Janeth Shahin
Arlington,TX
Summary
Motivated Social Services Case Manager displaying high level of flexibility, adaptability and organizational skills. Superior leadership skills and demonstrated track record of success working with diverse client populations in one-on-one and group settings. Compassionate professional with many years of experience coordinating community programs and allocating resources. Dedicated to excellent patient care through an empathetic approach. Thrives in team-based or independently-motivated settings. Caring professional supports clinical teams in implementing care plans. Excellent time management, team collaboration, and program development skills. Hardworking employee with customer service, multitasking, and time management abilities. Devoted to giving every customer a positive and memorable experience.
Overview
13
13
years of professional experience
Work History
Medical Records Specialist
Carelon Health
Fort Worth, Texas
04.2021 - Current
- Reviewed medical records to ensure accuracy and completeness.
- Collected, filed, scanned, and retrieved confidential patient information.
- Compiled statistical reports on patient care and services provided by physicians or other health professionals.
- Collaborated with multiple departments to coordinate release of information requests from patients, legal representatives, insurance companies.
- Performed data entry into electronic health record systems.
- Processed requests for copies of patient medical files within designated timeframes.
- Ensured that all required forms were completed accurately and completely prior to storage or release.
- Answered inquiries regarding the status of patient records or their availability.
- Adhered to HIPAA guidelines when handling protected health information.
- Resolved any issues relating to incomplete documentation or coding errors.
- Maintained electronic medical records for all clients
- Pulled patient records and transferred information to appropriate parties.
Community Health Worker
Anthem
Fort Worth, Texs
06.2020 - Current
- Provided health education to clients about nutrition, physical activity and disease prevention.
- Conducted home visits to assess the health needs of patients and their families.
- Assisted with patient referrals to appropriate community resources.
- Facilitated group sessions on topics such as stress management and chronic disease self-management.
- Counseled clients on issues related to mental health, substance abuse, and violence prevention.
- Organized educational seminars regarding preventive health measures and healthy lifestyle choices.
- Provided case management services including crisis intervention, advocacy, and support for individuals experiencing homelessness or poverty.
- Coordinated transportation for clients to medical appointments or other necessary services.
- Acted as an advocate for clients when interacting with insurance companies or government agencies.
- Participated in outreach activities such as health fairs or community events.
- Assessed the impact of social determinants of health on patient outcomes.
- Created informational materials about available resources in the local community.
- Served as a liaison between healthcare providers and community organizations.
- Provided assistance with completing forms related to public benefits programs.
- Offered emotional support during difficult times or stressful situations.
- Educated clients about risk factors associated with specific diseases or illnesses.
- Handled research and administrative tasks to support community outreach and program initiatives.
- Returned calls, emails and faxes according to departmental policy.
- Assisted individuals with navigating health care systems, appointments and classes.
- Delivered healthy living and disease management information to specific population groups.
- Educated clients on options to assist in making informed decisions.
- Answered calls and interacted with community members to provide information on advocacy services.
- Helped people enroll in programs, arrange transportation and coordinate paperwork.
- Notified individuals regarding appointment follow-ups and referrals and provided transportation to appointments.
- Provided information to access financial assistance, legal aid or housing.
Referral Coordinator
Anthem
Fort Worth, TX
06.2020 - Current
- Assisted in the development of referral processes and procedures.
- Maintained accurate records of all referrals, including contact information and follow-up activities.
- Coordinated with external agencies to ensure timely processing of referrals.
- Provided feedback on relevant referral trends, issues, and best practices.
- Resolved conflicts between referring physicians and receiving providers.
- Participated in regular meetings to discuss referral strategies, network expansion, and program performance metrics.
- Developed relationships with key stakeholders within the healthcare system to facilitate effective referrals.
- Collaborated with internal departments to ensure smooth transitions for referred patients.
- Performed data entry related to referrals into electronic health record systems.
- Ensured compliance with applicable laws and regulations regarding referrals.
- Advised staff on appropriate protocols when making a referral.
- Assisted in training new employees on the organization's policies for making referrals.
- Scheduled patients according to availability, urgency and insurance authorization guidelines.
- Reviewed demographic, clinical and insurance information before sending to referred specialists.
- Reviewed referral details and expectations with providers and patients and requested new referrals when necessary.
- Answered questions and resolved concerns raised by both patients and specialists.
- Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
- Reviewed data obtained from referring physicians for completeness and accuracy.
- Developed productive working relationships with numerous insurance company representatives.
- Explained policies, procedures and services to patients.
Social Services Assistant
Kindred Healthcare Inc.
Mansfield, TX
01.2012 - 06.2019
- Developed plans of care based on assessments of clients' needs and resources available.
- Advocated on behalf of clients in court proceedings, when needed.
- Maintained confidential records of client information according to agency policies and procedures.
- Created reports summarizing data related to client demographics, outcomes, program activities.
- Provided guidance and referrals for clients seeking additional resources outside of the organization's scope.
- Participated in team meetings with other social service professionals to discuss best practices.
- Served as a liaison between clients, families, external agencies, and other stakeholders.
- Utilized computer software programs such as Microsoft Office Suite or database systems when necessary.
- Coordinated transportation arrangements for clients needing access to medical appointments or job interviews.
- Conducted psychosocial assessments to identify individual needs and specific social services necessary to address identified objectives and goals.
- Presented clients with information, referrals and assistance accessing resources such as food, housing and transportation.
- Promoted integration of behavioral health care and long-term services to enhance continuity of care for clients.
- Formulated discharge plans in collaboration with multidisciplinary treatment team, patient and family.
- Coordinated specific psychosocial resources to meet members' identified needs.
- Facilitated supportive services and counseling for family members to address special concerns and ease transition during home visits.
- Functioned as treatment team member, interpreting social, emotional and family system problems and strengths to other members.
Activities Assistant
Kindred Healthcare Inc.
Mansfield, TX
01.2012 - 06.2019
- Assisted in the development of activity plans for residents on a weekly basis.
- Organized and implemented activities to meet the individual needs of each resident.
- Facilitated group activities such as bingo, arts and crafts, cooking classes.
- Provided one-on-one assistance with activities for those who needed it.
- Maintained records of all activity participation.
- Monitored safety and cleanliness during activities.
- Encouraged residents to participate in leisure activities according to their abilities.
- Developed relationships with families and other members of the community to further enhance recreational opportunities for residents.
- Ensured that all participants were aware of potential risks associated with certain activities.
- Instructed staff on proper procedures for leading activities and providing support for residents' needs.
- Participated in special events such as birthday celebrations, holiday parties.
- Provided emotional support when necessary during recreational activities.
- Communicated regularly with family members about their loved ones' progress in recreational programming.
- Assisted with transportation arrangements for offsite activities when required.
- Maintained inventory of supplies related to recreational programming.
- Adapted equipment as needed for safe participation by individuals with disabilities or physical limitations.
- Kept activities spaces organized, clean and tidy.
- Assisted residents with developing and maintaining positive social skills, mental aptitude, confidence and strong interpersonal connections.
Education
High School Diploma -
O.D Wyatt High School
Fort Worth, TX05-2006
Certified Community Health Worker - Community Health Worker
Health And Human Services
Skills
- Behavioral assessment
- Disability Support
- Motivational Interviewing
- Client Advocacy
- Staff Education
- Progress Documentation
Affiliations
- I am able to multitask
- Fast learner
- Friendly
- Outgoing
- Love to take care of others and make them feel better about themselves
- Fun personality
- Very creative
Timeline
Medical Records Specialist
Carelon Health
04.2021 - Current
Community Health Worker
Anthem
06.2020 - Current
Referral Coordinator
Anthem
06.2020 - Current
Social Services Assistant
Kindred Healthcare Inc.
01.2012 - 06.2019
Activities Assistant
Kindred Healthcare Inc.
01.2012 - 06.2019
High School Diploma -
O.D Wyatt High School
Certified Community Health Worker - Community Health Worker
Health And Human Services
Similar Profiles
Dalaise HickeyDalaise Hickey
BH CARE MANAGER II at Carelon HealthBH CARE MANAGER II at Carelon Health
Alison TaylorAlison Taylor
Clinical Fields Operations Manager at Carelon HealthClinical Fields Operations Manager at Carelon Health
Cameron HughesCameron Hughes
Manager at Carelon HealthManager at Carelon Health