Experienced Case Manager adept at handling high caseloads without sacrificing quality of care. Operates in high-pressure environments while recommending best resources and courses of action to benefit patient, client, and consumer needs and return each to optimal quality of life.
Overview
10
10
years of professional experience
Work History
Medical Case Manager
Hudson Medical
06.2022 - Current
Worked with different disciplines to provide cohesive care to patients.
Consulted with clinicians to devise and manage ongoing care plans for at-risk patients.
Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations, and procedural costs.
Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
Verified insurance benefits and obtained authorizations
Took active role in patient and family planning process, detailing instructions, and responding appropriately and effectively to questions and concerns.
Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
Reported plans, findings and results to employers and insurance carriers.
Evaluated treatment plans against individual goals and healthcare standards.
Educated patients and loved ones about different treatment options and outside care approaches to reduce burden on hospital resources.
Increased referral rates by providing excellent service and building meaningful relationships with patients and caregivers.
Managed and streamlined referral queues of up to 50 by efficiently prioritizing patients and clearing insurance obstacles.
Reduced care costs without sacrificing quality through service coordination and multidisciplinary collaboration.
Formulated treatment plan strategies with multidisciplinary teams to provide comprehensive and continuous care plan.
Explained medical care options to help families make informed healthcare decisions.
Behavioral Health Technician
WestMED Medical Group
10.2019 - 06.2022
Built and maintained positive staff relationships to promote teamwork and better serve clients.
Completed documentation for every incident and forwarded to correct personnel for review.
Conducted client rounds to check on residents.
Recognized individuals under influence of drugs or alcohol and typical behaviors associated with each.
Facilitated on-site activities, support groups, and outings for clients.
Performed client intake procedures according to internal standards for new admissions.
Searched resident belongings prior to and during stays.
Applied de-escalation and limit-setting techniques to promote patient cooperation.
Developed and maintained positive relationships with clients to create safe and supportive environment.
Identified behaviors that necessitated intervention and obtained assistance from qualified personnel to complete intervention.
Performed scheduled patient safety checks and documented results to establish patients' well-being.
Participated in multidisciplinary team meetings to discuss progress and treatment plans of clients.
Supported patients needing medical care to relieve patient anxiety and promote positive outcomes.
Counselor I (Transition Case) Intern
South Carolina Vocational Rehabilitation Department Rock Hill S.C
08.2021 - 12.2021
Provided post-graduation resources for students on-site at multiple high school locations.
Maintained positive relationships with students, faculty, alumni, and administration.
Coordinated with outside agencies to determine students receive appropriate services and resources.
Facilitated classroom discussions to emphasize bullying prevention and college readiness.
Partnered with parents and guardians to promote student success in school environment.
Identified and addressed concerns of incoming students and parents.
Developed and implemented individualized behavior plans to assist students with achieving academic and behavioral goals.
Collaborated with teachers and other school personnel to create individualized education plans for students with special needs.
Regularly met with enrolled students to confirm success and identify problem areas.
Gathered necessary paperwork and applications for students to initiate enrollment process.
Conducted psychoeducational assessments to identify areas of academic and behavioral strengths and weaknesses and recommend modifications to improve learning and behavior.
Office Assistant
South Carolina State University Office Of Financial Aid
01.2014 - 01.2017
Completed clerical tasks such as filing, copying, and distributing mail.
Interacted with customers by phone, email, or in-person to provide information.
Maintained and updated office records, both digital and physical.
Welcomed office visitors and alerted staff to arrivals of scheduled appointments.
Managed daily data entry and kept clerical information accurate and up-to-date.
Collaborated with various departments to complete assigned tasks.
Ordered office supplies and kept office stocked with needed resources to operate smoothly.
Prepared and edited documents to produce precise, accurate and professional communication.
Delivered clerical support by handling range of routine and special requirements.
Education
Master of Arts - Rehabilitation Counseling
South Carolina State University
Orangeburg, SC
12.2021
Bachelor of Science - Psychology
South Carolina State University
Orangeburg, SC
06.2017
Bachelor of Arts -
South Point High School
Rock Hill, SC
06.2011
Skills
Self motivated and able to effectively work independently and as a team player
Strong verbal and written communication
Exhibits good leadership and mentoring
Exhibits good presentation, problem solving, critical thinking skills and de-escalation skills
Proficient in Microsoft Office, Word, PowerPoint, Excel, Athena Health, Dash, EMR, and SalesForce
Medicaid knowledgeable
Multidisciplinary Collaboration
Case Planning and Management
Psychosocial Assessments
Conducting Assessments
Interdisciplinary Coordination
Affiliations
Member of National Honor Society
Member of American Counseling Association
Member of Alpha Kappa Alpha Sorority, Incorporated
Timeline
Medical Case Manager
Hudson Medical
06.2022 - Current
Counselor I (Transition Case) Intern
South Carolina Vocational Rehabilitation Department Rock Hill S.C
08.2021 - 12.2021
Behavioral Health Technician
WestMED Medical Group
10.2019 - 06.2022
Office Assistant
South Carolina State University Office Of Financial Aid