LaTonya Sims-Stevens, CCM
Saint Louis,MO
Summary
Compassionate and organized case manager with 10+ years of experience in social services. Proven success in improving client outcomes by coordinating resources, conducting comprehensive needs assessments, and implementing personalized care plans for over 100+ clients. Skilled in care coordination, advocacy, and reducing client readmission rates by 20% through diligent follow-up.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Government Programs Care Manager I
HCSC - Blue Cross Blue Shield of Illinois
Belleville, IL
09.2021 - Current
- Coordinate assessment, intervention, and documentation processes for complex caseloads to enhance patient care quality.
- Assess member requirements and developed individualized care plans to ensure optimal health outcomes.
- Direct multidisciplinary team initiatives aimed at optimizing patient outcomes while maintaining regulatory compliance.
- Coordinate comprehensive member care by managing referrals to specialists, hospitalizations, ER visits, and ancillary testing services.
- Track patient progress and refined care strategies according to clinical assessments and patient feedback.
- Deliver targeted education to empower patients in managing chronic conditions and adopting healthier lifestyle choices.
- Monitor member progress to adapt care plans, promoting ongoing health enhancement.
- Developed and executed discharge planning strategies and follow-up support initiatives aimed at minimizing hospital readmissions.
- Utilized electronic health records systems to maintain compliance with regulatory standards while documenting clinical information.
Social Services Director
Community Care Center of Mark Twain
Bridgeton, MO
08.2016 - 03.2020
- Supervised case management workflows, guaranteeing alignment with established regulatory requirements.
- Assessed individual residents' mental and physical needs to design effective treatment plans, integrating facility and community resources for optimal care.
- Assisted in discharge planning for patients requiring dialysis. Coordinated durable medical equipment needs for short- and long-term housing. Facilitated referrals for physical therapy, occupational therapy, and nursing services. Organized transportation for home care assistance and scheduled follow-up appointments.
- Coordinated referrals for residents to relevant team members and community agencies, ensuring comprehensive treatment support.
- Oversaw application processes for financial resources, including Medicaid, Medicare, Social Security, VA benefits, long-term care insurance, and disability claims. Guided residents through complex paperwork to ensure access to necessary services.
- Coordinated comprehensive admissions procedures for incoming residents, focusing on the swift collection and organization of necessary paperwork.
Business Office Manager
Cardinal Ritter Senior Services
St Louis, MO
08.2012 - 04.2015
- Developed and implemented policies to improve workflow and compliance within the business office.
- Responsible for all Accounts Receivable aging and collections – supervised other billing employees.
- Maintained daily ledger entries and daily census reports.
- Guided financially eligible residents and their representatives through Missouri Medicaid application and additional financial assistance options.
- Prepared and transacted bank deposits.
- Notified the Administrator/Corporate Office of all delinquent financial statements and start the eviction/discharge process if necessary.
Education
Master of Arts - Gerontology
Lindenwood University
Saint Charles, MOBachelor of Science - Healthcare Management
Lindenwood University
BellevilleSkills
- Care planning
- Case assessments
- Clinical documentation
- Service coordination
- Referral management
- Discharge planning
- Care quality assessments
- Care transitions
- Client assessment
- Long-term care coordination
- Records management
- Patient education and counseling
- Multidisciplinary team collaboration
Certification
- Certified Case Manager
Timeline
Government Programs Care Manager I
HCSC - Blue Cross Blue Shield of Illinois
09.2021 - Current
Social Services Director
Community Care Center of Mark Twain
08.2016 - 03.2020
Business Office Manager
Cardinal Ritter Senior Services
08.2012 - 04.2015
Master of Arts - Gerontology
Lindenwood University
Bachelor of Science - Healthcare Management
Lindenwood University