Care Coordinator Mental Health
Resume:
Nicole Lennon
Clinical Care Coordinator BH
Vallejo, CA 94591
*********@*****.***
Work Experience
Clinical Coordinator II
Carelon Anthem-Vallejo, CA
August 2020 to July 2024
• Enter and assign Urgent mental health referrals sent by the Health Plan, PCP, 24 Northern California Counties and other providers.
• Provided outreach, screenings, tracking, and managing health plan members.
• Collaboratively interact with multiple systems to ensure appropriate linkage to MH services and community resources.
• Refer and link members to appropriate mental health services.
• Provided training to new hires.
Clinical Care Coordinator BH
Aetna/ The Hartford-Plantation, FL
March 2012 to 2018
Disability Care Associate BH • Completed daily, weekly, monthly, and quarterly reports for the Behavioral Unit data/reporting functions: compliance reporting areas, analyzing report data, and audits for service operations.
• Assigning Disability Claims (Long/ Short term Disability) • Data entry • Cross reference varies lists pertaining Long Term Disability (LTD) Reinstatements and make the appropriate corrections.
• Provided queue efficiencies and account trends to the management team to help improve the claim assignment process and implemented changes.
• Facilitate update trainings for staff • Resolve tasking issues and complete claim transfers.
• Train employees regarding process efficiency.
Medical Coordinator
ChildNet-Plantation, FL
2010 to 2012
• Resolve Medicaid claims and billing issues.
• Verify Medicaid status and resolve Medicaid and other insurance provider issues.
• Establish and maintain department logs, reports, statistics and filing system.
• Coordinate and schedule medical and dental appointments for children coming into foster care.
• Coordinate the transportation for children to medical service providers and personally transport children when needed.
• Make referrals and follow-up appointments with physicians, specialists and dentist offices.
• Obtain children's immunization records from the School Board or Department of Health.
• Fax prescriptions to the appropriate pharmacy and verify prescriptions.
• Verify court documents and medical consent forms.
• Perform on call duties as assigned.
Referral Specialist (Temp)
Workforce One-Fort Lauderdale, FL
2010 to 2010
• Review applicants' documentation to obtain information on work history, training, education, and job skills.
• Screen and refer applicants to hiring personnel in the organization.
• Contact applicants to inform them of employment possibilities, consideration, and selection.
• Perform searches for qualified candidates according to relevant job criteria, using computer databases.
• Review employment applications and job orders to match applicants with job requirements, using manual or computerized file searches.
• Select qualified applicants or refer them to employers, according to organization policy.
• Communicate with customers, employees, and other individuals to answer questions, disseminate or explain information, take orders, operate office machines, such as photocopiers and scanners, facsimile machines, voice mail systems, and personal computers.
• Review files, records, and other documents to obtain information to respond to requests.
• Enter appropriate code into current State MIS. Enter appropriate case notes in the current State MIS. ROP/Per Diem Case Manager
Covenant House Florida-Fort Lauderdale, FL
2004 to 2009
• Covenant House Florida's Rights of Passage (ROP) program is designed to help older adolescent youth transition into independent living and self-sufficiency.
• Responsible for case management, supervision of residents and residents house chores.
• Provided counseling to residents and assisted in crisis intervention.
• Trained youth life skills classes and time/money management skills necessary for self-sufficiency and independence.
• Set vocational and educational goals for youth.
• Recorded data daily and participated in staff meetings.
• Administered and charted medications as prescribed. Education
Bachelors of Science in Psychology
Clark Atlanta University - Atlanta, GA
2001
Diploma
Moreau Catholic High School - Hayward, CA
1997
Skills
• Communication skills
• Clinical trials
Additional Information
COMPUTER SKILLS: State MIS, Medical Manager, Avisena, FSFN, FLMMIS, Florida (Medicaid) System, Business Maps, ACT, WKAB (Workability) Proficient in Microsoft Word, Excel, Power Point, Outlook, and Internet Savvy.
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