Kenneth L. Griffin, Jr.
Parsippany,Nj
Summary
Results-driven healthcare leader with an MHA and nearly 10 years of experience improving patient outcomes and operational efficiency. Proven ability to manage complex cases, lead cross-functional teams, and drive strategic initiatives that expand access and equity. Skilled in communication, programming oversight, and optimizing care delivery across diverse populations.
Overview
8
8
years of professional experience
Work History
Personal Health Assistant
Blue Cross Blue Shield of New Jersey
02.2024 - Current
- Build and sustain relationships with members from virtual settings, responding to inquiries and concerns related to healthcare plans.
- Assist members in finding providers, coordinating care, and scheduling appointments across therapeutic areas and for extensive range of health conditions.
- Collaborate frequently across functional areas, including Claims, Medical Management, and Customer Service, to maximize service and support for members.
- Eliminate barriers to care by advocating for members to ensure access and equity in healthcare services.
- Track, submit, and resolve claims to ensure member satisfaction while also meeting company policies.
Director of Case Management
North Jersey Recovery
Fair Lawn, New Jersey
10.2023 - 02.2024
- Investigated complaints to ensure compliance with regulations and adherence to quality controls.
- Acted as a point of contact for patients and caregivers across recovery programs.
- Maintained detailed patient records and analyzed trends to identify areas of improvement.
- Ensured confidentiality of all patient information in alignment with HIPAA guidelines.
- Introduced process improvements that enhanced communication and transparency between team members, including social workers, medical staff, and discharge planners.
- Fostered culture of data-driven decision-making and leveraged metrics and data insights to evaluate potential cost savings, strategies for reducing readmission rates, and opportunities to reduce length of stay averages.
Director of Case Management
Endeavor House North
12.2021 - 10.2023
- Oversaw team of Case Managers responsible for care planning, case management, and treatment of patients in addiction treatment center.
- Coached and mentored employees to maximize performance and service quality.
- Shaped and refined policies based on operating and patient needs.
- Ensured compliance with regulations.
- Cultivated collaborative workplace culture that encouraged knowledge-sharing and commitment to client-centered treatment and care.
- Acted as Subject Matter Expert (SME) on case management best practices, crisis intervention, and policies.
- Tracked deadlines for case management activities to ensure assessments, progress notes, and reports were completed on time and submitted to key authorities/stakeholders.
Client Care Coordinator Supervisor
Serenity at Summit
02.2020 - 12.2021
- Led diverse team of Client Care Coordinators within substance use treatment center, providing regular feedback on performance and developing professional development plans to ensure growth.
- Counseled employees on disciplinary actions and performance as needed.
- Monitored case management activities to ensure seamless and efficient workflow.
- Developed and facilitated in-service sessions to foster culture of professional development.
- Built relationships with caregivers, healthcare teams, community agencies, and more to ensure comprehensive treatment and services for patients.
Blended Case Manager
Holcomb Behavioral Health Systems
06.2018 - 01.2020
- Conducted intake, physical, and psychosocial assessments to determine care needs for caseload of up to 60 patients within behavioral health program.
- Communicated with interdisciplinary team on progress, treatment plans, and recommendations.
- Responded to crises and leveraged conflict resolution skills to maintain a positive environment.
- Acted as liaison between patients and external agencies to ensure effective continuum of care and access to key resources, such as psychiatric and medical treatments, financial entitlements, and recreational programs.
Youth Rehabilitation Treatment Specialist
Delaware Department of Services for Children, Youth, & Families
12.2017 - 05.2018
- Managed a caseload of adolescents aged 12-17, providing quality care and service within secured residential treatment facility.
- Monitored treatment plans for wide range of behavioral health, substance use, and social services.
- Developed activities to support adolescents in developing professional, interpersonal, coping, and educational skills.
- Facilitated individual and group counseling sessions with emphasis on behavior modification, ensuring alignment with goals set within Individual Behavior Plans (IBPs).
- Authored and presented summative case reports and findings to key stakeholders, making recommendations regarding program services, discharge, and/or aftercare based on progress.
Education
Master off Health Administration -
Rutgers University
New Brunswick, NJ05.2024
Bachelor of Arts - Liberal Studies
Rowan University
Glassboro, NJ05.2014
Skills
- Healthcare Administration
- Program Development & Leadership
- Case Management
- Operational & Strategic Planning
- Regulatory Compliance
- Stakeholder Engagement
Affiliations
- Iota Phi Theta Fraternity, Inc.
- Rowan University Law & Justice Honor Society
Timeline
Personal Health Assistant
Blue Cross Blue Shield of New Jersey
02.2024 - Current
Director of Case Management
North Jersey Recovery
10.2023 - 02.2024
Director of Case Management
Endeavor House North
12.2021 - 10.2023
Client Care Coordinator Supervisor
Serenity at Summit
02.2020 - 12.2021
Blended Case Manager
Holcomb Behavioral Health Systems
06.2018 - 01.2020
Youth Rehabilitation Treatment Specialist
Delaware Department of Services for Children, Youth, & Families
12.2017 - 05.2018
Master off Health Administration -
Rutgers University
Bachelor of Arts - Liberal Studies
Rowan University
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