Mike Theodore
Selden,NY
Summary
Accomplished professional with a Bachelor of Science degree in Health Services Administration. Extensive experience in the health care, social services and unionizing fields. Experienced counselor with expertise in group therapy, case management, and conflict resolution. Offering a varied technological skill set which encompasses Microsoft Office, Meditech, RASI and a host of other computer software programs.
Overview
48
48
years of professional experience
Work History
Care Manager
Long Island Adolescent And Family Services, Inc.
Stony Brook, NY
05.2022 - Current
- Obtains required enrollment consents from individual or legal guardian.
- Completes initial and ongoing needs assessments (Child and Adolescent Needs and Strengths; CANS) to determine the individual’s most appropriate level of care coordination.
- Responsible for overall management of the child’s Individualized Plan of Care. Through the creation of an Individual Plan of Care the Care Manager is able to : Coordinate the child’s provision of services.
- Support adherence to treatment recommendations
- Monitor and evaluate a child’s needs, including prevention, wellness, medical, behavioral health treatment, care transition, and social and community services where appropriate.
- Meets documentation requirements in a timely and accurate manner by effectively utilizing designated Care Coordinator Portal (Medicaid Analytics Performance Portal; MAPP) and GSI Health.
- Maintains required contact with child and their families and conducts face -to-face support team and/or family meetings as required.
- Functions as an advocate for child within the agency and with external service providers.
- Promotes wellness and prevention by linking child with resources and services based on their individual needs and preferences.
- Effectively communicates and shares information with child and their families, state/county and other caregivers with appropriate consideration for language, literacy and cultural preferences.
- Participates in care planning meetings/conferences as an interdisciplinary team member to effectively provide/coordinate comprehensive and holistic care.
- Identifies available community-based resources and actively manages appropriate referrals, access, engagement, follow-up and coordination of services.
- In the event of hospital admissions, actively engages in the discharge planning process ensuring that the patient has all recommended post discharge services in place prior to discharge.
- Arranging appointment, transportation, and interpreter services when needed
- Accompany the child to appointments as needed
- Conduct follow-up activities to ensure appointments are kept.
- Other duties as assigned by Supervisor depending on the needs of the overall program.
- Maintain mandated training hours through attendance at required staff training and meetings. This is in addition to TCI, medication and CPR/First Aid.
- Availability of additional coverage in Agency emergencies.
Care Manager
Care Design NY
Albany, NY
02.2012 - Current
- Responsible for all care management duties and providing comprehensive care coordination, including monitoring the Participant’s Life Plans according to everyone’s unique needs and circumstances.
- Responsible for scheduling, leading and actively collaborating with the Participant and IDT to conduct meetings and assessments ensuring the development of a comprehensive Life Plan that reflects the person’s needs and desired life goals.
- Utilizing planning tools such as I AM, Council of Quality and Leadership, Personal Outcome Measure, the Coordinated Assessment System, Developmental Disability Profile, the Level of Care, the Comprehensive Emergency Plan, Environmental Assessment, and Care Giver Adequacy Assessment.
- Implement, update, and monitor Life Plan(s) and facilitate individualized Life Plan reviews and approval processes at a minimum of every six months or when a trigger event occurs.
- Ensure integration of all needed and preferred supports and services (i.e., medical, behavioral, social, habilitation, dental, psychosocial, and community-based, and facility-based long-term supports and services, etc.).
- Communicate with IDT, physicians, and other providers at regular intervals to monitor and update Life Plan(s) and to advocate for participant needs and preferences.
- Provide education to participants, caregivers, circles of support, IDTs, and other stakeholders.
- Maintain participant Life Plan and health risk assessment information in a secure system and meet all confidentiality requirements.
- Conduct in-person visits per OPWDD requirements.
- Flexibility in work schedule is required, with some evening and, or weekend hours as needed.
- Promote CDNY’s mission and values.
- Utilize a person-centered approach supporting an individual’s preferences and desires to promote reaching their highest level of independence.
- Maintain ongoing contact with the critical people in a participant’s life, as appropriate.
- Ensure timely submission of all documentation (Life Plan, Progress notes, etc.) per regulated time frames.
- Assist Individuals in ensuring the maintenance of entitlements, including recertifications. Guardianship, informed decision making.
- Care Managers are expected to assist individuals with maintaining benefits such as Social Security, Supplemental Security Income, Medicaid and Medicare coverage, and Food Stamps.
- Monitoring benefits for individuals whose representative payee is the agency operating their certified residence and assisting individuals with their benefits, when the individual does not have a representative payee or when the non-residential representative payee requests assistance.
- Assist individuals to resolve problems in living such as housing, utilities, the judicial system, and general safety.
- Responsible for advocating for and with an individual to ensure informed decision making, informed consent, and guardianship that is appropriately carried out.
- Meet all training requirements on time.
- Report abuse or neglect immediately when observed or reported.
- May be required to provide transportation for individuals based on their unique needs. (i.e., Doctor’s appointments, planning meetings, etc.)
Substance Abuse Counselor
South Richmond Hill Recovery, LLC
Ozone Park, NY
06.2019 - 05.2022
- Supported and assessed clients struggling with addiction or relationship issues and devised strategies based on client needs.
- Developed individual treatment goals based on history and diagnosis.
- Provided counseling and support to clients with drug and alcohol abuse issues.
- Facilitated group and individual therapy in outpatient setting.
Transitional Care Manager
One Brooklyn Health System IMC
Brooklyn, NY
05.2016 - 12.2021
- Carries out tasks to execute psychiatric, medical and support service plans including guiding patients to appointments and accompanying them when necessary. Reschedule missed appointments.
- Places outreach calls and on-site visits to providers to endure awareness of and coordination of services across providers.
- Conduct home visits as needed for compliance.
- Assist on site with 30-day care plan.
- Refer patients to Health Home
- Support Transitional Care Nurse
- Ensures that medication adherence issues are addressed.
- Provides education and coaching for specific population needs as required by program or department.
- Acts as primary liaison with providers to ensure patient adherence.
- Performs entitlements reassessment as needed.
- Coordinates logistics for plan adherence such as appointment reminders, arranging transportation, making childcare arrangements.
- Documents all patient encounters and enters all data into designated database.
- Maintains and ensures confidentiality of all Personal Health Information collected.
- Participates in all required program, process and quality training programs.
- Conducts satisfaction surveys at case closure.
- Adheres to policies and procedures of department and hospital.
- Maintains strict confidentiality of client, company and personal information.
Quality Assurance Mental Health Chart Reviewer
New Horizon Counseling Center
Valley Stream, NY
12.2016 - 11.2017
- Perform concurrent review of Mental Health service records based on care standards and using audit methodologies and tools.
- Confirm case notes are timely and reflect adequate time to reach goals outlined in treatment plan.
- Provides objective assessment of important aspects of patient care through ongoing chart review with pre-established criteria.
- Reviews member’s treatment and progress in accord with state and OMH regulations and in keeping with accepted community standards.
- Supports agencies continuous survey readiness program to maintain compliance with regulatory standards.
- Conducts quality management studies through data collection, data input and report development.
Health Information Management Associate
Interfaith Medical Center
Brooklyn, NY
02.2012 - 05.2016
- Process audits for the Centers of Medicare & Medicaid Services
- Expert in general structure of Electronic Health Record
- Proficient in safeguarding sensitive information and compliance under Health Insurance Portability and Accountability Act (HIPAA)
- Maintain client confidentiality relating to medical records
- Converse with diverse group including physicians, health care administrators and related professionals
- Case Management
- Thorough Investigation of all complaints and incidents
- Advocate for patients’ rights
- Comprehensive home visits to clients to ensure safety
- Collaborate with other staff members to perform clinical assessments
- Conduct evaluations for referrals to appropriate placement of services
- Assists clients in obtaining social services: housing, healthcare, etc
- Counseling and Mediation
- Prepare and maintain all required treatment records
- Counseled clients individually and in group session to assist in overcoming dependencies
- Encourage clients to express feeling to develop insight into themselves and their relationships
- Crisis Intervention
- Management and Human Resources
- Employee relation issues and grievances
- Adhere to collective bargaining agreement to enforce employee rights on labor relations
- Conduct seminars, group educational sessions, and case conferences
- Employee evaluation for educational advancement and succession planning
- Contract and salary restructuring and negotiations
- Managed schedules and tasks of staff
- Periodic interaction with facility administrators on improving quality of care
- Conduct quarterly reviews
- Conduct fiscal audits monthly
Shelter Shift Supervisor
C.A.M.B.A
Brooklyn, NY
11.2011 - 07.2013
- Coordinate day-to-day work of residence staff to ensure client success;
- Conduct Quality Assurance and regulatory compliance;
- Investigate all complaints and/or incidents and respond to emergencies;
- Monitor and document clients progress towards their goals;
- Review documentation related to clients’ progress for accuracy, completeness and clarity;
- Conduct client exit screenings;
- Motivate, coach, and counsel direct reporting staff;
- Assist with facility-related tasks, client services and reporting.
Unit Clerk
Interfaith Medical Center
Brooklyn, NY
04.2011 - 02.2012
- Prepared admissions charts and scanned records.
- Answered unit calls and took messages for healthcare staff to maximize team productivity.
- Answered multi-line telephone system, provided information and directed calls.
- Documented updates to patient information in medical charts while maintaining HIPAA compliance protecting confidentiality of records.
- Responded to and resolved diverse patient issues with speedy and knowledgeable assistance.
- Delivered clerical support by handling range of routine and special requirements.
- Interacted with customers by phone, email or in-person to provide information.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
Union Delegate
1199 Seiu
New York, NY
04.2008 - 04.2016
- To investigate situation and determine if Union action needs to be taken.
- To represent and defend interests of fellow employees as labor union member and official representative of Union.
- Negotiate agreements with employers on pay and conditions;
- Discuss major changes such as redundancy;
- Discuss members’ concerns with employers;
- Accompany members to disciplinary and grievance meetings;
- Help members with legal and financial problems.
MICA Social Worker
VNSNY
New York, NY
10.2003 - 01.2004
- Interviewed clients, to assess situations, limitations and issues and implement services to address needs.
- Assessed clients to compile documentation for intake into homeless shelters.
- Administered assessments for needs of service.
Mental Health/Substance Abuse Counselor
Interfaith Medical Center
Brooklyn, NY
09.2001 - 04.2011
- Evaluate patient and create treatment plan;
- Provide counseling and referrals to community resources and programs;
- Assist patient with skills to remain sober and cope with stressors;
- Evaluate patient progress and amend treatment plan accordingly.
- Meeting with clients to evaluate their health and substance problem
- Identifying issues and create goals and treatment plans
- Teaching clients coping mechanisms
- Helping clients find jobs or reestablish their career
- Leading group therapy sessions
- Providing updates and progress reports to courts
- Referring clients to support groups
- Setting up aftercare plans
- Meeting with family members and provide guidance and support
- Developed individual treatment goals based on history and diagnosis.
- Supported and assessed clients struggling with addiction or relationship issues and devised strategies based on client needs.
Site Supervisor/Site Coordinator
Saint Vincent's Catholic Medical Center/CHS
Staten Island, NY
06.2000 - 09.2001
- Developed work schedules for team members to maximize shift coverage.
- Collaborated with management and fellow supervisors to organize operations and achieve demanding schedule targets.
- Initiated onsite safety program and properly trained team members to decrease injuries.
- Evaluated team member strengths and assigned tasks based upon expertise and background.
- Oversee day to day operations of healthcare program or department.
- Perform administrative duties such as coordinating care teams for patients, and acting as liaison between patients, patient families, and health care professionals.
Ongoing Care Coordinator
Personal Touch
Fresh Meadows, NY
01.2000 - 06.2000
- Responsible for facilitating child's transition to preschool special education services and/or other programs and services needed by child and family as child ages out of Early Intervention Program.
- Collaborate with other service providers to secure needed services for families.
- Maintain proper documentation on families and children.
- Participate in development, implementation, and monitoring of Individualized Family Service Plan (IFSP).
Service Coordinator
HeartShare Human Services
Brooklyn, NY
06.1998 - 11.1999
- Timely Follow-up from initial assignment of cases
- Monitor ongoing services for all services approved in ISP
- Assist families in identifying available evaluation and service providers
- Insure timelines of paperwork submission and implementation of NYS and County Regulations
- Inform families of advocacy services
- Coordinate with medical and health providers
- Conduct home visits and reviews in office or in field
- Documents all activity on daily basis and meet unit requirements
- Submits all SC notes in timely manner with accuracy of information
- Attend monthly SC notes in timely manner with accuracy of information
- Attend monthly SC Supervision meetings for training and development
Education
Bachelor of Science - Health Administration
Saint Francis College
Brooklyn, NY06.1996
CASAC-T Certificate Number 35007 -
Medgar Evers College of The City University of New York
Brooklyn, NYSkills
- Individual counseling
- Providing community referrals
- Crisis Intervention
- Clinical Documentation
- Goal Setting
- Organization and Time Management
- Planning and Coordination
- Attention to Detail
- PPE Compliance
Timeline
Care Manager
Long Island Adolescent And Family Services, Inc.
05.2022 - Current
Substance Abuse Counselor
South Richmond Hill Recovery, LLC
06.2019 - 05.2022
Quality Assurance Mental Health Chart Reviewer
New Horizon Counseling Center
12.2016 - 11.2017
Transitional Care Manager
One Brooklyn Health System IMC
05.2016 - 12.2021
Health Information Management Associate
Interfaith Medical Center
02.2012 - 05.2016
Care Manager
Care Design NY
02.2012 - Current
Shelter Shift Supervisor
C.A.M.B.A
11.2011 - 07.2013
Unit Clerk
Interfaith Medical Center
04.2011 - 02.2012
Union Delegate
1199 Seiu
04.2008 - 04.2016
MICA Social Worker
VNSNY
10.2003 - 01.2004
Mental Health/Substance Abuse Counselor
Interfaith Medical Center
09.2001 - 04.2011
Site Supervisor/Site Coordinator
Saint Vincent's Catholic Medical Center/CHS
06.2000 - 09.2001
Ongoing Care Coordinator
Personal Touch
01.2000 - 06.2000
Service Coordinator
HeartShare Human Services
06.1998 - 11.1999
CASAC-T Certificate Number 35007 -
Medgar Evers College of The City University of New York
Bachelor of Science - Health Administration
Saint Francis College
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