Summary
Overview
Work History
Education
Skills
Timeline
Generic
Megan Pursley

Megan Pursley

Care Management
HEATH,OH

Summary

Proven Case Management Associate at Aetna, adept in care planning and client advocacy, enhanced patient care through effective resource identification and case management. Demonstrated adaptability and excellent communication, achieving significant improvements in patient support and resource allocation. Skilled in both interpersonal relations and meticulous records management, consistently delivering results beyond employer expectations.

Overview

9
9
years of professional experience

Work History

Case Management Associate

Aetna
07.2020 - Current
  • Communicated with patients and family members to assist with information, provide literature and direct to community resources.
  • Completed weekly scheduling and monthly department reports for case managers.
  • Interpreted regulations to identify patient care requirement criteria to be monitored and establish systems to achieve compliance.
  • Completed administrative patient intakes with case histories, insurance information and mandated forms.
  • Organized and maintained patient chart filing system to promote quick data finding for staff.
  • Prepared and processed patient referrals and transfer requests.
  • Performed various administrative tasks by filing, copying and faxing documents.
  • Registered and verified patient records before triage with most up-to-date information.
  • Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
  • Served as case coordinator, assuming responsibility for complex, high-volume assignments and guiding endeavors to successful completion.
  • Provided safety planning, crisis intervention and case management to clients.
  • Informally mentored new case managers and service coordinators, answering questions, offering opportunities to shadow and observe and explaining basic information about company procedures.
  • Communicated with supervisor regarding issues related to case management, resourcing, service collaboration and development of new resources.
  • Prepared and maintained records and case files detailing clients' personal and eligibility information, services provided and relevant correspondence.

Mental Health Youth Case Manager

Behavioral Healthcare Partners of Central Ohio
10.2017 - 08.2019
  • Supervised In-Home Support Counselor on clinical issues, casework issues and written reports for each case.
  • Displayed sensitivity to cultural and linguistic needs of clients and families served.
  • Supported clients by representing needs and advocating for patient rights in healthcare, legal and community-based settings.
  • Stayed current on mental health research to follow new developments and research in mental health field.
  • Completed one-on-one counseling with broad range of clients suffering from various diseases and issues.
  • Provided comprehensive case management services, created treatment plans, and connected clients and families to appropriate resources.
  • Supervised busy caseload, managing clients, balancing workload and prioritizing client needs.
  • Observed and monitored client behavior and responses to treatment.
  • Documented clients' progress to keep detailed notes on each client's treatment progress and changes in mental health status.
  • Encouraged patients to discuss experiences in group and individual settings.
  • Provided referrals to connect clients with other community resources to support mental health and well-being.
  • Prepared reports to summarize clients' mental health status and treatment progress.
  • Assessed mental health needs to determine nature and extent of clients' emotional, behavioral or mental health issues.
  • Consulted with other staff members regarding treatment plans as deemed appropriate by team leader.
  • Worked collaboratively with other mental health professionals to provide consistent care and minimize diversion.
  • Attended trainings to participate in regular supervision and continued education to maintain professional competence and ethical standards.
  • Managed patients with substance dependence and co-occurring Axis I and Axis II disorders.
  • Conducted crisis interventions to respond to clients in crisis, assess immediate needs and provide support and resources.
  • Adhered to ethical and legal standards for confidentiality, protecting clients' privacy.

Family Services Worker

LEADS Head Start
12.2015 - 10.2017
  • Facilitated groups to address specific needs such as grief and loss, anger management and social skills.
  • Collaborated with school personnel, parents and mental health providers to maintain comprehensive and integrated approach to student services.
  • Facilitated family meetings to ensure communication and collaboration between family members.
  • Arranged medical and psychiatric tests to identify difficulties and indicate potential remedial approaches.
  • Intervened in crisis situations and counseled children experiencing emergencies and disruptive incidents.
  • Implemented research-based interventions and strategies to support positive behavior and social-emotional development.
  • Completed comprehensive assessments of families to identify needs and develop treatment plans.
  • Worked with educational team to develop Individual Education Plans (IEPs) for students.
  • Planned, promoted and managed parent workshops on assisting children in attaining academic success.
  • Built solid and trusting rapport with children and families, fostering trust and communication to meet case needs.
  • Documented data and completed accurate updates to case records.
  • Maintained detailed case histories, metrics and reports to meet strict standards.
  • Assisted families in navigating the social services system, including applying for benefits, accessing resources and connecting with other family support services.
  • Developed and implemented strategies to reduce and prevent family conflict.
  • Conducted outreach to families and other community partners to identify ways to address social, emotional and behavioral needs.

Education

Bachelor's Of Business - Human Resources Management And Business Admin

Franklin University
Columbus, OH
01.2012

Skills

  • Care Planning
  • Resource Identification
  • Data entry proficiency
  • Client Advocacy
  • Patient communication
  • Problem-solving abilities
  • Adaptability
  • Time Management
  • Excellent Communication
  • Reliability
  • Program Development
  • Goal Setting
  • Interpersonal Skills
  • Conflict Resolution
  • Organizational Skills
  • Records Management
  • Case Management
  • Rehabilitation treatment planning
  • Multitasking Abilities
  • Attention to Detail

Timeline

Case Management Associate

Aetna
07.2020 - Current

Mental Health Youth Case Manager

Behavioral Healthcare Partners of Central Ohio
10.2017 - 08.2019

Family Services Worker

LEADS Head Start
12.2015 - 10.2017

Bachelor's Of Business - Human Resources Management And Business Admin

Franklin University

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Megan PursleyCare Management