Summary
Overview
Work History
Education
Skills
Websites
Timeline
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Orlaith McCann

Toms River,NJ

Summary

Dedicated professional with over 10 years of diverse experience in human and social services, specializing in ABA therapy, clinical assessments, and support for individuals with intellectual and developmental disabilities. Proven expertise in early childhood education, with a strong background in case management, clinical support, behavior strategies, and service coordination. Skilled in developing and implementing programs that foster individual growth and enhance community engagement while building rapport with clients and stakeholders to drive organizational success through innovative solutions. Committed to creating inclusive environments that empower individuals from all backgrounds to thrive, focusing on making a positive impact in challenging and rewarding roles.

Overview

12
12
years of professional experience

Work History

Case Management Navigator

VNS Health
03.2025 - Current
  • Works with members, providers, and staff to identify and resolve member service and retention related issues. Educates potential members/community representatives on plan features, plan benefits, and program admission requirements.
  • Coordinates telephonic intake and responses to both clinical and non-clinical customer service issues. Identifies nature of issue, independently responds to and resolves non-clinical issues and complaints, and escalates clinical issues to appropriate department and staff.
  • Assists in monitoring member satisfaction through phone calls to verify service, answering questions and providing information. Documents member service issues, identifies trends and recommends potential solutions.
  • Maintains expertise in VNS Health Plans MLTC benefits, network and organization structure. Acts as a resource to members to guide them in accessing their benefits.
  • Places orders or referrals for services and follows up to ensure services are scheduled and provided. Processes and monitors invoices for payment.
  • Serves as a resource for MLTC Care Coordinators and other staff in the resolution of member-related issues.
  • Establishes effective customer-focused working relationships with members, physicians and providers of long-term care services.
  • Audits system-generated reports, reconciles data, and distributes reports to management for review.
  • Participates in interdisciplinary team meetings and provides input on customer service related activities.
  • Protects the confidentiality of member information and adheres to company policies regarding confidentiality.
  • Ensures compliance with the VNS Health Plans OICE policies and procedures as well as all Federal and State regulations.
  • Provides administrative support to care coordination staff

Temporary Case Manager

The LGBTQ Center
11.2024 - 01.2025
  • Provide ongoing case management for constituents including writing case notes, identification of needs/needs assessments, ongoing meetings, safety planning, referrals and connections, advocacy with medical providers, educational providers, immigration, law enforcement, life-skills, and other city and state agencies.
  • Confirm receipt of services from both external and internal referral appointments made for community members.
  • Support, create, and implement a variety of engagement strategies to empower immigrant, undocumented, and asylum-seeking LGB, Trans and Gender Expansive communities.
  • Support the scheduling of intakes and conduct intakes, including maintaining paper records, collecting demographic information and details for grant reporting and inputting them into data systems and ensuring all intakes have received necessary follow-up steps and assignments.
  • Work and coordinate with front desk and administrative staff to ensure constituents move smoothly through the intake process and into program assignment.
  • Provide support for all Center Support teams.
  • Assist in linking constituents to both internal and external resources including referrals and follow-up support and maintaining contacts.
  • Participate in all Center Support meetings and other relevant Center staff and grant funding related meetings, along with regular meetings with members of the Center Support team for supervisory and program planning purposes.
  • Other duties as assigned.

Case Manager - MLTSS

Aetna Better Health of New Jersey
01.2022 - 01.2024
  • Conducted face to face visits in a members home or nursing facility utilizing comprehensive assessment tools for members enrolled in MLTSS (managed long term supportive services).
  • Managed a case load of 200 plus members.
  • Led an immediate team and collaborated within our assigned counties.
  • Collaborated care with members authorized representatives, PCP and any other care team participants.
  • Attended and Conducted interdisciplinary meetings and advocates on members behalf to ensure proper and safe discharge with appropriate services in place.
  • Documented accurately and timely in members electronic health record
  • Developed proactive course of action for all issues presented to enhance the short and long-term outcomes as well as the opportunities for a member’s overall wellness
  • Conducted an evaluation of member’s needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans
  • Applied clinical judgment to the incorporation of strategies aimed at reducing risk factors and addressing complex health and social indicators which can impact care planning and the resolution of member issues
  • Assesses information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality
  • Reviewed prior claims to address potential impact on current case management and eligibility
  • Assessed the member’s level of work capacity and related restrictions/limitations
  • Leveraged holistic approach to assess the need for a referral to clinical resources
  • Consulted with supervisor and others in overcoming barriers in meeting goals and objectives
  • Presented cases at case conferences for multi-disciplinary focus to benefit overall claim management
  • Utilized case management processes in compliance with regulatory and company policies and procedures
  • Utilized interviewing skills to ensure maximum member engagement and to discern their health status and health needs

Supports Coordinator

Case Management Unit
12.2018 - 04.2022
  • Facilitated the creation of person-centered support plans with individuals, families, and support teams.
  • Identified and referred community and system supports and services to meet individual needs.
  • Coordinated and monitored the delivery of supports and services as outlined in support plans.
  • Ensured the quality, type, duration, and frequency of services met individual needs.
  • Monitored health and well being of participants through regular contact with individuals, families, and service providers.
  • Identified unmet needs and documented them for future planning and funding opportunities.
  • Informed individuals of their rights and maintained comprehensive documentation through a statewide web-based system.
  • Participated in ongoing training to enhance your skills and knowledge.

Behavior Support Specialist

New Story School
01.2017 - 01.2018
  • Conducted functional behavior assessments to identify the underlying causes of challenging behaviors.
  • Developed and implement individualized behavior intervention plans (BIPs) tailored to each student’s needs.
  • Monitored and evaluate the effectiveness of behavior interventions and make necessary adjustments.
  • Provided direct support to students during classroom activities, ensuring the implementation of BIPs.
  • Used positive reinforcement strategies to promote desired behaviors and reduce challenging behaviors.
  • Teached coping strategies and social skills to enhance students’ emotional regulation and peer interactions.
  • Worked collaboratively with teachers, therapists, and other staff to create a cohesive support system for students.
  • Provided training and professional development for staff on behavior management techniques and best practices.
  • Communicated effectively with families to provide updates on student progress and strategies for support at home.
  • Assessed and manage crisis situations involving challenging behaviors, employing de-escalation techniques as needed.
  • Developed and implement safety plans for students as necessary, ensuring the well-being of all students and staff.

Therapeutic Support Staff

T.W. Ponessa and Associates
01.2016 - 01.2017
  • Assisted children in daily activities, encouraging social interaction and emotional regulation.
  • Implemented individualized therapeutic strategies as outlined in treatment plans.
  • Provided crisis intervention and de-escalation techniques as necessary to ensure safety.
  • Facilitated therapeutic activities that promote skill development, including social skills, coping strategies, and self-regulation.
  • Engaged children in play-based and structured activities that support their emotional and behavioral growth.
  • Worked closely with therapists, teachers, and other staff to ensure a consistent approach to care and support.
  • Participated in team meetings to discuss progress, challenges, and strategies for individual children.
  • Maintained accurate and timely records of child interactions, behaviors, and progress toward goals.
  • Prepared reports as needed for parents, guardians, and other stakeholders.
  • Communicated effectively with families to provide updates on their child’s progress and strategies for support at home.
  • Assisted in developing resources and support systems for families.

Program Instructor

PennMar Human Services
01.2014 - 01.2016
  • Designed and delivered individualized and group programs based on the unique abilities and goals of participants.
  • Utilized evidence-based practices and creative teaching methods to engage participants in learning.
  • Adapted activities to accommodate varying levels of ability and learning styles.
  • Provided direct assistance to individuals during activities, promoting participation and skill acquisition.
  • Supported the development of daily living skills, social skills, and community involvement.
  • Fostered a positive and inclusive environment that encourages personal growth and self-confidence.
  • Conducted assessments to determine participants’ strengths, needs, and progress.
  • Maintained accurate records of participants’ achievements and document progress towards goals.
  • Reviewed and adjust programs based on ongoing assessments and feedback.
  • Participated in team meetings and contributed to the development of individualized support plans.
  • Facilitated opportunities for participants to engage with the community through outings, events, and volunteer activities.
  • Promoted awareness and understanding of intellectual disabilities within the community.

Education

Bachelor of Arts - Sociology

Kutztown University of Pennsylvania
05-2013

General Studies/Introduction to Sociology -

Harrisburg Area Community College
05-2010

High School Diploma - undefined

Susquehannock High School
01.2008

Skills

  • Case Management
  • Client support coordination
  • Support for developmental disabilities
  • Leadership
  • Team building
  • Team work
  • Sales
  • Managing a team
  • Service excellence
  • Appointment coordination

Timeline

Case Management Navigator

VNS Health
03.2025 - Current

Temporary Case Manager

The LGBTQ Center
11.2024 - 01.2025

Case Manager - MLTSS

Aetna Better Health of New Jersey
01.2022 - 01.2024

Supports Coordinator

Case Management Unit
12.2018 - 04.2022

Behavior Support Specialist

New Story School
01.2017 - 01.2018

Therapeutic Support Staff

T.W. Ponessa and Associates
01.2016 - 01.2017

Program Instructor

PennMar Human Services
01.2014 - 01.2016

High School Diploma - undefined

Susquehannock High School

Bachelor of Arts - Sociology

Kutztown University of Pennsylvania

General Studies/Introduction to Sociology -

Harrisburg Area Community College

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