TIFFANY WASHINGTON
Cockeysville,MD
Summary
Highly ambitious, motivated, and driven professional with a twenty-year background in healthcare and eleven-years of healthcare management. This background is through providing direct care and services to individuals, families, and underserved communities. This background has created an aptitude to reviewing data, processing healthcare focused analyzations, and focusing on applying healthcare policies to members and various healthcare organizations. This knowledge and experience is guaranteed to deliver exceptional results for the company, team, projects, and members.
Overview
11
11
years of professional experience
Work History
Medicaid Program Manager
Evolent Health
Arlington, VA
10.2021 - Current
- Write assessments and develop analysis for Medicaid program and member needs
- Enhance awareness of health resources and worked to connect individuals with community programs
- Member-facing engagement
- Provided necessary health education training for patients and families
- Established and maintained positive relationships with government regulators, members and families; along with other area health care providers, physicians, and communities
- Engage with community workers and members of the public about the importance of health prevention and treatment plans
- Provided DHS (Department of Health Services) with corrective policy and action plans
- Educated patients on how best to manage their chronic illnesses through lifestyle changes such as diet modifications or exercise regimens
- Monitored progress of patients participating in ongoing programs aimed at improving their overall wellbeing
- Collaborated with health specialists to determine client needs and helped clients develop attainable goals
- Educated community members and liaisons on disease prevention, vaccines, and mental health resources
- Evaluated data to identify and address community-specific health needs
- Offered subject matter expertise for clinical assistance and program services like WIC
Senior Case Manager
Optum
Columbia, MD
05.2015 - 10.2021
- Locate and identify out-of-care or compliance members/patients
- Interviewed patients to obtain medical information, diagnosis, treatment plan measurements, and vital signs
- Assessed patients and documented their medical histories
- Skillfully managed commercial and Medicaid members that required enrollment and link them to care resources
- Conducted in-home, facility, or community visits to provide health education and reinforcement of the best optimal health strategies
- Provided intensive and extensive professional outreach by connecting with service providers and medical professional i.e. health departments, on a regular basis
- Continually reviewed outreach goals and objectives to ensure program progress via telephone or face-to-face
- Whole Person Centered Care which provided counseling and social support while giving appropriate referrals to community services
- Participated in outreach activities such as health fairs or community events
- Provided health education to clients about nutrition, physical activity, and disease prevention
- Built strong and positive relationships with community partners and engaged with advisory groups in order to gain trust with our target population
- Collected and analyzed relevant data as a case manager along with written documentation and inputting into systems to track daily activities
Education
Bachelor of Science - Health Education
Morgan State University
Baltimore 08.2007 - 05/2011
Skills
- Proficient in Microsoft, PowerPoint, Sharepoint and Excel
- Strong Verbal and Personal Communication Skills
- Writing and Developing Reports
- Attentive to Details in Reporting and Clinical Assessments
- Understanding of Medical Terminology
- Ability to Collaborate Between Multiple Teams
- Ability to Decipher Extensive Healthcare Data
- Experience with Diverse Population and Cultural Sensitivity Training
- Case Management Experience
- Program Management within Medicare and Medicaid Programs
- Critical and Analytical Thinking Ability
- Strong Organizational Skills
- Adaptable
- Facilitate Training Seminars
- Expertise in Managed Care
- Hedis and NCQA Knowledgeable
- TOC and HRA Assessment Experience
Certifications
- Certified Community Health Worker
- Certified CPR Training
Timeline
Medicaid Program Manager
Evolent Health
10.2021 - Current
Senior Case Manager
Optum
05.2015 - 10.2021
Bachelor of Science - Health Education
Morgan State University
08.2007 - 05/2011