Overview
Work History
Education
Skills
Timeline
Generic

Kathy Hernandez

Colorado Springs,CO

Overview

17
17
years of professional experience

Work History

Professional Mentor

Friends Of The Children
09.2023 - Current
  • Develop and sustain long-term, caring, protective, and loving relationship with each child
  • Spend time with children, one-on-one
  • Partner with parents/caregivers to provide concrete and social emotional supports for family
  • Set realistic expectations and goals based on each child’s strengths, talents, abilities, and needs
  • Teach life skills and help develop talent/skill/area of interest with each child
  • Deepen cultural connections for youth through incorporating specific cultural knowledge in programming
  • Provide enrichment resources and activities that include opportunities for cultural identity development
  • Develop positive relationships with families, teachers, and others involved in each child’s life
  • Reinforce basic academic skills
  • Understand and model Indigenous concept of “being a good relative”
  • Maintain 40-hour work schedule that includes afternoons, evenings, and weekends (normal working days are Tuesday through Saturday with Sundays and Mondays off)
  • Maintain spending within budgetary guidelines
  • Complete, distribute, and collect time summaries, activity journals, short-term plans, expense reports, and evaluations materials accurately and in timely manner
  • Attend and actively participate in team meeting and staff functions
  • Maintain First Aid/CPR certification
  • Provide information and support to executive team on related activities
  • Fulfill other responsibilities as requested
  • Be a good role model to youth and their families

Targeted Case Manager, Life Skills Specialist & Supervised Visitation Monitor

Child Community Services
10.2020 - 09.2023
  • Provide case management services to children and their families including but not limited to linking to community resources, providers and working directly with community members such as DHS, courts, hospitals, law enforcement and schools
  • Coordinate and facility care teams of 2 or more members
  • Develop relationships with children and their families to implement plans to assist children to thrive
  • Determine intensity of support and identify community services to help support the client's needs for medical, education, social, legal and other services through extensive assessments and reviews
  • Assist clients and their families with potential crisis services and supports
  • Assist clients and their families with supports in the needed activities to gather and corroborate information coming from the immediate supports and services
  • Successfully link clients and their families to services and supports to assist them with healing and future successes
  • Work with client's team to include therapists and LSS in the treatment of psycho-social concerns
  • Network with other professionals to ensure ease of support
  • Comply with Colorado Medicaid guidelines
  • Effectively work with behavioral health condition assessments
  • Basic life skills such as job search, budgeting, housing, transition and education opportunities to instructing parenting classes, groups, in home and office therapy
  • Provide visits as outlined by the referral source which may include hands-on assistance and education
  • Monitor and provide a safe visitation environment for children and terminate the visit if it is not deemed appropriate or parties involved have improper conduct
  • Clearly define the rules of visitation with all parties involved and notify referring agency if rules are violated.

Service Coordinator

The Resource Exchange
10.2019 - Current
  • Provide outstanding customer service by being attentive to the need of clients and families to include returningcalls/emails within 48 hours and building positive community relationships with those in services, families, andcommunity partners
  • Facilitate care teams of 2 to 15 or more members
  • Develop, authorize, implement, and document yearly service plans according to State and company regulationsto include:
  • Identifying services to support and relate to the client's individual skills, abilities goals and needs, completingat a minimum of quarterly reviews and or updates
  • Authorize the purchase and delivery of services in accordance with a predetermined budget, including CDASS and
  • IHSS programs
  • Ensure each plan is person centered according to their goals and are habilitative in nature
  • Monitor authorized services in the Service Plan for each person according to Regulation, and goals to ensurepositive outcomes to include provider agencies, state agencies, nursing facilities and community resources
  • Complete all components of enrollments and terminations, financial eligibility of services including El Paso
  • Teller, Park, and Pueblo County Department of Human Services, Social Security Administration and Medicaid asneeded
  • Maintain current knowledge about and compliance with Rules and Regulations per Health Care Policy and
  • Financing
  • Network with other professionals, community developers, and local leadership
  • Complete and document targeted case management (TCM) activities, when applicable, according to Center for
  • Medicaid Services, Health Care Policy and Financing and TRE protocols
  • Ensure timely processing of paperwork, deadlines are met and contribute to monthly individual and team goals.

SUD Recovery Coordinator

Diversus
10.2018 - 10.2019
  • Work with and support those in recovery from the abuse of alcohol and drugs
  • Working in El Paso, Fremont
  • Teller, Chaffee, Custer, and Lake Counties
  • Work with individuals to create a partnership encompassing trust and support and can provide:
  • Emotional support, encouragement, validation, empathy, and assistance with referrals
  • Social support including assistance in obtaining resources, strategies for coping with life circumstances, andassistance in finding appropriate recovery solutions
  • Advocacy and support in treatment planning with providers
  • Hope by being an example that recovery is possible
  • Mentoring tools and strategies for reaching and maintaining recovery based on lived experience
  • Help to remove stigma and develop empowerment skills with self- advocacy
  • Provide education on the use and benefits of Narcan (Naloxone) to Community Providers, Criminal Justice
  • System, Homeless, First Responders and more
  • Working under the MSO (Managed Service Organization) contracted with OBH managing funds for substance usetreatment and continuum of care including MAT and Inpatient services for clients who are indigent or withoutinsurance
  • Working with priority populations of IV drug users, pregnant women, women with dependent childrenand involuntary commitments

Senior Member Support Specialist

Colorado Community Health Alliance
07.2018 - 09.2018
  • Outreach and follow up related to CCHA's KPI initiatives
  • Triaging care coordination referrals to the appropriate level of integrated care, including physical and/ orbehavioral health
  • Conducting telephonic and in-person or field-based care coordination or system navigation for memberswith physical and behavioral health needs
  • Liaison between members and their primary care providers and/or behavioral health providers forstreamlined care coordination, appointment scheduling, follow up, and member advocacy
  • Coordinating between local service organizations and/or medical facilities
  • Initiating and completing care plans for physical and behavioral health, member identified goals andcommunicating care plan progress to primary care providers and behavioral health providers
  • Conducting in-person screenings at facilities in which the Senior Member Support Specialist might be embedded

Center Representative III

RCCO Service, Diversus
06.2015 - 09.2018
  • Managing service center contacts including incoming calls, referrals, and e-mails
  • Following standard processes, policies, and procedures
  • Provide answers to inquiries, questions, troubleshoot problems, provide information, intervention, or referrals,with a professional and respectful, customer-service focus, routing calls and other various forms of communicationappropriately
  • Assist in navigating the needs of each client, to include the tracking, processing, and arranging forspecialty referrals providers relating to member service plans and care coordination needs
  • Helps members identifyand solve problems related to providers, provider networks, access to and availability of services
  • Direct Service - Moreno:
  • Update demographic information
  • Provide navigation services
  • Attribute Clients to a Primary Care Provider (PCP)
  • The Service Center Representative will administer and track results of the "one health question" andprovide responsive interventions to improve self-reporting by those mutually serviced by CHP and Diversus(AspenPointe)
  • The Service Center Representative will inform his/her care coordination efforts by meeting with Moreno staff on aregular basis
  • Track interventions and report these results to ASPEN POINTE and CHP Leadership
  • Value Options / Appeals and Grievance Coordinator

Beacon
08.2012 - 11.2013
  • Overseeing the Medicaid grievance and appeals process and quarterly trend reporting to the Department of Health
  • Care Policy and Financing for 13 Mental Health Centers that span across 60 counties in Colorado
  • Complete quarterly and annual trending reports for Quality Management Department and the Office of Memberand Family Affairs to be utilized in creating Performance Improvement results
  • Participate in the URAC accreditation process through interviews and data collection and work daily to ensure thatdepartmental tasks are completed by the URAC standards
  • Apart of 3 Member Affairs committees to ensure Medicaid members received proper services
  • Single point contact for high needs and volatile county contracts in California
  • Handled all the incoming requests for referrals, authorization s and single case agreements

Claims Adjuster/Theft Specialist

AAA
05.2007 - 03.2011
  • Investigate, negotiate, and settle injury involved automobile claims
  • Evaluate and settle property damage and theft homeowner claims
  • Negotiate with attorneys and claimants as well as insured's regarding complex investigation and injuries toinclude fractures, closed-head injuries, scarring, and cases involving minors
  • Investigate and determine if any S.I.U
  • (fraud) factors in claims
  • Communicate with law enforcement in the investigation of claims
  • Take detailed recorded statements of drivers, witnesses, law enforcement, etc
  • Per case requirements
  • Maintain accurate and timely diary system to adhere to Department of Insurance regulations
  • Review and interpret medical reports, scene investigation information, impact analysis data,independent medical examination findings and police reports

Education

Bachelors - science

Colorado Technical University
Colorado Springs, CO
2018

Skills

  • Emotional Awareness
  • Shared Governance
  • Direct Patient Care
  • Patient Assessments

Timeline

Professional Mentor

Friends Of The Children
09.2023 - Current

Targeted Case Manager, Life Skills Specialist & Supervised Visitation Monitor

Child Community Services
10.2020 - 09.2023

Service Coordinator

The Resource Exchange
10.2019 - Current

SUD Recovery Coordinator

Diversus
10.2018 - 10.2019

Senior Member Support Specialist

Colorado Community Health Alliance
07.2018 - 09.2018

Center Representative III

RCCO Service, Diversus
06.2015 - 09.2018

Beacon
08.2012 - 11.2013

Claims Adjuster/Theft Specialist

AAA
05.2007 - 03.2011

Bachelors - science

Colorado Technical University

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