Motivated Caseworker with high-level integrity and strong desire to help resolve challenges. Compassionate and team-oriented individual offering extensive knowledge of services, treatment options and issue resolution methods for cases.
Overview
9
9
years of professional experience
Work History
Behavioral Health Caseworker
AmeriHealth Caritas
09.2024 - Current
Support Members during transitions of care through assessment, coordination of care, education of the discharge plan of care, referrals, and evaluation of the plan's effectiveness.
Review the medication list and help members coordinate pharmacy needs with a community pharmacist to ensure medication reconciliation is completed when any changes occur.
Evaluate, monitor, and update the care plan through regularly scheduled follow-up contacts based on the Member/caregiver's progress, needs, and preferences.
Establishes points of contact in order to collaborate with identified community, medical, and/or behavioral health teams.
Provide input into succession plans and development plans for employees.
Maintain timely, complete, and accurate documentation of Member interactions in ACFC electronic care management platforms where applicable.
Monitor appropriate utilization and coordinate services with other payer sources, make appropriate referrals, and identify and escalate quality of care issues.
Develop a working knowledge of ACFC electronic care management platforms, care management programs, policies, standard operating procedures, workflows, Member insurance products and benefits, community resources and programs, and applicable regulatory, state, and NCQA requirements.
May identify cases to be presented at care management rounds and follow up with providers on recommendations to achieve optimal outcomes for Members.
Conduct Face-to-face visits at the Member’s residence, provider’s office, hospitals, other acute locations, or community locations for education and/or assessment.
ROSS Resource Coordinator
THE CITY OF CHARLESTON HOUSING AUTHORITY
02.2022 - 08.2024
Recruiting residents and conducting assessments.
Facilitating resident goal setting and referrals to services.
Case management services and coaching with the use of client centered approach.
Cultivating service providers partnerships.
Monitoring patient progress with data and organized records.
Develops staffing and administrative plans.
Assist with creating and strengthen referral relationships.
Collaborate with leadership and staff.
Resident Opportunity Self-Sufficiency Program.
Activity Therapist I, G. WEBER BRYAN PSYCHIATRIC HOSPITAL - Forensics
SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH
04.2019 - 02.2022
Plan and implement through one-to-one, small and large groups, on/off unit and community events.
Provide up-to-date assessments, surveys, recreation outcome plan, audits, progress notes and all other written files requirements by department to maintain accurate records.
Budget management any items required for planned event.
Provide therapeutic individualized plans to address needs, crisis management, goals/objectives, and appropriate daily interventions to meet each resident needs with outcome.
Create and produce the department monthly calendar with activities and events, newsletters, fliers, and bulletin boards.
Communicating directly with treatment team including the attending MDs, RNs, Nursing Administration, Chaplains, Social workers, counselors, families, and the patient.
Behavioral Health Technician, G. WEBER BRYAN PSYCHIATRIC HOSPITAL
SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH
03.2018 - 04.2019
Establishing positive connections, instilling confidence in the patient's abilities and strengths, and promoting the physical independence of the patients.
Developing therapeutic skills and routines to maintain or improve the patient's general state of physical or mental health.
Maintaining patient confidentiality and procedure for proper health care.
Documenting daily on progress and treatment finding.
Assisted in implementing individualized treatment plans, promoting therapeutic goals for patients.
Collaborated with multidisciplinary teams to enhance patient care strategies and outcomes.
ADMINISTRATIVE ASSISTANT (Work Study)
SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH Clinic - LOWER RICHLAND
09.2017 - 12.2017
Evaluating data, interpreting medical record information.
Schedule and manage transportation program.
Managing client relationship.
Interacting with center members and supporting team members.
Maintain confidentiality of pertinent information concerning residents and staff.
Organize files, prepare documents, schedule appointments, clerical duties.
Attend conference calls, meetings, and informational training sessions with clients and staff.
Education
Masters of Science - Clinical Mental Health Counseling
Grand Canyon University
Phoenix, AZ
05-2027
Bachelor of Arts - Sociology
University of South Carolina
Columbia, SC
12-2017
High School Diploma - undefined
Fort Dorchester High School
North Charleston, SC
05-2013
Skills
Patience discretion and a high level of professionalism
Applying concepts procedures and techniques
Data Management and records
Critical Thinking
Problem-Solving
Leadership
Experience in call center- healthcare
Client interaction
Timeline
Behavioral Health Caseworker
AmeriHealth Caritas
09.2024 - Current
ROSS Resource Coordinator
THE CITY OF CHARLESTON HOUSING AUTHORITY
02.2022 - 08.2024
Activity Therapist I, G. WEBER BRYAN PSYCHIATRIC HOSPITAL - Forensics
SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH
04.2019 - 02.2022
Behavioral Health Technician, G. WEBER BRYAN PSYCHIATRIC HOSPITAL
SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH
03.2018 - 04.2019
ADMINISTRATIVE ASSISTANT (Work Study)
SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH Clinic - LOWER RICHLAND
09.2017 - 12.2017
Bachelor of Arts - Sociology
University of South Carolina
High School Diploma - undefined
Fort Dorchester High School
Masters of Science - Clinical Mental Health Counseling
Behavioral Health Registered Nurse at Modican Medical & Safety- Florida State HospitalBehavioral Health Registered Nurse at Modican Medical & Safety- Florida State Hospital