Proven leader in program coordination and client advocacy, I leveraged Medicaid expertise at Central/Southwest Louisiana Area Health Ed. Center to streamline application processes, enhancing service delivery by 30%. Skilled in policy interpretation and relationship building, I excel in creating efficient, compassionate solutions for complex client needs.
Overview
17
17
years of professional experience
Work History
Medicaid Navigator and Coordinator
Central/Southwest Louisiana Area Health Ed. Center
08.2023 - Current
Developed strong relationships with community partners, expanding resources available to assist clients in need of Medicaid coverage.
Assisted families with complex paperwork, ensuring accuracy and timely submission of required documents.
Managed high caseload effectively, prioritizing tasks and meeting deadlines consistently while maintaining high standards of service quality.
Utilized data analysis tools to monitor program performance indicators, driving continuous improvements in service delivery outcomes.
Maintained up-to-date knowledge of state and federal regulations, ensuring compliance in all Medicaid coordination efforts.
Streamlined Medicaid application process for faster approvals, reducing wait times for patients.
Demonstrated exceptional attention to detail when reviewing documentation for eligibility determination purposes, minimizing errors and delays.
Improved patient care by efficiently coordinating and managing Medicaid applications and eligibility.
Reduced patient stress by presenting complex information about Medicaid guidelines clearly and concisely during consultations.
Provided personalized support to clients throughout the entire application process, resulting in increased satisfaction levels.
Collaborated with healthcare providers to gather necessary information for successful Medicaid enrollments.
Participated in community events to promote services and engage with the public.
Partnered with local organizations to expand access to social and community services.
Advocated for social and community service programs to increase awareness and funding.
Conducted outreach activities to engage local stakeholders in programs.
Human Resources Manager
Kellie's Sitting Services, Inc.
06.2015 - 08.2023
Managed employee relations issues professionally, resolving conflicts efficiently while maintaining confidentiality at all times.
Maintained accurate HR records in compliance with applicable laws, ensuring efficient data retrieval when required for over 200 employees.
Conducted thorough internal investigations, addressing employee concerns with fairness and transparency.
Maintained payroll and benefits for employees in various locations, minimizing financial discrepancies through detailed program management.
Maintained company compliance with local, state, and federal laws, in addition to established organizational standards.
Managed complex benefits administration, ensuring accurate enrollment and timely processing of claims.
Organized and led staff orientation programs and training to promote collaboration.
Developed comprehensive onboarding programs to facilitate smooth integration of new employees into the organization.
Facilitated onboarding sessions and on-the-job training for new hires bolstering position knowledge and skillset.
Processed employee claims involving performance issues and harassment.
Coordinated company-wide training programs to enhance workforce skills and promote professional growth.
Promoted diversity and inclusion within the workplace by initiating targeted training programs and implementing inclusive hiring practices.
Conducted comprehensive HR audits to ensure compliance with labor laws and regulations, mitigating risk of legal issues.
Group Home Manager
Westside Habilitation Center
07.2007 - 06.2015
Ensured proper medication administration for 28 residents through close coordination with healthcare providers and careful record-keeping practices.
Developed trusting relationships with each resident through empathy-based interactions focusing on trust-building techniques.
Maintained adequate coverage for residents' needs without exceeding budget targets by coordinating schedules and team workflows.
Kept accounts, resident files and regulatory paperwork current and accurate with diligent attention to administrative requirements.
Assisted staff with maintaining residents' health by scheduling medical appointments and arranging transportation.
Oversaw home inventory of supplies and groceries by tracking use and placing new orders.
Maintained compliance with state regulations, completing detailed documentation for licensing requirements and audits.
Ensured safety and well-being of residents, conducting regular home inspections and coordinating necessary maintenance.
Assisted residents with basic hygiene and healthcare needs.
Offered learning opportunities to help residents develop important life skills.
Monitored direct care activities for optimal patient protections and infection control standards.
Reduced staff turnover by providing comprehensive training programs and fostering a supportive work environment.
Helped individuals with moderate to severe developmental disabilities carry out daily living tasks by coordinating expert support.
Education
Some College (No Degree) - Business Administration And Management
LSU Alexandria
Alexandria, LA
High School Diploma -
Oakdale High School
Oakdale, LA
05.1993
Skills
Decision-making capabilities
Team Coordination Experience
GPS Navigation Proficiency
Emergency response training
Basic First Aid Knowledge
Eligibility Determination
Policy analysis
Medicaid Expertise
Program coordination
Strong Organization
Professional ethics
Paperwork and documentation
Client Advocacy
Medicaid knowledge
Service planning
Policy Interpretation
Documentation proficiency
Teamwork and Collaboration
Problem-Solving
Time Management
Multitasking
Multitasking Abilities
Excellent Communication
Organizational Skills
Certified in CPR/AED
Client Needs Assessments
Relationship Building
Self Motivation
Timeline
Medicaid Navigator and Coordinator
Central/Southwest Louisiana Area Health Ed. Center
08.2023 - Current
Human Resources Manager
Kellie's Sitting Services, Inc.
06.2015 - 08.2023
Group Home Manager
Westside Habilitation Center
07.2007 - 06.2015
Some College (No Degree) - Business Administration And Management
LSU Alexandria
High School Diploma -
Oakdale High School
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