Talented 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 needs and return each to optimal quality of life.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Case Manager
Five Star Home Health Care Agency
10.2020 - Current
Oversee caseload of 100 individuals diagnosed with intellectual disability, developmental, physical, and traumatic brain injuries with person-centered approach
Support HR with recruiting and training caregivers, determining staff details, including working hours, recognizing staffing shortfalls, tracking employee performance, and creating and submitting monthly reports to management
Monitor implementation of nursing care plan, while facilitating plan of action meetings for alleged neglect cases
Perform a wide range of key tasks, such as evaluating Medicaid eligibility, uncovering laps in benefit coverage, conducting home visits upon individual request, and assisting individuals/caregivers in identifying healthcare proxy
Submit referrals for in-home services, such as speech therapy, physical therapy, and occupational therapy
Ensure that all individuals retain Medicaid eligibility, while ensuring conformance to health department's regulations and compliance.
Human Resources Specialist
Five Star Home Health Care Agency
08.2019 - 10.2020
Ensured compliance for caregivers and nurses, including holds and terminations
Conducted interviews to support recruiters in boarding process for caregivers, nurses, and new office staff
Managed approximately 30 incoming calls and email inquiries from candidates and recruited caregivers on employment issues
Enforced all state and government laws and guidelines in day-to-day work activities
Oversaw caregivers' incidents, coaching, in-service, and DOH advanced classes for caregivers
Standardized robust pay structure and analyzed benefits package to save costs, boost staff morale, and attract top talent.
Case Manager
Direct Assistance Supports
08.2018 - 08.2019
Documented and updated communication with paraprofessionals
Answered telephone and conveyed messages to relevant personnel
Oversaw 50 telephone calls professionally and calmly for patients, families, physicians, and others
Adhered to HR instructions with regard to aides' compliance
Retrieved referrals, authorizations, and other communication from insurance organizations
Logged time sheets, processed timesheets for payroll, and facilitated resolution of payroll issues
Entered all changes in service hour authorizations into the computer system quickly after receiving.
Assistant Manager
Dollar Tree
09.2017 - 08.2018
Collaborated with the team to ensure seamless running of day-to-day store operation, ensuring compliance with store regulations
Utilized appropriate counseling methodologies to neutralize problematic behaviors and resolve conflicts with minimum 30 customers per day.
Generated and communicated daily, weekly, and monthly reports to the corporate office
Managed and maintained inventory to ensure that supplies met demand needs
Performed detailed quarterly reviews and engaged with personnel to ensure all performed up to set standards
Supervised all staff's day-to-day efforts, including appropriate store coverage in case an employee called out sick.
Education
Bachelor of Science in Psychology -
College of Staten Island
New York City, NY
05.2021
Skills
Documentation & Reporting
Claims Management
Customer Service & Support
Relationship Building
HR Processes/Procedures
Microsoft Word/Excel/PowerPoint
HHA Exchange
Sales Force
HRIS
E-verify/E-spaces
Medicaid/Medicare
Client Advocacy
Data Entry and Analysis
Documentation Proficiency
Recruitment
Organizational Skills
Data Analysis
Certification
Certified Nurse Assistant
EKG Certified Phlebotomy
Certified BLS Certified
Fire Safety Certified
Infection Control Certified
Qualifications Summary
Outcome-focused and multi-faceted professional with aptitude for analyzing and modifying compensation/benefits policies to establish competitive programs and ensure strict compliance with organizational standards. Passionate about going above and beyond to help clients by conducting home visits, delivering top-notch client service, timely addressing calls and email inquiries, and providing excellent client service. Instrumental in spearheading and delivering complex projects with a keen focus on improving project outcomes and deliverables. Capacity to synthesize current business intelligence data and provide recommendations for improvement. Demonstrated success in managing understaffing issues, resolving disputes, maintaining disciplinary protocols, drafting job responsibilities, screening resumes, interviewing potential candidates, and facilitating on-boarding/training initiatives. Multilingual communicator with well-developed ability to build and foster strong and positive relationships with colleagues, staff members, clients/customers, and management.
Timeline
Case Manager
Five Star Home Health Care Agency
10.2020 - Current
Human Resources Specialist
Five Star Home Health Care Agency
08.2019 - 10.2020
Case Manager
Direct Assistance Supports
08.2018 - 08.2019
Assistant Manager
Dollar Tree
09.2017 - 08.2018
Bachelor of Science in Psychology -
College of Staten Island
Certified Nurse Assistant
EKG Certified Phlebotomy
Certified BLS Certified
Fire Safety Certified
Infection Control Certified
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