Supervises a team of 12 case managers to provide intensive case management, assistance that will increase the stability of veterans and their families
Sr
Case manager also assists case managers in: assessing and reassessing client/household needs, educating on program and community resource opportunities, developing relevant service plans, scheduling appointments, and providing necessary follow-up to ensure service plans are progressing on schedule and needs are adequately being addressed
Sr
Case manager is also responsible for all case assignments, Temporary funding assistance (TFA) approvals
Providing daily support to case managers, clients and families through ongoing case conferencing, counseling, and advocacy
Makes referrals to available VA/community providers for therapeutic, social, educational, and medical resources, as appropriate, also referrals to HVRP for employment opportunities, participate and assist with outreach events.
Medical Records Expeditor / Admin
QTC Management Inc. - A Leidos Co.
08.2017 - 11.2018
Responsible for providing excellent services such as identifying patients and completing new patient appointment registration process and re-scheduling appointments accordingly
Complete all routine medical records correspondences and follow-ups, work with case management specialist to ensures that both providers and claimants' signatures are obtained, communicate via email and telephone with all regional offices (clinics, local and government agencies), processing of all incoming/outgoing facsimiles, (EHR) electronic medical records retrieval from third- party providers scanning and uploading diagnostics results, expediting priority claims requests.
Behavioral Health Worker
WES Health Systems
04.2016 - 04.2017
Provided mental health interventions to a range of students
Monitored student's behaviors
Assisted teachers with implementation of behavioral plans
Supervised all activities of child/adolescent in accordance with the behavioral plan with emphasis on prevention rather than intervention
Intervened as needed with problem behaviors that are exhibited to include counseling, removing them from the area, verbal prompts, secured the assistance of clinical staff, assisted clinicians with groups, input outcome data for consumers, attended facility training as required
Adhered to Wes's code of ethics and complied with State Mental Health Codes.
Customer Service Associate
LC Industries
06.2015 - 02.2016
Perform daily customer service functions to includes - Processing incoming orders, responding to customer requests and/or complaints, maintaining customer database ensuring information is current, track and issue credits for customer returns
File claims for lost/damage products, enter new customers into system, assist the team with various projects.
Data Collection Specialist
RTI International
11.2014 - 05.2015
Conduct research by identifying point of contact for each doctor, hospital, or medical provider to be contacted
Interact with medical providers to discuss patient eligibility for clinical research, send and confirm receipt of authorization forms to provider before collecting data, extract and enter relevant medical and financial information into a database, abstraction of medical records
HIPPA training was completed annually.
Customer Care Specialist
WellPoint Healthcare / Xerox Corporations
09.2013 - 11.2014
Handling a flow of over 85 calls per day, providing accurate information about medical insurance and benefit plans adhering to HIPAA guidelines
Medical claims processing, precertification and, electronic document retrievals
Providing information regarding submission of clinical documents for claims processing.
Education
M.A. in Human Services / Health & Wellness counseling -
Liberty University Graduate School
Lynchburg, VA
01.2013
Bachelor of Science in Interdisciplinary Studies / Behavioral Studies -
New York Institute of Technology
Old Westbury, NY
01.2010
Skills
Microsoft Suite: (Word, Excel, Access, & Outlook)
Software
Needles
E-Process
Client Track (5 years)
Avatar (3 years)
Credible
E-process (2 years)
Adobe Pro (5 years)
Professionalskillsprofile
Highly skilled at relationship building.
Strong organizational, supervisory and time management skills
Ability to focus on detail, ability to prioritize, multiple tasks, and meet deadlines.
Working knowledge of HIPPA compliance / understanding of cultural competencies
Strong customer relations management / committed to assisting Veterans and others in need.
Timeline
SSVF Senior Case Manager
Veteran Multi-Service Center
11.2018 - Current
Medical Records Expeditor / Admin
QTC Management Inc. - A Leidos Co.
08.2017 - 11.2018
Behavioral Health Worker
WES Health Systems
04.2016 - 04.2017
Customer Service Associate
LC Industries
06.2015 - 02.2016
Data Collection Specialist
RTI International
11.2014 - 05.2015
Customer Care Specialist
WellPoint Healthcare / Xerox Corporations
09.2013 - 11.2014
M.A. in Human Services / Health & Wellness counseling -
Liberty University Graduate School
Bachelor of Science in Interdisciplinary Studies / Behavioral Studies -
New York Institute of Technology
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