Knowledgeable Case Manager experienced in coordinating care for Medicaid members. Proactive and resourceful with strong knowledge of community resources. Strong communicator with passion for helping others.
Overview
30
30
years of professional experience
Work History
Clinical Case Manager BH Field
Aetna Better Health Of Kansas
11.2018 - Current
Conducted thorough assessments of client needs, strengths, and risks to inform appropriate interventions and support services.
Minimized client vulnerability by assessing risk factors present in living environments and recommending appropriate interventions.
Developed and implemented comprehensive case management plans to address client needs and goals.
Enhanced care coordination for patients with complex medical needs through effective communication and collaboration with multidisciplinary teams.
Increased access to healthcare services for low-income individuals, navigating complex systems on their behalf.
Streamlined communication between clients, caregivers, and service providers to ensure timely access to resources.
Facilitated successful transitions for elderly clients into assisted living facilities or home care options based on individual needs assessment results.
LTSS Coordinator
Amerigroup Of Kansas
06.2017 - 11.2018
Conducted assessments to determine clients' needs and eligibility for various programs.
Educated clients about their rights, responsibilities, and available resources within the LTSS system.
Implemented comprehensive care plans for clients, resulting in improved health outcomes.
Monitored LTSS program progress and made adjustments as needed, improving overall efficiency.
Addressed any concerns or barriers that arose during service delivery, ensuring resolution in a timely manner.
Worked closely with families to address any concerns or questions regarding LTSS services for their loved ones.
Social Services Director
Via Christi Village - Hays
03.2015 - 06.2017
Implemented individualized care plans as directed by nursing staff, promoting optimal patient outcomes.
Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.
Collaborated effectively with interdisciplinary teams for comprehensive patient care planning and execution.
Confirmed all insurance benefits met standards of admissions as dictated by policy.
Completed preliminary paperwork for incoming and outgoing patients.
Served as a reliable resource for families, addressing concerns and providing guidance on various aspects of care.
Human Services Counselor
State Of Kansas - Dept. For Children And Families
07.2014 - 03.2015
Supported clients during both pre-employment preparation and post-placement adjustment periods for long-term success in the workforce.
Enhanced client self-sufficiency by developing personalized vocational rehabilitation plans.
Monitored client progress through regular follow-up meetings, adjusting plans as needed for optimal success.
Utilized motivational interviewing techniques to guide meaningful conversations about goals, aspirations, and potential barriers.
Liaised with community partners to enhance employment opportunities for individuals with disabilities.
Evaluated diagnostic data to determine eligibility and needs
Discharge Planner
Hays Medical Center
10.2007 - 11.2013
Managed complex cases involving multiple medical issues or psychosocial challenges by utilizing critical thinking skills and professional expertise in discharge planning processes.
Coordinated timely discharges by effectively communicating with physicians, nurses, social workers, and other relevant stakeholders.
Solved problems related to abrupt changes in discharge, coordinated updates and communicated discharge plans.
Established strong relationships with community agencies, enabling effective coordination of post-discharge support services.
Served as a key resource for patients and families, providing guidance on post-discharge care options and resources.
Evaluated patient progress during hospital stay, adjusting discharge plans accordingly to ensure successful and safe discharges
Assisted patients in accessing financial assistance programs
Economic Employment Specialist
State Of Kansas - DCF
09.1994 - 10.2007
Conducted applicant interviews and determined eligibility for public assistance programs.
Managed caseload of applicants, consistently reviewing income eligibility via statewide verification system.
Provided crisis counseling and intervention services to clients in emergency situations.
Assisted applicants in coordinating and referring to other appropriate social service agencies.
Ensured compliance with federal, state, and local regulations by staying current on policy updates and implementing changes accordingly.
Reported findings of fraud investigations to appropriate state agencies and officials.
Education
Master of Science - Social Work
University of Kansas
Lawrence, KS
05.2014
Bachelor of Science - Social Work
Kansas State University
Manhattan, KS
05.1994
Associate of Arts - Social Work
Colby Community College
Colby
05.1992
Skills
Care Coordination
Interviewing
Resource referrals
Care Plan Evaluation
Discharge Planning
Organization and Multi-tasking
Healthcare Navigation
Teamwork and Cooperation
Additional Information
Experience working with KMAP, KAMIS, and Authenticare.
Mandated reporting
Timeline
Clinical Case Manager BH Field
Aetna Better Health Of Kansas
11.2018 - Current
LTSS Coordinator
Amerigroup Of Kansas
06.2017 - 11.2018
Social Services Director
Via Christi Village - Hays
03.2015 - 06.2017
Human Services Counselor
State Of Kansas - Dept. For Children And Families
07.2014 - 03.2015
Discharge Planner
Hays Medical Center
10.2007 - 11.2013
Economic Employment Specialist
State Of Kansas - DCF
09.1994 - 10.2007
Master of Science - Social Work
University of Kansas
Bachelor of Science - Social Work
Kansas State University
Associate of Arts - Social Work
Colby Community College
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