Summary
Overview
Work History
Education
Skills
Certification
Personal Information
Timeline
Generic

Kelsey Baker

Oskaloosa,IA

Summary

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
Kelsey Baker