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Skills

  • Crisis intervention techniques
  • Social history intake procedures
  • Budget management for care coordination
  • Care team meeting facilitation
  • Admitting processes
  • Regulatory compliance
  • Community Resource Networking
  • Team building
  • Relationship development
  • Case management software proficiency (Power BI)

Work Experiences

  • Oversaw the delivery of initiative project by standard team, which resulted in framework.
  • Saved $11 by putting in place cost-cutting measures that addressed long-standing issues.
  • Achieved improvements in 2015.
  • Answered 16 calls per three years to help customers with their questions and concerns.
  • Advocated for clients in multidisciplinary team meetings, which resulted in improved health outcomes in 77% of cases.
  • Worked with Care Case Manager to reduce patient discharge delays by coordinating tests, therapy, and other treatments.
  • Achieved 100% compliance with regulatory standards.
  • Looked for industry trends on social media and through online sources.
  • Addressed housing needs for homeless clients.
  • Achieved compliance by 2020.

Summaries

  • Currently holding a Georgia driver's license.
  • Community-oriented Case Manager.
  • Certified Care Case Manager adept in leading monthly training workshops that reduced documentation errors by 25%, increasing the overall competency of the care team.
  • Care Case Manager with experience evaluating chronic medical patients for home discharge or transfer to another health care facility.
  • Clear understanding of cross-functional collaboration and process improvement as well as strategic planning training.
  • Adept at overseeing case management teams.
  • Analytical healthcare professional.
  • Achieved operational efficiency.
  • Boosted cross-team communication by 47%.
  • Patient education, treatment coordination, and program referrals are all skills that a capable Medical Social Worker possesses.

Accomplishments

  • Designed a risk assessment template used by the care management team, decreasing assessment time by 17%.
  • Documented and resolved system which led to method.
  • Collaborated with insurance providers to streamline prior authorization approval processes, decreasing delays in patient care by several months.
  • Resolved complex patient needs by coordinating multi-disciplinary care teams, achieving 42% higher satisfaction rates from patients and families.
  • Optimized care coordination workflows, reducing response time for patient inquiries by 7 minutes on average.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Created monthly compliance reports ensuring adherence to HIPAA guidelines, resulting in 15% audit success rate.
  • Maintained Lean compliance across all cases, ensuring adherence to regulatory requirements with zero deficiencies during 2021 audit.
  • Collaborated with senior leadership to develop care management KPIs, achieving 32% goal attainment in 2017.
  • Spearheaded pilot program for chronic disease management, resulting in improved patient outcomes and a 29% decrease in ER visits.

Affiliations

  • Society of Women Engineers
  • Case Management Society of America (CMSA)
  • Home Healthcare Nurses Association (HHNA)
  • Association for Community Affiliated Plans (ACAP)
  • National Hospice and Palliative Care Organization (NHPCO)
  • National Association of Social Workers
  • Association of Rehabilitation Nurses (ARN)
  • National Association of Healthcare Access Management (NAHAM)
  • Jaycees
  • Association for Supply Chain Management (APICS)

Certifications

  • Microsoft Certified Systems Engineer (MCSE)
  • Certified in Health Care Compliance (CHC)
  • First Aid/CPR Certified
  • CompTIA A+ Technician
  • Project Management Professional (PMP)
  • Integrative Health and Wellness Coaching Certification (IHWCC)
  • Licensed Certified Social Worker (LCSW)
  • Certified Pediatric Case Manager (CPCM)
  • Certified in Care Coordination and Transition Management (CCCTM)
  • Certified Public Accountant

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