Kerri Hayes
Orlando,Florida
Summary
Highly-motivated professional with a desire to take on new challenges. Strong work ethic, and adaptability, with strong documentation and problem-solving abilities. Well-versed in assessing client strengths, advocating for client resources, and conducting thorough home and community visits. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
5
5
years of professional experience
Work History
LTSS Coordinator/ LTC Case Manager
Elevance Healthcare- Simply Long-Term Care
Orlando, FL
06.2023 - Current
- Provide effective case management and conduct utilization reviews for 50+ patients monthly to meet the needs of individuals identified as having long-term rehabilitation and psychosocial needs due to birth defects, chronic health conditions, and mental health disorders
- Refer clients to dependable outside resources and programs when necessary and appropriate
- Develop and organize strategies to coordinate and integrate all acute and long-term care services to patients that prevent exacerbations, placement in custodial care, and avoidable emergency room utilization
- Organize regular care plan meetings with home health providers, primary care physicians, and care management staff regarding the status of patients
- Serve as an advocate to ensure the patients receive all the necessary care under the member's benefit plan
- Develop relapse prevention plans and help clients maintain stable functioning, when necessary.
Clinical Coordinator
United Healthcare
Haines, FL
05.2022 - 05.2023
- Provide effective case management and organized care plan meetings to 60+ patients to meet the needs of individuals identified as having long-term rehabilitation and psychosocial needs
- Manage all aspects of patient assessment, care planning, and implementation to provide them with appropriate care and facilitate their timely recovery
- Document all activity related to patient care in an electronic charting system, including visits, provider orders, contact with additional resources, conversations with patients, and other information relative to patient care and well-being
- Serve as an advocate to ensure the patients receive all the necessary care allowed under the member's benefit plan
- Organize regular discussions and updates with providers, primary care physicians, and care management staff regarding the status of patients.
LTSS Coordinator/ LTC Case Manager
Elevance Healthcare- Simply Long-Term Care
Orlando, FL
10.2018 - 05.2022
- Provide effective case management and conduct utilization reviews for 50+ patients monthly to meet the needs of individuals identified as having long-term rehabilitation and psychosocial needs due to birth defects, chronic health conditions, and mental health disorders
- Refer clients to dependable outside resources and programs when necessary and appropriate
- Develop and organize strategies to coordinate and integrate all acute and long-term care services to patients that prevent exacerbations, placement in custodial care, and avoidable emergency room utilization
- Organize regular care plan meetings with home health providers, primary care physicians, and care management staff regarding the status of patients
- Serve as an advocate to ensure the patients receive all the necessary care under the member's benefit plan
- Develop relapse prevention plans and help clients maintain stable functioning, when necessary.
Education
Master of Arts - Gerontology
Nova Southeastern University
Orlando, WV09-2016
Bachelor of Science - Social Work
Florida Agricultural And Mechanical University
Tallahassee, FL12-2009
Skills
- Microsoft Word Excel, PowerPoint, and Office Equipment
- Work independently and within a group setting to accomplish desired goals
- Great time-management and conflict-resolution skills
- Strong Communication skills
- Strong Advocacy skills that support clients during the different stages of life
- Patient Care Assessment
Timeline
LTSS Coordinator/ LTC Case Manager
Elevance Healthcare- Simply Long-Term Care
06.2023 - Current
Clinical Coordinator
United Healthcare
05.2022 - 05.2023
LTSS Coordinator/ LTC Case Manager
Elevance Healthcare- Simply Long-Term Care
10.2018 - 05.2022
Master of Arts - Gerontology
Nova Southeastern University
Bachelor of Science - Social Work
Florida Agricultural And Mechanical University
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