Insurance Medical

Yvesmary Duclair, MSW, ACSW

*** ********** ***. *********, ** 11553

Cell 516-***-**** *******@***.***

EDUCATION

**** ******* ********** *** ****, NY

Master's Degree in Social Work

Graduate School of Social Services

2004 Molloy College Rockville Centre, NY

Bachelor's Degree in Social Work

CERTIFICATION

Academy of Certified Social Workers

WORK EXPERIENCE

June 2014 Present Fresenius Medical Care Renal Research NY, NY

Financial Coordinator

• Meet regularly with dialysis patients to identify, address, resesarch, and resolve insurance coverage

issues

• Educate as to availability of alternative insurance options

• Tracking 30 month coordination period for those patients on Employer Group Health Plans to ensure

Medicare will be in place

• Monitoring and verifying the Medicaid status of each patient on a monthly basis

• Monitor patients’ insurance information to ensure that it is updated and accurate for the Accounts

Receivable Department

• Complete the Indigent Waiver applications

October 2006– August 2013 The Holliswood Hospital Jamaica, NY

Case Manager

• Provide and ensure a comprehensive assessment of patient’s psychosocial functioning

• Coordinates the development and implementation of the Comprehensive Treatment Plan under the

direction of the attending physician

• Provides individual, group and family treatment (psychoeducation, psychotherapy, skills training,

referral) as identified in patient treatment plans

• Documents patient progress and own interventions in case record as defined by hospital policy and

procedures

• Performs utilization review, provides progress reports and discusses aftercare plans with referring

persons/agencies, and managed care/insurance entities

• Provide a comprehensive aftercare plan and implemented prior to discharge

• Assists patients/families in most effective way to provide for these needs

• Participates in patient seclusion/restraint utilizing Management of the Aggressive Patient

Techniques

April 2008 Present Helen Keller National Center Port Washington, NY

Instructor of Individual Support Services

• Evaluate and provide interventions to individuals who demonstrate challenging behaviors

• Collect data, insights, feedback from staff to develop proactive plans which promotes growth and

encourage maximum independence and interdependence in all areas of living

• Investigate and evaluate new trends in teaching methods and materials that assists in the development

or improvement of services and programs

• Evaluate progress of the consumers and submit regular written reports

• Accompany and serve as a guide and/or interpreter for trainees and professional staff members,

• AMAP Certified

September 2005 – September 2006 Glengariff Health Care Center Glen Cove, NY

Unit Social Worker

• Develop and oversee individual care plans and provide data for insurance purposes

• Perform individual counseling and family meetings along with assisting with advance directives

• Collaborated with peers in the medical, nursing, and rehabilitation field in the development, integration

and evaluation of treatment plans and modifications of the total program of patient care

• Discharge planning and transfer arrangements in assuring continuity of care

• Advocate for the residents with personal and social problems involved with institutionalization

• Process psychosocial assessments and knowledge of MDS

CONTINUING EDUCATION

• Trauma Focused Cognitive Behavioral Therapy Medical University of South Carolina

• The Integrated Mental Health/Addictions Treatment New York State Psychiatric Institute/Columbia

Psychiatry

AFFILIATIONS

• National Association of Social Workers

LANGUAGE

Creole

Reference provided upon request

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