Keisha Randolph
Harrisburg,PA
Summary
Accomplished Case Manager adept at handling high caseloads without sacrificing quality of care. Operates exceptionally well in high-pressure environments. Recommends best resources and courses of action to benefit patient needs and return each to optimal quality of life.
Overview
1
1
Certification
12
12
years of professional experience
Work History
Mental Health Blended intake and Administrative Case Manager
CMU now known as Pathways Forward
Harrisburg, PA
08.2024 - Current
- Conducted strengths and needs assessments, creating individualized Service Plans tailored to client preferences to enhance recovery outcomes.
- Maintained and updated Service Plans to reflect client progress and evolving needs, ensuring continuity of care.
- Monitored client participation and progress in services, advocating for their needs with service providers to ensure optimal care.
- Coordinated and ensured continuity of care within the human service system, reducing service gaps for clients.
- Built and sustained ongoing relationships with clients and their support systems, facilitating effective implementation of treatment plans.
- Facilitated access to community resources and support networks, promoting daily living skills and fostering self-determination.
- Inspired and motivated individuals to overcome barriers to recovery, resulting in improved engagement and progress toward treatment goals.
- Responded to emergency situations by providing assessments and referrals, including facilitating commitments to psychiatric facilities.
CNA - Certified Nursing Assistant
United Church Homes- Sarah Todd
Carlisle, PA
09.2025 - 06.2026
- Bathe patients to maintain hygiene and prevent infections, ensuring patient comfort and dignity.
- Groomed residents, including brushing teeth and shaving, to support daily personal care and well-being.
- Fed patients and documented food and liquid intake, ensuring accurate nutritional records for care planning.
- Responded promptly to patient calls, addressing needs to enhance resident satisfaction and comfort.
- Monitored vital signs to detect changes in patient health, communicating concerns to the nursing staff.
- Assisted with feeding residents three meals per day, supporting nutritional intake and individualized care.
- Supported residents with daily living activities, including grooming and hygiene, fostering independence and improving quality of life.
- Operated mechanical lifts as needed to safely transfer residents, reducing risk of injury.
- Communicated residents' condition to the nurse in charge, ensuring timely updates and coordinated care.
- Prepared resident beds daily to ensure cleanliness and comfort. to maintain a clean and comfortable environment for residents.
Intake Coordinator- Psychiatry Administration
Pennsylvania Psychiatric Institute (PPI)
Harrisburg, PA
09.2024 - 11.2024
- Welcomed and registered patients or clients, ensuring smooth admission to the facility and positive first impressions.
- Collected patient records, medical histories, and insurance information to ensure accurate and efficient intake processing for timely patient care.
- Answered questions related to services and insurance coverage, providing clear and accurate information to patients and families.
- Answered questions about services and insurance coverage, delivering clear and accurate information to enhance patient and family understanding.
- Made referrals to ensure patients received appropriate care and support.
- Managed paperwork and data entry, streamlining administrative operations and ensuring organized communication through phone support.
- Adhered to policies and procedures, participating in audit processes to ensure compliance and quality standards.
CNA - Certified Nursing Assistant
Sarah Todd Memorial Home- UCC Home
Carlisle, PA
10.2023 - 09.2024
- Bathe patients to maintain hygiene and prevent infections, ensuring patient comfort and dignity.
- Fed patients and documented food and liquid intake, ensuring accurate nutritional records for care planning.
- Addressed patient calls promptly, responding to needs and contributing to overall resident satisfaction.
- Monitored vital signs to detect changes in patient health, communicating concerns to nursing staff.
- Assisted with feeding residents three meals per day, supporting nutritional intake and individualized care.
- Assisted residents with daily living needs, including grooming and hygiene, promoting independence and enhancing quality of life.
- Operated mechanical lifts as needed to safely transfer residents, reducing risk of injury.
- Communicated changes in residents' conditions to nursing staff, ensuring timely updates and coordinated care.
- Made beds to ensure residents have a clean and comfortable sleeping environment. to maintain a clean and comfortable environment for residents.
CNA - Certified Nursing Assistant
Thornwald Home- UCC Homes
Carlisle, PA
01.2023 - 09.2023
- Bathed patients to uphold hygiene standards and minimize infection risk, enhancing comfort and dignity.
- Monitored vital signs to detect changes in patient health, communicating concerns to nursing staff.
- Responded promptly to patient calls to address needs and improve resident satisfaction.
- Monitored vital signs to detect changes in patient health, communicating concerns to the nursing staff.
- Assisted with feeding residents three meals per day, supporting nutritional intake and individualized care.
- Assisted residents with daily living needs, including grooming and hygiene, fostering independence and improving quality of life.
- Helped residents with daily living needs, such as grooming and hygiene, to promote independence and quality of life.
- Operated mechanical lifts as needed to safely transfer residents, reducing risk of injury.
- Changed bed linens to ensure cleanliness and comfort for residents. to maintain a clean and comfortable environment for residents.
Appeals Part B Representative
NOVITAS SOLUTIONS INC
Mechanicsburg, PA
06.2014 - 09.2022
- Reviewed Medicare Part B claims on services questioned in appeals from providers, facilities, beneficiaries, or CMS, addressing inquiries via written or telephonic requests.
- Rendered independent decisions based on research of initial claim processing, documented procedures, and information supplied with appeal requests.
- Responded to inquiries from relevant parties, issuing payment adjustments, refund requests, or written correspondence while upholding service processing.
- Researched electronic files, imaged records, and external systems, interpreting processing guidelines to determine claim accuracy and finalize case files.
- Drafted written correspondence for inquiries and other parties, ensuring adherence to CMS requirements and organizational procedures.
Education
Minor - Sociology
Pennsylvania State University-Penn State Schuylkill
Schuylkill Haven, PABachelor of Science - Administration of Justice
Pennsylvania State University-Penn State Schuylkill
Schuylkill Haven, PADiploma - Advance Regents Diploma
Park East High School
New York, NYPersonal Information
- Driving License: Driver's License
- Work Permit: Authorized to work in the US for any employer
Certification
- CNA
- December 2021 to Present
- CPR Certification
- AED Certification
- BLS Certification
- October 2023 to October 2025
- ACLS Certification
- Non-CDL Class C
- Licensed Nursing Assistant
- Driver's License
- State Tested Nursing Assistant
- First Aid Certification
Additional information
Customer Service
Timeline
CNA - Certified Nursing Assistant
United Church Homes- Sarah Todd
09.2025 - 06.2026
Intake Coordinator- Psychiatry Administration
Pennsylvania Psychiatric Institute (PPI)
09.2024 - 11.2024
Mental Health Blended intake and Administrative Case Manager
CMU now known as Pathways Forward
08.2024 - Current
CNA - Certified Nursing Assistant
Sarah Todd Memorial Home- UCC Home
10.2023 - 09.2024
CNA - Certified Nursing Assistant
Thornwald Home- UCC Homes
01.2023 - 09.2023
Appeals Part B Representative
NOVITAS SOLUTIONS INC
06.2014 - 09.2022
Minor - Sociology
Pennsylvania State University-Penn State Schuylkill
Bachelor of Science - Administration of Justice
Pennsylvania State University-Penn State Schuylkill
Diploma - Advance Regents Diploma
Park East High School