Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

KATHE FELIU

Nicholasville,KY

Summary

Compassionate social worker dedicated to delivering exceptional professional care and implementing appropriate interventions. Utilizes diverse resources to identify unique needs and effectively assist vulnerable populations. Skilled at establishing rapport with individuals from diverse backgrounds, fostering trust, and creating a supportive environment for those in need.

Overview

14
14
years of professional experience
1
1
Certification

Work History

Case Management Social Worker

Anthem BlueCross BlueShield, Kentucky Medicaid
01.2015 - Current
  • Coordinates whole health needs and concerns of participants resulting in improved clinical/psychosocial outcomes
  • Utilizes available health, community, government, and/or client resources needed to address participant's limitations or support interventions in the management of the participant's chronic condition
  • Interprets and explains health plan benefit programs and incentives to participants.
  • Establishes and maintains ongoing clinical relationship with participants', evaluating progress, performing follow-up after referrals and continuing assessments to adjust treatment plans.
  • Partners with physicians, social workers, therapists, and case managers to develop and implement individualized care plans and documented interactions and interventions in electronic charting systems.
  • Assists participants with navigating housing, legal services and public benefits to gain access to valuable resources.
  • Collaborates with other professionals to plan and coordinate care for clients.
  • Participates in interdisciplinary team meetings to coordinate care.
  • Participates in professional development and training opportunities to enhance clinical skills.
  • Exceeded Cost of Care Initiative expectations

Intern

Cabinet For Health And Family Services
01.2014 - 12.2014
  • Developed educational webinar for health care professionals serving people with disabilities
  • Increased knowledge of community resources available to individuals with disabilities and victims of family violence
  • Assisted colleagues and client systems with conferences and rallies
  • Collaborated with multidisciplinary teams regarding human trafficking, family violence, and individuals with mental and/or physical disabilities
  • Participated in workshops and presentations related to projects to gain knowledge

Program Specialist, Social Worker

Centene Corporation
01.2011 - 12.2013
  • Coordinated psychosocial services for clients with special needs
  • Assisted member’s with utilization of medical resources related to case management, disease management, and discharge planning
  • Identified clients with special needs with health risk screenings
  • Identified barriers for accessing services and recommended appropriate resources to overcome barriers
  • Participated in case conferences with multidisciplinary teams to identify additional needs of high risk clients
  • Maintained community resource knowledge base for over 30 counties in Appalachia
  • Served as Guardianship Liaison for State Guardianship Workers to provide additional support services


Education

Masters of Social Work -

Spalding University
Louisville, Kentucky
06.2014

Bachelors of Social Work -

Eastern Kentucky University
Richmond, Kentucky
05.2010

Skills

  • Assessment skills
  • Disability support
  • Patient support
  • Care coordination
  • Shared governance
  • Client empowerment
  • Eligibility assessment
  • Documentation proficiency
  • Case management
  • Cost-reduction initiatives
  • Team collaboration

Certification

  • Certified Social Worker, CSW, No. 257084, 07/01/22, 07/01/25, Kentucky Board of Social Work, Frankfort, KY
  • Certified Case Manager, CCM, No. 4249819, 09/01/20, 05/01/25, Commission for Case Manager Certification, Mount Laurel, NJ

Timeline

Case Management Social Worker

Anthem BlueCross BlueShield, Kentucky Medicaid
01.2015 - Current

Intern

Cabinet For Health And Family Services
01.2014 - 12.2014

Program Specialist, Social Worker

Centene Corporation
01.2011 - 12.2013
  • Certified Social Worker, CSW, No. 257084, 07/01/22, 07/01/25, Kentucky Board of Social Work, Frankfort, KY
  • Certified Case Manager, CCM, No. 4249819, 09/01/20, 05/01/25, Commission for Case Manager Certification, Mount Laurel, NJ

Masters of Social Work -

Spalding University

Bachelors of Social Work -

Eastern Kentucky University
KATHE FELIU