Migdelia Arvizu
Yuma,AZ
Summary
Accomplished Case Manager adept at handling high caseloads without sacrificing quality of care. Operates exceptionally well in high-pressure environments. Recommends best resources and courses of action to benefit member's needs and optimal quality of life.
Overview
20
20
years of professional experience
Work History
ALTCS Case Manager
Banner University Health Plans
Yuma, AZ
08.2017 - Current
- Primary contact for the ALTCS member, explaining their rights and responsibilities, the grievance and appeal process.
- Develop and implement a service plan based on the member’s personal strengths, needs and placement preferences.
- Authorized and coordinated with provider agencies and health care providers to ensure continuity of care.
- Assist members to define personal goals, identifying barriers to achieving these goals.
- Responsible to ensure the member is receiving the most appropriate, cost-effective services in the most appropriate setting.
ALTCS Case Manager
UnitedHealthcare
Yuma, AZ
05.2014 - 09.2017
- Facilitated communication between members, families, caregivers, social services and other agencies to ensure member's needs were met.
- Conducted home visits to complete assessments at the member's residence.
- Developed individualized care plans with input from members and their families.
- Collaborated with medical professionals to coordinate treatment plans for member.
- Ensured services authorized was cost effective and at the same time meet the member's needs.
Supervisor-Family Support Programs
EASTER SEALS BLAKE FOUNDATION
Yuma, AZ
08.2013 - 04.2014
- Provided guidance and support to caseworkers in their daily duties.
- Monitored caseloads to ensure timely completion of case work activities.
- Facilitated training sessions on best practices for family service providers.
- Maintained accurate records regarding client information and progress notes which was sent in to the Yuma Superior Court Judge.
- Protected children by identifying risks and implementing protective actions and improvement plans.
ALTCS Case Manager
UnitedHealth Care, UnitedHealth Group
San Diego, CA
12.2012 - 08.2013
- Assessed member's' needs, developed service plans and monitored progress towards goals.
- Provided crisis intervention support for members in emergency situations.
- Provided referrals to appropriate health care providers or other community resources.
- Participated in interdisciplinary team meetings to discuss treatment options.
- Assisted with applications for government benefits such as Medicaid or Social Security Disability Insurance.
ALTCS Case Manager
UnitedHealthcare
Yuma, AZ
10.2011 - 11.2012
- Facilitated communication between members, families, caregivers, social services and other agencies to ensure member's needs were met.
- Conducted home visits to complete assessments at the member's residence.
- Developed individualized care plans with input from members and their families.
- Collaborated with medical professionals to coordinate treatment plans for members.
- Ensured services authorized was cost effective and at the same time meet the member's need
ALTCS Case Manager
Centene/Bridgeway
Yuma, AZ
10.2006 - 09.2011
- Monitored client progress through regular follow-up contacts.
- Participated in interdisciplinary team meetings to discuss treatment options.
- Collaborated with medical professionals to coordinate treatment plans for clients.
- Maintained up-to-date case records with case activity status.
- Ensured services authorized was cost effective and at the same time meet the member's need
ALTCS Case Manager
UnitedHealthcare
Yuma, AZ
11.2004 - 09.2006
- Conducted home visits to assess the current needs of the member.
- Effective communication with members and providers to ensure member's needs were met.
- Routinely review service to ensure cost effectiveness
- Maintained accurate case records and documentation .
Education
MBA - Business Administration
University of Phoenix
Yuma05-2008
Bachelor of Science - Human Services
University of Phoenix
Yuma, AZ05-2005
Skills
- Referral Coordination
- Regulatory Compliance
- Needs Assessment
- Care Coordination
- Community Outreach
- Discharge Planning
- Home Visits
- Relationship Building
- Interdisciplinary Collaboration
- Problem-Solving
- Intervention Plans
- Goal Setting
Languages
Spanish
Native/ Bilingual
Affiliations
- Team member of the Logistics's Team for the Annual Alzheimer's Association Annual Walk
Timeline
ALTCS Case Manager
Banner University Health Plans
08.2017 - Current
ALTCS Case Manager
UnitedHealthcare
05.2014 - 09.2017
Supervisor-Family Support Programs
EASTER SEALS BLAKE FOUNDATION
08.2013 - 04.2014
ALTCS Case Manager
UnitedHealth Care, UnitedHealth Group
12.2012 - 08.2013
ALTCS Case Manager
UnitedHealthcare
10.2011 - 11.2012
ALTCS Case Manager
Centene/Bridgeway
10.2006 - 09.2011
ALTCS Case Manager
UnitedHealthcare
11.2004 - 09.2006
MBA - Business Administration
University of Phoenix
Bachelor of Science - Human Services
University of Phoenix
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