Summary
Overview
Work History
Education
Skills
Timeline
References
Generic

Jennifer Rooney

Greenbrier,AR

Summary

Enthusiastic Managed Care Coordinator eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Motivated to learn, grow and excel in Care Coordination.

Overview

32
32
years of professional experience

Work History

Care Coordinator Team Lead

Empower Healthcare Solutions
08.2023 - Current
  • Used company software and databases to maintain records of services performed and member conditions.
  • Maintained accurate and up-to-date documentation of patient records in accordance with HIPAA regulations.
  • Managed member caseloads effectively, ensuring timely follow-up and appropriate resources.
  • Enhanced member care by developing and implementing comprehensive care plans.
  • Enhanced overall team performance by providing regular feedback, and skill development opportunities.
  • Performed monthly audits and quality assurance calls to members.
  • Assisted with all check ins, discharge plan meetings, weekly team meetings, and personalized Care Coordinator meetings.
  • Maintained team spreadsheets for OPTUM assessments, monthly contact, discharges, new members, and quarterly face to face meetings.
  • Ensured that all Care Coordinators received error reports and that errors were corrected
  • Maintained spreadsheet for all terminated members
  • Insuring PCSP’s are accurate and generated.

Managed Care Coordinator

Beacon Health Options
06.2018 - 08.2023
  • Provide guidance and support.
  • Help with paperwork.
  • Monitor providers to ensure that services are provided in safe and helpful manner.
  • Ensure member has assigned PCP.
  • Ensure member has regular follow up for prevention, wellness, and sick visits.
  • Ensure all members have active coverage.
  • Contact member to assist with discharge planning, prescription assistance, follow up appointment with PCP and Specialty Providers.
  • Teach members about their health needs.
  • Help with any needs in member's day to day life.
  • Work with providers that give medicine.
  • Work with providers to coordinate care.
  • Make plan of care that has all of member's services listed.
  • Help member find services.
  • Help member find supports in family and community.
  • Help if member is in trouble or crisis.
  • Follow up with members within seven days of ER, Urgent Care, or Hospital Admission.
  • Upload all documents into system in timely manner.
  • Enter notes into system in timely manner.
  • Team Mentor
  • Daily Dashboard
  • Assist with discharge notifications
  • Assist with notification of initial PCSP/ HCQ/ and Contact

Payoll Specialist

Independent Living Services
01.2010 - 06.2018

1. Payroll

• Process Time Sheets Every Monday
• Ensure that employee is paid correct pay rates based on consumer budgets
• Process Payroll every other Week
• All filing for payroll.
• Complete Employee verifications.
• Maintain permanent files for ILS employees.
• Maintain spreadsheet for Vacation/ Holiday accrual.
• New Hire Training presentation.
• Ensure that all garnishments are processed correctly.
• Maintain payroll files for employees

2. Retirement

• Ensure that all employees are enrolled in 403B retirement
• Submit deduction amount to Accounting Manager if employee chooses to contribute to plan.
• Maintain spreadsheet for monthly payroll for retirement.


3. Health Insurance

• Determine eligibility for insurance benefits
• Submit employee deductions to Accounting Manager and ensure that deductions are correct
• Billing statements to employees for missed premiums
• Submit all enrollments for any insurance benefits that employee choose to take.
• Ensure that all insurance premiums are paid by submitting checks.
• Request or print insurance cards for employees.
• Process personal changes for employees.
• Assist in open enrollment for insurance.
• Maintain Cobra
• ACA reporting

Operations Manager

Independent Living Services
01.2006 - 01.2010
  • Duties:
  • Operate forklift
  • Ensure employee time sheet accuracy
  • Payroll for consumers
  • Daily/monthly data on each consumer
  • Monthly/annual reviews on consumers
  • Filing information in consumer files
  • Supervising consumers and other ILS employees at Work Program
  • Baling paper in baling machine
  • Maintaining daily attendance sheets
  • Faxing materials to other parts of agency
  • Earnings statements
  • Answering telephones
  • Ordering supplies
  • Cleaning facility
  • Time studies
  • Determine work related goals for upcoming year for consumers
  • Teach job related skills to consumers
  • Schedule both consumers and staff for specific jobs
  • New hire orientation for consumers
  • Maintaining petty cash
  • Complete quarterly reports on consumers.
  • Accomplishments:
  • OSHA certified forklift driver
  • Completed Excel training classes
  • Recycling award from Conway Chamber of Commerce
  • Instrumental (along with supervisor) in implementing recycling program
  • Attended Mark Knuckles seminar concerning Labor Laws
  • Assisted in completion of certificate for Special Minimum Wage from Department of Labor
  • Promoted to Operations Manager in April 2009 (All duties remain same plus added billing, maintaining timesheets for consumers with outside employment and scheduling consumers for outside employment and must always be aware of all aspects of operations at all worksites.

Communit Skill Trainer

Independent Living Services
10.2003 - 01.2006
  • Assist with daily living skills
  • Transport to and from school daily
  • Assist with classwork and ensure that all classwork is completed in timely manner.

Assistant Manager

Ez Mart
04.1994 - 06.1996
  • Duties: Cashier
  • Stock and Reorder merchandise
  • On-call duty
  • Shift and Daily Paperwork,
  • Deposits, Cleaning
  • Generated repeat business through exceptional customer service and responded to customer concerns with friendly and knowledgeable service
  • Completed regular inventory counts to verify stock levels, address discrepancies and forecast future needs
  • Offered hands-on assistance to customers, assessing needs and maintaining current knowledge of consumer preferences

Education

High School Diploma -

Clinton High School
Clinton, AR
1989

Skills

  • Data management
  • Budgeting and finance
  • Self-motivated
  • Strong verbal communication
  • Extremely organized
  • Conflict resolution
  • Process implementation

Timeline

Care Coordinator Team Lead

Empower Healthcare Solutions
08.2023 - Current

Managed Care Coordinator

Beacon Health Options
06.2018 - 08.2023

Payoll Specialist

Independent Living Services
01.2010 - 06.2018

Operations Manager

Independent Living Services
01.2006 - 01.2010

Communit Skill Trainer

Independent Living Services
10.2003 - 01.2006

Assistant Manager

Ez Mart
04.1994 - 06.1996

High School Diploma -

Clinton High School

References

Katrina Lackey

Katrina.Lackey@Empowerarkansas.com

501-519-8735

Becky Moses

becky@indliving.org

501-977-3848

Cindy Edwards

ccedwards06@gmail.com

501-514-8347

Jennifer Rooney
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