Kevin Andre
South Easton,MA
Summary
I am a committed Human Services Professional with over 10 years of experience in the field. Skilled in delivering high-quality care coordination and achieving positive outcomes for both patients and families. I am organized, proficient in articulating and documenting events clearly, and efficient in using Microsoft Word and Excel. I also have experience working with databases such as Salesforce and eHana, and I am quick to learn and adapt to new databases as needed. I excel at promoting teamwork and ensuring strong communication across diverse environments. With a proven ability to work collaboratively with colleagues, I have contributed to improved patient care and numerous success stories. Above all, I am dedicated to providing compassionate service and supporting the success of the team.
Overview
12
12
years of professional experience
Work History
Ombudsman
My Ombudsman
Boston , MA
03.2023 - Current
- Investigate and assess member complaints, ensuring a fair and impartial resolution process.
- Collaborate with various departments to gather relevant information and documentation for complaint resolution.
- Maintain a thorough understanding of health insurance policies, benefits, and regulations.
- Provide clear and accurate information to members regarding their rights, coverage, and appeal processes.
- Act as an advocate for members, ensuring their concerns are heard and addressed by the appropriate parties.
- Monitor trends in member concerns and collaborate with internal teams to identify and address systemic issues.
- Educate members on available resources and support services.
- Facilitate communication between members, healthcare providers, and the insurance company to streamline issue resolution.
- Maintain confidentiality and privacy of member information throughout the resolution process.
Care Coordinator BHCP (Hybrid)
Advocates BHPMW
Framingham , MA
01.2019 - Current
- Facilitated on-going assessment of patient and family needs and oversaw implementation of interdisciplinary team plan of care.
- Investigated and reported issues relating to patient care and conditions which might hinder patient well-being.
- Counseled caregivers and families on end-of-life planning and educated on patient care options.
- Communicated with primary care physicians or emergency care providers to relay patient needs.
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
- Developed and maintained quality care systems and standards, including creating and improving medical protocols and guidelines.
- Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
- Ensured quality patient care from admission to discharge through direct supervision of all nursing and ancillary staff.
- Coordinated with healthcare team to establish, enact and evaluate patient care plans.
Care Services Manager
Als Association Massachusetts
Westborough, MA
12.2021 - 02.2024
- Maintained records management system to process personnel information and produce reports.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.Receive referrals and obtains all necessary patient, medical, demographic information, and documents from referral sources via various communication methods to establish and coordinate a plan of care
- Conduct specialized care consultations and needs assessment for people living with ALS caregivers, and families in a variety of settings including virtual visits, by phone/email, in clinic, at support groups and at home visits, when appropriate
- Actively manage a portfolio of patients, assuring patient and caregiver needs are met within the capabilities of The Association
- Provide information on services and resources and printed/electronic educational materials available to persons with ALS and their families
- Coordinate referrals to ALS Association programs as well as healthcare providers and community agencies
- Facilitate resource support group meetings, engage participants, and schedule speakers as appropriate to meet the needs of the group Work with Managing Director Care Services/Care Services Director, and care services staff, to manage relationships with each multidisciplinary clinic and maintain strong communication with clinic staff
- Collaborate with the Managing Director Care Services/Care Services Director to evaluate care services programs for effectiveness and desired outcomes.
- Ensure database is used consistently within territory and established standard operating procedures are followed within territory
- Ensure reports, including statistical, outcome, and other metrics are accurate and timely
- Offer recommendations concerning current or future programs.
- Work with Managing Director Care Services/Care Services Director to establish strategic community and professional partnerships and collaborations
- Work with Managing Director Care Services/ Care Services Director to identify and resolve operational and service barriers within the territory
- Provide educational programs and act as a resource to the community and other staff.
- Provides in-service education programs to local hospice, home health agencies, hospitals, skilled care facilities and other state social service agencies as needed.
- Assist Managing Director Care Services/Care Services Director as assigned
Care Resource Coordinator (Contract)
Partners In Health
Boston (Remote), MA
10.2020 - 07.2021
- Called positive cases using salesforce & provided emotional & resource support
- Tracked and reported clients' progress based on observations and conversations.
- Reported concerns to nurse supervisor to promote optimal care.
- Coordinated doctor appointments, exercise, recreation and family visits to maintain schedule.
Direct Care | Case Manager
Charles River Center
Needham, Massachussetts
04.2017 - 04.2020
- Maintained a clean and well-organized environment to promote client safety.
- Monitored unit budget to ensure financial objectives were met.
- Monitored clients' progress to report necessary changes.
- Supervised frequent activities such as medication and personal hygiene to ensure safety.
- Evaluated nursing notes to confirm that they accurately and completely described care provided and patient responses.
- Administered all necessary medications as directed by care plan.
- Ensured smooth transition of residents into new environment.
Case Manager
GROW Associates
Randolph, Massachussetts
11.2017 - 02.2019
- Participated & Conducted IEP & DHSP Meetings
- Developed implementation strategies for individuals
- Ensured all goals were being logged into database & monitored
- Worked with Occupational, Speech Language & Physical Therapists in putting together goals for clients
- Established professional relationships with parents, DDS workers and house managers to ensure all plans are being met & progress.
- Assisted disabled individuals to foster independence while still closely monitoring safety.
- Making individual assessments
- Reviewed treatment plans against individual goals and healthcare standards.
Assistant Supervisor
Delta Projects Inc
Dedham, MA
06.2013 - 03.2017
- Developed strong and trusting rapport with each client to facilitate best care possible.
- Transported client to doctor’s appointments and to complete other related errands.
- Worked to improve patient outlook and daily living through compassionate care.
- Monitored clients' progress to report necessary changes.
- Completed data entries in charts and log books to document clients' progress with accuracy.
- Participated in IEP meetings along with my supervisor to discuss progress of clients with DDS worker
Education
High School Diploma -
Canton High School
2011
Massasoit Community College
Timeline
Ombudsman
My Ombudsman
03.2023 - Current
Care Services Manager
Als Association Massachusetts
12.2021 - 02.2024
Care Resource Coordinator (Contract)
Partners In Health
10.2020 - 07.2021
Care Coordinator BHCP (Hybrid)
Advocates BHPMW
01.2019 - Current
Case Manager
GROW Associates
11.2017 - 02.2019
Direct Care | Case Manager
Charles River Center
04.2017 - 04.2020
Assistant Supervisor
Delta Projects Inc
06.2013 - 03.2017
High School Diploma -
Canton High School
Massasoit Community College
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