Tamica Ward
Myrtle Beach,SC
Summary
Dedicated Certified Case Manager (CCM) and Integrated Care Professional with over 10 years of experience in clinical assessment and patient advocacy. Expert in utilizing Motivational Interviewing and Reflective Listening to drive behavior change and increase member engagement in chronic condition management. Proven track record of navigating complex regulatory frameworks (agency, state, and federal) while coordinating multidisciplinary action plans to improve clinical outcomes and ensure seamless care transitions.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Post-Acute Care (PAC) Coordinator
Grand Strand Medical Center HCA
08.2023 - Current
- Manage complex member transitions by assessing clinical risks and coordinating comprehensive action plans in cooperation with interdisciplinary teams and external agencies.
- Serve as a primary member advocate, educating patients and providers on available benefit plans and network status to ensure proper processing of authorized services.
- Ensure all coordination activities align with procedural guidelines and payer requirements, maintaining meticulous documentation for clinical information flow.
- Identify and resolve barriers to care (insurance, social determinants) to expedite referrals and increase successful "discharges" to appropriate care settings.
Case Management Social Work Svc
Grand Strand Medical Center
12.2014 - 08.2023
- Conducted in-depth psychosocial and clinical assessments to identify member needs related to chronic conditions and psychosocial barriers to change.
- Utilized Motivational Interviewing to elicit behavior change, setting realistic member goals and promoting enrollment in health management programs.
- Provided appropriate written and telephonic communications to healthcare providers regarding member conditions, ensuring a unified approach to care.
- Improved member program engagement by fostering collaborative treatment strategies and addressing readiness for change via specialized company questionnaires.
Child Protective Services Social Work
New Hanover/Horry County DSS
12.2008 - 12.2014
- Executed comprehensive risk and safety assessments to determine eligibility for community resources; developed detailed service plans focused on mitigating danger and strengthening family units.
- Maintained thorough case documentation in system databases for clinical and legal information flow, adhering to strict state and federal guidelines.
- Managed high-stress situations using trauma-informed practices to stabilize member environments and facilitate safe transitions.
Education
Master of Arts - Professional Mental Health Counseling
Webster University
Myrtle Beach, SC01.2010
Bachelor of Arts - Criminology & Criminal Justice
University of South Carolina
Columbia, SC01.2007
Skills
- Chronic Condition Evaluation
- Psychosocial Assessment
- Clinical Risk Identification
- Readiness for Change Assessments
- Motivational Interviewing (MI)
- Member-Centered Goal Setting
- Patient Education
- Reflective Listening
- Action Plan Coordination
- Resource Linkage
- Data Collection & System Input
- Network Status Education
- Referral Management
- Insurance Barrier Mitigation
- Crisis Intervention & De-scalation
- Claims & Coding Knowledge
- Regulatory Compliance
Certification
• Certified Case Manager (CCM), Active, 05/01/26
• Motivational Interviewing (MI) Mastery, Specialized training in behavior change elicitation.
•Knowledgeable in compliance standards (ERISA, NCQA, URAC).
• Motivational Interviewing (MI) Mastery, Specialized training in behavior change elicitation.
•Knowledgeable in compliance standards (ERISA, NCQA, URAC).
Timeline
Post-Acute Care (PAC) Coordinator
Grand Strand Medical Center HCA
08.2023 - Current
Case Management Social Work Svc
Grand Strand Medical Center
12.2014 - 08.2023
Child Protective Services Social Work
New Hanover/Horry County DSS
12.2008 - 12.2014
Master of Arts - Professional Mental Health Counseling
Webster University
Bachelor of Arts - Criminology & Criminal Justice
University of South Carolina