Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kengi Magallanes

Newark,NJ

Summary

A Secretarial position in a fast-paced environment.

Overview

18
18
years of professional experience

Work History

Case Manager Supervisor

TLC Adult Day Center
Bronx, NY
01.2022 - Current
  • Supervise other case manager that all work is done efficient and on time
  • Network with other organizations in order to promote the SADC
  • Ensure client receive appropriate services and resources when it comes to their MLTC
  • Delegated tasks to case managers to enhance workflow efficiency.
  • Working with Program director to report any issues
  • Advised clients on insurance-related concerns to ensure informed decision-making.
  • Addressed and resolved client issues to enhance overall satisfaction and loyalty.
  • Engage in health fairs with organizations to promote services for clients

Case Manager

TLC Adult Day Center
Bronx, NY
12.2019 - 12.2021
  • Schedule Tours for New Potential clients
  • Check eligibility through epases for potential clients
  • Assist client in any necessity that pertains with their MLTC or Homecare
  • Assist in enrollment to MLTC
  • Assist Billing in confirming client’s attendance
  • Schedule and attend events with other Case Managers in different organizations
  • Communicate with Clients Case Managers from insurance for Authorizations

Care Coordination

At Home Solutions
Bronx, NY
05.2019 - 11.2019
  • Schedule in home care for new and current patients
  • Assign HHA/PCA aides to clients and provide oversight to ensure the appropriate care was rendered to patients
  • Coordinate and keep communication with Case Managers
  • Relay information to patients regarding scheduling conflicts or issues
  • Report Incident reports to RN nurse if a patient is hospitalized
  • Confirm attendance and update Masterweek on HHA Exchange

Intake Specialist

At Home Solutions
Bronx, NY
05.2017 - 04.2019
  • Conduct Social Adult Day Tours for new members
  • Responsible for ensuring authorizations are received and processed in timely manner
  • Communicate with patients to resolve any issues pertaining to insurance or SAD needs extension.
  • Communicate with insurance to ensure potential members are within network for PCA, HMO, MLTC, CHHA and CDPAP services.
  • Medicaid specialist and MLTC eligibility proficient, including CFEEEC transfer forms, Maximus procedures, and MLTC enrollment
  • Implements Social Adult Day rules and regulations provided by Program Director
  • Assist LCSW with POC and translating any issues that need to be addressed.
  • Runs Pre-Billing reports weekly in order to confirm attendance and members SAD needs
  • CDPAP Specialist compliance Proficient

Receptionist

AHS CARING COMMUNITIES
Bronx, NY
10.2013 - 04.2017
  • Answer Calls and Rely Messages to Correspondent
  • Assures members are following plan of care by attending SAD on a regular basis
  • Ensure patients are referred to the proper MLTC for prior services
  • Enters information on HHAEXCHANGE system for patient information, includes pre-billing reports and confirming attendance
  • Assist floor Leader with monthly activities and workshops
  • Initial referral for New potentials
  • Runs Eligibility
  • Confirms Authorization needed for continuation of services

Assistant Manager

The Body Shop
New York, NY
11.2009 - 06.2014
  • Established and Maintained superior professional in the areas of sales
  • Assisted Customers with returns, exchange.
  • Organize Floor Moves for Visual Presentations

Sales Associate

The Body Shop
New York, NY
10.2007 - 10.2009
  • Makeup / Skin Care Consultations
  • Shared Value of Products with Customers
  • Provided excellent customer service, was able to turn customer service into sales

Education

Associates - Early Childhood

Post University
01.2018

High School Diploma -

John V. Lindsay Wildcat Academy High School
08.2007

Skills

  • Proficient in English and Spanish

Timeline

Case Manager Supervisor

TLC Adult Day Center
01.2022 - Current

Case Manager

TLC Adult Day Center
12.2019 - 12.2021

Care Coordination

At Home Solutions
05.2019 - 11.2019

Intake Specialist

At Home Solutions
05.2017 - 04.2019

Receptionist

AHS CARING COMMUNITIES
10.2013 - 04.2017

Assistant Manager

The Body Shop
11.2009 - 06.2014

Sales Associate

The Body Shop
10.2007 - 10.2009

Associates - Early Childhood

Post University

High School Diploma -

John V. Lindsay Wildcat Academy High School
Kengi Magallanes