pay testing, and billing
- Demonstrated experience with First Party billing and processing of healthcare claims
- Processed claims accurately to enhance customer satisfaction and retention and processed claims within quality and production standards
- Determine and understand the coverage provided under a member's health plan.
- Advocated for clients'' rights, navigating complex systems to secure necessary resources and benefits.
Medical Social Worker
St. Thomas Rutherford Hospital
08.2012 - 02.2016
- Enhanced interdisciplinary team collaboration for optimal patient care through regular case conferences and communication.
- Completed psychosocial evaluations and needs assessments.
- Maintained detailed records of patient progress, documentation of services and case notes.
- Collaborated with healthcare providers to drive continuity of care.
- Developed cultural competence through ongoing professional development opportunities, providing culturally sensitive services to diverse patient populations.
- Educated patients on available treatment options and assisted in informed decision-making regarding their healthcare plan.
- Worked with medical teams, patients and families to implement effective treatment plans.
Education
Masters of Social Work -
Middle Tennessee State University
Murfreesboro, TN05.2012
Skills
- Microsoft Office
- Computer Skills
- Analytical and Critical Thinking
- Verbal Communication
- Decision-Making
- Calm Under Pressure
- Task Prioritization
- Cultural Awareness
- Relationship Building
- Quality Assurance
- Customer Relations
- Data Entry
Licensed Independent Clinical Social Worker
#9687 (Alabama)
Timeline
Telephonic Care Manager
Humana
11.2022 - Current
Social Worker
Crestwood Medical Center
09.2020 - 10.2021
Behavioral Health Care Manager
Sequel Youth Services
11.2017 - 08.2019
Renal Social Worker
Davita Dialysis
08.2016 - 06.2017
Social Worker
Department Of Veteran Affairs
02.2016 - 08.2016
Medical Social Worker
St. Thomas Rutherford Hospital
08.2012 - 02.2016
Masters of Social Work -
Middle Tennessee State University
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