Case Manager

Clarise Miller

***** **** **** *****, **** Palm Beach, FL 33411

Home: 561-***-**** - Cell: 561-***-**** - ********@*****.***

Professional Summary - Case Management in Long Term Care and Nursing

Home Diversion Medicaid programs. Over 13 years of geriatric case management

experience. Employee trainer and quality program leadership.

Skills

• Patient evaluation/intervention

• Policy and program development expertise

• Patient-focused care

• Diagnostic tools familiarity

• Competent in physical assessments

• Hospice and palliative care experience

• knowledgeable of quality processes

• care plan development

• training skills

• discharge planning

• knowlegeable of Medicare and

• resource reference and advocate

Medicaid programs

Work History

LTC Case Manager Sunshine Health/Centene – Sunrise, FL 06/2013 - 03/2015

Case management for long term care patients such as the elderly, brain/spinal cord injury,

developmentally disabled and those with mental illness. Skills include assessment, care

plan development, arrangement of services, patient advocate, referral and resource

information, coordination of care, and discharge planning. Active participant in roll out

plan of new Medicaid LTC program.

Quality Preceptor Amerigroup/Wellpoint – Boca Raton, FL 07/2010 - 05/2013

Trainer for 40 existing LTC employees and new hires. In 2012 provided over 36 hours of

training to all LTC staff. Coordinator of LTC Quality program. Duties included data

collection, reporting and interventions to improve outcomes in quality studies. Helped

LTC plan achieve 50% improvement in Timeliness of Care PIP. Filled in for Case

Manager Supervisor during absence.

Clarise Miller

13087 55th Road North, West Palm Beach, FL 33411

Home: 561-***-**** - Cell: 561-***-**** - ********@*****.***

Case Manager Amerigroup/Wellpoint – Boca Raton, FL 05/2002 - 07/2010

Provided case management for up to 120 members. Skills utilized were assessment, care

plan development, documentation, coordination of services, discharge planning, and

resource reference. Lead in development of Treasure Coast market.

Admissions Coordinator St John's Rehab Hospital and Nursing Center – Lauderdale

Lakes, FL 06/2001 - 02/2002

Lead facility tours and completed admission paperwork with patients. Received intakes /

inquiries. Verified prospective patient benefits.

Activites Director / Care Plan Coordinator The Wateford Convalescent Center –

Hialeah Gardens, FL 01/1987 - 06/2001

Oversight of activities program for 202 residents. Completed five sections of MDS.

Served as care plan director for several years.

Education

Bachelor of Science: Recreation with Therapeutic Emphasis

University of Florida - Gainesville, FL 1985

Accomplishments

Helped plan achieve a 50% improvement in quality of care study. Provided over 36 hours

of training in 2012. Performance champion in Dec 2011. Oversight of seven employees

as Activity Director. Created a policy and procedure manual for Activity services in the

nursing home setting. Selected as a Hialeah Gardens Community Star.

Techincal Skills

MS Office/Outlook,CITRIX, FACETS, MACESS, Care Compass, RightFax, Trucare,

WebEx and internet usage

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