Teresa Fleming

Gouverneur,NY

Summary

Dedicated care manager with a proven track record of providing exemplary service to individuals with intellectual disabilities and co-occurring mental health illness. Dynamic, resourceful, and extremely driven professional who plays a vital role on various interdisciplinary teams. Responsibilities include submitting timely referrals, evaluating current living arrangements, and serving as an advocate. Experienced healthcare professional prioritizing team collaboration and achieving results. Prepared to provide comprehensive care management for optimal patient outcomes. Adaptable to changing needs and reliable support. Excels in patient advocacy, care coordination, and resource management. Compassionate approach fosters trust and respect among those served.

Overview

years of professional experience

Work History

Care Manager

LifeplanCCO NY

08.2018 - Current

Coordinated referrals to specialists, hospitalizations, ER visits, and other enabling services for patients.
Arranged transportation and documented details of discharge transition plans.
Communicated with patients and medical providers as venue to monitor medical treatments and effectiveness of medications.
Keep up to date records, including medications, diagnosis, medical providers and ongoing communication with service providers.
Strong Advocate to ensure service delivery approach is effective by understanding individuals preferred communication method and integrating accommodations to meet their communication needs.
Consulted with supervisors to assess cases and plan strategies for enhancing care.
Responded to emergency situations and provided support to promote client safety and wellbeing.

Medicaid Service Coordinator

Medicaid Service Coordination Cerebral Palsy Association

09.2000 - 07.2018

Facilitated quarterly, bi-annual and annual ISP Meetings of 15 team members to develop individualized valued outcomes for consumers served.
Oversaw and coordinated services for 45 intellectual disabled individuals; dually diagnosed individuals ranging from children to older adults.
Administered crisis intervention to families and individuals facing homelessness, mental health emergencies, out of home placement and emergency medical care.
Maintained strong and composed advocacy skills when presented with highly adverse situations and simultaneously upheld effective work relationships.
Interviewed consumers and families to determine specific services that would best address their needs.
Maintained through case history records including clear and concise case notes and service plans.
Coordinated individual referrals to obtain community services, advocate for client needs and resolve roadblocks

Education

Bachelor of Science - B.S in Social Work

Roberts Wesleyan College, Rochester, NY

05.2000

Social Work, Cum Laude, Coursework in Counseling and in Special Education

Skills

Efficient in Crisis
Results Driven
Accurate in Detail
Strong Mentor
Care planning
Case assessments

Accomplishments

Conducted group and individualized trainings to managers and coworkers on a variety of topics to educate and enhance knowledge of individual related services and rights.
Served as a Co-Leader of the Cross Roads Self- Advocacy Group.
Mentored direct care staff as a venue to foster high quality individual care.
Worked with advocates and MHLS to prevent eviction of individuals in Individuals Residential Alternatives.
Partnered with the Interdisciplinary Team to communicate end of life options for members facing terminal illness.
Advocated for and received adaptive equipment for several Members.

Additional Information

Board Member, Potsdam Humane Society, 2018-2022,Chairman of Advocacy Committee

Board Member, RCIL, 2000-2003, Secretary.

Volunteer at Best Friends Thrift Shop to benefit the Potsdam Humane Society.

Board Member, Friends for Pound Paws, 2023-current

Timeline

Care Manager - LifeplanCCO NY