Summary
Overview
Work History
Education
Skills
Timeline
Generic

Sheree Sims

Columbus,OH

Summary

Compassionate Case Manager experienced in Mental Health Services and Public Assistance Program's. Hardworking and dedicated to achieving desired case outcomes. A conscientious and engaging professional with superb communication and knowledgeable in advocating for social and economic well-being of individuals and families. Skilled at providing guidance, support and assistance to others and committed to inspiring community service.

Overview

17
17
years of professional experience

Work History

Case Manager

TRC Staffing
10.2022 - Current
  • Determining client's eligibility for and monitor client's participation in variety of public assistance programs and services for Publicly Funded ChildCare Assistance provided by Franklin County Department of Job and Family Services.
  • Gathering and documenting personal information received to process applications including financial and employment information, verifications, and other documentation as required by and following FCDJFS policies, program rules and guidelines. Completion of application with authorization to approving or denying applications based on eligibility criteria.
  • Cross-referencing multiple online systems for gathering customer information.
  • Documenting all case activities. Completing assigned workflow with efficiency, reviewing information for accurate data efficient communication and resolving discrepancies with client applications to verify eligibility.
  • Performing follow-up reviews pending applications, initiating collateral contact calls to applicants to address inquiries with completion of applications, received or outstanding verification documents and answering questions while documenting details in case management system.
  • Maintaining compliance with client confidentiality.
  • Assisting with clerical duties, including reviewing emails, faxes scanned submitted documentation. Replying to inquires, uploading pertinent documents from applicants received for applications in system.

Remote Health Concierge

Aetna, CVS Health Company
09.2018 - 10.2022
  • Served as primary point of contact for transactional customer support and provided assistance to plan members, navigate their enrollment process, and choose appropriate options.
  • Resolved problems related to benefits, eligibility, and claims.
  • Handled averaged 50 daily calls via inbound.
  • Demonstrated superior customer service skills by intervening and taking ownership, often facilitated communication for member between patients, providers and various departments and staff.
  • Followed document protocols to safeguard confidentiality of patient records.
  • Skilled at working independently and collaboratively in team environment.
  • Identified critical issues, analyzed information and provided solutions to problems.
  • Adaptable and proficient in learning new concepts quickly and efficiently.
  • Cultivated interpersonal skills by building positive relationships with others.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Provided support and guidance as selected mentee to new hires.
  • Gained extensive knowledge in data entry, analysis and reporting.

Qualified Mental Health Professional

Signature Health
08.2017 - 02.2018
  • Interviewed individuals with Mental Health Diagnosis seeking case management as part of concurrent treatment. Gathered detailed information to determine needs and other information needed to understand each individual's unique circumstances. Displayed sensitivity to cultural and linguistic needs of clients and families served.
  • Provided comprehensive case management services, and connected clients and families to appropriate resources.
  • Scheduled appointments to meet client either at their home or outside of home in community setting. Encouraged clients to express feelings and discuss what was happening in day-to-day life in order to help each person develop insight into personal experiences and relationships.
  • Counseled individuals, created individualized treatment actively collaborating with client to meet mutually agreeable and attainable goals toward increased functioning and self sufficiency goals.
  • Guided clients by linkages to finding and securing affordable housing, education/ job training programs. In addition locating multiple needs that include finding local food pantries in clients residential area to obtain groceries for basic food needs, finding clothing and furniture, life skills such as budgeting or transportation needs.
  • Provided referrals to connect clients with other community resources to obtain benefits such as Medicaid, Social Security Income (SSI), Social Security Disability (SSD), SNAP (food stamps) and promote continuing of support for mental health treatment and well-being.
  • Attended trainings to participate in regular supervision and continued education to maintain professional competence and ethical standards.
  • Consulted and worked collaboratively with other mental health professionals regarding treatment plans and to provide consistent care and minimize diversion.
  • Supported clients by representing needs and advocating for patient rights in healthcare, legal and community-based settings.
  • Adhered to ethical and legal standards for confidentiality, protecting clients' privacy.
  • Conducted crisis interventions to respond to clients in crisis, assess immediate needs and provide support and resources.
  • Prepared reports to summarize clients' mental health status and treatment progress.
  • Supervised busy caseload, managing clients, balancing workload and prioritizing client needs.
  • Documented clients' progress to keep detailed notes on each client's treatment progress and changes in mental health status.
  • Participated in goal-oriented psychoeducational and activity therapy groups with other mental health clinicians to improve clients' level of functioning.

Case Manager

Youth Opportunities Unlimited (Y.O.U)
  • Case Manager for Summer Youth Employment Program, June- August 2017 and April -August 2018 . Case Management of 25-30 youth participants assigned various Y.O.U participating work sites.
  • Met with prospective participants (teens and young adults aged 14-24) and parents to collect required verification documents to meet eligibility including requirements for TANF funding. Authorize or deny participation.
  • Monitored youth participation by scheduled and unscheduled weekly site visits to participant work sites, addressed youth behavior misconduct of participants and created report of all incidents offered guidance and support for positive change and remediation.
  • Facilitated weekly meetings with participants at each work site to answer questions from youth participants, and guidance to actively participants with job roles.
  • Developed weekly newsletter for participants that centered on pertinent information of weekly updates of Y.OU. program and section devoted to providing knowledge of specific job skills.
  • Advocated to ensure that teens and young adults have access to every possible resource to help resolve barriers and achieving success during duration and at completion of program.
  • Collaborated partnership with team of seasonal job coaches to provide wraparound support to participants throughout enrollment and work experience phases of SYEP.
  • Weekly compliance of reports of participant progress as requested and needed including tracking attendance and compiling payroll reports and documentation. In addition, ensured data and paperwork is consistent across data management systems and is regularly updated to keep Y.O.U. compliant with all required public/government management information systems.
  • Demonstrated knowledge of skill attainment, and meeting key benchmarks during any training and/or work experiences.
  • Engaged and interacted with youth members, teaching sustainable work skills and building successful job search strategies.
  • Maintained accurate documentation of youth progress in line with reporting requirements.
  • Assisted youth in developing problem-solving and communication skills to support stress management.
  • Demonstrated positive influence to youth by acting appropriately, being respectful to others and actively listening.
  • Provided emergency response in crisis situations to diffuse tensions and prevent violence during program participation.

Paraprofessional/Teacher's Aide

Cleveland Metropolitan School District
08.2015 - 08.2017
  • Provided assistance to teacher in and outside classroom with students requiring education taught in special needs classroom setting and ensuring measures as required.
  • Met students arriving to school or leaving school by bus and assisting with transport and from bus into school or assisting to transport from school ensuring proper safety for student and all students transported.
  • Proactively engaged with students during academic instruction and led classroom activities. Monitored behaviors and aided during field trips, before school and dismissal from school, during lunch, recess and extracurricular classes.
  • Supported teacher and collaborated with Special Education team to meet accomplishments of IEP goals and behavior management including physical support and control of students and ensured safety and appropriate conduct
  • Maintained active Para-Educator permit from State of Ohio department of education.

Direct Support Professional

Phoenix Residential and Grand Manor Inc
06.2015 - 05.2016
  • Acted as caregiver in group home for individuals with severe mental or developmental disabilities to support their activities of daily living including bathing and dressing feedings during meal time,
  • Responsible for adhering to client daily schedules including transportation to worksites and transporting to doctor appointments and community outings.
  • Prepared meals that meet specific client dietary needs and doing laundry and maintaining.
  • Maintained cleanliness and sanitation of home.

Patient Financial Services Representative

Cleveland Clinic
06.2006 - 06.2015
  • Acted as single point of contact for families and payers participants of Cleveland Clinic Center for Autism program and patient financial services department.
  • Single-handled management of billing and collections, accounts receivables and acted as customer service representative for its billing department, and used high degree of initiative and independent judgment to achieve maintain financial assets by consistent billing and collections that as result reduced cost of yearly write-offs.
  • Implemented a Standard Operating Procedures of daily and routine tasks for other employees to use a guide.
  • Offered friendly and efficient service to customers, and handled challenging situations with ease.
  • Effectively handled troubleshooting escalated issues with goal of de-escalating issue.

Education

Bachelor of Arts - Psychology

Ursuline College
Pepper Pike, Ohio
05.2014

Some College (No Degree) - Psychology

Cuyahoga Community College
Cleveland, OH

Certificate - Medical Billing & Coding

Remington College-Cleveland Campus
Cleveland, OH
04.2006

Some College (No Degree) - Sociology

Wayne County Community College District
Detroit, MI

Some College (No Degree) - Child Development

University of Akron
Akron, OH

Skills

  • Handling routine customer contact calls Adept to handling sensitive inquiries from and contacts and resolving complaints
  • Able to utilize technologies (eg, computer skills, virtual meetings, smartphones)Proficiency in Microsoft Office (Word, Outlook, Excel, and PowerPoint)
  • Working fast-paced work environment
  • Ability to define problems, collect data, establish facts and draw valid conclusions
  • Assessing needs and actively locating appropriate resources to assist with unfamiliar situations
  • Active listening and comfortable asking questions, offering guidance, devise goals and do motivational interviewing
  • Client Empowerment
  • Case Planning
  • Service-Orientation
  • Documentation
  • Multitasking and Organization and electronic data processing
  • Written and verbal communication

Timeline

Case Manager

TRC Staffing
10.2022 - Current

Remote Health Concierge

Aetna, CVS Health Company
09.2018 - 10.2022

Qualified Mental Health Professional

Signature Health
08.2017 - 02.2018

Paraprofessional/Teacher's Aide

Cleveland Metropolitan School District
08.2015 - 08.2017

Direct Support Professional

Phoenix Residential and Grand Manor Inc
06.2015 - 05.2016

Patient Financial Services Representative

Cleveland Clinic
06.2006 - 06.2015

Case Manager

Youth Opportunities Unlimited (Y.O.U)

Bachelor of Arts - Psychology

Ursuline College

Some College (No Degree) - Psychology

Cuyahoga Community College

Certificate - Medical Billing & Coding

Remington College-Cleveland Campus

Some College (No Degree) - Sociology

Wayne County Community College District

Some College (No Degree) - Child Development

University of Akron

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Sheree Sims