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Skills

  • Client Satisfaction Improvement Strategies
  • Social history intake procedures
  • Caseload management
  • Client communication
  • Documentation and record-keeping best practices
  • Quality of life guidelines
  • Communications
  • MS Office
  • Community resource mapping
  • Process improvement

Work Experiences

  • Advocated for expanded client benefits, achieving successful government appeals for 15 in additional funding support.
  • Achieved reversal of funding denials in 75% of cases.
  • Conducted community outreach efforts.
  • Conducted 15 psychosocial assessments and evaluations in the last 6 months, leading to better-targeted service options for clients.
  • Achieved this over one year.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Consistently met deadlines for service evaluations.
  • Contributed to a 3% decrease in readmission rates.
  • Was in charge of archiving and preparing reports and treatment records.
  • Assisted clients with Medicaid eligibility requirements.

Summaries

  • Collaborated with 17 community health organizations.
  • Accomplished Case Manager with 17 years of experience.
  • Avoided over-expenditure by $8.
  • Creative problem solver with an exceptional ability to resolve disputes between Medicaid waiver clients and service providers, improving client-provider relationships by 58% through active mediation.
  • Achieved a 82% success rate on first client applications.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Compassionate case manager dedicated to empowering clients.
  • Attained 41% improvement in client satisfaction.
  • Coordinated interdisciplinary care.
  • Advocated for client-centered services.

Accomplishments

  • Advised and trained case management staff on advanced time management practices, increasing client face-to-face hours by 15% while reducing administrative backlog.
  • Assisted in developing a comprehensive client service handbook, which streamlined new staff training, reducing onboarding time by 47%.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Identified and addressed gaps in Medicaid waiver program knowledge during community events, resulting in increased participation by 69%.
  • Improved resource tracking by integrating metric into client service plans, reducing budgetary overspend by 85%.
  • Conducted 9 psychosocial evaluations, leading to tailored interventions and increasing client satisfaction ratings by 66%.
  • Liaised with transportation and home health service providers, increasing accessibility for home-bound clients by 79%.
  • Participated in statewide Medicaid waiver policy reform discussions, leading to enactment of changes that affected over 12 beneficiaries.
  • Resolved product issue through consumer testing.
  • Cultivated relationships with community-based organizations to improve resource availability, resulting in an increase of services for 3 clients.

Affiliations

  • American Case Management Association (ACMA)
  • Rotary International
  • American Academy of Nursing (AAN)
  • Freemason
  • Behavioral Health Network Resources
  • American Society on Aging (ASA)
  • Commission on Accreditation of Rehabilitation Facilities (CARF)
  • Center for Medicare and Medicaid Innovation (CMMI)
  • International Council of Nurses
  • Coalition for Compassionate Care of Washington

Certifications

  • Certified Business Analysis Professional (CBAP)
  • Certified Rehabilitation Counselor (CRC) - Commission on Rehabilitation Counselor Certification
  • Project Management Professional (PMP)
  • ASWB Exam Certification (Licensed Social Worker) - procedure
  • Microsoft Certified Systems Engineer (MCSE)
  • Certified Specialist in Managed Care (CSMC) - Healthcare Financial Management Association
  • CompTIA Network+
  • Certified Case Manager (CCM) – Commission for Case Manager Certification
  • Certified Public Accountant (CPA)
  • Trauma-Informed Care Certification (National Council for Behavioral Health)

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