Patricia Gray

Supported recovery service coordination for members receiving specialized recovery services through the Ohio Department of Medicaid.

• Conducted adult needs and strengths assessments, follow-up contacts, and care coordination activities for a caseload of 150 individuals, including monthly phone outreach and initial and annual assessments.
• Maintained information base of local community and mental health resources, tracked referrals, and connected members with appropriate behavioral health services.
• Developed and maintained individualized service plans for individuals with severe and persistent mental illness and diagnosed chronic conditions.
• Assessed needs and strengths of individuals through regular home visits and phone calls, ensuring tailored support for recovery.
• Documented all contact calls and visits comprehensively to maintain accurate records of member interactions.

• Interviewed uninsured hospital patients to evaluate Medicaid and financial assistance eligibility.
• Collected required information, completed Medicaid applications, and submitted to the local CDJFS.
• Assisted patients with charity care and financial assistance application completion.
• Reviewed Mercy Health service encounters for eligibility and benefits verification.
• Maintained confidential financial files and counseling records in current status.
• Served as liaison among physician, patient, and insurance carrier to exchange required information.
• Remained current on Ohio Medicaid programs, including managed care, dual eligibility, and Medicare Savings Programs.