Assists care coordinators, and families, with coordinating different activities, such as identifying providers in the participant’s insurance network, community resources, and referrals
Collaborates with care coordination teams and assists care coordinator’s requests on the completion of release of information authorizations and support DSCC families as necessary during this process
Also, ensuring that documents comply with the organization’s guidelines upon receipt and uploading into the correct location in the Electronic Case Record
Utilizes the organization reports (e.g., Power BI) to identify documentation deadlines such as authorizations of release information, financials renewals, medical report requests, and participants’ benefits due dates
Requests, records, prepares, and processes necessary information to ensure documentation is corrected
Updates demographic and social determinants of health data and diagnosis
Initiates staffing requests as necessary to discuss participants’ needs, missing reports, or family outreach strategies with assigned care coordinators or managers
Ensures accuracy of outgoing information, such as person-centered care plans containing the signature of the assigned care coordinator
Collaborates with the regional office on quality improvement initiatives
Collaborates with the assigned care coordinator on the completion of remediations by the due date as recommended during record reviews (e.g., record reviews, financial reviews, any DSCC/MCO audit requirements)
Receives, processes, and routes incoming correspondence (e.g., financial applications, signed authorizations, or signed person-centered care plans) or reports within required timeline
Sends required correspondence within specific timeframes, such as financial redetermination, and status letters
Ensure the appropriateness of these records to our programs and upload them into DSCC electronic case-management portal
Adhere to the renewal cycle to avoid disruption of services for the recipient
Follows organization’s guidelines to meet high-quality record documentation and case notes
Escalates urgent participants’ needs to assigned care coordinators or managers
Assists Care Coordinators and families with private/public health insurance through effective benefits management practices for applicants/recipients
Complies with the University, Division, and Regional Office policies, and procedures.
Family Support Specialist
Children’s home and aid
03.2020 - 03.2024
Meet with families and complete eligibility/enrollment process
Complete monthly home visit with families
Make goals to best meet families need
Complete referrals with families
Write case notes for every contact made with families
Find resources that best fit family’s needs
Recruit families for the program/ attend recruitment events
Attend/Plan socializations and parent meetings
Complete files and paperwork daily.
QIDP
Tazewell County Resource Center
04.2017 - 03.2020
Finished monthly progress reports
Attended/ran annual staffing’s
Wrote goals to best meet individuals needs
Assisted with lunch coverage
Learned to meet critical deadlines
Interacted with individuals on a daily basis
Worked on filing and paperwork on a daily basis
Met with family members of individuals
Worked under supervision to learn routine tasks and regulations.