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Mental Health/ Healthcare Administration

Location:
Hampton, GA, 30228
Posted:
August 13, 2013

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Resume:

Davida Williams

Experience

**/**** ******* ********** *******

Atlanta, GA

Resolve Application Specialist

Assist clients with resolving account

issues by reviewing the claims

submitted and taking the appropriate

actions to make sure the accounts will

be paid.

Communicate with clients and attorneys

to obtain the necessary information to

resolve the claim to include receiving a

copy of the Decision, Award Notices,

and/or Certification of Eligibility.

Maintain ongoing communication to

obtain and update PACE from clients,

attorneys, company representatives

and/or Healthcare Reps to resolve

evidence application issues.

Assist clients with scheduling

appointments and reminding of

hearings as needed.

Maintain communication with the

Social Security Administration office to

request documentation (Decision,

Award Notices and Certification of

Eligibility) to confirm client’s approval

status.

Review weekly caseload, identify

missing evidence and take appropriate

actions to completion.

Document, process mail documents and

update PACE.

Follow up with clients, institutions

and/or businesses resolving issues

affecting application and/or hearing

approvals.

Effectively educate and answer inquiries

from clients and family representatives

regarding the application and hearing

process.

Answer incoming calls from clients,

family representatives, Healthcare Reps,

ODAR, SSA, and DDS.

05/2010 9/2012 3 Dimensional Counseling

Center Conyers, GA

Executive Program Manager

Managed daily office operations by

overseeing operations billing, payroll,

trainings, and supervising all employees

(Paraprofessionals & Quality Control).

Conducted Medicaid, fee for service,

and private/commercial insurance

billing using CMS 1500 and other

systems.

Performed clerical and administrative

duties including faxing, copying,

mailing, effective phone

communications, and data entry.

Scheduled intake assessments for all

referrals including clients through the

Behavioral Health Link system.

Sent weekly summaries to designated

referral resources and/or

parents/guardians.

Conducted Monthly Trainings on

various topics including Health &

Safety. Completed Monthly Training

Certificates and updated training logs

for all staff.

Scheduled external trainings such as

2

First Aid/CPR, and CPI. Also set up all

new staff in the Essential Learning

System and tracked progress and

compliance with all required trainings

for certification purposes.

Provided quality customer service over

the telephone with schools, DFCS

agencies, foster care agencies, and

stakeholders by assisting with concerns

and/or questions on a daily basis.

Ensured office remained compliant for

CARF, DBHDD, and APS at all times.

Performed all Human Resource

functions to include replying to

interviewees, conduct interviews,

schedule new hires for background

checks, ensure all human resource files

are compliant, and documentation

training (BIRP notes).

Conducted bi monthly reports for client

Medicaid eligibility.

Completed quarterly billing reports for

CARF.

Conducted monthly staff meetings.

Prepared agenda for staff meetings,

QCS meetings, and Executive Staff

meetings. Prepared sign in sheets, took

notes and provided minutes of all

meetings.

Attended DBHDD Provider

Relation/State required meetings every

other months.

Assisted with internal audits, printed

progress notes, and provided feedback

3

to Quality Control Specialists related to

performance.

Conducted satisfaction surveys to all

parents/guardians via phone (30 day

follow up and 6 month follow up).

Agency closed

09/2009 08/2010 Binder & Binder, LLC.

Decatur, GA

Case Manager

Obtained necessary documentation in

preparation for Social Security

Disability and Social Security

Supplemental Income hearings.

Prepared and submitted documents for

scheduled court hearings to the Office

of Disability Adjudication and Review,

Social Security Administration, and

Disability Determination Services.

Provided customer service over the

telephone by assisting clients with

concerns and questions on a daily basis.

Maintained a caseload of over 180

clients.

Ran daily reports, request medical

records, narrative reports, and

impairment questionnaires.

Obtained appeal status, decisions, and

pertinent information with Social

Security Administration offices,

Disability Determination Services, and

Office of Disability Adjudication &

Review offices on a daily and/or weekly

basis.

4

Performed a variety of administrative

functions including filing, copying,

faxing, scanning, data entry, and

submission via Social Security data

system.

10/2007 06/2009 National Mentor

Healthcare Atlanta, GA

Clinical Coordinator

Assessed referred clients (adults) with

developmental disabilities, developed

and coordinated service plans.

Conducted home visits and mentor

group meetings as required.

Maintained current and completed client

reporting records.

Assisted with all legal, licensing,

regulatory and certification activities as

needed.

Provided pre services and in service

training to mentors as assigned and

assisted in mentor training, planning

and development.

Secured individual mentor contracts and

completed annual performance

evaluations for assigned mentors.

Made recommendations for mentor pay

adjustments and terminations.

Participated in rotational on call system

providing emergency coverage and

crisis intervention support.

Provided training and conducted

orientations for direct care staff and

potential caregivers.

5

Supervised 16 direct care staff by

ensuring timesheets were accurate,

homevisit monitoring, documentation

check and completed annual

performance evaluations.

Performed clerical and administrative

duties to include faxing, copying,

mailing, effective phone

communications, and data entry.

$29,000 Layoff

01/2007 08/2007 Department of Family and

Children Services McDonough, GA.

Social Service Case Manager Advanced/Child

Protection Investigator

Appropriately respond to critical

situations within prescribed time

frames.

Assessed and ensured the safety of at

risk children through case management

services to include providing referrals,

and evaluate individual living

environments through home visits and

interviews.

Gathered information via telephone,

collateral contacts, face to face contacts

with clients and community in

accordance with established procedures.

Worked within legal systems to ensure

the safety of individuals and achieve

desired outcomes. Testified in court

hearings if required. Prepared and filed

court petitions.

Prepared home and/or custody

evaluations and written reports.

Maintained required records and

6

completed reports.

Provided crisis intervention for cases of

abuse and neglect. Provided

appropriate crisis intervention services

for immediate needs and assessed

continuing services.

Worked in partnership with the schools,

court system and other outside agencies.

$29,970 Annually-Needed flexibility in job

08/2005 10/2006 School Board of Broward

County Ft. Lauderdale, FL

DJJ Detention Court Liaison

Acted as a Liaison between the Court

System and the School Board to provide

grades, attendance and reports to the

Judges of the Court System.

Attended DJJ Detention Court on a

daily basis and counseled parents and

students on academics and education.

Emailed and notified the student’s

registered homeschool of the student’s

release date from the Juvenile Detention

Center.

Prepared reports to coordinate a specific

plan to register students back into

school. Discussed and problem solved

with School Board Personnel on how to

make sure students will be in

attendance.

Obtained and submitted student

academic records to School Board

Personnel.

Performed clerical and administrative

duties to include faxing, copying,

7

mailing, effective phone

communications, and data entry.

$30,000 Relocated to Georgia

01/2004 08/2005 ChildNet, Inc.

Hollywood, FL

Child Advocate

Assessed and ensured the safety of at

risk children through case management

services including providing referrals,

facilitating services, and maintaining a

working knowledge of local services

and supports in order to assist families

in reaching their permanency goals.

Developed and implemented accurate

court ordered case plans by

incorporating legal records, mental

health evaluations, and assessments.

Prepared Judicial Review reports,

testified at Dependency court hearings,

and ensured compliance with court

orders based on careful maintenance

and understanding of case file

documents.

Performed clerical and administrative

duties including faxing, copying,

mailing, effective phone

communications, and data entry.

$34,175 Annually seeking new career experiences and

challenges

08/2003 12/2003 Department of Children and

Families Hollywood, FL

Family Services Counselor Intern

Implemented case management services

for up to 10 at risk children and assisted

their families in achieving goals through

appropriate referrals and identifying

8

individualized solutions.

Communicated with child welfare and

mental health professionals while

coordinating services that addressed

child specific needs and integrated

varied or conflicting assessments.

Prepared court reports and informative

court reports that made specific case

plan recommendations to increase

positive outcomes and greater safety for

children and their families.

Performed clerical and administrative

duties to include faxing, copying,

mailing, effective phone

communications, and data entry.

Completed internship and received a position with the

DCF privatized provider ChildNet, Inc.

05/2000 08/2003 School Board of Broward

County Ft. Lauderdale, FL

Clerk Specialist III

Problem solved and assisted teachers,

substitutes, and other school office and

administrative personnel with the use of

the Sub Search Automated and SAP

system.

Reviewed and processed Personnel

Action Form’s for substitutes.

Interviewed, processed, evaluated, and

recommended applicants based on a

thorough understanding of

administrative needs and personnel

9

qualifications.

Performed clerical and administrative

duties to include faxing, copying,

mailing, effective phone

communications, and data entry.

$23,000 Annually left to begin internship necessary

to complete Bachelor’s Degree

Education and certifications

2010 University of Phoenix Phoenix, AZ

Masters in Health

Administration(Graduated

April 2010)

Major: Healthcare

Administration

Minor: Informatics

2010 Certified Paraprofessional

2003 Florida Atlantic University Davie,

FL

Bachelor of Social Work Major: Social

Work

2002 Broward Community College

Pembroke Pines, FL

Associate of Science Major:

Liberal Arts

2000 Broward Community College

Pembroke Pines, FL

Associate of Arts Major:

Office Management

Child Welfare Certification,

Department of Children and

Families, Tallahassee, FL 2003

10

Family Team Conferencing

Certification, University of South

Florida, Tampa, FL 2005

Child Protection

Certification, Departmentof Families

and Children, State of GA 2007

Notary since 2011

Skills

Type 55 wpm, proficient in HomeSafenet,

Safekids, and Cobris Statewide Computer

systems, Microsoft Word, Microsoft Excel,

Microsoft Outlook, Microsoft Access, Filemaker

Pro, Internet, AS400, SAP, Sharenote, Georgia

Medicaid System, and PACE.

CPR/First Aid Certified.

References are available upon request.

************@*****.*** 11

11812 Registry Blvd. Hampton,GA 770-***-****



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