Samantha Pack
Milton,FL
Summary
Compassionate Case Manager Analyst with prior leadership experience accustomed to treating diverse patient needs while managing dynamic conditions. Over 10 years experience working with Medicaid/DNSP members. Collaborative professional possessing excellent clinical knowledge and judgment combined with strong documentation and problem-solving abilities. Well-versed in managing emergent cases with compassion and professionalism.
Overview
14
14
years of professional experience
Work History
Case Manager Analyst
CVS/Aetna
Remote, FL
05.2024 - Current
- Facilitated communication between clients, families, caregivers, social services and other agencies to ensure client needs were met.
- Provided crisis intervention support for clients in emergency situations.
- Understanding of HEDIS/STARS measures
- Participated in staff development training sessions focused on topics related to Medicaid regulations and program policies.
- Assisted clients in navigating the application process for public benefits such as Social Security, Medicaid or food stamps.
- Managed D-SNP members needs while showing compassion and understanding
- Reviewed service authorizations daily in order to prioritize members' pre-admissions, admissions, and pending authorizations.
- Communicate with medical case managers and social workers to discuss discharge plans, barriers, recommendations, and possibly DME requests for all members.
- Conduct Health Risk Assessments
Human Services Voc Rehabilitation Coordinator
Pathways Inc
Hollywood, MD
06.2014 - 09.2023
- Promoted new program development with focus on functional outcomes to improve quality of life of patients served.
- Served vulnerable populations; Strong understanding of Medicaid regulations and D-SNP
- Directed and supported internal case management and client advocacy.
- Developed and implemented rehabilitation plans for clients with physical, cognitive and developmental disabilities.
- Assessed client's needs and developed individualized goals to promote independence in daily living activities.
- Provided support to families of clients with special needs by providing information about available resources.
- Conducted assessments of client's functional abilities to evaluate progress towards their rehabilitation goals.
- Educated clients on the use of assistive technology such as wheelchairs, walkers, communication devices to improve independent functioning.
- Coordinated community based services such as home health care, transportation, housing assistance to meet client's needs.
- Provided crisis intervention services during times of emotional distress or medical emergencies involving clients with special needs.
- Created educational materials on disability awareness for staff training purposes or public outreach initiatives.
- Developed relationships with external agencies such as local schools or day programs to provide comprehensive services for clients.
- Ensured adherence and compliance to U.S. EEO regulations and all employment legislation.
- Sourced, qualified and conducted screening interviews with job candidates.
- Facilitated job application processes for qualified candidates.
- Scheduled or conducted new employee orientations.
- Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
- Reviewed employees' work to check adherence to quality standards and proper procedures.
- Enhanced performance through collaboration with diverse teams.
- Initiated employee evaluation process and recommended policy changes to help staff progress toward desired readiness goals.
- Investigated workplace issues with professionalism and sensitivity and detailed incidents in reports to senior executives.
- Maintained records of customer needs and preferences.
- Planned and managed operations to achieve objectives within budgets.
- Coordinated with other supervisors, combining group efforts to achieve goals.
- Guided employees in handling difficult or complex problems.
- Managed changes in integrated health care delivery systems and technological innovations while keeping focus on quality of care.
Case Worker, Foster Care
Board of Child Care of the United Methodist Church
Baltimore, MD
03.2011 - 06.2013
- Implemented and formulated tailored treatment plans with needs evaluation and patient psychosocial functioning.
- Composed or prepared correspondence, case notes and narratives with computer-based applications.
- Coordinated between various entities to manage cases.
- Used job-related software to compose or prepare correspondence, case notes and technical reports
- Worked with care team to assess client needs and discuss collaborative treatment efforts.
- Supported individuals by facilitating weekly group sessions.
- Collected and reviewed supplementary records to better understand patient history.
- Advocated for victims during difficult situations by filing police reports and connecting to needed services.
- Encouraged and motivated clients to develop new coping mechanisms and techniques to drive behavior modification.
Education
Bachelor of Science - Psychology
Mitchell College
New London, CT05.2009
Skills
- Needs Assessment
- Records Management
- Care Coordination
- Patient Support
- Operational Records Maintenance
- Employee Engagement
- Recruiting and Interviewing
- Dispute Mediation
- Onboarding and Offboarding
- Community Relationship Building
- Program Monitoring and Tracking
- Training Program Design
- Microsoft Office Suite expertise
- Med Compass
- Slack
- Jabber
- Cisco Finnesse
- Workday
Timeline
Case Manager Analyst
CVS/Aetna
05.2024 - Current
Human Services Voc Rehabilitation Coordinator
Pathways Inc
06.2014 - 09.2023
Case Worker, Foster Care
Board of Child Care of the United Methodist Church
03.2011 - 06.2013
Bachelor of Science - Psychology
Mitchell College
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