Summary
Overview
Work History
Education
Skills
Timeline
Generic

Maricella Molina

Tucson,AZ

Summary

Compassionate Case Manager experienced in serving ALTCS population in home, assisted living and nursing facility settings. Hardworking and dedicated to achieving desired case outcomes. Offers excellent problem-solving, conflict resolution and communication.

Overview

26
26
years of professional experience

Work History

ALTCS Case Manager

Banner University Family Care
2017.08 - Current
  • Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
  • Conducted thorough assessments of members residing in home, assisted living and nursing facilities. Identify issues, goals, and necessary interventions. Coordinate care and authorize services.
  • Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
  • Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs. Advocate and guide members and their families.
  • Participate in behavioral health meetings, case conferences and staff meetings.
  • Assigned temporarily as an Intake/Utility Case Manager in fast pace setting to assist and support various teams.

ALTCS Case Manager

UnitedHealthcare
2012.01 - 2017.09
  • Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
  • Conducted thorough assessments of members, identifying issues, goals, and necessary interventions. Coordinate care and authorize services.
  • Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
  • Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs. Advocate and guide members and their families.
  • Participate in behavioral health meetings, case conferences and staff meetings.

Social Worker 1/Discharge Planner

Carondelet St. Mary's Hospital
2011.06 - 2011.12
  • Updated client documentation for accurate, compliant and current records.
  • Interviewed clients, families, or groups to assess situations, limitations and issues and implement services to address needs.
  • Collaborated with multidisciplinary teams to ensure appropriate care coordination and resource allocation for clients.
  • Educated families on available community resources, connecting them with essential services such as housing assistance, financial aid, or healthcare providers.
  • Coordinate safe discharge plan with various health insurances and home care agencies.

ALTCS Case Manager

Bridgeway Health Solutions
2011.01 - 2011.04
  • Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
  • Conducted thorough assessments of members, identifying issues, goals, and necessary interventions. Coordinate care and authorize services.
  • Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
  • Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs. Advocate and guide members and their families.
  • Participate in staff meetings.

ALTCS Case Manager

Pima Health Systems
2001.05 - 2010.12
  • Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
  • Conducted thorough assessments of members, identifying issues, goals, and necessary interventions. Coordinate care and authorize services.
  • Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
  • Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs. Advocate and guide members and their families.
  • Participate in behavioral health meetings, case conferences and staff meetings.
  • Intake/Utility Case Manager in fast pace setting to assist and support various teams.
  • Served as Section 8 Liaison by facilities applications for housing.

Career Case Manager

Project PPEP
2001.01 - 2001.05

Interviewed and completed assessments for single parents needing support in overcoming barriers to employment. Assisted in developing strategies to secure employment and arranged on the job training opportunities. Established and maintained relationships with companies who were willing to participate with on the job training programs.

Case Manager

Jewish Family And Children's Services
1998.08 - 2001.12
  • Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
  • Conducted thorough assessments of members, identifying issues, goals, and necessary interventions. Coordinate care and authorize services.
  • Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
  • Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs. Advocate and guide members and their families.
  • Participate in staff meetings.
  • Chairperson for chart audit committee and completed monthly reviews of employee charts to ensure compliance.

Education

Bachelor of Arts - Sociology

University of Arizona
Tucson, AZ
08.1998

Associate of Arts - General Studies

Pima Community College
Tucson
05.1995

High School Diploma -

Tucson High School
Tucson, AZ
05.1992

Skills

  • Ability to communicate effectively in Spanish and English.
  • Experience working with ALTCS population and contracted providers.
  • Problem-Solving
  • Case Management
  • Case Documentation
  • Organization and Multitasking
  • Excellent writing and critical thinking skills.
  • Able to use own initiative and work well in team environment.
  • Experience working with diverse populations.

Timeline

ALTCS Case Manager

Banner University Family Care
2017.08 - Current

ALTCS Case Manager

UnitedHealthcare
2012.01 - 2017.09

Social Worker 1/Discharge Planner

Carondelet St. Mary's Hospital
2011.06 - 2011.12

ALTCS Case Manager

Bridgeway Health Solutions
2011.01 - 2011.04

ALTCS Case Manager

Pima Health Systems
2001.05 - 2010.12

Career Case Manager

Project PPEP
2001.01 - 2001.05

Case Manager

Jewish Family And Children's Services
1998.08 - 2001.12

Bachelor of Arts - Sociology

University of Arizona

Associate of Arts - General Studies

Pima Community College

High School Diploma -

Tucson High School
Maricella Molina