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
Similar Profiles
CHANDRA CAREYCHANDRA CAREY
Claims Analyst at Arkansas BlueCross & BlueShieldClaims Analyst at Arkansas BlueCross & BlueShield