Melissa Herron
Freeport,IL
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
18
18
years of professional experience
Work History
Iris Consultant
TMG
08.2021 - Current
- Assisting with developing customized plans to achieve participant goals in the community related, but not limited to: employment, housing, health, safety, transportation, and day programming.
- Partnering with participants, APOA’s and or guardians in obtaining resources to achieve participant related goals.
- Educating participants regarding their monthly budget usage.
- Documentation in WISITS, EMR within 48 hours.
- Follow the compliance regulations set forth by The Wisconsin Department of Human Services.
- Use critical thinking, problem solving and time management skills.
- Respond/document critical incidents that may jeopardize the health and safety of participants. Assist in creating interventions to prevent reoccurrences.
- Maintain HIPAA and Compliance regulations.
- Use critical thinking skills to break down problems, evaluate solutions and assist the participants in making their own decisions.
Care Manager
Choice Family Care
01.2020 - 07.2021
- Completed psychosocial assessments.
- Developed Member Centered Plans with the member and Registered Nurse to achieve member related goals.
- Documented and brainstormed solutions to critical incidents to prevent reoccurrences.
- Encourage members, APOA’s, Guardians and supported decision makers to play an active role in maintaining the members independence within the community. Demonstrated excellent customer service skills by having everyone included in the decision making of care.
- Coordinated and authorized services that aligned with the member’s goals of achievement in the most effective/cost effective way.
- Provided community resources to members, APOA’s, Guardian’s and Supported Decision Makers that were not available within the Family Care benefit package.
- As part of the interdisciplinary team, worked on updating goals included in the Member Centered Plan on a continuous basis.
- Demonstrating excellent customer service and Care Management skills, maintained continuous contact with members, Guardian’s and POA’s to ensure safety, and needs are met in a timely manner.
- Maintained appropriate, accurate and up to date documentation per Wisconsin Department of Health and Human Services standards.
- In collaboration with the Registered Nurse, coordinated and attend care plan meetings, staff meetings and utilization review meetings.
- Maintain HIPAA standards, while working with EMR Midas application and collateral contacts.
- Consulted with supervisors to assess plans for members and plan strategies for enhancing care.
- Coordinated referrals to specialists.
- Coordinated with Social Workers, MD’s and RN’s for discharge planning with hospitalizations, ER visits and rehabilitation centers for a smooth transition back into the community.
- Coordinated insurance benefits to obtain durable medical equipment and supplies from approved vendors working with Medicare and Medicaid.
- Arranged transportation, medical appointments and followed up on such.
- Was a mentor to newly hired Care Managers by training, providing supervision, ongoing staff development and continuing education to employees.
Human Service Worker
Milwaukee County Aging And Disability Resource
05.2018 - 10.2019
- Maintained HIPAA standards, while working in the EMR application Midas and the community.
- Completed Long Term Care Functional Screens to determine eligibility for the different Long Term Care Programs.
- Conducted enrollment, did-enrollment, and switching of programs counseling.
- Assisted consumers with resources within the community.
- Adhered to strict client confidentiality laws and site-specific procedures to uphold privacy and provide the best experience possible.
- Established positive relationships with consumers, guardians, APOA’s and assessed goals, working hard to address individual needs and tailor services to suit them.
- Kept and established comprehensive case files to support proper documentation and records.
- Acted as mandatory reporter of abuse.
- Described procedures, requirements and benefits to customers, guardians and APOA’s.
- Interviewed consumers for services and assisted with application completion.
- Prepared documents for review and completion by consumers, guardians and APOA’s and submitting the documentation. Demonstrated excellent customer service skills and kept families and consumer in the loop throughout the whole process.
- Conducted visits to consumers in homes and attended group meetings to provide information on agency services, requirements and procedures.
Lead Care Manager
My Choice Family Care DBA Metro CMU
03.2016 - 05.2018
- Completed psychosocial assessments.
- Developed Member Centered Plans with the member and Registered Nurse to achieve member related goals.
- Documented and brainstormed solutions to critical incidents to prevent reoccurrences.
- Encourage members, APOA’s, Guardians and supported decision makers to play an active role in maintaining the members independence within the community. Demonstrated excellent customer service skills by having everyone included in the decision making of care.
- Coordinated and authorized services that aligned with the member’s goals of achievement in the most effective/cost effective way.
- Provided community resources to members, APOA’s, Guardian’s and Supported Decision Makers that were not available within the Family Care benefit package.
- As part of the interdisciplinary team, worked on updating goals included in the Member Centered Plan on a continuous basis.
- Demonstrating excellent customer service and Care Management skills, maintained continuous contact with members, Guardian’s and POA’s to ensure safety, and needs are met in a timely manner.
- Maintained appropriate, accurate and up to date documentation per Wisconsin Department of Health and Human Services standards.
- In collaboration with the Registered Nurse, coordinated and attend care plan meetings, staff meetings and utilization review meetings.
- Maintain HIPAA standards, while working with EMR Midas application and collateral contacts.
- Consulted with supervisors to assess plans for members and plan strategies for enhancing care.
- Coordinated referrals to specialists.
- Coordinated with Social Workers, MD’s and RN’s for discharge planning with hospitalizations, ER visits and rehabilitation centers for a smooth transition back into the community.
- Coordinated insurance benefits to obtain durable medical equipment and supplies from approved vendors working with Medicare and Medicaid.
- Arranged transportation, attended medical appointments, provided transportation, scheduled medical appointments and followed up on such.
- Was a mentor to newly hired Care Managers by training, providing supervision, ongoing staff development and continuing education to employees.
- Ensured members were functionally eligible as a Long Term Care Functional Screener. Also ensured to maintain credentials as a screener every two years.
- Conducted audits of EMR charts to ensure accuracy per Wisconsin Department of Health and Human Services standards.
Medical Assistant
Columbia St. Mary's/Allied Health Group
12.2015 - 03.2016
- PRN position Ensured the timeliness of patient care Ensured the effectiveness of patient care Ensured medical records were accurate, and complete Next Generation, EHR
- Sanitized, restocked and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms and allergies.
- Directed patients to exam rooms, fielded questions and prepared for physician examinations.
- Collected and documented patient medical information such as blood pressure and weight.
- Performed clerical duties, such as word processing, data entry, answering phones and filing.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Called and faxed pharmacies to submit prescriptions and refills.
- Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Taught patients about medications, procedures and care plan instructions.
- Completed clinical procedures and gathered patient data for interpretation by physician.
- Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
- Obtained pre- and post-treatment vital signs and weight.
- Promoted office efficiency, coordinating charts, completing insurance forms and helping patients with diverse needs.
- Tested and recorded blood glucose levels.
- Prepared patients for X-rays, electrocardiograms, suture removal and dressing changes.
- Ambulated, turned and positioned patients.
Medical Assistant/Patient Companion
ProHealth Care
08.2012 - 12.2015
- Worked with EMR Epic, while maintained HIPAA standards.
- Sanitized, restocked and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms and allergies.
- Directed patients to exam rooms, fielded questions and prepared for physician examinations.
- Collected and documented patient medical information such as blood pressure and weight.
- Performed clerical duties, such as word processing, data entry, answering phones and filing.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Called and faxed pharmacies to submit prescriptions and refills.
- Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Taught patients about medications, procedures and care plan instructions.
- Completed clinical procedures and gathered patient data for interpretation by physician.
- Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
- Obtained pre- and post-treatment vital signs and weight.
- Promoted office efficiency, coordinating charts, completing insurance forms and helping patients with diverse needs.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Tested and recorded blood glucose levels.
- Prepared initial patient charts for admission.
- Prepared patients for X-rays, electrocardiograms, suture removal and dressing changes.
- Verified appropriate lab couriers picked up collected lab specimens.
- Obtained all prescribed laboratory testing.
- Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
- Ordered and prepared reagents and supplies.
Medical Assistant
Aurora Health care
08.2009 - 08.2012
- Sanitized, restocked and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms and allergies.
- Directed patients to exam rooms, fielded questions and prepared for physician examinations.
- Collected and documented patient medical information such as blood pressure and weight.
- Performed clerical duties, such as word processing, data entry, answering phones and filing.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Called and faxed pharmacies to submit prescriptions and refills.
- Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Taught patients about medications, procedures and care plan instructions.
- Completed clinical procedures and gathered patient data for interpretation by physician.
- Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
- Obtained pre- and post-treatment vital signs and weight.
- Promoted office efficiency, coordinating charts, completing insurance forms and helping patients with diverse needs.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Tested and recorded blood glucose levels.
- Prepared initial patient charts for admission.
- Prepared patients for X-rays, electrocardiograms, suture removal and dressing changes.
- Verified appropriate lab couriers picked up collected lab specimens.
- Obtained all prescribed laboratory testing.
- Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
- Ordered and prepared reagents and supplies.
- Arranged surgeries with surgical center, confirming times with patients and preparing admission and consent forms.
- Ambulated, turned and positioned patients.
- Compiled necessary documents for surgical billing packages.
Medical Assistant/Referral Authorization Specialist
Madison Medical Affiliates
- Ensured protocols were followed when authorizing procedures.
- Worked with insurance companies to obtain prior authorizations for procedures.
Volunteer
Milwaukee Rescue Mission
06.2014 - 08.2014
- Maintained clean, neat and operational facilities to serve program needs.
- Volunteered with groups and organizations to help make measurable differences for program recipients.
Caregiver
Home Instead Senior Care
08.2012 - 12.2013
- Entertained, conversed with, or read aloud to patients to keep them mentally healthy and alert
- Assisted with dressing guidance, grooming, meal preparation and medication reminders.
- Assisted clients with daily living needs to maintain self-esteem and general wellness.
- Built strong relationships with clients to deliver emotional support and companionship.
- Cleaned house, ran errands, managed laundry and completed weekly grocery shopping.
- Engaged patients in meaningful conversation, socialization and activity while providing personal care assistance.
- Maintained clean personal areas and prepared healthy meals to support client nutritional needs.
- Assisted patients with self-administered medications.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Supported clients with mental support and physical activities to accomplish quality of life and sustain needs.
- Provided safe mobility support to help patients move around personal and public spaces.
- Planned healthy meals, purchased ingredients and cooked meals to provide adequate nutrition for client wellbeing.
- Documented residents' mental status, sleep and eating patterns in medical record books.
- Helped patients care for themselves by teaching proper, safe use of ambulation assistive devices such as canes or walkers.
- Entertained, conversed and read aloud to keep patients mentally alert.
- Maintained frequent supervision of residents unable to call for assistance.
Medical Assistant
Sensia Healthcare
07.2007 - 08.2009
- Performed audiograms, Drug screens, BAT's, Respiratory Fitness tests, and Pulmonary Function Tests
- Operated/prepared patients for x-ray, electrocardiogram (EKG), and other equipment to administer routine diagnostic tests
- Communicated results to clients through email, phone, scan to email, and by fax
- Ensured the accuracies of Medical charts Ensured the timeliness, and effectiveness of patient care
- Ensured accuracy of various patient results
- Sanitized, restocked and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms and allergies.
- Directed patients to exam rooms, fielded questions and prepared for physician examinations.
- Collected and documented patient medical information such as blood pressure and weight.
- Performed clerical duties, such as word processing, data entry, answering phones and filing.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Completed clinical procedures and gathered patient data for interpretation by physician.
- Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
- Obtained pre- and post-treatment vital signs and weight.
- Promoted office efficiency, coordinating charts, completing insurance forms and helping patients with diverse needs.
- Prepared patients for electrocardiograms, suture removal and dressing changes.
- Verified appropriate lab couriers picked up collected lab specimens.
- Obtained all prescribed laboratory testing.
- Ordered and prepared reagents and supplies.
- Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
CBRF Caregiver
Bethesda Lutheran Homes and Services
01.2007 - 10.2008
- Assisted with dressing guidance, grooming, meal preparation and medication reminders.
- Assisted clients with daily living needs to maintain self-esteem and general wellness.
- Built strong relationships with clients to deliver emotional support and companionship.
- Cleaned house, ran errands, managed laundry and completed weekly grocery shopping.
- Engaged patients in meaningful conversation, socialization and activity while providing personal care assistance.
- Maintained clean personal areas and prepared healthy meals to support client nutritional needs.
- Assisted patients with self-administered medications.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Supported clients with mental support and physical activities to accomplish quality of life and sustain needs.
- Provided safe mobility support to help patients move around personal and public spaces.
- Transported individuals to events and activities, medical appointments and shopping trips.
- Provided transportation to doctor's appointments, grocery stores, salons and barbershops.
- Monitored client vital signs, administered medications and tracked behaviors to keep healthcare supervisor well-informed.
- Turned and positioned bedbound patients to prevent bedsores and maintain comfort levels.
- Changed dressings, bandages and binders to maintain proper healing and sanitary measures.
- Recognized and reported abnormalities or changes in patients' health status to case manager.
- Planned healthy meals, purchased ingredients and cooked meals to provide adequate nutrition for client wellbeing.
- Determined specific needs and provided most appropriate level of services for patient well-being.
- Documented residents' mental status, sleep and eating patterns in medical record books.
- Helped patients care for themselves by teaching proper, safe use of ambulation assistive devices such as canes or walkers.
- Entertained, conversed and read aloud to keep patients mentally alert.
- Transported patients via wheelchair to and from rehabilitation and daily activities.
- Shopped for groceries regularly in order to keep house stocked with necessities.
- Maintained frequent supervision of residents unable to call for assistance.
- Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Helped clients manage money, pay bills and shop for groceries or personal items.
- Conferred with supervisor to discuss patient condition and medical care.
Education
Diploma - Medical Assisting
Sanford-Brown College
Bachelor of Science - Human Services Management
Cardinal Stritch University
05.2015
Skills
- CMS Guidelines
- Patient Care Assessment
- Quality Management Processes
- Teamwork and Collaboration
- Problem Identification
- EMR Systems
- Emotional Support
- Meeting Participation
- Applicant Support and Service
- Client Confidentiality
- Oral and Writing Communication
- Client Needs Assessment
- Disability Support
- Government Subsidy Programs
- Support Services
- Implementing Client Care Plans
- Maintaining Client Records
- Individual Support
- Issue Reporting
- Continuous Improvement Process
Timeline
Iris Consultant
TMG
08.2021 - Current
Care Manager
Choice Family Care
01.2020 - 07.2021
Human Service Worker
Milwaukee County Aging And Disability Resource
05.2018 - 10.2019
Lead Care Manager
My Choice Family Care DBA Metro CMU
03.2016 - 05.2018
Medical Assistant
Columbia St. Mary's/Allied Health Group
12.2015 - 03.2016
Volunteer
Milwaukee Rescue Mission
06.2014 - 08.2014
Medical Assistant/Patient Companion
ProHealth Care
08.2012 - 12.2015
Caregiver
Home Instead Senior Care
08.2012 - 12.2013
Medical Assistant
Aurora Health care
08.2009 - 08.2012
Medical Assistant
Sensia Healthcare
07.2007 - 08.2009
CBRF Caregiver
Bethesda Lutheran Homes and Services
01.2007 - 10.2008
Diploma - Medical Assisting
Sanford-Brown College
Bachelor of Science - Human Services Management
Cardinal Stritch University
Medical Assistant/Referral Authorization Specialist
Madison Medical Affiliates
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