Shameka Irwin

Dedicated and compassionate Behavioral Health Care Coordinator with over 10 years of experience in telephonic case management, pediatric care coordination, and behavioral health support. Proven ability to conduct needs-based assessments, develop individualized care plans, and collaborate with multidisciplinary teams, and community resources. Passionate about improving outcomes for medically complex, and behaviorally challenged youth. Skilled in working with systems like Health Homes, Medicaid, and state agencies such as DCF and community behavioral health providers.

• Centene Management/Fidelis Care, Behavioral Health Care Coordinator, 04/22, 02/25, Conducted comprehensive telephonic outreach to Medicaid members, assessing behavioral, medical, and social needs to ensure optimal wellness., Coordinated services and referrals in collaboration with clinical teams, including behavioral health providers and community supports., Supported care plan implementation and compliance through consistent follow-ups and member engagement., Entered detailed documentation into electronic care systems, flagging urgent needs and ensuring timely interventions., Handled high-volume member interactions while maintaining HIPAA and regulatory compliance.
• St. Mary’s Healthcare System, Pediatric Care Coordinator - Health Homes, 11/16, 04/22, Managed care for medically fragile children under 21, including those receiving ABA and behavioral therapies., Completed and updated assessments, created individualized care plans, and facilitated access to medical, behavioral, and social services., Participated in planning and discharge meetings with schools, home health providers, and DCF-related entities., Conducted home visits and monthly check-ins to ensure continuity and appropriateness of care., Navigated complex family dynamics and social determinants to secure supports like transportation, meals, and DME.
• Catholic Charities, Brooklyn NY, Behavioral Health Care Coordinator – Health Homes, 12/14, 11/16, Supported individuals with serious mental illness and high hospital utilization histories through direct engagement and community support., Conducted screenings, psychosocial assessments, and developed person-centered recovery and rehabilitation plans., Assisted members in accessing benefits, maintaining appointments, and navigating service systems., Partnered with behavioral health providers, case managers, and housing services to address client needs holistically.