Nicole Valentine
Monroe,NC
Summary
Dedicated Senior Care Manager leveraging 9+ years working within multi-disciplinary healthcare teams. Delivering high quality care and case management services to diverse patient groups. Dedicated to optimizing patient outcomes by providing resources and implement patient-center action plan to benefit patient needs. Offering proficiency in regulatory compliance as well as data collection and analysis.
Overview
9
9
years of professional experience
Work History
Senior Care Management Coordinator
Northwell Health
07.2021 - 05.2023
- Provides guidance to 15 team members in all performance of duties
- Collaborate, Support Supervisor
- Provide resources to complex patient population featuring severe mental illness, substance use disorder and complex medical needs
- Interviews candidates, family members and caregivers to compile and document
- Relevant information (demographic, economic, social, institutional, etc.)
- Describes available services and advantages of various care management
- Activities; provides program information and materials to candidates
- Assists members in scheduling appointments for consultations, diagnostic testings, etc
- Maintains integrity of related records in accordance with system policies and Procedures and state and federal regulations
- Develops and generates reports summarizing program activities, as required by Management
- Completes related assessment; performs administrative assessment of candidates'
- Serves as point-of-contact to program members, family members and caregivers
- Encourages use of program resources to maximize wellness and independence
- Trained new employee in new system and service guidelines
- Identified issues, analyzed information and provided solutions to problems.
Care Management Coordinator
HARP, Northwell Health
02.2020 - 07.2021
- Work in collaboration with candidates, MCO and care providers to ensure that member maintains optimum care
- Communicated with patients and family members to assist with information, provide literature and direct to community resources.
- Collaborate post-discharge care by communicating with Social , outpatient clinics, community resources, agencies and families around patients' transitional care.
- Completes related assessment
- Performs administrative assessment of candidates’ eligibility for social services and care management programs
- Participates in developing relationships with referral sources to facilitate enrollment
- Serves as a point-of-contact to program members, family members and caregivers
- Encourages use of program resources to maximize wellness and independence
Patient Care Coordinator
Stony Brook University World Trade Center Health Program
10.2019 - 01.2020
- Work in collaboration with case management team, care provides to provide administrative support
- Conduct pre-screenings assessments, face to face medical and behavioral health assessments, and acuity assignment for treatment
- Assist with care coordination activities including referrals, authorizations, transition care planning, integrated care delivery and follow-up
- Identify, facilitate and provide monthly follow-up lists access to needed resources such as medical and mental health care services, appointments and social service benefits for enrolled members/family
- Produce and maintain thorough, accurate and timely documentation, including notes in the Electronic Medical Records (EMR) system.
- Upheld confidentiality requirements and regulatory compliance guidelines.
- Reviewed medical charts and served as liaison between patient, doctor and hospital.
- Connected patients with available community and charitable resources.
- Encouraged patients to schedule recommended tests and procedures.
- Sent and handled electronic requests for new medications and medication refills.
HARP Care Coordinator
Economic Opportunity Council of Suffolk, Inc
07.2017 - 10.2019
- Work in collaboration with enrolled member and their MCO case managers, family, healthcare and mental health providers to ensure that member maintains optimum care
- Coordinate with hospital discharge personnel, rehabilitation and other multi-disciplinary teams in order to arrange appropriate follow-up appointments
- Assist with linkage to Medical, Behavioral and social services support
- Conduct intake, HARP/ Health Risk assessments and develop plan of care
- Document all interactions with members in Health home electronic database
- Maintain monthly outreach and/or face to face contact with members
- Educate member on how to navigate the health care system and promote good health
- Demonstrate knowledge of HIPAA Privacy Regulations by appropriately handling member’s information
- File and compiling of medical records.
Child Care Coordinator
New Horizon Counseling Center
01.2017 - 07.2017
- Provide Health Home Services for children and young adults at low, medium or high acuity
- Administer Child Adolescent Needs and Strengths NY (CANS-NY) Assessment, updating periodically and develop Comprehensive Plan of Care
- Work in collaboration with enrolled member and their HMO case managers, family, healthcare and mental health providers to ensure that member maintains optimum care
- Trained new employee in new system and service guidelines
- Influential with developing program service guidelines
- Coordinate eligible children and youth health care, behavioral needs and service needs
- Stayed current on ICD codes and guidelines to maintain compliant program operations in .
Preventive Case Planner
HeartShare St. Vincent Services
04.2014 - 01.2017
- Direct services to client via casework, family, children and group counseling as indicated by individual case assessment
- Conduct intake assessment, case planning, health assessment, crisis intervention, establish goals and make referrals
- Trained new employees in new system, service guidelines
- Conduct home visits and attend client related meetings, as needed
- Facilitate case conference and family team conference with Child Protective Services and related staff.
- Completed home welfare checks to align with state and program guidelines.
- Reported child abuse in accordance with legal standards of mandatory reporters.
Education
Bachelor of Arts - Psychology
Hunter College, The City University of New York
New York, NY06.2011
Skills
- Able to work collaboratively with internal staff and external providers
- Strong interpersonal skills and Leadership skills
- Ability to manage and coordinate with internal and external departments
- Excellent written and oral communication skills
- Organization and Time Management
- Care Plan Management
- Organizational Goal Development
- HIPAA Compliance
Timeline
Senior Care Management Coordinator
Northwell Health
07.2021 - 05.2023
Care Management Coordinator
HARP, Northwell Health
02.2020 - 07.2021
Patient Care Coordinator
Stony Brook University World Trade Center Health Program
10.2019 - 01.2020
HARP Care Coordinator
Economic Opportunity Council of Suffolk, Inc
07.2017 - 10.2019
Child Care Coordinator
New Horizon Counseling Center
01.2017 - 07.2017
Preventive Case Planner
HeartShare St. Vincent Services
04.2014 - 01.2017
Bachelor of Arts - Psychology
Hunter College, The City University of New York
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