Madison Barnwell

Healthcare operations professional with more than two years of experience in Medicaid managed care, data collection, documentation, and database-based workflows, along with prior hospital behavioral health experience. Current work with Centene and Carolina Complete Health includes collecting and reviewing SDOH and care needs information, maintaining accurate member and service records, supporting referral and authorization workflows, and meeting time-sensitive documentation requirements. Bachelor's degrees in psychology and criminology with experience using TruCare, Epic, NCTracks, Microsoft Excel, and Google Workspace.

Care Navigator at Centene Corporation | Carolina Complete Health (2024-07 – Present)

Average hours/week: 40

• Support Medicaid care management operations for members referred for personal care services, collecting Social Determinants of Health (SDOH) and care needs information and documenting functional needs, service barriers, and resource needs.
• Maintain accurate member and service information in TruCare and NCTracks, review records for completeness, and gather missing information or documentation needed to support referrals and authorization workflows.
• Manage a variable weekly referral volume and complete required outreach within 24 hours, tracking screenings, follow-up, documentation, and outstanding next steps across active referrals.
• Coordinate with members, provider offices, social workers, care facilities, and community organizations to verify information, resolve barriers, and support timely access to services.
• Supported Carolina Complete Health's July 2024 Tailored Plan go-live by adapting to new Medicaid workflows, screening requirements, and service processes while maintaining timely outreach and accurate documentation.
• Handle sensitive member information in accordance with HIPAA and organizational requirements, maintaining clear records of member interactions and care coordination activities.

Behavioral Health Coordinator at Cone Health (2024-02 – 2024-06)

Average hours/week: 40

• Supported behavioral health operations across five Cone Health facilities, including emergency, behavioral health urgent care, inpatient behavioral health, and acute care settings.
• Gathered and documented psychosocial, substance use, placement, and resource information from patients and interdisciplinary teams to support treatment access and discharge planning.
• Coordinated patient throughput and placement across providers, nurses, social workers, ACTT teams, guardians, DSS, schools, facilities, and community agencies, tracking outstanding needs and follow-up across multiple stakeholders.
• Maintained accurate and timely documentation in Epic while adapting to different workflows and documentation expectations across hospital settings.
• Completed mandated CPS and APS reports when indicated and handled sensitive patient information with discretion and confidentiality.

Certified Nursing Assistant at The Laurels (2021-05 – 2022-09)

Average hours/week: 60

• Provided direct care for approximately 20 residents in a skilled nursing facility, supporting activities of daily living, mobility, safety, comfort, and individualized care needs.
• Collected and documented vital signs, changes in condition, and resident care information, communicating concerns promptly to nursing staff and other healthcare professionals.
• Worked with nursing and interdisciplinary staff to follow individualized care plans and maintain accurate, confidential resident records.

Behavioral Health Care Aide at Outreach Healthcare (2018-02 – 2021-05)

Average hours/week: 40-60

• Provided long-term, individualized behavioral health support to an adolescent client, promoting emotional regulation, safety, stability, independence, and daily functioning.
• Supported individualized treatment and behavioral plans through structured interventions, redirection and de-escalation, medication administration as directed, transportation, personal routines, and community participation.
• Maintained confidential documentation and communicated observations, concerns, and progress with caregivers and the care team to support continuity of care.

Bachelor of Arts in Psychology – University of North Carolina Wilmington (2021-05)

Bachelor of Arts in Criminology – University of North Carolina Wilmington (2021-05)

Minor in Forensic Science – University of North Carolina Wilmington (2021-05)