Rebekah Dickson
Mandeville,LA
Summary
MEDICAID CASE MANAGER ACTING TEAM LEAD Results-driven management professional with 12 years of experience in Medicaid Programs, comprised of experience across case management, training, mentorship, collaborative leader, program management. Encouraging leader and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.
Overview
12
12
years of professional experience
Work History
Medicaid Case Manager Active Team Lead
Elevance Health
Metairie, LA
11.2019 - Current
- Developed procedural guidelines to ensure compliance with NCQA
- Set standards and enforce strict accountability to meet Healthy Blue vision and goals
- Leader at Healthy Blue Case Management Team; interact across all levels of organization
- Coordinate Medicaid benefits with social workers to ensure appropriate discharge of patients to Long-Term Care facilities and decrease costs by decreasing levels of care.
- Coach staff to increase engagement rates above 35%.
- Responsible for Mentoring new employees
- Manage employee development issues and assist with resolution
- Manage employee performance through goal setting, measurement, and feedback
- Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.
- Developed and implemented safety plans for clients at risk of harm to provide protection.
- Provided leadership, guidance and support to staff members.
- Collaborated with community members to develop and implement service initiatives.
- Collaborated with multidisciplinary teams to address client needs and formulate tailored support strategies.
- Partnered with local organizations to expand access to social and community services.
- Developed and implemented comprehensive case management plans to address client needs and goals.
- Assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources.
- Enhanced communication between clients and providers through consistent follow-ups and progress updates.
- Proven ability to develop and implement creative solutions to complex problems.
- Acted as team leader in group projects, delegating tasks and providing feedback.
- Established open and professional relationships with team members to achieve quick resolutions for various issues.
- Educated staff on organizational mission and goals to help employees achieve success.
- Enhanced overall team performance by providing regular coaching, feedback, and skill development opportunities.
RN Case Manager
Regency Hospital Company LLC
Cleveland, OH
05.2017 - 05.2018
- Coordinated essential services for clients, resulting in improved overall well-being and self sufficiency.
- Reduced caseload backlog by efficiently prioritizing cases and delegating tasks to appropriate staff members.
- Oversaw accurate documentation of client progress notes, maintaining compliance with legal requirements as well as organizational policies and procedures.
- Streamlined internal communication processes, ensuring timely updates on client progress and facilitating better decision-making among staff members.
- Analyzed trends and data to inform decision-making and program development that effected DRG reimbursement rates.
- Managed budgetary responsibilities for case management department, ensuring optimal allocation of resources based on client needs and program goals based on quarterly trajectory. Brought cost outliers down by 50%
- Collaborated with interdisciplinary team to determine timely delivery of services.
- Partnered with local organizations to expand access to social and community services.
- Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.
- 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.
- Developed comprehensive discharge plans to transition clients to appropriate service providers in community.
- Collaborated with community members to develop and implement service initiatives.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Established and maintained relationships with key stakeholders.
- Participated in community events to promote services and engage with public.
- Monitored program performance and outcomes for successful delivery of services.
- Researched best practices and developed strategies to improve program outcomes.
- Provided leadership, guidance and support to staff members.
- Evaluated program effectiveness continually through data analysis and outcome measurement metrics.
- Enhanced communication between clients and providers through consistent follow-ups and progress updates.
RN Case Manager
Western Reserve Area Agency On Aging
Cleveland, OH
10.2012 - 06.2017
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
- Streamlined discharge planning processes, ensuring smoother transition for patients back to their homes or other facilities.
- Monitored program performance and outcomes for successful delivery of services.
- Reduced caseload backlog by efficiently prioritizing cases and delegating tasks to appropriate staff members.
- Coordinated individual referrals to obtain community services, advocate for client needs and resolve roadblocks.
- Implemented strategies to increase public awareness of social and community service programs.
- Oversaw accurate documentation of client progress notes, maintaining compliance with legal requirements as well as organizational policies and procedures.
- Provided leadership, guidance and support to staff members.
- Partnered with local organizations to expand access to social and community services.
- Coordinated with community stakeholders for successful implementation of social and community service initiatives.
- Evaluated treatment plans against individual goals and healthcare standards.
- Provided ongoing support to case managers in crisis situations, guiding them through problem-solving strategies and promoting best practice approaches.
- Collaborated with interdisciplinary teams to develop holistic care plans addressing all aspects of clients'' lives.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Developed strong relationships with community partners to facilitate access to resources for clients in need.
- Conducted outreach activities to engage local stakeholders in programs.
- Managed budgetary responsibilities for case management department, ensuring optimal allocation of resources based on client needs and program goals.
- Initiated and created 20+-patient referral system, successfully boosting profits
Education
Master of Science - Nursing
Herzing University
Metairie, United States04.2026
Associate of Applied Science - Nursing
Herzing University
Akron, Oh 05.2009
Skills
- Responsible for Compliance Enforcement
- Partner with Team Leads for Organizational Performance
- Developed Procedural Documents for Compliance with Consistent Above Average Audits for Team
- Accountable for Training and Development
- Development of Program Audit Materials
- Partnerships and Resource Lead for Community Resources with 63% Improvement in state since March
- Reinforce Work Planning and Prioritization with Staff
- Accountable for Relationship Building Across Teams
- Implemented Employee Development through Ambassador Program New Associate 90 Day Stretch to Develop Mentorship Programs
- Partner with Program Management to Reinforce Policy and Procedure Improvements for NCQA
- Complex Problem Solving with LDH complaints
- Partner with Management to Prioritize Goal Setting
- Employee Coaching and Motivation
- Coordinate Documentation proficiency
Timeline
Medicaid Case Manager Active Team Lead
Elevance Health
11.2019 - Current
RN Case Manager
Regency Hospital Company LLC
05.2017 - 05.2018
RN Case Manager
Western Reserve Area Agency On Aging
10.2012 - 06.2017
Master of Science - Nursing
Herzing University
Associate of Applied Science - Nursing
Herzing University
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