MELISSA FRIESL
Park Ridge,IL
Summary
Conscientious professional with extensive experience advocating for social and economic well-being of individuals and families. Skilled at providing guidance, support and assistance. Strong communication and management skills and committed to inspiring community service.
Overview
20
20
years of professional experience
Work History
Supervisor, Waiver Operations
AETNA BETTER HEALTH OF ILLINOIS
04.2023 - Current
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Handled provider concerns, resolved issues, and adjusted policies to meet changing needs.
- Monitored workflow to improve employee time management and increase productivity.
- Evaluated employee performance and coached and trained to improve weak areas.
- Achieved results by working with staff to meet established targets.
- Maintained compliance with company policies, objectives, and communication goals.
Analyst
AETNA BETTER HEALTH OF IL, FORMERLY ILLINICARE
01.2017 - 04.2023
- Case Management Long Term Support Services
- Identify special needs members through the completion of health screens and other resources
- Work with community outreach/member advocates to coordinate member care
- Assess for and authorize all appropriate waiver services
- Conduct in home assessments and provide care coordination
- Educate providers and community resources on program components and available support services
- Develop and modify care plans in conjunction with member and others involved in member's care.
Choices for Care Case Manager
CATHOLIC CHARITIES, Resurrection Hospital
01.2007 - 01.2017
- Responsible for assessing clients age 60 and over for in home and community based services, such as homemaker and meals on wheels, following hospital discharge
- Responsible for completing Determination of Eligibility for clients active with Managed Care Organizations
- Meet with patients, families, and social workers to formulate safe and appropriate discharge plans from hospital.
Community Case Manager
CATHOLIC CHARITIES
01.2004 - 01.2007
- Responsible for assessing and determining the needs of clients age 60 and above
- Managed caseload of over 250 seniors, linking seniors to appropriate programs and services
- Maintained positive relationships with clients and other agencies involved in client care.
Education
Bachelor of Arts - Sociology And Spanish (double Major)
NORTH PARK UNIVERSITY
Chicago, IL12.1999
CERTIFIED CASE MANAGER
CCM Skills
- Case Notes
- Electronic Charting
- Case Planning and Management
- Client Needs Assessment
- Team Development
- Individualized Care Plans
- Coordinating Referrals
- Quality Control Procedures
- Optimize Staff Performance
Timeline
Supervisor, Waiver Operations
AETNA BETTER HEALTH OF ILLINOIS
04.2023 - Current
Analyst
AETNA BETTER HEALTH OF IL, FORMERLY ILLINICARE
01.2017 - 04.2023
Choices for Care Case Manager
CATHOLIC CHARITIES, Resurrection Hospital
01.2007 - 01.2017
Community Case Manager
CATHOLIC CHARITIES
01.2004 - 01.2007
Bachelor of Arts - Sociology And Spanish (double Major)
NORTH PARK UNIVERSITY
CERTIFIED CASE MANAGER
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