Jennifer Williams, LISW-S

Dayton, OH 513-***-**** ad2krm@r.postjobfree.com

Distinguished Healthcare Administrator with over 5 years of experience in management, strategic planning, and program administration. Demonstrated expertise in delivering efficient and effective care through human resources management and the establishment of administrative systems and policies. Known for nurturing, allocating, and retaining talent while driving cost efficiency and overall quality of patient support.

Professional Experience

PAM Health Miamisburg, OH

Director of Case Management March 2023 – July 2023

●Contribute the opening of a new Inpatient Rehab Facility by prompting collaboration among internal and external stakeholders, achieving Joint Commission Accreditation Certification

●Enhance resource utilization and fiscal planning by managing the hospital-wide case management program, serving as a leader within the 62-bed establishment.

●Lead 2 case managers by establishing accurate admission criteria, discharge planning services, and continued to stay reviews, steering the efficient utilization of hospital resources.

●Foster engagement among providers by facilitating weekly Interdisciplinary Treatment Team Meetings, minimizing miscommunications and service delays.

●Standardize procedure and policy adherence by implementing strategic measures, enhancing organizational compliance.

CVS / Aetna Better Health New Albany, OH

Clinical Case Manager October 2020 - May 2022

●Eliminated support gaps and improved quality by collaborating with clinical leaders to address concerns, aligning practices with case management objectives.

●Managed treatment plans by providing expertise on coverage benefits and community resources, engaging with approximately 140 eligible Aetna Better Health Plan members monthly.

●Increased compliance with treatment protocols and preventive health measures by presenting through effective clinic- and home-based treatment planning and delivery.

●Supported decision-making process by administering health data collection, analysis, documentation, and record-keeping, optimizing patient outcomes.

●Enhanced patient journeys by tailoring advisements for community resources including behavioral counseling, home care, and durable medical equipment.

Anthem Blue Cross Mason, OH

Behavioral Health Utilization Care Manager January 2019 – February 2020

●Determined and approved medial services by partnering with medical providers and healthcare facilities, optimizing care for an average of 30 patients monthly.

●Expedited productive care and discharge planning by following federal/state regulations and guidelines,

●Elevated patient satisfaction and adherence to treatment protocols by streamlining the discharge planning process.

Jewish Family Services Cincinnati, OH

Manager of Counseling & Care January 2017 – January 2019

●Reinforced compliance with standards and regulations by leading operations of 7 counselors and care managers, supporting over 300 clients annually.

●Boosted patient and staff enjoyment by streamlining processes and implementing procedural changes, resulting in a increase in satisfaction scores

●Eliminated revenue losses by resolving billing issues and improving service tracking and reporting, capturing cost savings annually.

●Increased reimbursement percentages by enhancing coding and verification practices, generating an additional annual revenue.

●Slashed travel and time costs for counselors by inducing mileage checks, reducing operational costs.

Molina Healthcare Springdale. Ohio

Ohio Duals Case Manager June 2014 – December 2016

Assist Ohio Molina Duals members with chronic and complex medical conditions gain access to community services with the goal to reduce emergency room visits and or hospital stays.

Complete Psychosocial Assessments and case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.

Arrange individual services for members whose needs include ongoing medical care, home health care, rehabilitation services, DME and other preventive services.

Danielle Drake Center Hospital, UC Health Cincinnati, Ohio

Social Worker, Discharge Planning, Utilization Management February 2008 -December 2013

Assess the psychosocial and mental health needs of patients and families (Inpatient Rehabilitation) recovering from a stroke, brain, and spinal cord injuries. In addition to working with (Long Term Acute Hospital) Complex High Medical Intensity conditions including Respiratory Failure, Severe Wound Care, Chronic Kindey Disease other medical conditions in which a patient is unable to discharge to lower level of care.

Utilized critical thinking and prioritization to execute safe discharge disposition.

Contribute social services intervention to the plan of care through collaboration with the interdisciplinary team.

Participate with the treatment team to exceed the expectations of patients and family members. Also, keeping the medical team abreast of changes in a patient’s condition and responding to plan of care needs.

Core Competencies

Healthcare Management, Strategic Planning, Program Administration, Human Resources, Quality Control, Financial Planning, Regulatory Compliance, Data Analysis, Case Management, Utilization Management

Education

Master of Business Administration (MBA), Wright State University

Master of Science in Social Work, University of Louisville

Bachelor of Science in Social Work, University of Louisville

License

Licensed Supervising Independent Social Worker -State of Ohio Counselor and Social Work Board-3/30/10-Active I.1000072. SUPV

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