Medical Case Manager
Rocky Mountain Human Services-Denver, CO
November 2024 to Present
- Responds to correspondence from the member, family or provider within two business days. This can include questions, requests, concerns, status updates, etc.
Completes in-person eligibility and monitoring visits with the member at their residence.
- Completes quarterly monitoring visits with the member and/or designated team member as assigned.
This may be an in person or virtual visit depending on the client's preference.
- Schedules assigned assessments and service plans with the member and, if appropriate, care team in the timeframe required.
- Completes all assigned and required assessments and service plans with the member and, if appropriate, care team in the member's residence.
- Ensures the PAR is completed prior to services being implemented and matches the assessment and service plan.
- Completes all CDASS and IHSS required paperwork as part of the annual service plan process.
- Submits utilization reviews to the utilization management vendor and responds to all follow up requests in a timely manner.
- Coordinates with members and providers to ensure PARs and plans are accurate. Responds to requests for follow up within two business days.
Ensures certifications are submitted to the county to prevent eligibility breaks.
- Responds to the complex needs of members and represents RMHS in team meetings to determine services and supports needed to meet the member's needs.
- Assists members and their care teams to find appropriate service providers and/or necessary resources.
- Initiates revisions to the service plan by collecting information and understanding the needs of the member and care team.
- Completes all necessary paperwork according to rules and regulations to properly implement a rights modification for the member to be safe and healthy.
- Monitors and responds to incident reports and critical incident reports.
- Responsible for the management of an assigned caseload.
- Completes closures or terminations, as needed, ensures members understand the complaint and appeal process.
- Maintains professional and ethical behaviors in all interactions with members, care teams, and RMHS internal staff while meeting expectations and quality standards set by RMHS.
- Participates in training and staff development activities as assigned, including team meetings.
- Facilitates team meetings with care teams (primarily for IDD waivers and programs)
- Completes Mill Levy requests for members and/or their care team (primarily for IDD waivers and programs)
- Completes FSSP and State SLS plans children's and state team/CM only)
- Performs other duties as assigned.Brain Trauma Supervisor/ Case Manager
SLP Colorado-Parker, CO
April 2021 to November 2024
- Managing staff of 10
- Financial ledgers
- Medication Audits
- Leading Resident Counsel
- Care plans
- Assessments
- Managed daily bookkeeping
- Created work schedules
- Managed daily bookkeeping
Clinical Technician/ Clinical Administrator
Gallus Medical Detox Centers-Littleton, CO
June 2023 to April 2024
- Cash Management of patient funds
- Vital sign accuracy
- Physical care / assistance with daily living activities
- Ensuring patient safety
- Maintaining cleanliness of the facility, tidying patient rooms
- Checking and logging refrigeration temperatures
- Inventory management of the supply room
- Participation in Quality Management / Performance Improvement committees
- Participation in staff meetings
Certification Specialist
Optum Health/United Healthcare-La Crosse, WI
January 2022 to May 2022
- Certifying members of the World Trade Center for program admission
- ICD-10 Coding
- Medical Records
- Care coordination
- Assessments
- Diagnostic evaluation
- Medical Health Questionnaires
- Demonstrated excellent people skills in both client and employee relationships
Director of Operations
Lonnie’s In Home Dream Care-Little Rock, AR
August 2018 to February 2021
- Review and correct Psychiatric codes for reimbursement of services
- Reviewed Support professional documentation for accuracy for reimbursement
- Review and send patient statement for reimbursement for services.
- Supervised a staff of 20 support professionals
- Managed Medication variances
- Davy with Microsoft word and Excel• Performed Client House inspections
- Managed Client payee accounts
- Managed medical records for clients
- Credible software savvy for psychiatric documentation service notes.
- Excel in ICD-10- CM, ICD-10-PCS and CPT
Director Assistant/Nutrition Specialist
Bright Ideas Enrichment Center-Sherwood, AR
October 2015 to August 2018
- Supervised staff
- Opened and closed center
- Managed bank deposits
- Ordered supplies for center
- Provided childcare services as needed over
Job Coach Supervisor/Residential Trainer
Birch Tree Communities-Benton, AR
October 2010 to April 2015
- Evaluated clients' skills, strengths, and needs.
- Set clear, achievable employment goals tailored to individual needs and career aspirations.
- Assisted in job search strategies, including resume writing, cover letter creation, and job application processes.
- Provided guidance on networking and connecting with potential employers.
- Helped clients develop essential job skills, such as interviewing techniques, time management,
communication, and interpersonal skills.
- Offered training on specific job tasks or workplace technology as needed.
- Guided clients in adapting to workplace culture and expectations, including punctuality, dress code,
and team dynamics.
- Provided ongoing support to address challenges and helped clients adjust to new work environments.
- Offered hands-on support during the initial employment period, sometimes accompanying clients to the job site.
- Collaborated with employers to ensure a supportive environment and facilitated any job modifications required for clients’ success.
- Acted as an advocate for clients facing barriers related to disabilities, mental health, or other challenges.
- Maintained open communication with employers, families, or support agencies to address any concerns.
- Monitored and documented clients' progress and areas for improvement.
- Provided follow-up services to support clients in maintaining long-term employment and career growth.
- Offered emotional support, encouragement, and confidence-building to help clients overcome setbacks and stay motivated.
Supportive Living Specialist
Icm-Little Rock-AR
January 2012 to April 2012
- Helped assist client with ADL skills
- Managed money and finances
