Manager Case
Resume:
LATOYA D. CLARK
***** ********* **** ~ Houston, TX 77079
Email: *************@*****.*** ~ Phone: (713) 857 - 3226
I am an effective, multi-faceted 13-year case manager and administrator with a track record of success as it pertains to supporting, leading & developing large teams in fast pace environments. You will find that I embody poise, discernment, compassionate, and vision with in-depth experience in the following:
Medicare & Medicaid
Insurance Verification
Community Outreach
Psychosocial Assessments
Referral Services
Paper & Electronic Records
State, County & Federal Regulatory Mandates
Intake Documentation & Discharge Planning
Inpatient & Outpatient Mental Health Services
Financially Responsible: Managed 3.1 million dollars in my clients real property, pensions, VA benefits, trust, savings, pre-needs, SSI/SSDI checks, departmental budgets & transportation funds
Service in Excellence: Served more than 18, 000 consumers across California, Oklahoma, Tennessee, Louisiana, Arkansas, and Texas in educational, medical, legal & social service realms
High Stakes Professional: Worked for the Honorable Judge Kristine Butts in Probate Court 4 serving wards of the state (Texas) and Mayor Ray Nagan during the Mardi Gras Carnival Season
Humble: 10-time Spirit of Excellence & Bank of America Most Inspirational Award winner.
Doctorate of Psychology: Organizational Leadership, University of the Rockies ~ Denver, CO
(66/ 68 hours completed; dissertation & graduation September 2015 [3.57 GPA]
Masters of Arts: Education, Ashford University 2011~ Clinton, IA [ 3.92 GPA ]
Bachelors of Arts: Sociology, University of New Orleans 2004 ~ New Orleans, LA [ 3.11 GPA ]
Computer Proficiency: 50 WPM; Intermediate Word, Excel, PowerPoint, Outlook, OneNote skills
Concurrent Training: FEMA-Is 700 Incident Management and Healthcare, Crisis Intervention & Management, Ethics & Consumer Confidentiality, CPR, Social Deviance, Adult Psychopathology and Treatment, First Aid, Prevention Management of Aggressive Behavior, Co-Occurring Psychiatric & Substance Abuse Disorders, Suicide/Homicide Prevention, Hazmat/Infection Disease Control & Clinical Engagement
Hardware: Computers, industrial printers-fax, scanners, projectors, web cams & multi-line IP phones
Software: Adobe, Evolve, UltiPro, ImpactPro, Windows OS, HR Connect, Naviance & Concur Expense
Communication & Networking Platforms: WebEx Video Conferencing, Cisco Jabber, Skype, Google Docs, email, Zoho, Trillin, Facebook, Twitter, and Linked-In
CASE MANAGER & COMMUNITY HEALTH WORKER, UnitedHealth Care (UHC) ~ Houston, TX
April 2015 to Present
As a case manager and field community health worker (FCHW), I managed a caseload of 60+ members monthly consisting of 1) pregnant mothers (Healthy First Steps members), 2) members transitioning from the hospital to home (Transition Case Management); 3) members with both Medicare & Medicaid benefits (DSNP), and 4) High Risk members consisting of disable (MH/IDD) persons & children under the age of five
Completed 90+ client-centered activities weekly consisting of home visit and follow up calls; ensured that members are treated with dignity as I worked hard to improve their quality of life
Assessed members with Access to Care, Health First Steps and PH-Q9 assessments & analyzed outcomes
Updated each member’s paper and electronic records while identifying barriers to care & psychosocial needs
Ensured that these top 5% Medicaid and or Medicare spenders reduce the number of hospitalization and trips to the ER by scheduling their doctor appointments (e.g. PCP, optometry and dental), arranging transportation, locating alternative housing alternatives, ordering their DME supplies, and completing community referrals
Utilized the language line to engage non-native English-speakers; provided health education and advocacy
Verified insurance effective date & performed warm transfers so nurses can address HEDIS
Provided telephonic outreach and support to members in Houston, El Paso, Huffman, Conroe, Tyler, Willis, Bryan, Sugarland, Liberty, Galveston, Richmond, Baytown, LaPorte, Dickerson & Friendswood Texas
Upheld the highest standard of regulatory compliance and protected members PHI and medical records
ADMINISTRATOR: ACADEMIC COORDINATOR, The Village School (TVS) ~ Houston, TX
July 2013 to April 2015
Served 1,800+ vendors, parents, agents, school personnel, prospective families, and students from Russian, Ukraine, Malaysia, Singapore, China, Taiwan, Vietnam, South/North Korea, Angola, Nigeria, Mexico, Peru, Spain, Hong Kong, USA, Brazil, and the United Kingdom
Created Individual Education Plans (IEP)’s to increase each international boarding student’s linguistic command & English-language acquition (e.g. reading, writing, speaking & comprehensions)
Utilized explicit instruction, prompting, modeling, & kinesthetic to enhance organization skills
Direct report to the residential director’ assisted with incoming/outbound travel (e.g. air, bus, train, car), electronic record validation, I-20’s & I-94’s, consulate visits, Visa/Passports audits, email vetting, scheduling & staffing, program budgets, credit cards reconciliations, and immunizations
PSYCHIATRIC TECHNICIAN III: University of Texas Health Science Center ~ Houston, TX
September 2009 to June 2013 (PRN)
Executed treatment on Unit 1D (Juvenile Detention Center Sub-Acute Unit) and Unit 1C which serves children age 5-17. Monitored patients who stayed for 1-45 days; ensured patients participated in academia, psychotherapy (consumers/families), therapeutic groups, and MH court services. JDC works closely with TYC, RTC, Youth Villages and Burnett Berlin Reception Center
Supported medical staff on Units 2B to 3D (adults) & Unit 3E forensics inpatient intakes and discharges. Engaged in taking patients’ vital signs, body searches, two/four point restraint, seclusions, mental health counseling, and preparing consumers for EEG, EKG, lab specimens, blood work and outpatient services at Ben Taub General Hospital/ MHMRA
Conducted individual medication management sessions for on Prolixin, Lithium, Abilify, Paxil, Risperdal, Zyprexa, Seroquel, Geodon, Concerta, Ativan, Celexa, Haldol, Prozac, Klonopin, Lexapro, Trazodone, Wellbutrin, Metformin, Thorazine, Invega, Effexor, and Levothyroxine
Interacted with consumers with, but not limited to MH, MR, duel diagnosis, substance abuse, HIV, Hepatitis, Tuberculosis, diabetes, and many other psychiatric or physical health challenges
CASE MANAGER II & LEGAL GUARDIAN, Harris County Guardianship Program ~ Houston, TX
September 2011 to March 2013
As a case manager II and legal guardian operating under the umbrella of Child Protective Services, Probate Court 4 & Judge Kristine Butts I oversaw 32+ mentally and physically incapacitated individuals with dementia, autism, Huntington’s disease, schizophrenia, bipolar, depression, hoarding, developmental delays, mental retardation, and substance abuse diagnoses
Monitored $1,350,000 in revenue and expenditures of all ward’s real property, healthcare premiums, life insurance policies, pre-needs, Social Security and VA benefits, and trust funds.
Completed treatment plans, progress notes, case readings, annual accounting & inventories and representative payee, food stamp, affidavits of assets & Medicare/Medicaid applications
Conducted daily home visits to adult day programs, personal care homes, assisted living facilities, skilled nursing facilities, hospices, private residences & IDD, ICF, HSC homes
Collaborated with doctors, home health aids, and hospice agencies for medical consents & DNR’s
Negotiated and secured 100+ pre-need burial contracts and residential facility agreements
Advocacy & Linkage with the Representative Payees, Personal Care Homes, State Comptroller, Lighthouse of the Blind, The Center, APS, Social Security Administration, MHMRA, Texas Health & Human Services, Ben Taub, Veterans Affairs & Cristo Rey, Carnes and Paradise Funeral Homes
CLINICAL CASE MANAGER II, Mental Health Mental Retardation Authority (MHMRA) ~Houston, TX
August 2008 to August 2011
As a case manager, I discharged 4,000 clients from UT Harris County Psychiatric Center to MHMRA clinics with 99.2% state accountability & 97.5% of consumers seen face to face
Managed caseload of 110 children and adults monthly and trained 15+ employees annually
Completed TIMA and TRAG assessments, progress notes, authorization disclosures, financial policy agreements, non-clinical needs assessments, community referrals, and daily super bills
Aided clients with supportive counseling & in filing for SSI/SSDI, Medicare/Medicaid, Gold Cards, SRO’s, Food Stamps, employment opportunities, shelters/housing, and NA/AA support groups
Advocacy and Linkage with the EC, CPS, APS, MCOT, PATH, CRU, NPC, DARS, New Start, Lord of the Streets, Salvation Army, Magnificent House, Star of Hope family shelter, Metro Lift, Compass, Ben Taub, Rusk
State Hospital, IDD services, St. Thomas Street, New Start, NAMI, DADS, SSI Administration, Montrose Counseling Center & the Texas Dept. of Human Services.
LEAD CASE MANAGER, National Alliance of Mental Illness (NAMI) ~New Orleans, LA
July 2007 to July 2008
As a the lead case manager for the Non-Residential Supervised Independent Living Program, I managed 60 consumers with Schizophrenia, Bipolar, Depression, Personality Disorders, Dementia, Hoarding, Developmental Delays, Mental Retardation, and Substance Abuse diagnoses
Supervised 4 life skills coaches and 4 peer support specialists before and during home visits
Completed 9-point intake assessments, insurance claims, and quarterly outcomes reports; located funds for employment, housing, utilities, GED preparation & FEMA/Road Home claims with a 98% accuracy rate
Provided supportive counseling on mental health education and diagnoses, medication management, addiction and trauma, co-morbidity, depression, substance abuse and life skills coaching on etiquette, appropriate dietary consumption, med. management, budging finances, effective communication with doctors and family, career development plans, self-esteem, and controlling diabetes
Supported clients at court, while in jail, MH/PCP appointments, grocery store, court, and hospitals
Reinstated Social Security benefits, Medicaid/Medicare, and Food Stamps; 85% received benefits
Advocacy and linkage with EJMHC/WJMHC, Jefferson Parish Human Services Authority, Southeast, Hope House, Ciara House, S.R.O., Catholic Charities, Pathways, and Voyage House.
CASE MANAGER II & QMHP: Southeast Mental Health Center ~ Memphis, TX
August 2005 to June 2007
As a case manager II & qualified mental health professional for the Winchester outpatient clinic, I managed a caseload of 60+ clients (age 6-19) Memphis City Schools & the community
Conducted monthly home visits, attended IEP and 504 accommodations meetings, updated diagnosis certifications and Individualized Behavior Plans, responded to mobile crisis emergencies, filled prescriptions, purchased uniforms, reinstated Tenncare, and SSI benefits
Completed ACT, SAT, FAFSA, college/ technical schools applications and resumes
Advocacy and linkage: MIFA, Youth Villages, Department Child and Health Services, Lakeside Behavioral Health, and Memphis City School District
CASE MANGER I, Jefferson Parish Marine Institute &Juvenile Educational Training Institute ~ New Orleans, LA
May 2004 to July 2005
As a case manager I and alternative school teacher, I managed a caseload of 40+ students annually
I administered drug tests, ankle monitoring & contraband checks, attended court, and reported curfew violations to the Louisiana Juvenile Court (LJC) and Probation & Parole System (PPS). In addition, I supervised extended services, community based projects, monitored students on out of town retreats, and ensured that referrals for mental health, guidance, career counseling, learning specialist support, & physical health screenings were reported and completed through the LJC and PPS
As a teacher, I rendered instruction in English, Science, Mathematics, and Social Studies for students grade 6-11based on the NCLB Standards (Alternative Public School). Created age-appropriate and stimulating lesson plans; entered grades & attendance promptly and as required.
Likewise, I proctored the Mini Battery of Achievement (MBA test), Louisiana Educational Assessment Program (LEAP test) & the General Exit Exam (GEE); provided GED remediation coursework for students who cannot pass State exams and created enrichment electives such as human sexuality, horticulture, STD prevention, etiquette, sports & manual dexterity
PARALEGAL LIASION: Ronald Wilson Law Office ~ New Orleans, LA
March 2001 to March 2004
Overseer of all Civil law cases; I engaged in witnessing documents, clerical duties, court scheduling, intakes, and notarizations. Filed 300+ motions and other documents at the Louisiana Supreme Courts, the Fifth Court Circuit Court of Appeals, and the Louisiana Federal Court
Edwina Kumi, MS ~Assistant Director, The Village School ( Houston, TX )
Contact Information: *****@****************.***; Phone: (781) 228 – 1980
John Robinson, BA ~Business Analyst, VALIC Inc. (Houston, TX)
Contact Information: ****.********@*****.***; Phone: 713-***-****
Michael McKenzie, MS ~Director (Boarding) & Independent Consultant (Houston, TX)
Contact Information: *****************@*****.***; Phone: (215) 681 - 6908
Stacy Morgan, MS ~Program Director, National Alliance on Mental Illness (New Orleans, LA)
Contact Information: ********@*****.***; Phone: 504-***-****
Mollie Graybill, MS ~Legal Guardian, Harris County Guardianship Program (Houston, TX)
Contact Information: **************@*****.***; Phone: 832-***-****
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