Post Job Free

Resume

Sign in

Case Manager Management

Location:
Tampa, FL
Posted:
December 13, 2023

Contact this candidate

Resume:

Fiona MacMichael

813-***-**** • ad1xp5@r.postjobfree.com

Professional Summary

A motivated case manager with 15+ years’ experience, who is passionate about structuring care plans around an individual's strengths and needs. Resourceful at locating resources needed to enhance the client's life. Engaged in providing case management services in different capacities and an advocate for helping others succeed. Key skills are characteristics include:

• Strong Verbal and Written Communication • Strong Organizational Skills

• Build Strong Cross Functional Relationships • Detail Oriented

• Excellent Documentation Skills • Critical Thinking Skills

Education

Bachelors of Psychology and Human Services

Mount Saint Mary College Newburgh, NY

Experience

BayCare

April 2022 to November 2023

Adult Behavioral Health Case Manager

Provided case management to Veterans and family members of Veterans with behavioral health and substance use issues

Completed Biopsychosocial and necessary assessments with clients

Created a treatment plan based on the client’s needs and goals

Linked clients to resources

Completed outreach at different agencies and events to build caseload

Completed home visits with clients and attended medical appointments with clients to advocate for clients

Held a weekly support group for Veterans to discuss stressors, build relationships, and learn coping skills

Completion of necessary documentation and completed billing

Provided supervision to residential clients in the treatment program and held them accountable to the program’s rules.

Provided necessary medication and completed urinalysis with clients as needed

Took on extra responsibilities outside of role including:

Lead and co-lead groups at the in-patient substance treatment program

Florida Community Care/Independent Living Services

October 2019 to April 2022

Long Term Medicaid Case Manager

Provided case management for Long Term Medicaid members (60-100 members) residing in Assisted living facilities and Nursing facilities reflectively in Region 6

Completed 701B/701T assessments initially and annually and as needed.

Completion of any supplemental assessments required

Developed and reviewed care plans and plans of care based on member’s needs, with member/ member’s representative, made updates to care plan/ plan of care based on changes, problems, and member’s goals.

Arrange appropriate services, providers and arrange service delivery.

Ongoing contact with members, member representatives, and service providers to ensure services are being carried out appropriately. Updates to care plan based on changes, problems and member’s goals.

Encourage and empower members to achieve maximum levels of growth, independence, and wellness

Following ACHA guidelines and state mandates/ changes throughout pandemic as to protecting and ensuring members well being and providing remote case management

Arrow Strategies/ Humana

April 2019 to August 2019

Hedis Canvassing Team Member contract position

Completed 25 plus home visits daily throughout Hillsborough County for Humana members to close Hedis gaps

Educated members as to the Humana plan and gaps that they had and the importance of preventative healthcare

Set up appointments for members with their primary care physicians and provided any necessary follow up

Left door hangers for members that were not home and made additional attempts to the home and responded to any phone contact received

Assisted members in resolving any issues that were incurring such as with their primary care provider or transportation provider, contacted Humana customer service to make any requested changes

Magellan Complete Care

September 2014 to December 2018

Remote Care Coordination Health Guide

Guided a caseload of 80 members through their Medicaid insurance benefits and created care plans based on their goals

Completed home visits and provided remote case management services to Florida members who had Magellan Complete Care

Completed assessments on members with behavioral health diagnoses to determine their needs and provided discharge planning for members who were in hospital settings

Participated in rounds and daily huddles with doctors and psychiatrists to discuss treatment plans and resolve concerns with member’s wellbeing

Complied with organizational standards for TrueCare case documentation, HIPAA and medical training, and settling ACHA complaints

Other Positions Held:

One Hope United

Lead Dependency Case Manager

Gulf Coast Jewish Family and Community Services

Dependency Case Manager

Federation of Organizations

Intensive Case Manager Supervisor

Gulf Coast Jewish Family and Community Services

Waiver Support Coordinator



Contact this candidate