
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.
• 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
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
• 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
• 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
Organizational Skills
HIPAA Compliance
Patient Education
Clinical Documentation
Care Planning
Documentation
Goal Setting
Case Management
Clinical Leadership
Patient Relations
Patient relationship management