Kimberly Williams
Pensacola,FL
Summary
Dedicated and results-driven Care Coach with over 10 years of experience in healthcare and social services. Skilled in coordinating patient care and managing complex medical cases. Proven success in facilitating effective treatment plans and improving patient outcomes. Demonstrated proficiency in critical thinking and communication skills, ensuring seamless collaboration with healthcare teams.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Care Coach
Humana Inc.
Pensacola, FL
01.2013 - Current
- Facilitated collaboration among families, caregivers, providers, and community agencies to promote engagement and streamline care coordination.
- Facilitated thorough assessments in accordance with Medicaid guidelines to assess member needs, risks, and factors influencing overall well-being and autonomy.
- Assisted in developing and implementing individualized care plans that align with Medicaid program requirements. Coordinated member wellness initiatives to promote health and well-being. Monitored progress of care plans to ensure adherence to established guidelines.
- Monitored health status and service effectiveness, implementing timely care plan updates to facilitate progress toward desired outcomes.
- Monitored health status and safety of members. Assisted in updating care plans at necessary intervals. Supported ongoing reassessments based on changing member needs.
- Managed Medicaid service coordination and community resource monitoring to maintain continuity of care and prevent service interruptions.
- Identified and mitigated barriers to enhance member experience and guarantee effective care provision.
- Engaged with members and healthcare providers to create comprehensive care plans focused on enhancing patient outcomes.
- Monitored member care through assessments. Communicated effectively with members and families. Assisted in developing care plans.
- Oversaw management of complex care members, including individuals under 21 years of age.
- Provides shadowing to new care coaches to enhance onboarding experience.
- Provides educational initiatives for members and providers regarding Medicaid benefits. Guided applicants through the Medicaid and benefits application process.
- Document assessments, face‑to‑face visits, care plans, member interactions, and service coordination activities following Medicaid, contractual, and organizational documentation standards.
- Executed organizational values, strategies and objectives to drive operational success.
Case Manager
Alta Pointe Health Care
Mobile, AL
01.2011 - 01.2013
- Provided counseling and support services
- Connected clients to community resources
- Developed recovery plans and monitored progress
- Conducted home and school visits
- Maintained documentation and advocacy
Medical Records Director
Eight Mile Nursing Home
Mobile, AL
01.2005 - 01.2011
- Managed patient records systems
- Developed policies and procedures
- Oversaw legal documentation processes
- Trained and supervised staff
- Conducted performance reviews
- Demonstrated attention to detail in accurately taking and delivering orders, including communicating with guests to ensure their satisfaction
Education
Master of Social Work (MSW) -
Walden University
Master of Arts - Elementary Education
Grand Canyon University
Bachelor of Arts - Human Services
University of South Alabama
Skills
- Problem-solving
- Case management
- Time management
- Organization and multitasking
- Decision-making
- Client advocacy
- Critical thinking
- Treatment Planning
- MS office
- Patient assessments
Certification
- Children with Complex Needs
- Mental Health First Aid
- Baker Act and Marchman Act
- Microsoft Office (Word, Excel, Outlook)
Timeline
Care Coach
Humana Inc.
01.2013 - Current
Case Manager
Alta Pointe Health Care
01.2011 - 01.2013
Medical Records Director
Eight Mile Nursing Home
01.2005 - 01.2011
Master of Arts - Elementary Education
Grand Canyon University
Bachelor of Arts - Human Services
University of South Alabama
Master of Social Work (MSW) -
Walden University