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