LISA J. LOVING
Atlanta,GA
Summary
Results-driven case management professional with track record of effective client advocacy and support. Experienced in conducting thorough assessments and creating individualized care plans to meet client needs. Collaborates seamlessly with multidisciplinary teams and adapts to dynamic situations to ensure optimal client outcomes.
Overview
42
42
years of professional experience
Work History
Case Manager/Crisis Prevention, Supervisor, Major Timothy Thrash
U.S. Army Soldier and Family Program
08.2018 - Current
- Apply knowledge of laws, regulations such Army Regulation 18: Family Advocacy Program and AR 608-1, UCMJ provisions related to domestic/child abuse. DOD and Tricare guidance for at-risk families. Implement protective measures per regulations by identifying situations through case management and coordinate with the Family Advocacy Program, Military Police, Military Command Team and legal services. Brief military officials on trends in violence or abuse, policy updates, risk mitigation strategies and provide recommendations for preventive action. Collaborate and make referrals to behavioral health providers. Completed doctoral-level courses in violence prevention theories, including Social Learning Theory, Ecological Systems Theory, and the Public Health Model, with application to program development and training.
- Coordinated and implemented diverse systems to provide violence prevention education to individuals and groups using by leveraging workshops, briefings, and one-one sessions. Analyzed training outcomes using quantitative and quantitative data measures to assess effectiveness. Informed Leadership and enhanced program impact.
- Applied principles of secondary education and instructional methods such as Subject-Centered, Learner-Centered, Competency-Based Curriculum and Integrated Curriculum to support curriculum development and instruction for individuals and groups under the supervision of a certified teacher while completing undergraduate studies; contributed to evaluating training effectiveness through assessment via class discussions, practice activities, quizzes, projects, final exams and feedback.
- Utilize office automation software such as the Army Family Web Portal (AFWP), Excel, and survey tools to support Soldier and Family Assistance Programs, develop reports to show trends in violence prevention cases, correspondence, and data tracking systems related to violence prevention, case management, and resource coordination; communicated findings effectively in both written and oral formats to Military officials. Data is presented in the forms of charts, graphs, and dashboards. Applied IBM SPSS Statistical Package for the Social Sciences) Statistics during Ph.D. studies to conduct statistical analyses, interpret data, and evaluate research outcomes in support of social science and program evaluation initiatives.
- GS-9 (0101), 40 hrs/week, 72,000/year.
Tuskegee Fee Basis, Supervisor, Danny Hall
Central Alabama Veterans Healthcare Administration (CAVHCS)
11.2013 - 08.2016
- Demonstrated advanced knowledge of clinical medical terminology when providing information to specialty clinic regarding the type of treatment patient was to receive (i.e. ultrasound, x-ray, or imaging).
- Demonstrated the ability to set priorities by prioritizing consult authorizations (urgent, within one week or month). Processed urgent consultations immediately by generating an authorization number in FBCS then submitting them to non-VA specialty providers.
- Demonstrated the ability to communicate tactfully and effectively, both orally and in writing to meet the program objective of providing timely non-VA care to veterans. Urgent consults were communicated to schedulers whereas a consult was created. After the consult was created, an authorization was prepared. Reported the progress of urgent non-VA care authorizations to supervisor.
- Demonstrated advance knowledge of the technical healthcare process by ensuring that consults were authorized by the physician, consulting with Nurse Case Manager regarding treatment and preparing authorizations, scheduling Non-VA Care appointments, and scanning medical records into CPRS.
- Processed a high volume of authorization in FBSC and allocated the funding via 1358 and 5C5003.
- Processed and received non-VA Medical Care electronic consults through the Electronic Computerized Patient System (ECPRS).
- Worked closely with physician/Clinical Staff/NVCC Nurse Case Managers to determine specifically what services are to be provided for the veteran such as Ultrasounds, Ortho, chronic pain, Physical Therapy, Gastro, and Urology specialty clinics, care outside of the VA.
- Used FBCS to create an authorization number by entering patient and vendor information.
- Posted/obligated on the 1358(s) in Vista for oncology, ultrasound and neurology consults.
- Notified veteran, by phone, when consults and authorizations were sent to the vendor.
- Worked closely with NVCC Nurse Case Manager to verify the type of Non-VA Care and the number of visits the veteran would receive with the specialist.
- Acted as a liaison between the vendor and veteran by verify vendor receipt of consults and authorizations.
- Faxed authorizations and consults to providers.
- Determined cost estimation associated with the care/treatment being provided by consulting with supervisor.
- Scanned medical records/documents into the appropriate CPRS patient records.
- Contacted vendor to ensure receipt of veteran consults and authorizations to receive Non-VA Care.
- Contacted vendor to ensure Veterans were scheduled to receive non-VA medical services then documented appointment on patient records.
- Contacted veterans to ensure that they had been notified by the non-VA providers regarding their appointments via phone call and in writing.
- Protect the safety of patients by exercising patient confidentiality as outlined in HIPPA.
- Verify demographic, phone number address, last four of SSN using Vista and CPRS using VISTA and CPRS.
- Update patient demographics upon patient request using Vista and CPRS.
- Schedule and cancel mental health and primary care appointments for over 34 clinics throughout Tuskegee, Dothan, Monroeville and Ft. Rucker VA campuses using VISTA.
- Screen TRM Plus for appointment cancellations; calls that are placed in the Daytona after-hours call center.
- Contact specialty clinics regarding veteran cancellations.
- Contact veterans to reschedule appointments or direct their calls to the appropriate personnel for rescheduling.
- Provide the status of consults and medication to veterans upon their request by using Vista and CPRS.
- Accessed patient records in TRM Plus and submitted medication renewals request to Primary Care Team.
- Demonstrated advanced knowledge of medical terminology when preparing progress notes for clinical staff such as associating medication with its generic name using medical software TRM Plus.
- Place new patients on the Electronic Wait List (EWL) using VISTA if they cannot be seen by a primary care provider within 90 days as stated in CAVHCS policy manual.
- Place established veterans on the Veterans Call List (VCL) if they cannot be seen by their primary care provider within 30 days using VISTA.
- Communicate to veterans Choice Card eligibility requirements as determined by a geographic challenge, 30 days or more wait to see a physician, and or residence being 40 miles or more from a VA medical facility.
- 40 hrs/week, 42,000/year.
B Co. 2nd FSB, South Korea, Supervisor, SSG Michael Anderson
United States Army Medical Support Assistance
12.1990 - 12.1991
- Assisted staff with charting patients wait time by composing a chart that indicated the number of minutes between when a patient arrived at the practice and when he or she left.
- Verified active- duty personnel and their dependent co-pay and insurance coverage through Tri-care, CHCS and DEERS.
- Resolved complex systems problems by correcting discrepancies between Composite Healthcare System (CHCS) and Defense Enrollment Eligibility Reporting System (DEERS).
- Demonstrated advanced knowledge of the technical healthcare process as it relates to patient care while assisting the clinical staff and MSA supervisor with measuring the average wait time, percentage of patients who would leave before being seen, the block of time between initial presentation and final disposition of patients.
- Received Occupational Safety and Health Act of 1970 (OSHA) training as it pertains to using protective equipment, providing training to employees, labeling and discarding and hazardous materials.
- Received training on following guidelines and polices of the Joint Commission in Accreditation of Healthcare Organization (JCAHO) as it pertains to patient safety, recording keeping and infectious control.
- 40 hrs/week, 45,000/year.
D Co. 709th Support Assistance, Ft. Lewis, Washington, Supervisor, SFC Dean Autry
United States Army Medical Support Assistance
05.1984 - 11.1990
- Assisted supervisor in resolving patient flow and emergency department overcrowding issues by compiling reports of access to hospital beds, access to diagnostic testing, and delays to discharging patients. Gained an in-depth understanding of the patient flow by collecting data and compiling reports. From such study, clinical staff were able to hire more medical staff and expand hospitals.
- Supervised and trained medical support assistants in interviewing military personnel and family members applying for medical benefits or updating medical records and scheduling/cancelling appointments.
- Supervised military support specialist in registering new patients into the healthcare application CHCS.
- Supervised military support specialist in checking in patients, verifying insurance, and collecting patient health records.
- Insured staff complied with the Health Insurance Portability and Accountability Act (HIPPA) of 1996 to protect patient privacy and confidentiality.
- Insured staff complied with patient safety policies such as completing an e-4106 in reporting accidents, patient identification errors, etc.
- Submitted completed accident Form to Safety Officer in absence of senior personnel.
- Insured staff complied with the USA MEDCOM Reg. 40-41
- Demonstrated knowledge of advanced medical terminology when preparing reports for Class I: uniform daily rate of rations, water, forage etc. Class II Vehicles, weapons and litters etc. Class III motor fuels and lubricants, Class III miscellaneous items as outlined in USA MEDCOM Reg. 40-41.
- Demonstrated advanced knowledge of terminology when preparing progress notes for clinical staff such as indicating medical abbreviations (EENT, MMR, MRI, MVI).
- Collected Third Party Insurance information.
- Documented any allergies the patient may have.
- Demonstrated advanced knowledge of the technical healthcare process by documenting patient check-in time and the time that it took for them to receive treatment.
- Prepared reports of patient check-in and wait time and submitted to supervisor to measure the effectiveness of rendering quality healthcare to patients.
- 40 hrs/week, 40,000/year.
Education
Ph.D. Studies - Conflict Analysis and Resolution
Nova Southeastern University
Ft. Lauderdale, FL01-2012
Master’s Degree - Public Administration/Healthcare Management
Columbus State University
Columbus, GA01-2005
Bachelor - Political Science/Secondary Education
York College
Queens, NY01-2003
Skills
- Analytical problem-solving
- Client case management
- Effective time management
- Case documentation management
Timeline
Case Manager/Crisis Prevention, Supervisor, Major Timothy Thrash
U.S. Army Soldier and Family Program
08.2018 - Current
Tuskegee Fee Basis, Supervisor, Danny Hall
Central Alabama Veterans Healthcare Administration (CAVHCS)
11.2013 - 08.2016
B Co. 2nd FSB, South Korea, Supervisor, SSG Michael Anderson
United States Army Medical Support Assistance
12.1990 - 12.1991
D Co. 709th Support Assistance, Ft. Lewis, Washington, Supervisor, SFC Dean Autry
United States Army Medical Support Assistance
05.1984 - 11.1990
Master’s Degree - Public Administration/Healthcare Management
Columbus State University
Bachelor - Political Science/Secondary Education
York College
Ph.D. Studies - Conflict Analysis and Resolution
Nova Southeastern University