Tierra West
Milford,DE
Summary
Results-oriented supervisor skilled in case management and leadership. Known for driving collaboration with providers and ensuring adherence to policies. Eager to leverage expertise to enhance service outcomes and support individuals effectively.
Overview
11
11
years of professional experience
Work History
Health/Human Services Case Manager Supervisor
State of Delaware
Georgetown, Delaware
01.2024 - Current
- Supervised case managers in Home and Community Based Services to optimize service delivery.
- Ensured compliance with regulatory standards through accurate, timely documentation.
- Collaborated with agencies and providers to coordinate comprehensive client care.
- Tracked client outcomes via data management system for program performance evaluation.
- Conducted monthly and quarterly audits of case manager activities for CMS compliance.
- Facilitated partnerships with contracted providers and agencies to align service delivery plans.
- Created and analyzed regional data, providing detailed reports to direct supervisors.
Senior Social Worker/Case Manager
State of Delaware
Georgetown, Delaware
03.2020 - 02.2024
- Oversaw residential agencies to align Medicaid services with person-centered plans.
- Facilitated referrals between individuals, agencies, and providers to enhance service access.
- Completed annual SSA paperwork while ensuring compliance with individual financial monitoring.
- Reviewed and approved person-centered plans to effectively support individualized services.
- Conducted quarterly in-person visits for Medicaid waiver compliance in case management.
- Entered monthly documentation into electronic records for thorough service oversight.
- Coordinated with community resources and healthcare providers to improve care delivery.
Medical Office Assistant
Tidal Health Mears Campus
Seaford, DE
02.2020 - 03.2020
- Facilitated patient scheduling for follow-up appointments with in-network and out-of-network providers.
- Verified insurance information to support patients' referrals for utilization management processes.
- Faxed clinical notes and insurance details to providers for timely referral processing.
- Coordinated follow-ups with utilization management to track referral statuses.
- Documented outcomes of utilization management and peer-to-peer reviews in clinical notes.
Residential Supervisor
Salvation Army Developmental Disabilities Program
09.2014 - 03.2020
- Managed residential home operations, including staffing schedules and transportation arrangements.
- Assisted in developing and implementing service plans tailored to resident needs.
- Maintained accurate documentation of all resident activities for compliance audits.
- Promoted safety by enforcing rules and regulations within the facility.
- Monitored resident activities to ensure adherence to program regulations.
- Provided crisis intervention services to residents requiring emotional support.
- Oversaw daily EHR documentation to ensure compliance with Medicaid Waiver services.
- Audited employee timesheets for accuracy against staffing schedules, facilitating HR approval.
Education
Bachelor of Science -
Western Governors University
01-2027
High School Diploma -
Laurel Senior High School
Laurel, DE05-2012
Skills
- Microsoft Office Suite
- Medicaid expertise
- Referral networking
- EHR management
- Policy enforcement
- Case management
- Clinical documentation
- Compliance standards
- Person-centered planning
- Document analysis
- Data analytics
Timeline
Health/Human Services Case Manager Supervisor
State of Delaware
01.2024 - Current
Senior Social Worker/Case Manager
State of Delaware
03.2020 - 02.2024
Medical Office Assistant
Tidal Health Mears Campus
02.2020 - 03.2020
Residential Supervisor
Salvation Army Developmental Disabilities Program
09.2014 - 03.2020
Bachelor of Science -
Western Governors University
High School Diploma -
Laurel Senior High School
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