Summary
Overview
Work History
Education
Skills
Internship
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Quote
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Timeline
Volunteer
Priscilla Alaniz

Priscilla Alaniz

Social Work
Edinburg,TX

Summary

Innovative professional ready to contribute to positive outcomes. Skilled and experienced in the field of social work and case management with special attention to vulnerable and at-risk populations. Driven to utilize education, experience, and skills to enhance and add quality to a company. Goal: to obtain employment in a professional and challenging setting with opportunities for advancement.

Overview

20
20
years of professional experience

Work History

STAR KIDS Program- Adult Transition Specialist (HSS Clinical Coordinator)

United Healthcare
03.2017 - Current
  • Case management for children and young adults with mental and physical disabilities
  • Responsible for helping members transition out of Star Kids into Star Plus/Star Plus Waiver.
  • Conducted thorough assessments of client needs prior to developing tailored transition plans, ensuring alignment with organizational goals and objectives.
  • Collaborated with cross-functional teams to facilitate smooth transitions while minimizing disruptions to existing operations.
  • Assess for Texas Health Steps up to date wellness visits and bridge any gaps to ensure visits are completed
  • Analyzed data from current member needs and trends; using insights gained to optimize future transitional initiatives.
  • Worked on special projects assigned and sought them out from inception towards successful completion
  • Provided ongoing support and guidance for clients age 15-21 during the entire transition process, addressing concerns and troubleshooting issues as needed.
  • Analyze, assess, and evaluate member services and work to close gaps in care
  • Participate in Interdisciplinary team meetings to address member needs.
  • Conducted in home assessments and service plans for members receiving LTSS such as PCS, PDN, PAS, CFC to ensure continuity of care.
  • Conducted telephonic assessments for members to ensure successful transition from pediatric to adult Medicaid plans such as Star Plus/Star Plus Waiver.
  • Prepared detailed reports outlining the results of completed transitions, highlighting successes and opportunities for improvement.
  • Work with LIDDA, Texas Medicaid Waiver case managers (MDCP, CLASS, HCS, TxHmL, etc), DME agencies, and other providers to ensure appropriate services are in place.
  • Created referrals to LIDDA, Behavioral health, internal School Liaisons, and other external agencies as appropriate.
  • Provided services and support to enhance the members wellbeing, independence, integration into the community.
  • Lead Culture Team Meetings to promote UHC values, diversity, equity, and inclusion.
  • Utilized a person-centered approach with problem sensitivity skills for vulnerable and at-risk populations.

STAR KIDS Program- Service Coordinator III

Driscoll Children’s Health Plan
07.2016 - 02.2017
  • Functioned in an advisory role to the Medical Directors and Medical Management Committee in the following areas: Provided evaluation of and assist in the development of quality patient care services offered by DCHP; Assisted in the establishment of patient care and professional staff policies and procedures of DCHP
  • Participated in long-range planning of services and/or programs offered by DCHP
  • Managed a high volume of client requests, ensuring timely and effective service delivery.
  • Provided Service Coordination assistance to RN for Level 1 high utilizer/chronic illness & 2 behavioral health members
  • Responsible for Service Coordination of Level 3 members
  • Coordinated care and efficient utilization of health care resources for patients identified in the STAR Kids program through communication with other members of the health care team, including physician offices, social workers, nurses, and other multidisciplinary team members as appropriate to obtain optimal outcomes for members
  • Provided the member with initial and ongoing assistance identifying, selecting, obtaining, coordinating, and using services and supports to enhance the member’s wellbeing, independence, integration into the community, and potential for supportive employment
  • Enrolled members in disease management; monitor, and document progress.
  • Submitted LTSS authorizations into the system per the direction of the Service Coordinators in the SCIP.
  • Communicated with management regarding status of current workload and turn-around time discrepancies as necessary.
  • Produced status reports on a regular basis to track members in STAR Kids.
  • Maintained thorough knowledge of the Texas Medicaid STAR Kids contract and met all Service Coordination contract requirements.
  • Participate in health plan committees and Interdisciplinary team meetings.
  • Utilize person-centered approach.

Human Services Technician III (Caseworker Assistant)

Texas Department of Family & Protective Services (CPS)
01.2013 - 07.2016
  • Performed highly complex (senior level) human and social services support work
  • Assisted in providing casework services for adults or children with physical, mental, emotional, or social problems
  • Supervised the work of other Caseworker assistants and trained new hires
  • Worked closely with caseworkers to decide appropriate route of interventions for clients
  • Evaluated effectiveness of implemented programs or treatment plans regularly; modified as necessary to better meet clients'' needs and goals.
  • Assisted clients in developing and setting realistic goals to promote positive change.
  • Coordinated with family members and collateral contacts to obtain and verify sensitive case data
  • Managed caseloads effectively by prioritizing tasks based on urgency and complexity, ensuring timely delivery of services to all clients.
  • Assisted in explaining benefits provided through stage of service and the requirements of completion of therapy programs to clients and their families
  • Provided crisis intervention services, deescalating situations and maintaining safety for all involved parties.
  • Coordinated community resources and referrals, connecting clients to essential services and support systems.
  • Responsible for purchase and delivery of client goods to include handling/accounting of all money (Concrete services & Foster Angels of South Texas)
  • Assisted caseworkers with child placement to include transporting to foster homes and shelters.

Sales Associate

GNC
05.2012 - 01.2013
  • Assisted and counseled customers in their nutritional needs.
  • Maintained day to day sales.
  • Kept store reports up to date.
  • Excelled in interpersonal communication with customers, therefore developing solid returning consumer base.
  • Worked with manager on data analysis of store products during inventory.
  • Worked with manager on ways to reduce shrink and improve overall profit.
  • Organized racks and shelves to maintain store visual appeal, engage customers, and promote specific merchandise.
  • Utilized exceptional product knowledge that was shared with all consumers when inquiring about goods.

Office Assistant

Elite Exclusive Spa Therapies
05.2010 - 04.2012
  • Obtained and kept an overview or profile of the client’s state of being and health history; discussed any problem areas that may contraindicate massage.
  • Provided education on modalities and treatments being offered.
  • Maintained weekly and monthly reports for payroll and office expenses.
  • Enhanced office efficiency by managing schedules, organizing files, and maintaining a clean workspace.
  • Maintained confidentiality in handling sensitive information while performing administrative tasks.
  • Kept accurate and up-to-date records regarding a client’s condition before and after massage therapy session in cases of a client being treated for a specific condition.
  • Prospected within the community to market business by passing out cards and flyers.
  • Assisted with special event planning where massage therapists would provide treatments such as sporting events and health fairs.

Marketing Liaison

Hosanna Healthcare
01.2009 - 12.2009
  • Educated physicians about services available through home health.
  • Maintained contact with referral sources to update them on changes in Medicaid/Medicare Regulations.
  • Assisted agency in maintaining compliance by delivering physician orders to offices and facilitated the completion of necessary documents.
  • Discussed care plans with physician offices for patient issues needing to be addressed.
  • Conducted presentations for staff at Adult Day Cares about the benefits of home health.
  • Created visually appealing marketing materials that captured target audience attention and facilitated conversions.

Assistant General Manager

Cornerstone Fitness Center- Women’s (Transfer)
05.2006 - 10.2007
  • Trained staff on securing memberships, customer service needs, goal setting
  • Helped train new hires
  • Reviewed monthly projections and goals with staff
  • Checked team prospecting statistics
  • Created binders with team education to motivate and guide with sales tools and tips
  • Took care of all member concerns and complaints
  • Made sure that gym was clean and organized to ensure an appealing and safe setting
  • Outreaches completed through cold calling to secure large group and business memberships
  • Conducted Corporate presentations for membership sales
  • Followed up with members after signing up to ensure satisfaction
  • Suggested training packages (for up-selling)
  • Consulted existing and potential members on fitness goals, supplementation, and membership agreements.

Sales Associate

Cornerstone Fitness Center
08.2004 - 05.2006
  • Consulted existing and potential members on fitness goals, supplementation, and membership agreements
  • Gave tours of facility and explained equipment
  • Took care of member questions and concerns and escalated when appropriate
  • Made sure that gym was clean and organized to ensure an appealing as well as safe setting
  • Made cold calls
  • Prospected at various businesses for potential members
  • Followed up with members after signing up to ensure satisfaction
  • Suggested training packages and supplements (for up-selling).

Education

Master of Science in Social Work -

The University of Texas Rio Grande Valley
05.2022

Bachelor of Arts in Psychology -

Texas A&M University Kingsville
05.2016

Associate of Arts in Sociology -

South Texas College
McAllen, TX
12.2012

Diploma -

Mission High School
Mission, TX
05.2002

Skills

  • 15 years of customer service
  • 10 years case management experience
  • 10 years of working with vulnerable and at-risk populations
  • Data Analysis
  • Care Coordination
  • Care plans
  • Psychosocial assessments
  • Community Outreach
  • Crisis Intervention and Safety Planning
  • Motivational Interviewing
  • Cognitive Behavioral Therapy
  • Trauma informed care
  • Bereavement and grief support
  • Proficient in all Microsoft Office Programs
  • Solution-Focused Oriented
  • Collaborative problem-solving
  • Strong communication skills
  • Teamwork and Collaboration

Internship

Social Work Intern, Elara Caring- Hospice, Edinburg, TX, 08/2021, 05/2022, Assisted children and adults in coping with illness and loss, Facilitated bereavement support groups, Assisted in managing case files, Worked with patients and caregivers utilizing appropriate interventions such as Narrative therapy, CBT, Motivational Interviewing, grief support, and a strengths-based approach, Conducted life reviews with patients and their families, Provided supportive listening, Conducted home visits and nursing home visits to ensure that the patient was secure with medication refills and appropriate services, Participated in IDT meetings with team members such as nurse, chaplain, and lead social worker, Assisted in funeral planning as needed, Worked with bereavement coordinator to organize and implement annual Memorial honoring lost patients, Made bereavement calls to check on families post loss of family member, Provided appropriate community resources to patients and families

Languages

English
Spanish

Quote

"I can do all things through Christ who gives me strength" Philippians 4:13

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline

STAR KIDS Program- Adult Transition Specialist (HSS Clinical Coordinator)

United Healthcare
03.2017 - Current

STAR KIDS Program- Service Coordinator III

Driscoll Children’s Health Plan
07.2016 - 02.2017

Human Services Technician III (Caseworker Assistant)

Texas Department of Family & Protective Services (CPS)
01.2013 - 07.2016

Sales Associate

GNC
05.2012 - 01.2013

Office Assistant

Elite Exclusive Spa Therapies
05.2010 - 04.2012

Marketing Liaison

Hosanna Healthcare
01.2009 - 12.2009

Assistant General Manager

Cornerstone Fitness Center- Women’s (Transfer)
05.2006 - 10.2007

Sales Associate

Cornerstone Fitness Center
08.2004 - 05.2006

Master of Science in Social Work -

The University of Texas Rio Grande Valley

Bachelor of Arts in Psychology -

Texas A&M University Kingsville

Associate of Arts in Sociology -

South Texas College

Diploma -

Mission High School

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Priscilla AlanizSocial Work