Jori Turner LSW
University Park,IL
Summary
Licensed Social Worker (LSW). I have worked in the Social Service/Human Service field for 24 years. I have 10 years' experience in managed care, field work, provider access/assistance, developing plan of care, comprehensive assessments, utilizing state and local resources, care coordination, case management, working in the community, MLTSS, Long Term Care Facilities, and Long Term Support Services (LTSS). I am very familiar with MMAI (Medicare/Medicaid Alignment Initiative) and waiver services.
Overview
10
10
years of professional experience
1
1
Certification
Work History
LTSS Coordinator
Humana
Schaumburg, IL
05.2022 - Current
- Attended relevant conferences or trainings related to the field of Long Term Services and Supports.
- Developed and implemented strategies to ensure compliance with LTSS regulations.
- Conducted assessments of individuals' needs, preferences, and eligibility for services.
- Collaborated with providers to coordinate care plans and develop individualized approaches to support clients.
- Participated in interdisciplinary team meetings to discuss client progress and plan interventions.
- Maintained accurate records of all services provided according to agency policies and procedures.
- Reviewed documents such as prior authorizations, clinical notes, financial information related to LTSS programs, services..
- Assisted in the development of systems for tracking referrals and providing follow-up services as required by funding sources or state regulations.
Long Term Social Service Coordinator
Illinicare/Aetna Health Plan
Downers Grove, IL
03.2017 - 05.2022
- 90 and 30 day Home visit and or Tracking on every member assigned
- HSAG Auditor Liaison every quarter to randomly pull cases within the company to audit with State of Illinois auditing firm
- New Hire Trainer
- Medicare and Medicaid Waiver Program knowledge
- Care Plan Developer
- Comprehensive Assessments
- Maintaining compliance with caseload
- Field work
- Maintaining contract obligations
- Home Modification liaison
- Knowledge of Social Security, Medicaid and Medicare benefits
Community Care Coordinator
Meridian Health Plan
Chicago, IL
05.2014 - 03.2017
- Create and update a personalized, member centered plan of care involving the members PCP, family/caregiver, Social Worker/Behavioral Health specialists and other specialists as needed to evaluate the individuals' needs, goals, and plan of action
- Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure member safety
- Monitor service provision to assure the members needs are being met and services meet state contractual quality standards
Education
Masters of Health Science -
Governors State University
01.2012
Bachelors of Social Work -
Governors State University
01.2000
Associates of Applied Science- Mental Health -
Prairie State College
01.1996
Skills
- Community Care Coordination Trainer
- State Program Contracts
- Development of Plan of Care
- Medicaid and Medicare services
- MLTSS Coordinator
- Fraud Waste and Abuse
- LTSS educator
- Home Modifications Knowledge
- MMAI Knowledge
- Department of Aging Knowledge
- Waiver Services Programs
References Available
True
Certification
- License Social Work (LSW)
Timeline
LTSS Coordinator
Humana
05.2022 - Current
Long Term Social Service Coordinator
Illinicare/Aetna Health Plan
03.2017 - 05.2022
Community Care Coordinator
Meridian Health Plan
05.2014 - 03.2017
Masters of Health Science -
Governors State University
Bachelors of Social Work -
Governors State University
Associates of Applied Science- Mental Health -
Prairie State College