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Case Manager Management

Location:
Olathe, KS
Posted:
December 01, 2023

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Resume:

Formal Education

Masters in Criminal Justice Leadership & Executive Management - Walden University, MN.

Bachelor of Arts in Social Work and Social Administration.

Objective:

Seeking the position as a Case Manager/Program Specialist/Compliance Officer in a public, private or social services field where I can utilize my experience, skills and knowledge in the best possible way.

Skills, Knowledge, and Abilities:

Strong organizational, planning, and problem-solving skills.

Efficient in handling all the legal disputes arising out of health-related services.

Highly knowledgeable of Medicare/ Medicaid regulations and guidelines.

Excellent management and leadership abilities.

Ability to manage and prioritize the daily work effectively.

Ability to communicate professionally, concisely, and effectively with staff and clients.

Assure that clients/staff proceed efficiently through the individual action plan.

Professional Experience:

Human Resource Case Manager, Disability and Leave Services at Amazon

Insight Global, LLC (February 2022 to present)

401 Congress Ave, Suite 1600 Austin, TX 78701

As the DLS Case Manager, I provide case management for all types of leave of absence and disability life events. Highly skilled in answering questions, understanding the employee’s situation, applying the appropriate benefits, responding to changing circumstances and needs, and paves the way for a connected and trusted case management experience. Saves as the single point of contact for an employee throughout an entire leave of absence or disability event.

Key job responsibilities.

Initiate and respond to inquiries about leave and disability events, benefits, and options available to employees.

Serve as a point of contact for assigned employees to provide holistic case management services, including reviewing medical. documentation to adjudicate leaves in compliance with the corresponding leave plans, federal and state laws and benefit plans as defined by Amazon.

Leverage duration guidelines, best practice tools and Amazon resources to support oversight of a leave event as appropriate.

Critically assess and adjust the case management plan to an employee’s changing needs.

Address and respond to sensitive situations.

Troubleshoot issues and seek to remove barriers before, during, or after a leave event.

Respond to employee impacting issues that may arise during the leave event and ensure the right communication occurs.

Identify and solve problems that may arise, sometimes with limited information.

Facilitate a smooth return to work and ramp-back plan for employees returning to the workplace.

Educate managers and business partners on employee concerns and needs prior to being off or returning back to work.

Communicate regular updates to employees and stakeholders both verbally and in writing.

Ensure compliance with standard work, federal/state regulations, and company policy.

Maintain system records to ensure accurate and timely information/documentation.

Consult, coordinate and partner with our third-party administrator, HR, Safety, Legal, Payroll, Benefits, team members and other departments/systems as appropriate.

Other duties as assigned.

Medical Case Manager

KC CARE Health Center (January 2019 to February 2022)

3515 Broadway Kansas City, MO 64111

Supervisor: Angela Witherspoon 816-***-****

Serves as client advocate to ensure access to, and understanding of, needed services; this may include assisting clients in applying for government funded programs, connecting clients to legal resources, serving as client reference for service applications; and attending medical appointments as needed to ensure client understanding of medical care and treatment regimen

Attends scheduled Kansas City Health Department Ryan White Title I/Title II HIV Case Management meetings and other internal team meetings as scheduled by the program supervisor; and attends Comprehensive HIV Prevention and Care Planning Council monthly meetings on a rotating team schedule.

Enrolls/makes referrals for clients to enroll in the most comprehensive insurance plan available to them (Medicaid, Medicare, Marketplace Plan, Off-Marketplace plan, COBRA, etc.).

Assesses client eligibility for insurance premium and co-pay assistance; educates clients on process for submitting insurance and co-pay documentation; and works closely with client and necessary third-parties (including insurance companies) to maintain insurance coverage.

Work in conjunction with medical care providers and implement the medical treatment plan by providing counseling on medication, appointment and other treatment adherence issues.

Conduct initial pre-screening of clients to determine eligibility for services and appropriateness of case management services.

Perform client intake and needs assessment including completion of all required paperwork.

Develop a comprehensive care plan jointly with the client that includes short- and long-term goals focused on obtaining, maintaining and achieving positive health outcomes.

At least twice annually evaluate and update the client care plan based upon changes to health status and other factors detailed in the reassessment.

Retirement Plan Services Administrator

Secure Retirement Planners, Inc. (2017 to 2019).

1300 Commercial St, Warsaw, MO 65355

Office manager: Tabetha Kerby 660-***-****

Supports the design, implementation, and management of client’s retirement plans in accordance with the terms of the plan document.

Provides participant support and/or conduct participant education and enrollment meetings under the supervision of the senior Administrator.

Assist in conducting relationship, investment, and plan reviews with clients to ensure the plan design and the fund menu are consistent with the client’s goals and needs.

Serves as the administrative contact for clients and third-party providers in the servicing of client accounts and relationships.

Performs and/or monitors daily transactions required in the administration of various client relationships and accounts.

Organizes and maintains files and prepares correspondence and reports as needed.

Reviews/studies plan documents to gain a full understanding of plan provisions.

Assists with annual account reviews and prepares monthly Trust Administrative Committee packages.

Keeps current with all laws and regulations applicable to primary Trust function (i.e., IRS, DOL).

Consults with Relationship Managers regarding more complex issues.

Serves as a liaison between Trust Administration and other bank departments

Service Coordinator

CHRISTIAN COUNTY LINKS (2015 to 2017).

728 N. 22nd St. Ozark, MO 65721

Director of Service Coordination: Molly Jackson 417-***-****

Manage a diverse caseload of moderate size and complexity.

Interview individuals, their families, and other responsible parties; assists in completing necessary documents; collects basic data and obtains appropriate additional information from other agencies; participates on the inter-disciplinary team to review each case.

Prepare and complete case notes, quarterly reviews, annual reviews, service monitoring and any other required reports concerning the individual service plan in accordance to Department of Mental Health (DMH) guidelines, Medicaid regulations and CC Links policy.

Review provider documentation, including; daily progress notes (provider summaries) and service authorizations that results in provider billing for accuracy of services authorized.

Visit service agencies, attends meetings, and confer with senior staff to become informed concerning community resources for persons with developmental disabilities.

Review literature and confer with senior staff concerning theories and practices in the fields of social work, psychology, special education, and health care for persons with developmental disabilities.

Maintain individual state record in accordance with DMH and Medicaid guidelines.

QDDP/DPM/Program Manager

HELP AT HOME (2014 to 2015).

http://www.google.com/maps/search/?api=1&query=840%20E%20Primrose%20St.%2C%20Springfield%2C%20MO%2065807

840 E Primrose St. Springfield, MO 65807

Supervisor: Jennifer Clark 417-***-****

Directs and coordinates the activities of all program, treatment and teaching of individuals in assigned homes/locations.

Oversees the development of integrated and coordinated active treatment program for each individual on their caseload.

Oversees/develops the Quality Assurance plans to monitor the implementation of each program to ensure Active Treatment.

Ensures contact with families and guardians on pertinent matters and documentation thereof.

Serves on various committee; human rights, safety, high risk, ethics, incident report, etc…

Manages personnel by interviewing, hiring, evaluating, supervising, and helping to develop the most qualified individuals to work as direct support professionals.

Provides effective and efficient scheduling of staff to meet the needs and goals of individuals supported and provides on-call 24-hour staff assistance during emergencies.

Ensure that Basic Assurances requirements are met. Ensures current state licensing and certification rules and regulations, accreditation requirements and agency policies and procedures are followed.

Monitors physical upkeep of the service site, vehicles and personal property; takes action to correct any concerns.

Manages, and implement program budgets; provides input for budget development; ensures programs stay within allocated budget, follow policies and procedures for procurement.

Ensures financial records are complete, thorough and submitted in a timely manner.

Complete quality assurance audits of program and consumer finances.

Supervisory Responsibilities

Provides leadership and serves as an advocate to ensure appropriate treatment, teaching and protection of rights of the persons served. Manage Program Managers, Team leaders and Direct Support Professionals. Monitors personnel management, coordination of individual appointments and activities, facility maintenance and management of individuals’ personal fund accounts. Responsible for budget compliance within assigned programs. Recommends and assists with staff performance evaluations, coaching, and corrective action. Develop and cultivate positive relationships with families and other stakeholders.

QDDP/DPM/Program Manager

COMMUNITY OF THE GOOD SHEPHERD (2010 to 2014).

10101 James A Reed Rd, Kansas City, MO 64134

Supervisor: Ron Pearson 816-***-****

Assist clients with learning and practicing daily living and social skills.

Engage individuals in a positive, constructive, respectful and hopeful manner.

Recognize and demonstrate sensitivity to cultural and ethnic differences.

Participate in on-call coverage and assist with covering open shifts (scheduling).

Approve timesheet and/or time clock punches for individuals supervised. Follow-up on discrepancies, as needed.

Reconcile personal spending ledgers of persons served at least on a weekly basis, or sooner depending on need.

Provide original monthly summaries to Operations Director-Residential.

Provide supervision and regular performance review/appraisal of staff.

Assist house managers in supervision and regular performance appraisal of Direct Support Professionals.

Design support and teaching strategies (i.e., training plans, teaching methods) for implementation.

Supervisory Responsibilities

Establishing and implementing program goals, arranging or providing staff orientation and training, directly supervising staff, maintaining a quality assurance program, developing and maintaining individual budgets, providing an environment that is conducive to the welfare of the service recipients and is in accordance with federal, state, local and organizational regulations

Team Leader

Kindred/Grace Loving Residential Services (2009 to 2012)

10486 PFLUMM ROAD UNIT 118 Lenexa, KS 66215

Supervisor: David Partson 901-***-****

Provide direct support to individuals with disabilities by assuring the following: relationships, spiritual activities, community involvement and integration, power and choice, health and safety, status, and competence. Implement person-centered plans to assist people in achieving their personal goals and meet their needs and desires.

Assist in establishing routines that meet all individuals’ needs and desires and to ensure compliance with licensing regulations, agency policies and practices and protection of individual rights. Ensure opportunities to access to the community are scheduled and staffed; provide transportation to activities as needed. Schedule cleaning and home maintenance activities to provide for the health and well-being of people served.

Guide and monitor the work of DSPs and mentor them in their professional development. Ensure all required documentation is complete, accurate and professional; assist with information gathering to identify personal outcomes desired and effect of supports.

Maintains and expands skills and knowledge relevant to providing high quality supports and services.

Ensure that all homes, vehicles, and personal properties maintenance needs are addressed in a timely manner.

Ensure fiscal responsibility by protecting agency and individual funds from misuse. Complete all paperwork thoroughly, correctly and on a timely basis. Complete audits as required.

Work assigned schedule and arrive to scheduled shift on time. Change work schedule as needed to meet individual and program needs. Assist program managers in preparing staff schedules, resolving schedule conflicts, and calling in off duty employees when needed.

Support Coordinator

Life Touch Legacy Inc (2008-2009).

Develops and nurtures a relationship with each person by advocating on the person’s behalf, as well as supporting the person to advocate for themselves in the different services or support they receive.

Develops a person-centered support plan with each person and their circle of support that has specified training in skill areas, monitors to ensure followed, writes addendums as preferences or supports change, and completes monthly reviews of data from all program areas, etc.

Completes annual self-assessment, system analysis, annual quality assurance contact form and assist with BASIS assessment.

Supports each person to learn, know and exercise their rights. Reviews rights restrictions through Human Rights Committee for their approval annually and more frequent if required.

Participates in training to be able to advocate for people by keeping informed of available supports, treatments, therapies, etc.

Participates in quality reviews by various entities and regulatory agencies. Develops a plan of accomplishment in response to survey results and ensures compliance to regulations.

Participates in the referral process by reviewing packets, participating in tours and facilitating admission/discharge meeting as needed.

Case Manager

Moi Teaching and Referral Hospital (2005-2008).

Provide individual assessment and treatment planning services to socio-culturally diverse population.

Provide crisis intervention and emergency services.

Collaborated with treatment team of medical social workers, psychiatrists, psychologists and rehabilitation counselors to develop individualized treatment plans.

Socio economic assessment for challenged families/ individuals.

Completed paperwork in order to execute the proper assistance.

Make referrals and liaise with other agencies.

Baraka M. Akeyo

771 S Keeler St Apt.301

Olathe, KS 66061

Cell 913-***-****

ad1mqr@r.postjobfree.com



Contact this candidate