Tonesha Jones
Summary
Professional with strong background in care coordination. Skilled in patient advocacy, assessments, planning of individualized care, and resource management. Known for effective team collaboration and achieving measurable results. Adaptable to changing needs with robust communication and organizational skills. Reliable and focused on delivering high-quality care outcomes.
Overview
12
12
years of professional experience
Work History
Care Coordinator I
Humana
01.2022 - Current
- Visits Medicaid members in their homes, Assisted Living Facilities (ALFs), and/or Long-Term Care Facilities and other care settings – 75-90% local travel (see Additional Information section).
- Ensure members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs.
- Identify and resolve barriers that hinder effective care.
- Coordinates services, monitors, and evaluates the case management plan against the member's personal goals.
- Ensures the member progresses towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning.
- Identify and resolve barriers that hinder effective care.
- Guides members/families towards resources appropriate for their care. Facilitated interactions with other payer sources, providers, interdisciplinary teams, and others involved in the member's care.
Crisis Counselor
Lutheran Social Services of Illinois
01.2020 - 01.2021
- Prescreened mental health patients in crisis, linking them to case management services within a collaborative team environment.
- Provides prescreening of mental health patients in crisis and linkage case management services in a team-based environment.
- Coordinated treatment services between ED and psychiatric unit to ensure seamless patient transitions.
- Completed each intake/referral under 45 mins for each patient.
- Responded sensitively to cultural differences within the organization and service population, enhancing patient engagement.
Social Work Care Coordinator
Cook County/ County Care
01.2018 - 01.2020
- Completed 15+ home visits weekly.
- Managed a caseload of over 90 members with waivers, including those with elderly, disability, long-term care, and HIV/TBI needs.
- Conducted thorough assessments with members.
- Developed and updated care plans to meet members' specific needs and enhance their well-being.
- Communicated effectively with medical home team members.
- Created service plans that reflect needs determined by the (DON) determination of need and are consistent with the (DOA) Dept. of Aging, and (DRS) Dept. of Rehabilitation Services policies.
Recovery Counselor/ Employment Specialist
Trilogy Behavioral Health
01.2017 - 01.2018
- Delivered motivational treatment and support to 5+ clients daily, facilitating recovery from mental illness.
- Provided client-centered, strengths-based, and trauma-informed services to clients with severe mental illnesses and co-occurring substance use/addiction disorders utilizing a harm reduction approach.
- Created individualized employment plans with clients, integrating insights from treatment teams and family members.
- Facilitated conversations about psychiatric status with employers to promote understanding and support.
Case Manager Coordinator
Aetna Better Health
01.2015 - 01.2017
- Conducts comprehensive evaluations of 70+ members monthly.
- Identified high risk factors and service needs impacting member care planning.
- Coordinated and implemented care plan activities while monitoring progress towards goals.
- Present cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
- Utilizes motivational interviewing skills to ensure maximum member engagement and promote lifestyle and behavior changes to achieve optimal level of health.
Education
Master’s - Counseling Psychology
North Park University
Chicago12-2016
Skills
- Case management
- Documentation
- Patient educationnnn
- Multidisciplinary team collaboration
- Care planning
- Progress monitoring
- Multitasking and organization
- Team collaboration
- Needs assessment
Additional Information
75-90% local travel
Timeline
Care Coordinator I
Humana
01.2022 - Current
Crisis Counselor
Lutheran Social Services of Illinois
01.2020 - 01.2021
Social Work Care Coordinator
Cook County/ County Care
01.2018 - 01.2020
Recovery Counselor/ Employment Specialist
Trilogy Behavioral Health
01.2017 - 01.2018
Case Manager Coordinator
Aetna Better Health
01.2015 - 01.2017
Master’s - Counseling Psychology
North Park University