Vassie Boney
Jacksonville,NC
Summary
Professional with strong background in case management, prepared to make significant impact. Proven ability to collaborate with teams and adapt to changing needs. Skilled in client assessment, resource coordination, and crisis intervention. Reliable and results-focused, with commitment to achieving positive outcomes.
Overview
16
16
years of professional experience
Work History
Case Manager
Eleanor Health
01.2021 - 01.2022
- Be the care navigator helping our members figure out the care that is the best fit for their needs
- Be the main communication point with members
- Follow-through on all assigned tasks
- Provide proactive engagement, building a long-term trusted relationship with the member through calling, texting, and maintaining regular visits
- Provide rapid response to help the member get needed resources if there is a medical, mental health, or addiction life crisis
- Help facilitate tracking of key outcomes metrics
- Help identify risks and care needs and integrate other team members (therapists, medical, peer specialists, nurses) as appropriate
- Collaborate with clinic teams to ensure appropriate action plans are developed for community members' needs
- Connect members to community resources and ensure their needs are being met
- Serve as a health coach for members helping them reach their health goals (diet, exercise, etc)
- Collaborate with the contact center to ensure a smooth transition for members into our clinics
- Onboard new community members and orient them to our clinics
- Work with disengaged community members to identify barriers to attending appointments and work to re-engage those members
- Remote-40 Hours Weekly
- Worked fast to complete tasks and meet daily deadlines.
- Followed instructions and procedures to complete assigned tasks.
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Enhanced communication between clients and providers through consistent follow-ups and progress updates.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Advocated for client rights when interacting with external agencies or institutions, ensuring fair treatment at all times.
- Developed and implemented comprehensive case management plans to address client needs and goals.
- Achieved positive client outcomes by developing and implementing comprehensive case management plans.
Health & Human Services Case Worker
New Hanover County Health & Human Services
03.2024 - Current
- Responsible for interviewing clients and collateral contacts using various complex automated systems
- Explains the requirements and benefits of all Medicaid programs, Food and Nutrition Services, Child Care subsidy, Work First Family Assistance, Long Term Care and the Federal Marketplace to determine eligibility and/or re-eligibility for the various programs
- Duties include researching and evaluating resources; verifying information; processing applications; compiling and entering data into appropriate computer database, including the NC Fast system
- Explain and recommend programs; referring clients to other appropriate agencies or community programs and documenting findings and the status of the case
- Consistently met deadlines under pressure while maintaining high-quality work output in a fast-paced environment.
- Gathered, organized and input information into digital database.
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
Long Term Disability Claim Specialist
Metlife
10.2022 - 12.2023
- A portfolio of long-term disability claims, ensuring accurate and timely processing
- Provide high-quality customer service to customers, responding to inquiries in a timely and professional manner
- Handle claims in a manner that is compliant with applicable laws and regulations
- Utilize problem-solving skills to identify and resolve customer issues
- Maintain accurate records of customer interactions and claim status updates
- Monitor claims for accuracy and completeness and follow up with customers as needed
- Work collaboratively with other team members to ensure timely processing of claims.
- Followed up with customers on unresolved issues.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Managed high-volume caseloads effectively, prioritizing urgent cases while maintaining attention to detail for all claims.
- Participated in ongoing professional development courses to stay updated on best practices within the industry.
- Provided exceptional customer service during difficult situations, displaying empathy while explaining complex claim issues clearly to clients.
- Conducted thorough investigations into insurance claims to determine coverage eligibility and appropriate compensation amounts.
- Maintained compliance with industry regulations by staying up-to-date on changes in policies and procedures, ensuring proper handling of sensitive information.
Case Manager
Biogen
10.2020 - 10.2021
- Intake of patient for case Management support
- Take the lead in facilitating access to therapy by utilizing Alzheimer and Neurology products
- Daily interactions involve contact via phone with health care providers, Biogen Field representatives, Business Service partners, Pharmacy, Nursing services, insurance companies, and other internal work group partners
- Communicate empathetically with patients while helping them through their process of starting medication
- Utilized strong interpersonal skills that will allow for the support and education of patients in their disease state and understanding of medicine benefits
- Communicate support program options, to patients and caregivers
- Advised patients of their payment obligations to cover for their medication
- Negotiate with the Pharmacy about lowering the tier of medication, for patient affordability of medication.
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
Paraprofessional-PT
Crandell’s Enterprise
12.2019 - 10.2021
- Assists individuals daily activities, personal care, home care and maintenance, and transportation
- Assist Peer Support with arrangements for transportation of clients to appointments
- Directs therapeutic interventions to build socialization, behavior management skills, and daily/community living skills
- Directs therapeutic interventions to promote adaptive skill learning and development of leisure time interests/activities
- Maintains documentation, progress notes, and other data as needed, including incident and accident reports
- 20 Hours Weekly
Patient Support Coordinator
McKesson Corporation
07.2017 - 07.2020
- Update Concise progress notes to ensure other roles within the workflow are quickly able to assess the status of the referral
- Manage patient refill coordination and follow-up to ensure patients comply with their therapy plan
- Answer patient questions and concerns and transfer to the clinical team (pharmacists and nurses) when appropriate
- Identify and report adverse events and product complaints to clinicians to ensure patient’s safety
- Consulted with Physicians, and nurses for dose changes, and verification of planned therapy treatment for patients
- Run test claims to notify patients of their payment obligations
- Fostered partnerships with local service providers to enhance resource networks available to clients in need of specialized assistance or referrals.
- Collaborated with interdisciplinary teams to provide comprehensive support services for clients, improving outcomes across multiple domains.
- Conducted thorough assessments to identify client needs and develop appropriate support interventions, resulting in improved client outcomes.
Government Account Coordinator
Verizon Wireless
01.2009 - 11.2016
- Perform research /analysis on government agency accounts and make sound decisions to ensure customers are receiving the full benefit of products and services offered
- Partner with Implementation, Contracts, and Finance to review and maintain customer profiles and contracts for Government agency
- Review/Confirm Government Purchase Orders for funding to allow order processing completion
- Perform research /analysis on government agency accounts and make sound decisions to ensure customers are receiving the full benefit of products and services offered
- Partner with Implementation, Contracts, and Finance to review and maintain customer profiles and contracts for Government agency accounts
- Serve as single point of contact (SPOC) and provide daily operational and customer service support
- Proactively audit accounts to ensure accurate setup according to contractual requirements
- Collaborate with the implementation team to periodically review and update EWI profiles for accounts
- Serve as Point of contact for the FBI/DOJ contract price plan related issues within DOJ GAE team
- Streamlined communication between clients and internal teams for seamless project execution.
- Ensured timely response to client inquiries by maintaining open lines of communication through email correspondence or phone calls.
- Kept high average of performance evaluations.
- Developed strong relationships with key stakeholders, fostering trust and long-term collaboration between clients and agency partners.
Education
A.A.S Degree -
Wake Technical Community College
Raleigh, NC01.2006
Skills
- Self-starter
- Accepts direction and coaching graciously
- Effective time management
- Energetic
- Case Management
- Agile
- Microsoft Office
- Problem-solving
- Case management
- Time management
- Case documentation
- Decision-making
- Conflict resolution
- Email and telephone etiquette
Timeline
Health & Human Services Case Worker
New Hanover County Health & Human Services
03.2024 - Current
Long Term Disability Claim Specialist
Metlife
10.2022 - 12.2023
Case Manager
Eleanor Health
01.2021 - 01.2022
Case Manager
Biogen
10.2020 - 10.2021
Paraprofessional-PT
Crandell’s Enterprise
12.2019 - 10.2021
Patient Support Coordinator
McKesson Corporation
07.2017 - 07.2020
Government Account Coordinator
Verizon Wireless
01.2009 - 11.2016
A.A.S Degree -
Wake Technical Community College
Similar Profiles
Laquita SteversonLaquita Steverson
Member Experience Administrative Specialist at Eleanor HealthMember Experience Administrative Specialist at Eleanor Health
Rebecca Aspray-CollazoRebecca Aspray-Collazo
Community Recovery Partner & Health Advocate at Eleanor HealthCommunity Recovery Partner & Health Advocate at Eleanor Health
Stephanie LandryStephanie Landry
Community Recovery Partner at Eleanor HealthCommunity Recovery Partner at Eleanor Health