Julie Moody
Herscher,IL
Summary
Experienced in quality assurance and case management, consistently meeting high standards. Skilled in leadership development and supervision, excelling at guiding and motivating teams to achieve success. Possessing extensive knowledge of networking within the support and social services sector, for individuals, families, and the professional community.
Overview
21
21
years of professional experience
Work History
Quality Assurance/Case management
Molina Healthcare of Illinois, MCO
- Managed caseload of up to 104 members from Physical Disability and Department of Aging Waiver, per caseload assignment for my assigned geographical location
- Completed telephonic and in-person care plan updates and assessments to determine the number of hours for the service plan and ensure members' needs were met
- Completed Service Variance Reviews of members' hours every three months to ensure compliance
- Completed Peer audits of files per HSAG regulations monthly
- Ensured caseload compliance with HSAG regulations.
Leadership Development
Molina Healthcare of Illinois, MCO
- Participated in 1 to 1 monthly meetings with the supervisor
- Engaged in Molina’s Volunteer Opportunities within the region
- Spearheaded a new Volunteer opportunity for the local region by connecting with Molina’s internal resources.
Networking
Molina Healthcare of Illinois, MCO
- Coordinated services for members by working with Homemaker agencies and Department of Rehabilitative Services staff to mitigate risks to members
- Provided support and resources for members concerning benefits, home modifications, housing referrals, and community connections
- Worked with various internal Molina departments to facilitate member satisfaction.
Leadership Development/Supervisory Experience
Service Inc. of Illinois
- Created a structure that promoted peer-to-peer mentoring within the agency as a prototype before expansion
- Provided supervision for up to 5 Individual Service Coordinators in an assigned workgroup, encouraging and providing guidance as needed to fulfill their job duties
- Worked in a smaller team dynamic and on one to enable team members to develop a strategy to address the areas of concern they were facing with their caseloads
- Completed caseload coverage for assigned team members as needed during planned absences from the agency as assigned by ISSA upper management
- Provided ongoing training to new and existing agency staff as directed by ISSA Management.
Networking
Service Inc. of Illinois
- Participated in ISSA administrative and Lead meetings to propose and exchange ideas, review DHS updates, and agency trends, and collaborate on methods to maintain consistency in the implementation of the ISSA program for all participants
- Functioned as liaison with provider agencies primarily in the Kankakee County area to enhance intra-agency collaboration
- Actively advocated for services needed on behalf of the individual with provider agencies, DHS, and other related agencies
- Advocated at a state level for placement that best served the individuals and ensured their needs were met when dealing with crises
- Worked with the Office of the Inspector General and Department of Aging to report instances of suspected abuse or neglect as a mandated reporter
- Utilized existing conflict resolution process to address issues between client/family and provider agency
- Organized a community-wide seminar to aid with the transition from school to adult services for people with intellectual disabilities and their families.
Case Manager, LTSS
Molina Healthcare of Illinois, MCO
07.2022 - 08.2024
- Managed caseload of up to 104 members from Physical Disability and Department of Aging Waiver, per caseload assignment for my assigned geographical location
- Completed telephonic and in-person care plan updates and assessments to determine the number of hours for the service plan and ensure members' needs were met
- Completed Service Variance Reviews of members' hours every three months to ensure compliance
- Completed Peer audits of files per HSAG regulations monthly
- Ensured caseload compliance with HSAG regulations.
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
- Enhanced communication between clients and providers through consistent follow-ups and progress updates.
- Achieved positive client outcomes by developing and implementing comprehensive case management plans.
- Advocated for client rights when interacting with external agencies or institutions, ensuring fair treatment at all times.
- Provided crisis intervention support for clients experiencing emergencies, using appropriate techniques to de-escalate situations safely.
- Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Developed and implemented comprehensive case management plans to address client needs and goals.
- Improved client satisfaction by efficiently addressing concerns or grievances in a timely manner.
- Assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources.
- Collaborated with multidisciplinary teams to address client needs and formulate tailored support strategies.
- Assisted clients in setting achievable goals while providing ongoing encouragement and support throughout the process of reaching those objectives.
- Coordinated essential services for clients, resulting in improved overall well-being and selfsufficiency.
- Monitored clients' progress and tracked client services to provide crisis interventions.
- Fostered open lines of communication with clients'' families and support networks, involving them in the case management process as appropriate.
- Participated in regular professional development opportunities to stay current on best practices within the field of case management.
- Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
Quality Assurance/Case management
Service Inc. of Illinois
01.2004 - 01.2021
- Maintained caseload of up to sixty-eight people, performing Service Coordinator duties per ISSA guidelines
- Authored reports based on observations, and interviews for clients every quarter
- Completed inventory for client and agency planning (ICAP) assessments
- Lead interdisciplinary team meetings, focusing on clients’ needs and wants to create individualized service plans for agencies to adhere to
- Provided support to individuals, guardians, Individual Service Coordinators, and providers in working through service-related issues such as additional monitoring, special team meetings, enhanced communication, and conflict resolution
- Explored alternatives, requested funding changes, and completed screening as needed
- Determined if services and supports provided can effectively meet individual/guardian needs, preferences, and satisfaction as identified by DHS guidelines
- Completed Quality Assurance reviews on a monthly, and quarterly basis to ensure compliance with Waiver guidelines, DHS regulations, and agency standards
- Maintained QIDP annual credentialing and expanded knowledge of DHS regulations and standards, current governmental regulations, and waiver requirements related to the ISSA program
- Followed agency policies and procedures as outlined in program policies and organizational manuals
- Maintained all required documentation by specific time frames and conformance with the Confidentially Act.
Education
Master of Science - Management Practice
Greenville College
Bachelor of Science - Child and Family Services
Southern Illinois University
Skills
- Problem-Solving
- Teamwork and Collaboration
- Time Management
- Attention to Detail
- Reliability
- Organizational Skills
- Active Listening
- Decision-Making
- Relationship Building
- Effective Communication
- Professionalism
Community Service
- Attend Herscher Christian Church
- Volunteer buddy at East Street Theater, Night to Shine
- Human Rights Committee for Kankakee County Training Center
Timeline
Case Manager, LTSS
Molina Healthcare of Illinois, MCO
07.2022 - 08.2024
Quality Assurance/Case management
Service Inc. of Illinois
01.2004 - 01.2021
Quality Assurance/Case management
Molina Healthcare of Illinois, MCO
Leadership Development
Molina Healthcare of Illinois, MCO
Networking
Molina Healthcare of Illinois, MCO
Leadership Development/Supervisory Experience
Service Inc. of Illinois
Networking
Service Inc. of Illinois
Master of Science - Management Practice
Greenville College
Bachelor of Science - Child and Family Services
Southern Illinois University
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