Summary
Overview
Work History
Education
Skills
Timeline
Generic

Janie Kiser

Amarillo,TX

Summary

Accomplished Clinical Care Coordinator with a proven track record at Presbyterian Health Plan, adept in HIPAA Compliance and fostering patient relationships. Excelled in reducing unnecessary hospitalizations through effective care planning and clinical leadership, demonstrating exceptional organizational skills and a commitment to patient education.

Overview

13
13
years of professional experience

Work History

Clinical Care Coordinator

Presbyterian Health Plan
09.2018 - Current

• Assessment of members to identify unmet needs, coordinate services, community resources, and treatment needed

• Delivering a holistic approach to coordinated care based on the enrollee needs

• Identifying early risk factors and conducting ongoing assessments and documenting in an electronic file

• Creating, reviewing and revising Plan of Care plans and focusing on disease management

• Functioning as an advocate for members and decreasing unnecessary hospitalizations

• Collaborating with the member's PCP to deliver and coordinate necessary services

• Building relationships with members and their families; assisting them with proper health choices

• Ensuring cases are documented in a timely manner

• Providing support and guidance to others on my team who lack knowledge in behavioral health

Clinical Care Coordinator

United Healthcare Group
11.2013 - 08.2018

Assessment of members to identify unmet needs, coordinate services, community resources, and treatment needed

• Delivering a holistic approach to coordinated care based on the enrollee needs

• Identifying early risk factors and conducting ongoing assessments and documenting in an electronic file

• Creating, reviewing and revising Plan of Care plans and focusing on disease management

• Functioning as an advocate for members and decreasing unnecessary hospitalizations

• Collaborating with the member's PCP to deliver and coordinate necessary services

• Building relationships with members and their families; assisting them with proper health choices

• Ensuring cases are documented in a timely manner

• Providing support and guidance to others on my team who lack knowledge in behavioral health

●Meet with members to determine care plans

●Input care plans in the system

Community Support Specialist

Team Builders Counseling Services
04.2013 - 11.2013

• Help the client define what recovery means to them individually and set appropriate and attainable goals

• Assist the individual to develop and coordinate a crisis management plan

• Assess, support, and recognize symptoms of a potential crisis and early prevention techniques

• Coordinate programs to assist gaining access to rehabilitative, medical, and other services

• Support clients in identifying strengths and barriers in developing skills necessary for self-care and resiliency

• Assist in developing interpersonal and functional skills, including adaptations to home, school, and work environments.

• Assist in developing natural supports in the workplace, social, and school environments

• Assist in building symptom management skills, including behavior management, knowledge of medications and their side effects, and development of skills to take medication as prescribed

• Assist with practical and vocational skills such as financial management, obtaining & maintaining stable housing, and school/employment performance

• Monitor progress to determine if services meet the individual's needs

Behavorial Managment Specialist

Team Builders Counseling Services
12.2011 - 04.2013

• Provide 1 on 1 services for clients who have severe emotional disturbances or neurological disorders

• Assess an individual child's needs, limitations, and potential, using observation, review of school records, and consultation with parents and school personnel

• Assist children and families to help solve conflicts and problems in school, in home and community settings

• Coordinate monthly team meetings with the client’s parents, teachers, principals, and mental health

• Create a monthly treatment plan to meet the client’s needs

Education

High School Diploma -

Muleshoe High School
Muleshoe, TX

Bachelor of Science - Counseling Psychology

Mid America Chrisitan University
Oklahoma City, OK

Master of Science - Counseling Psychology

MId-America Christian University
Oklahoma City, OK

Skills

Organizational Skills

HIPAA Compliance

Patient Education

Clinical Documentation

Care Planning

Documentation

Goal Setting

Case Management

Clinical Leadership

Patient Relations

Patient relationship management

Timeline

Clinical Care Coordinator

Presbyterian Health Plan
09.2018 - Current

Clinical Care Coordinator

United Healthcare Group
11.2013 - 08.2018

Community Support Specialist

Team Builders Counseling Services
04.2013 - 11.2013

Behavorial Managment Specialist

Team Builders Counseling Services
12.2011 - 04.2013

High School Diploma -

Muleshoe High School

Bachelor of Science - Counseling Psychology

Mid America Chrisitan University

Master of Science - Counseling Psychology

MId-America Christian University
Janie Kiser