Knowledgeable School Social Worker focused on helping students excel in academic and social situations by working with teachers, families and outside resources to build powerful support network.
Overview
13
13
years of professional experience
1
1
Certification
Work History
School Social Worker
Franklin County Public Schools
07.2023 - Current
Collaborated with teachers, parents, and administrators to develop and implement behavior intervention plans and IEP goals
Conducted assessments and screenings to identify students in need of social-emotional support and resources
Advocated for students' rights and access to services by liaising with community organizations and agencies
Staff Cases at FAPT and serve as FAPT case manager
Prepare court documents and attend all court hearings
Conduct regular home visits to support students and families
Serve on the Threat Assessment Team (certified)
Serve on the Chronic Absenteeism Reduction board
Assisted in creating an attendance reward system
Complete Social Developmental Histories.
Contributed to court proceedings, advocating for family's best interests and recommending balanced solutions.
Provided case management services, counseling, education and life-skills training to diverse, at-risk student population.
School Social Work Intern
Franklin County Public Schools
09.2022 - 04.2023
Conducted assessments and evaluations to support the identification and referral of at-risk students for additional support services
Participated in multidisciplinary team meetings to discuss student progress and develop holistic intervention plans
Assisted social worker with writing IFSP's and attended FAPT staffings
Conducted home visits with Social Worker.
HVRP Case Management Intern
Total Action for Progress
08.2021 - 04.2022
Conducted intake assessments and created individualized employment plans for homeless veterans seeking housing and employment assistance
Facilitated workshops and support groups to enhance job readiness and life skills for program participants
Collaborated with community partners and employers to connect veterans with job opportunities and resources
Maintained accurate and up-to-date case notes and documentation in compliance with program requirements
Conducted regular home visits and check-ins to monitor progress and provide ongoing support to clients.
Maintained accurate records, ensuring timely reporting and compliance with program requirements.
Coordinated with local government to provide resources to clients.
Assisted in the creation of program materials, contributing to the ongoing improvement of case management services.
Claims Process Expert
Anthem
03.2016 - 09.2021
Conducted comprehensive reviews of insurance claims to ensure accuracy, compliance with policies, and timely processing
Served as lead auditor for federal employee health benefits plans
Developed and delivered training programs for claims processors to maintain a high level of quality and expertise
Collaborated with cross-functional teams to resolve complex claims issues and provide exceptional customer service
Utilized data analysis to identify trends and patterns in claims processing and implement strategic solutions for improved performance
Reviewed claim submissions to determine medical necessity, coverage benefits and discrepancies and cost containment measures to adjudicate claims
Investigated health insurance claims and verified accuracy, reviewed ICD-9 and ICD-10 codes and made appropriate determination for processing of plan benefits.
Served as a subject matter expert on specific processes providing guidance and support to other team members when needed.
Ensured compliance with industry standards, regulations, and best practices within operational processes.
Claims Processor
Anthem
05.2011 - 03.2016
Reviewed and processed incoming insurance claims for accuracy and completeness
Communicated with policyholders, providers, and other parties to gather necessary information for claim processing
Utilized electronic claims processing systems to input and track claims status
Resolved discrepancies and errors in claims by investigating and coordinating with appropriate departments
Met target goals for claims processing turnaround time and accuracy to ensure timely payment for policyholders
Maintained 99.6% claims processing accuracy.
Collaborated with cross-functional teams to resolve complex claims issues efficiently and effectively.
Reduced claim processing time for faster customer service and improved satisfaction rates.
Monitored changes in legislation that could potentially impact the way claims are processed or paid out by insurance companies.
Education
Masters of Social Work - Social Work
George Mason University
Fairfax
05.2023
Bachelor of Arts - Psychology
Mary Baldwin University
Staunton, VA
09.2018
Skills
Excellent communication skills
Verbal and written communication
Documentation
Home visits
Student Advocacy
Attendance monitoring
Multidisciplinary team collaboration
Community Resources
Case Management
Invoice Verification
Certification
Threat Assessment Training - 2024
McKinney-Vento Training - 2023
Timeline
School Social Worker
Franklin County Public Schools
07.2023 - Current
School Social Work Intern
Franklin County Public Schools
09.2022 - 04.2023
HVRP Case Management Intern
Total Action for Progress
08.2021 - 04.2022
Claims Process Expert
Anthem
03.2016 - 09.2021
Claims Processor
Anthem
05.2011 - 03.2016
Masters of Social Work - Social Work
George Mason University
Bachelor of Arts - Psychology
Mary Baldwin University
Threat Assessment Training - 2024
McKinney-Vento Training - 2023
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