Case Manager Management
Resume:
Judith Ortega
Contact
Fords, NJ 08863
********@*****.***
Objective
Self-motivated Medical Case Manager with 15+ years of case management experience. Willing to take on new challenges and adapt easily to new situations and environments. Highly organized, flexible, and committed to working hard.
Education
MSW – Master of Social Work
Our Lady of the Lake University
BA – Concentration in Social Science
Thomas Edison State College
Certifications
Crisis Intervention Team Training; 03/2022
Mental Health First Aid; 2019
Addiction Studies Certificate; 05/2016
Intranasal Naloxone (Narcan) for Basic Life Support; 03/2016
HIV Testing & Counseling Certified; 12/2009
Key Skills
Bilingual
Microsoft Office Applications
NJSAMS
ZOOBOOK
AVATAR
EClinicalWorks
Communication
Problem-solving
Organized
Detailed-Oriented
Experience
Senior Spirit Medical Day Center
Social Worker February 2024-Present Roselle Park, NJ
Case Management
Interdisciplinary Quarterly notes
Initial Assessment
Recreation Assessment
Family meetings
TRINITAS REGIONAL MEDICAL CENTER / RWJBH
BEHAVORIAL HEALTH CLINICIAN December 2022 – September 2023 ELIZABETH, NJ
Monitor, evaluate, and record client progress with respect to treatment goals.
Interview clients, review records, and conduct assessments
Collaborate with physicians, clinicians, and nurses to coordinate treatment
Refer client to community resources/ Case Management
Modify treatment plans according to changes in client status
Individual and Group Therapy
Discuss client priorities and desire of outcomes
Participate in multidisciplinary department meeting
Provide psychotherapy clinical intervention
PHQ2, PHQ9, CSSRS, SDOH, and Violence Risk Assessment
CASE MANAGER December 2021 – December 2022 ELIZABETH, NJ
Alcohol and Drug Abuse Institute
Provide wraparound services (Primary care, Housing, transportation, legal, education, and immigration consumer needs).
Linkage and engagement to treatment services
Phone outreach
Register Clients and schedule appointments with clinicians and psychiatrist
Referral/ Screening
NEWARK COMMUNITY HEALTH CENTER
BEHAVIORAL HEALTH CASE MANAGER APRIL 2019 – MARCH 2020 NEWARK, NJ
Referral made to Mental Health Substance Use Program
Domestic Violence Referrals
Assess client and connect to resources as needed (Food Stamps, Medicaid, and Emergency Housing Assistance)
Proper documentation in client’s file for continuity of care
Advocate on behalf of client’s needs with caregiver, and medical provider
Provide client assistance with Personal Preference Program (PPE)
Assist with Social Security application and follow up
Alliance Community Healthcare
MEDICAL CASE MANAGER / Coordinator FEBRUARY 2018 – SEPTEMBER 2018 JERSEY CITY, NJ
Assess the Ryan White patient and his/her family to resolve social, emotional and Economical problem
Referrals made to Mental Health and Substance Abuse Treatment Program
Knowledge of PHQ-9 assessment tool
Maintain data input in CareWare and eCW
Knowledge in Medicare, Medicaid, Private Insurance and Charity Care
Provide assistance to the homeless population with (Food Stamps, General Assistance, Social Security, and Shelter)
ZUFALL HEALTH CENTER
MEDICAL CASE MANAGER MAY 2016 – SEPTEMBER 2017 SOMMERSET, NJ
Provide psycho-social assessment to Ryan White patients and their families.
Assist in resolving social, emotional, and economical problems of the patient, and his/her family
Maintain data input in Care Ware and Champs
Review medical charts for Clinical Indicators (Initial labs, CD4, VL, PAP Smears, PPD, and vaccines)
Knowledge in ADDP, Medicare, Medicaid, Charity Care, and Private Insurances
Provide assistance with patient billing inquiry, and update patient demographic information
Knowledge in verification, and precertification of medical insurance
Mental Health and Substance Abuse Referrals made as needed
Screened clients for depression with PHQ-9 assessment tool
Educate patient on Sexual Transmission Infection (STI’s), Safe Sex, and Pre-Exposure
Practicum – Journey to wellness
CADC intern JANUARY 2016 – MAY 2016 PERTH AMBOY, NJ
Perform Initial Assessment
Performed Initial Treatment Evaluation
Update and review clients’ records, including notes for individual and group sessions
Provide Case Management
Coordinate with other staff regarding patient progress and make recommendations for treatment plans
Closely monitored patient’s progress, make necessary changes to treatment and therapies
Referrals made to Mental Health Specialist
Held individual and group counseling sessions
VISITING NURSE ASSOCIATION: HEALTH GROUP
INTENSIVE CASE MANAGER: VNAHG NOVEMBER 2013 – JULY 2015 MONROE, NJ
Home visit provided to perform the psycho-social assessments of the Ryan White client, and his/her family.
Provided the client assistance in resolving social, emotional, and economic problems
Coordinate the case management system for the HIV-infected client.
Provided assistance with completion of applications with Medicaid, Medicare, ADDP, Charity Care and Private Insurance
Data input and reports for CAREWare (electronic health)
RARITAN BAY MEDICAL CENTER – PAD
CASE MANAGER: MARCH 2002 – NOVEMBER 2013 PERTH AMBOY, NJ
Immunology & Infectious Disease
Perform the psycho-social assessments of the EIP patient, and his/her family
Provide assistance in resolving social, emotional, and economic problem of the patient
Coordinate the case management system for the HIV-infected patients enrolled in the Early Intervention Program.
Facilitated patient focus groups and educational series.
Maintained data input in Lab Tracker and CAREWare Data monitoring programs including NJ Collaborative.
Knowledge in Medicare, Medicaid, and Private Insurances regulations/Tracking of billing reports for correct levels and diagnosis codes.
Attain pre-certification and referrals
Chart auditing- for medical indicators (PAP, TB, labs, and vaccines)
Served as patient advocate through telephone, email, and research efforts for clients with Medicare and Medicaid.
Beck Depression Inventory – Clients screened with instrument to detect depression
Performed HIV testing and counseling
Assisted with EKG testing in the Emergency Room and all inpatient units
UCC/FINANCIAL COUNSELOR/ADMITTING REGISTRAR: 1993 -2002 PERTH AMBOY, NJ
Responsible for verification and coordination of insurance benefits with insurance companies and Government agencies
Processed application for NJ Uncompensated Care Program (Charity Care Assistance)
Screened patients for Medicaid, and welfare eligibility (GA and Food stamps)
Knowledge in admission, outpatient, and emergency room registration.
Precertification of inpatient/ outpatient services and admission
Trainings
Illness Management and Recovery (IMR) 2023
Evidence Based Practice Initiative (EBPI) 2023
References
Available upon request.
Contact this candidate