Maxcine Leggette
Olive Branch,MS
Summary
Experienced Case Manager offering services to the aged, blind and disabilities to remain as independently as possible in the home and community to prevent from going into a nursing facility. Excellent collaborator dedicated to providing first-rate supportive counseling and guidance. Ambitious and highly motivated Case Manager, surpasses demanding objectives and achieves or exceeds set goals. Compassionate Case Manager experienced in helping people in both public and private sectors. Hardworking and dedicated to achieving desired case outcomes. Offers excellent problem-solving, conflict resolution and communication abilities. Knowledgeable Case Manager experienced in coordinating care for disabled individuals. Proactive and resourceful with strong knowledge of community resources. Strong communicator with passion for helping others.
Overview
24
24
years of professional experience
Work History
OSDP Case Manager
MS Department Of Rehabilitation Services/OSDP
Olive Branch, MS
10.2007 - Current
- Provided case management services to OSDP clients. Having a working knowledge and understanding of all OSDP services.
- Identified, planned, and provided all needed services for applicants in a timely manner. Managed all planned services until completion.
- Conducted monthly phone contacts, quarterly home visits, and annual recertification's with each participant to re-evaluate level of care and continued need for services.
- Coordinated services and resources identified for each participant's individual needs.
- Knowledge of comparable benefits such as Medicare, Medicaid, private insurance or other available resources.
- Supervised and monitored personal care attendants to ensure the assigned ADL's and IADL's services are provided the participants.
- Monitored the progress of all PCA background results, annual training and submission of documentation to PCA Documentations.
- Assisted with completing PCA Overtime Verification slips/submission.
- Assisted Counselor Assistant with obtaining quotes from vendors, prescriptions from physicians and bids from contractors along with the submission of bid proposals and letters to contractors.
- Supervised and delegate work of the Counselor Assistant to maximize efficiency.
- Performed Special Projects as required.
- Obtained a working knowledge and understanding of all OSDP services.
- Ensured the expedition of services through caseload management, locate and manage funds provided by the agency for client use.
- Ensured that all recertification's are conducted and submitted to DOM timely.
Medicaid Specialist
MS Department Of Medicaid
Grenada, MS
04.2005 - 09.2007
- Communicated with people from various health issues and backgrounds on application process.
- Documented all communication with applicants and inputted information into system using Microsoft Word.
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
- Scheduled appointments with applicants to gather information and explain benefits processes.
- Assumed responsibility for a Medicaid eligibility determination caseload for a designated territory within a region.
- Determined Medicaid eligibility status for the aged, blind and the disabled.
- Investigated and verified accuracy of information provided by recipients under the Medicaid programs to determine compliance with state and federal laws, rules and regulations.
- Maintained effective public relations with medical facilities. Visited contact centers and medical facilities.
- Assisted with other Regional offices on an as needed basis.
Medicaid Recovery Specialist
Emory Healthcare
Decatur, GA
10.1995 - 02.2003
- Performed skip tracing on all past due accounts to locate responsible individuals.
- Maintained equipment and facilities in optimal condition to support optimal launch and recovery operations.
- Set up drafts and processed immediate payments after conducting thorough research and analysis of account.
- Monitored accounts for compliance with established payment plans and flagged non-compliances.
- Collected payments by phone and set up payment plans for repayment.
- Handled inbound and outbound calls daily, remaining highly focused on securing required funds.
- Provided counseling and support to clients w
- Coordinated referrals for addiction services based on individual client needs and preferences.
- Provided counseling and support to clients who needed financial counseling.
- Analyzed and developed systems related to billing and collections.
- Reported professional and medical services to ensure Recovery of all inpatient charges, developed revenue, and budgets for all centers based on trend and projected market data.
- Ensured compliance with Medicare and other insurance carrier guidelines related to documentation, coding and medical necessity.
Education
Bachelor of Science - Marketing
Jackson State University
Jackson, MS06.1985
Associate of Arts - Human Services
Northwest MS Community College
Senatobia, MS08.1980
High School Diploma -
Charleston High School
Charleston, MS05.1978
Skills
- Supervision
- Delegation
- Case Planning
- Case Management
- Leadership
- Case Reviews
- Case Needs Assessment
- Home Visits and Inspections
- MS Office
- Program Eligibility
- Independent Living
- Large Caseloads
- Documentation
- Decision Making
- Problem Solving
- Communication Skills
- Writing Skills
Timeline
OSDP Case Manager
MS Department Of Rehabilitation Services/OSDP
10.2007 - Current
Medicaid Specialist
MS Department Of Medicaid
04.2005 - 09.2007
Medicaid Recovery Specialist
Emory Healthcare
10.1995 - 02.2003
Bachelor of Science - Marketing
Jackson State University
Associate of Arts - Human Services
Northwest MS Community College
High School Diploma -
Charleston High School
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