Shalon Jones

• Coordination of services for veteran populations by collaborating with multidisciplinary teams and external partners, strengthening cross-sector relationships and promoting holistic, community-centered support.

• continues to address barriers and improve overall program retention.

• Supports veterans in navigating complex systems by collecting and organizing medical documentation for disability claims and nexus letters, ensuring accuracy and timely submission.

• Identified and escalated high-risk cases, collaborating with internal teams and community partners to ensure timely interventions and continuity of care.

• Maintaining detailed and secure documentation while managing digital systems to track engagement, outcomes, and service delivery, supporting data-informed decision-making.

• Building upon and nurturing relationships with community-based organizations and service providers to expand access to resources and improve support networks for veteran populations.

• Facilitation of communication between clients, providers, and support teams, ensuring clarity, responsiveness, and alignment across all stakeholders.
• Application of culturally responsive engagement strategies to effectively connect with diverse and underserved populations, fostering trust and long-term community relationships.

• Assisted clients with service inquiries and technical issues.

• Managed caseload of 75 individuals with chronic medical and behavioral conditions, developing personalized care plans to address unique health challenges.
• Coordinated services among providers, insurers, and community agencies to ensure holistic support and resource access for clients.
• Conducted comprehensive biopsychosocial assessments and risk evaluations, identifying critical needs for tailored interventions.
• Enhanced adherence and stabilization through structured follow-up, resulting in improved client health outcomes.

• Ensured compliance with state and federal care delivery standards, upholding high-quality service throughout operations.
• Implemented home health plans aligned with authorized payer services, improving patient care outcomes.
• Led support for complex care environments, fostering collaboration among care teams to improve service delivery.

• Developed and implemented outreach strategies designed to nurture long-term relationships with community members, partners, and local leaders.

• Tracked program participation and engagement metrics, using data and feedback to evaluate program effectiveness and improve outreach strategies for patients.

• Guided clients in setting realistic health and fitness goals.
• Educated clients on disease prevention and healthy lifestyle choices.

• Collaborated with multidisciplinary teams and senior staff to support community-centered initiatives and ensure programs addressed the needs of diverse populations.

• Demonstrated strong organizational and project management skills while managing outreach campaigns, community partnerships, and program logistics.

• Provided culturally responsive communication and engagement strategies to connect with diverse populations and build trust across communities.

• Successfully operated in remote and hybrid environments while coordinating meetings, community events, and cross-team communication.