JENNIFER CAIN
ELIZABETH
Summary
Dedicated professional with extensive experience in patient navigation, adept at providing essential support and guidance throughout the healthcare journey. Leverages strong communication and problem-solving skills to effectively address and resolve patient needs, ensuring a seamless experience. Possesses in-depth knowledge of healthcare systems and community resources, facilitating comprehensive care coordination and optimizing patient outcomes. Committed to enhancing patient satisfaction and promoting health equity through personalized and empathetic service.
Overview
26
26
years of professional experience
Work History
Community Health Navigator
AmeriHealth Caritas
06.2022 - Current
- Coordinated patient care services to enhance access to health resources.
- Facilitated communication between healthcare providers and patients for improved outcomes.
- Developed personalized health plans based on individual patient needs and goals.
- Educated patients about available health programs and services to promote engagement.
- Participated in regular team meetings, huddles, staff meetings and quality improvement projects to improve patient care.
- Identified barriers when treatment goals not met, treatment plan not followed or important appointments missed and collaborated in redeveloping patient treatment goals.
- Consulted with medical staff and ancillary department to eliminate barriers to delivery of care and identified service delivery problems and potential for patient management intervention.
- Assisted patients in navigating healthcare systems, resulting in timely access to appropriate services.
- Improved patient outcomes by providing comprehensive health education and resources.
- Assisted patients in scheduling doctor and healthcare appointments.
- Educated patients on insurance and healthcare plans.
- Assisted patients in accessing housing, financial assistance and other community resources.
- Assessed risk factors of patients and made referrals for further services.
- Completed psychosocial evaluations and needs assessments.
Service Coordinator
AmeriHealth Caritas
10.2018 - 06.2022
- Lead participant-centered planning and service (PCPS) delivery process and oversee its implementation
- Identify, coordinate and assist participants in gaining access to needed LTSS services and other covered services
- Provide information to participants and facilitate access to, locating, coordinating, and monitoring needed services and supports for participants
- Inform participants about available LTSS required needs assessments, the PCSP process, service alternatives and service delivery options
- Inform participants of their rights and assist with the complaint, grievance and DHS fair hearing
- Collect additional necessary information, including participant preferences, strengths, and goals to inform the development of the PCSP
- Conduct reevaluation of level of care annually or on an as needed basis in accordance with CHC requirements
- Work with participants to complete activities necessary to maintain LTSS eligibility
- Coordinated service delivery between healthcare providers and members to enhance care access.
- Developed and maintained relationships with external partners to facilitate seamless communication.
Service Coordinator/Care Coordinator Team Lead
Southwestern PA Area Agency on Aging
03.2005 - 10.2018
- Coordinate and manage both Medicare and Medicaid services to maximize participant benefits and minimize cost
- Oversee all transitions of care to ensure appropriate treatment and discharge planning
- Assist participants with ongoing medication management
- Conduct ongoing in-home monitoring and assessments of participants needs, goals and services
- Ensure comprehensive care coordination amongst all providers
- Assist participants with the proactive identification of health issues and their exacerbation
- Contribute to and maintain current records and documentation for all case activity
- Develop and maintain an Individual Service Plan required for participant
- Conduct comprehensive psychosocial reassessments as necessary
- Prepare and submit all required case forms, reports, documentation and correspondence in an accurate and timely manner
Counselor 2
Adelphoi Village
01.2003 - 12.2004
- Promoted from Counselor 1 in February 2004
- Shift leader
- Manage the unit in absence of supervisor
- Assist in the supervision and training of staff
- Provide counseling in a residential treatment facility
- Intervene in crisis situations
- Facilitate self-reflection meetings
- Implement treatment plans
- Supervise, participant and motivate youth in daily activities
Technician
White Deer Run
12.2002 - 01.2003
- Supervise patients in a drug and alcohol rehabilitation center
- Provide support and guidance
- Conduct activities such as readings, discussions and crafts
Family Care Counselor
Spectrum Family Network
03.2001 - 10.2002
- Provide parenting instruction
- Active involvement in the drug and alcohol prevention Provide in home services to individuals and families involved in the criminal justice system
- Create and implement treatment plans
- Facilitate anger management groups program
Victim/Witness Advocate
Westmoreland County District Attorney’s Office
05.2000 - 03.2001
- Provide victim accompaniment to all court proceedings
- Guide victims of violent crime through the judicial system
- Provide moral support, early outreach and counseling referrals
- Respond to emergency situations, such as homicides and rapes via a pager procedure through police departments and 911
Education
Bachelor’s Degree - Criminal Justice
Waynesburg University
05-2000
Skills
- Patient education
- Patient support
- Documentation and recordkeeping
- Interpersonal skills
- Professionalism
- Motivational interviewing
- Patient advocacy
- Visiting patient homes
- Case management
- Patient confidentiality
- Resource navigation
- Community outreach
ACTIVITIES
- Cathedral Award Recipient
- Volunteer for several years at the Senior Games
- Multiple training certificates including CPR/First Aid, Emergency Response, Safe Crisis Management, HIPAA, Situational Leadership, Motivational Interviewing, DPW Medication
Timeline
Community Health Navigator
AmeriHealth Caritas
06.2022 - Current
Service Coordinator
AmeriHealth Caritas
10.2018 - 06.2022
Service Coordinator/Care Coordinator Team Lead
Southwestern PA Area Agency on Aging
03.2005 - 10.2018
Counselor 2
Adelphoi Village
01.2003 - 12.2004
Technician
White Deer Run
12.2002 - 01.2003
Family Care Counselor
Spectrum Family Network
03.2001 - 10.2002
Victim/Witness Advocate
Westmoreland County District Attorney’s Office
05.2000 - 03.2001
Bachelor’s Degree - Criminal Justice
Waynesburg University