Lindsay Benhayon
LCSW
Yardley,PA
Summary
With extensive experience in healthcare setting and more recently with long term care claims, developed strong leadership and organizational skills, and well rounded knowledge of various dimensions of care. Demonstrates ability to adapt and thrive in dynamic environments, ensuring high-quality outcomes. Seeking to transition into new field, utilizing transferrable skills in communication, problem-solving, leadership, and team management.
Overview
13
13
years of professional experience
5
5
years of post-secondary education
1
1
Certification
Work History
Lead Care Manager
Illumifin
Remote
02.2024 - Current
- Manage daily and monthly reporting to ensure quality metrics and SLAs are met, as well as combined and individual productivity goals.
- Liaison to external client leadership and various internal stakeholders to ensure quality claim management.
- Supervise and coordinate daily activities of team to monitor caseloads, drive productivity & provide individual support.
- Collaborate with upper management to enhance process and workflow.
- Supports individual Performance Evaluations & KPI management.
- Provides training support to both new & tenured staff. Assist to develop & implement job aids to empower teams capabilities.
- Special claims handling including: appeals, suspected FWA, complex & escalated.
Claims Care Manager II
Illumifin
Remote
09.2021 - 02.2024
- Assess claimant eligibility in conjunction with individual long term care policy provisions by reviewing medical records and conducting assessments.
- Provide written and verbal communications throughout claim process.
- Support ongoing claim modifications to revised care plans.
- Exceeded quality and production KPIs.
- Review Care Coordinator decision recommendations for approval.
- Mentor new staff and provide ongoing support including written aids.
- Contribute to Process Improvement.
- Review Second Level Appeals.
Medical Social Worker
Robert Wood Johnson University Hospital of Hamilton
Hamilton, NJ
06.2013 - 09.2021
- Work with medical teams, patients & families to develop and implement effective discharge plans.
- Document case notes daily and coordinate follow-up.
- Provide crisis intervention and emotional support to individuals and families; assess support systems and environmental barriers.
- Facilitate patient’s access to resources for mental health, substance abuse, domestic violence, housing, healthcare, financial limitations, and long term care needs.
- Investigate abuse or neglect; ensure proper protocol through community agencies like Department of Children and Families and Adult Protective Services.
- Proficient in use of medical records systems, including Allscripts, Sunrise Clinical Manager, and Ibex.
Medical Social Worker (per Diem)
Cooper University Hospital
Camden, NJ
03.2015 - 08.2020
- Coordinated individualized discharge plans to manage safe transition back into community and home environments.
- Coordinated program referrals for community-based resources.
- Completed psychosocial evaluations, needs assessments, provided crisis intervention & support to individuals and families.
- Investigated abuse or neglect; ensure proper protocol through community agencies like Department of Children and Families and Adult Protective Services.
Social Worker
South Amboy Adult Day Health Care Center
South Amboy, NJ
05.2012 - 05.2013
- Conducted assessments, assisted in application & management of programs including: Medicare, Medicaid and HMOs, SSI, Social Security, and food stamps.
Education
Masters of Social Work -
Rutgers, The State University of New Jersey
New Brunswick, NJ 06.2011 - 05.2012
Bachelor of Arts in Social Work - Public Health Minor, Sociology Minor
Rutgers, The State University of New Jersey
New Brunswick, NJ 09.2007 - 05.2011
Skills
Microsoft Office
Organizational Skills
Teamwork and Collaboration
Leadership
Accomplishments
- Lean Project experience
- Internal software development
- Phi Alpha Honor Society, Nu Omnicron Chapter April 2011
Certification
LCSW - Licensed Clinical Social Worker
Timeline
Lead Care Manager
Illumifin
02.2024 - Current
Claims Care Manager II
Illumifin
09.2021 - 02.2024
LCSW - Licensed Clinical Social Worker
06-2016
Medical Social Worker (per Diem)
Cooper University Hospital
03.2015 - 08.2020
Medical Social Worker
Robert Wood Johnson University Hospital of Hamilton
06.2013 - 09.2021
Social Worker
South Amboy Adult Day Health Care Center
05.2012 - 05.2013
Masters of Social Work -
Rutgers, The State University of New Jersey
06.2011 - 05.2012
Bachelor of Arts in Social Work - Public Health Minor, Sociology Minor
Rutgers, The State University of New Jersey
09.2007 - 05.2011
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