Marlies Garza
San Antonio,TX
Summary
Case Manager over 35 years with experience navigating Medicaid, home health, HHSC and other private pay services. Professional goal is to receive a Masters Degree in Behavioral Health. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every client/patient a positive and memorable experience.
Overview
24
24
years of professional experience
Work History
Personal Home Care Account Manager
Girling Personal Care
San Antonio, TX
05.2019 - Current
- Marketing and sales for private duty caregiving services
- Establish relationships with community partners including SNF, AL, IL, hospitals and doctor offices
- Meet with client for assessment of their needs
- Help family to develop a service plan of care to meet their needs adequately and safely
- Travel with a 12 county area as needed to market and/or assess client for services
- Maintain reports on active clients
- Continue to monitor client service needs as needed to offer suggestions or referrals to HH or hospice.
Coordination of Care
Girling Community Care
San Antonio, TX
04.2019 - Current
- Coordinate services between home health/hospice and provider services to ensure no duplication of services
- Participate in meetings with local community partners, non-profits, – networking and providing education regarding our services and services available through other third party resources
- Maintain and update reports regarding all clients receiving home health or hospice services
- Make referrals as needed to any outside agency or program, such as local state, federal, government and private
- Monitor clients Medicaid eligibility, notify clients of any loss of eligibility, and guide/assist them on reapplication or appeal process
- Understand and implement State program policies regarding budget, State requirements and HIPAA
- Work independently with minimal supervision
- Conduct IDT meetings as needed with all interested/involved parties regarding client services
- Maintain ongoing relationships with outside community partners, including hospitals, doctors offices, and others in various health care field.
CLASS Case Manager
Girling Community Care
San Antonio, TX
03.2016 - 04.2019
- Assess client needs and identify any potential risk factors or barriers by conducting home visits for face-to-face meeting with family and client
- Assess, develop, monitor, and manage an appropriate service plan centered around client’s physical, developmental, social, and behavioral needs
- Work independently, with minimal supervision; maintaining and monitoring client services to ensure their needs are met while improving their overall health, and promoting their independence
- Identify barriers, evaluate, and modify individual’s current service plan accordingly based on client’s new diagnosis or needs
- Calculate, monitor, and maintain client’s service plan budget according to State and Federal guidelines
- Understand and implement State policies regarding procedures, budget, State requirements and HIPAA
- Refer client/family to other outside community resources available as needed
- Develop and maintain working relationships with outside vested parties accessible to client
- Monitor client’s financial eligibility
- Maintain files, organize charts, prioritize and multi-task as needed.
Program Support Specialist IV
Department of Aging & Disability Services
San Antonio, TX
03.2012 - 02.2016
- Manage and supervise staff
- Delegate assignments to staff to allow for even distribution of workload
- Counsel staff on work related and/or performance issues and develop a corrective action plan
- Conducted and/or attended monthly meetings with other State agency representatives, stakeholders, and other representatives from various MCO’s (managed care organizations) and other community resource representatives
- Managed certifications for all MDCP, CCP clients aging out into the SPW and MFP Programs
- Monitor client Medicaid status to ensure ongoing eligibility, working closely with Medicaid staff
- Develop and maintain working relationships with outside vested parties, such as MCO’s, AACOG, nursing home staff and other community resources.
Case Manager IV
Department of Aging & Disability Services
Floresville, TX
09.2000 - 03.2012
- Perform home visits to assess client for new and ongoing services
- Develop service plan to individual’s needs to ensure overall health and safety of individual, while also promoting their independence
- Perform monthly home visits to monitor ongoing services and revise service plan accordingly based on client’s new diagnosis, living arrangements or changes in family dynamics
- Understand and follow State mandated policies and procedures related to client services
- Monitor client's budget and ensure client’s eligibility
- Managed and supervised staff
- Delegated assignments to staff to ensure appropriate coverage of all clients and services.
Education
Bachelors of Science in Management -
University of Phoenix
12.2014
Skills
- Knowledge and experience working with Excel, Power Point, Word, Outlook, SharePoint, TIERS, Sales Force
- Knowledge of HHSC and Medicaid programs
- Bilingual in Spanish
- Contract Negotiations
- Lead Prospecting
- Prospecting and Cold Calling
- Proven Sales Track Record
- Business Relationship Management
- Territory Sales Management
- Contract Negotiation Expertise
- Strategic Marketing
- Closing Deals
- Strong Interpersonal Skills
- Relationship Selling
- Client Relationship Building
- Customer-Oriented
References
- Denise Beckwith, Gentiva Hospice 210-912-3230
- Tina Miller, Area Director of Business Development Gentiva Hospice, 210-872-0707
- Gabriel Donias, Administrator Girling Personal Care, 210-896-1792
Timeline
Personal Home Care Account Manager
Girling Personal Care
05.2019 - Current
Coordination of Care
Girling Community Care
04.2019 - Current
CLASS Case Manager
Girling Community Care
03.2016 - 04.2019
Program Support Specialist IV
Department of Aging & Disability Services
03.2012 - 02.2016
Case Manager IV
Department of Aging & Disability Services
09.2000 - 03.2012
Bachelors of Science in Management -
University of Phoenix
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