Xiomara Reyes
Whittier,CA
Summary
Versatile Case Manager with 14 years of experience and a strong background in mental health, housing subsidy programs, insurance, and permanent supportive housing services. Skilled in coordinating insurance and medical care and counseling, motivating, and monitoring clients to track their progress. Possesses comprehensive knowledge of community resources that assist homeless individuals, those who have previously experienced homelessness, and individuals with chronic illnesses.
Overview
10
10
years of professional experience
Work History
Medical Case Worker
AltaMed Health Services
12.2020 - Current
- Developed and implemented therapeutic plans in partnership with patients and medical providers.
- Coordinated medical and support services.
- Documented daily case notes and facilitated seamless case management follow-ups.
- Collaborated with medical teams and patients to execute effective treatment plans.
- Provided crisis intervention for individuals facing medical, emotional, and mental health challenges.
- Assisted patients in accessing housing, financial aid, and community resources.
- Built partnerships with community organizations to enhance services and referrals.
- Offered counseling to help patients develop coping strategies and informed healthcare decisions.
- Explained medical care options to help families make informed healthcare decisions.
HIV Case Manager I
AltaMed Health Services
04.2019 - 03.2020
- Case Manager of a comprehensive service designed to promote access to and utilization of necessary health care by identifying and linking PLWH/A ages 18-29 to HIV medical and supportive services
- Assess the client’s physical, psychosocial, environmental, and financial needs
- Support clients transition successfully into Adult HIV care and supportive services
- Improve health outcomes and reduce the spread of HIV by ensuring PLWH/A are linked
- Assist clients in navigating complex health and social services systems
- Increase treatment adherence, reduce HIV risk behavior, educate, and increase life skills
- Assisted with health insurance enrollment like Covered CA and other HIV-subsidized medical programs
- Advocate and act as a liaison between patients and medical providers
Resident Services Coordinator
Skid Row Housing Trust
02.2017 - 04.2019
- Responsible for case management for homeless individuals with disabling conditions, including severe mental illness, substance abuse, and chronic illnesses.
- Facilitate access to social services and assist with transitions to new living environments.
- Conduct needs assessments, develop case plans, and provide referrals.
- Plan crisis interventions and follow-up services.
- Organize group activities and monitor referrals to community partners.
- Oversee service delivery and maintain client records.
- Participate in staff meetings and program development.
- Develop social and recreational programs in collaboration with the community.
- Build relationships with Resident Managers and community partners.
- Perform additional duties as assigned.
- Trained in suicide prevention, certified case management, and motivational interviewing.
ADVOCATE
LAMP Community
04.2015 - 02.2017
- Ability to work in a high tolerance Harm Reduction model with members with multiple barriers
- Strengthen and motivate seniors, veterans, and people with mental illnesses, HIV/AIDS, substance addiction, physical health conditions, chronic homelessness, as well as co-occurring conditions using the Motivational Interviewing method
- Develop and maintain a caseload of 16-20 members with all required documents from DHS
- Coordinate with DMH, DHS, and HFH partners to ensure members are connected to primary care and behavioral health services
- Develop and maintain files in a timely and accurate manner in agency records and electronic databases as required by its funding sources
- Conduct daily groups on topics like budgeting, increasing socialization skills, health maintenance, mental health and substance abuse recovery
- Establish collaborative working relationships with Resident Managers to facilitate open and ongoing communication regarding resident services aftercare and housing retention
- Initiate, monitor, and follow up on subsidized housing documentation with MSHA, CES, ACOF, DHS, and HACLA
Education
Bachelor of Arts - Social Work
Pacific Oaks College
Pasadena, CA07-2027
High School Diploma -
Belmont High School
Los Angeles 2009
Skills
- An adept learner with a thorough understanding of community resources that assist homeless, formerly homeless, and chronically ill individuals Excellent in customer service, information provision, and queries Experienced with administration protocols, clerical activities, housing programs, community resources, insurance, and medical care coordination
- Care coordination
- Team Leadership
- Good verbal and written communication skills
- Interdisciplinary coordination
- Proficient in all Microsoft applications (Word, Excel, Publisher, and Outlook)
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Medical Case Worker
AltaMed Health Services
12.2020 - Current
HIV Case Manager I
AltaMed Health Services
04.2019 - 03.2020
Resident Services Coordinator
Skid Row Housing Trust
02.2017 - 04.2019
ADVOCATE
LAMP Community
04.2015 - 02.2017
Bachelor of Arts - Social Work
Pacific Oaks College
High School Diploma -
Belmont High School
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