Misti Moreno

*** ********** ******, ***. **

Brooklyn, NY 11205

Cell: 646-***-****

Email: ac311i@r.postjobfree.com

EXPERIENCE

MJHS: Metropolitan Jewish Health System January 2015 - Present

Elderplan FIDA Managed Care Supervisor

●Facilitate interdisciplinary team workflows, care planning, audits for Elderplan,Elderplan FIDA CHHA Coordination

●Oversee audit of admission and discharge of Elderplan FIDA membership

●Lead team meetings and perform training for staff

MJHS: Metropolitan Jewish Health System September 2014 - January 2015

Managed Care Supervisor

●Created workflow, care planning and audits for Managed Care Coordinators

●Performed and generated monthly audits, member reduction lists and authorization notices

MJHS: Metropolitan Jewish Health System March 2013 - August 2015

Managed Care Coordinator

●Managed long term care plan for member enrolled in Elderplan/Homefirst

●Utilized data management and maintained highly confidential information for member while ensuring compliance under HIPPA regulations

●Generated authorizations for durable medical supplies (DME), personal care worker (PCW) services and communicated with vendors and home health care agencies

Mental Health/Apartment Treatment Program April 2012 - March 2013

Case Manager

●Managed strength and comprehensive health assessments to obtain educational and health information which utilizes the S.M.A.R.T module

●Performed routine visits to consumers with mental illness in order to count medication and provide Medicaid billable services

Community First Services, Inc . March 2011 - March 2012

Senior Case Manager

●Coordinated client re-entry plan and counseled forensic populations in new communities

●Documented biweekly progess reports and counseled sessions

Senator Charles Schumer February 2005 - March 2011

State Office Manager and Constituent Liason

●Scheduled meetings, conferences, press calls and releases for Senator Charles Schumer and State Deputy Directors

●Coordinated state internship programs, interviews, training and development

●Utilized Lexis Nexis, newspaper articles and the internet for research purposes

●Communicated with federal, state and local agencies on behalf of the Senator and constituents

EDUCATION

Long Island University

●Masters of Social Work

John Jay College

●Bachelors of Arts in Business Administration and English

NY Paralegal School

●Paralegal Certificate

SKILLS

Microsoft Office (Word, Excel, Powerpoint, Outlook), Quickbooks, Staff Training, Project Management, Managed Care Health Systems

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