Compassionate case manager with extensive experience in community environments. Strong work ethic and unwavering dedication to achieving desired case outcomes. Excellent problem-solving, conflict resolution, and communication abilities. Skilled at efficiently managing high caseloads without compromising care quality. Thrives in high-pressure environments and consistently recommends the best resources and courses of action to meet patient needs and restore optimal quality of life.
Overview
10
10
years of professional experience
1
1
Certification
Work History
LTSS Community Based Case Manager
Wellpoint
12.2021 - Current
LTSS Community Based Case Manager (Long Term Support Services) works with the Home and Community-Based Services (HCBS) waivers that funds community support and services for those with disabilities.
Responsible for conducting service coordination functions with case load and member chosen team
Complete Planning Process that documents the member's preferences, needs and self-identified goals, including but not limited to conducting assessments, development of a comprehensive Person Centered Support Plan (PCSP) and backup plan, interfacing with Medical
Directs and participates in rounds to support development of a care plan, engaging the member's supports and overall management of the individuals physical health (PH)/behavioral health (BH) required by applicable state law and contract, and federal requirements
Participated in community events to promote services and engage with public.
Responsible for performing face to face program assessments and applying motivational interviewing techniques for evaluations, coordination, and management of an member's waiver
Uses tools and pre-defined identification process, identifies members with potential clinical health care needs and coordinates those member's cases with the clinical healthcare management and interdisciplinary team in order to provide care coordination support
Manages non-clinical needs of members to ensure cost effective and efficient utilization of long-term services and supports
At the direction of the member, documents their short and long-term service and support goals in collaboration with the member's chosen care team that may include, caregivers, family, natural supports, service providers, and physicians
Identifies members that would benefit from an alternative level of service or other waiver programs
May also serve as mentor, subject matter expert or preceptor for new staff, assisting in the formal training of associates, and may be involved in process improvement initiatives
Submits utilization/authorization requests to utilization management with documentation supporting and aligning with the individual's care plan
Responsible for reporting critical incidents to appropriate internal and external parties such as state and county agencies (Adult Protective Services, Law Enforcement)
Assists and participates in appeal or fair hearings, member grievances, appeals, and state audits
Advocated for client rights when interacting with external agencies or institutions, ensuring fair treatment at all times.
Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.
Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
Monitored clients' progress and tracked client services
Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
CLTS Case Manager
Rock County Human Services
06.2021 - 12.2021
The Children's Long-Term Support (CLTS) Program is a Home and Community-Based Service (HCBS) waiver that funds community support and services for children who have substantial limitations in their daily activities and need support to remain in their home or community
Eligible children include those with developmental disabilities, severe emotional disturbances, and physical disabilities
Funding can be used to support a range of different services based on an assessment of the needs of the child and his or her family
Provides diagnosis, assessment, case planning, treatment, protection, and case management services in compliance with stringent Federal and State regulations
Provides individual service plan development and ongoing review
Documentation on Avatar
Provide Case Management Services to children eligible for CLTS Waivers and CCOP Complete/Update Functional Screens, Monthly Collateral Contacts, Six Month Reviews, Recertification, and required face to face contacts
Follow waiver manual guidelines
Billing Targeted Case Management (TCM) to provide services to children on the waitlist and to utilize CCOP funding for one time costs or projects
Discharge Planning
Shift Staff Home Development, Implementation, and Ongoing Day to Day Operation
Report Critical Incidents
Provide Advocacy and ongoing evaluation of service providers
Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.
Advocated for client rights when interacting with external agencies or institutions, ensuring fair treatment at all times.
Service Coordinator/Case Manager
Child And Family Connections
09.2019 - 06.2021
Serves families with children under the age of 3 with suspected developmental delays
Provide support for families in promoting their child's development and in assisting their child's participation in daily activities
Cooperative relationships between families and providers
Develop family goals that are family-centered, functional and measurable
Building outcomes that are family-centered with written home activity programs to support family participation daily
Monitor to assure strategies are successful in achieving outcomes
Receives referrals for children and families to access Early Intervention Services
Establish and maintain the comprehensive Early Intervention records housed at the office
Conduct and complete an intake for each child referred in adherence to all state and federal regulations
Arrange for necessary evaluations and assessments that will determine Early Intervention eligibility and appropriate services
Ensure that eligibility determination is completed according to all state and federal regulations
Complete Family Fee Assessments
Collect required insurance information and determine insurance providers the family will be required to use unless otherwise waived
Facilitate the initial Individualized Family Service Plan (IFSP) meeting and complete an initial IFSP
Ensure families are referred to appropriate services providers in a timely manner
Complete 6-month IFSP reviews, annual eligibility redeterminations, and annual IFSPs in accordance with state and federal regulations
Perform data management functions related to the collection of appropriate data, decimation and service authorizations as required by state and federal guidelines
Ensure family choice in service plan implementation
Meet established state performance benchmarks as defined by the Department of Human Services
To ensure quality service delivered
Perform/complete other state established criteria as assigned
Other duties as assigned
Documentation
Case Management
Coordinated and monitored service activities to confirm work met all requirements.
Conducted child assessments during intervention visits.
Established trusting relationships with families, fostering open lines of communication and collaboration.
Advocated for client rights when interacting with external agencies or institutions, ensuring fair treatment at all times.
Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
Nanny
Self Emloyed
11.2018 - 10.2019
Nanny for an Autistic 13 year old with behavioral issues
Provides daily care and makes sure basic needs are provided
Assist with managing behaviors
Works on gross and motor skills
Meal Prep
Cleaning
Case Note
Transportation to therapy, doctors appointments, and daily activities
Organized activities and promoted a safe environment
Fostered constant positive communication
Provided children with a productive, compassionate learning environment
Implemented positive discipline and redirection
Provided children with any necessary or emergency medical needs
Managed a schedule of daily activities, including therapy, meals being made for day, scheduled tv time and outside time, etc
Collaborated closely with parents in establishing boundaries/rules within the household which helped maintain consistency across all environments.
Managed children''s schedules effectively to ensure timely completion of homework, extracurricular activities, and daily routines.
Enhanced children''s emotional well-being by providing attentive care and nurturing relationships.
Supported children in play activities, meals, and snacks, hygiene and socialization.
Provided nutritious meals and snacks according to dietary restrictions or preferences, ensuring balanced nutrition for growing bodies.
Assisted with light housekeeping duties as well as running errands.
Handled challenging behavioral issues using appropriate discipline strategies and proactive communication with parents.
Established lasting, professional connections with families and children by encouraging open communication and delivering positive feedback.
Treatment Supervisor/Case Management
New Choices inc
11.2018 - 06.2019
Experience working with individuals that may have a brain injury, intellectually disabled or mentally ill population
Assures that staff is trained accordingly on programs and assures programs are run and documented correctly and that Individual rights are being honored as listed in their yearly plan
Provide support in interpersonal communication, problem solving, money management, personal hygiene, etc
Provide Transportation as Needed
Support Clients in Medical Visits, & Recreational Activities
Promote Independence
Maintain Clean & Safe, Home-like Environment
Promote nutritious meal plans and physical activities that facilitate personal health and well being
Completes necessary paperwork for individuals on caseload
Completes all task requested by Program Coordinator
Case management
On call 24 hours with cell phone provided by New Choices
Ensure staff are trained according on programs for individual needs
Evaluated staff performance regularly, providing constructive feedback aimed at improving overall effectiveness and quality of care.
Developed strong relationships with patients and their families, fostering trust and open communication.
Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
Case Manager for our Family, Safety, Risk and Permanency
Lutheran Services in Iowa
05.2018 - 11.2018
Provide direct service to kids and parents by promoting safety and permanency, with a mission to keep our families together
Family Support
Crisis Management
Case management
Developing treatment plans
Evaluating family progress
Facilitating and monitoring supervised family interactions
Providing transportation for families, as needed
Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.
Advocated for client rights when interacting with external agencies or institutions, ensuring fair treatment at all times.
Assisted clients in setting achievable goals while providing ongoing encouragement and support throughout the process of reaching those objectives.
Promoted a safe environment for vulnerable populations by reporting suspected abuse or neglect.
Collaborated with multidisciplinary teams to address client needs and formulate tailored support strategies.
Direct Support Professional
Mainstream
10.2016 - 05.2018
Support mentally and physically challenged residents with everyday living tasks to ensure their quality of life
Assistance with personal hygiene, preparing meals, light household chores, transporting to and from activities, and administering medications all while ensuring their safety and client rights
DSP duties also includes logging of notes pertaining to residents' daily schedule and activities, as well as tracking all medication for each resident
Strong knowledge of office and administrative software including Microsoft Excel, Word and PowerPoint
Maintained clean, safe, and well-organized patient environment.
Assisted disabled clients to support independence and well-being.
Assisted clients with daily living needs to maintain self-esteem and general wellness.
Enhanced quality of life for individuals with disabilities by providing compassionate and consistent direct support.
Supported clients with personal care tasks, ensuring their dignity and privacy were maintained at all times.
Assisted with crisis intervention to de-escalate challenging behavior and maintain peaceful encounters.
Youth Associate
Lutheran Services in Iowa
04.2015 - 10.2016
Working directly with children on campus, providing them with structure and support in their daily lives
Provide the children with safe, positive, and therapeutic environment they need to strive
Facilitating and billing group and individual sessions
Assisting in daily chores
Completing appropriate documentation, such as daily logs
Providing appropriate activities to the children on the campus
Providing community supervision and safety for the children
Worked with children will all different sorts of disabilities and prior neglect/abuse
Developed/lead group therapy for Enhanced PMIC clients
Enhanced youth engagement by implementing innovative and interactive activities in programs.
Maintained accurate records, incident reports, and evaluations to ensure proper documentation for future reference.
Provided empathetic guidance to resolve conflicts among participants, contributing to a more harmonious group dynamic.
Monitored progress towards service plan goals.
Facilitated outreach activities to build community awareness.
Education
High School Diploma -
Louisa Muscatine High School
Letts
Bachelor of Science - Psychology
Iowa State University
Ames, IA
05.2018
Minor - Child, Adult, and Family Services
Iowa State University
Ames, IA
05.2018
Skills
Documentation
Mental Health
Case Management
Management
Problem Solving
Assistant
Budgeting
Developmental Disabilities Experience
Crisis Management
Autism Experience
Behavioral Therapy
Crisis Intervention
Medication Administration
Cognitive Behavioral Therapy
Individual / Group Counseling
Documentation And Reporting
Relationship Building
Conflict Resolution
Email and Telephone Etiquette
Positive Attitude
Decision-Making
Client Advocacy
Communication Skills
Microsoft Office
Problem-Solving
Case Documentation
Organization and Multitasking
Certification
Mandated Reporter, 2023-present
Medication Administration, 2015-present
Driver's license
Personal Information
Willing To Relocate: Anywhere
Authorized To Work: US for any employer
Timeline
LTSS Community Based Case Manager
Wellpoint
12.2021 - Current
CLTS Case Manager
Rock County Human Services
06.2021 - 12.2021
Service Coordinator/Case Manager
Child And Family Connections
09.2019 - 06.2021
Nanny
Self Emloyed
11.2018 - 10.2019
Treatment Supervisor/Case Management
New Choices inc
11.2018 - 06.2019
Case Manager for our Family, Safety, Risk and Permanency
Lutheran Services in Iowa
05.2018 - 11.2018
Direct Support Professional
Mainstream
10.2016 - 05.2018
Youth Associate
Lutheran Services in Iowa
04.2015 - 10.2016
Minor - Child, Adult, and Family Services
Iowa State University
Mandated Reporter, 2023-present
Medication Administration, 2015-present
Driver's license
High School Diploma -
Louisa Muscatine High School
Bachelor of Science - Psychology
Iowa State University
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