Summary
Overview
Work History
Education
Skills
Timeline
Generic

Chaniqua Hoskins

Katy,TX

Summary

Professional coordinator with extensive experience in Medicaid service coordination. Adept at managing caseloads, developing care plans, and ensuring compliance with regulations. Known for effective communication, problem-solving, and fostering positive relationships with counterparts and members. Skilled at providing guidance, support and assistance.

Overview

10
10
years of professional experience

Work History

LTSS SERVICE COORDINATOR

Elevance
10.2016 - Current
  • Responsible for performing face to face program assessments (using various tools with pre-defined questions) for identification, applying motivational interviewing techniques for evaluations, coordination, and management of an individual’s waiver (such as LTSS/IDD), and BH or PH needs.
  • Complete LTSS authorizations based on the need of the member.
  • Manages non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities, to ensure cost effective and efficient utilization of long-term services and supports
  • Submits utilization/authorization requests to utilization management with documentation supporting and aligning with the individual’s care plan.
  • Established strong relationships with clients through regular follow-ups, keeping them informed about progress updates regarding their services requested or concerns raised.
  • Assessed customer needs and developed solutions to meet needs.
  • Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high-risk complications, addresses gaps in care) and coordinates those member’s cases (serving as the single point of contact) with the clinical healthcare management and interdisciplinary team in order to provide care coordination support.
  • Maintained accurate records and full compliance with government regulations and agency guidelines.
  • Initiated contact with appropriate service providers to request referrals and followed up to confirm appointments.
  • Responsible for reporting critical incidents to appropriate internal and external parties such as state and county agencies (Adult Protective Services, Law Enforcement).

Outreach Specialist

Amerigroup
08.2014 - 10.2016
  • Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs.
    • Assesses member compliance with medical treatment plans via telephone or through on-site visits.
    • Identifies barriers to plan compliance and coordinates resolutions.
    • Identifies opportunities that impact quality goals and recommends process improvements.
    • Recommends treatment plan modifications and determines need for additional services, in conjunction with case management and provider.
    • Coordinates identification of and referral to local, state or federally funded programs.
    • Coaches members on ways to reduce health risks.
    • Prepares reports to document case and compliance updates.
    • Establishes and maintains relationships with agencies identified in appropriate contract.

Education

Associate of Arts -

Lone Star College
Houston, TX
05.2016

Bachelor of Science - Human Development And Family Studies

Stephen F. Austin State University
Nacogdoches, TX
05.2023

Master of Science - Human Development And Family Studies

Stephen F. Austin State University
Nacogdoches, TX
05.2025

Skills

  • Telephone communication

  • Accurate Recordkeeping

  • Client Advocacy

  • Notetaking and documentation

  • Individualized service plans

  • Service monitoring and evaluation

  • Proficiency in Office programs

  • Time Management

  • Active Listening

  • Problem-Solving

  • Teamwork and Collaboration

  • Adaptability and Flexibility

Timeline

LTSS SERVICE COORDINATOR

Elevance
10.2016 - Current

Outreach Specialist

Amerigroup
08.2014 - 10.2016

Associate of Arts -

Lone Star College

Bachelor of Science - Human Development And Family Studies

Stephen F. Austin State University

Master of Science - Human Development And Family Studies

Stephen F. Austin State University

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Chaniqua Hoskins