Case Manager Patient Care
Resume:
Khadija Jah
Carteret NJ *****
**********@*****.***
To obtain employment in a growth-oriented environment, where I am able to utilize both my skills and my education
for advancement.
Education
Mercer County Community College
June2014-Aug2018
Felician University
Aug2018-Aug2020
Degree: Psychology BA
Work Experience
Case Worker / Case Manager
United HealthCare ( Optum)
Aug 2023-Present
Coordinated with doctors, nurses, therapists, and other healthcare professionals to ensure comprehensive patient care.
Facilitated effective communication between patients, families, and healthcare providers.
Managed a caseload of 70-80 patients daily
Managed prior authorizations and secured approvals for treatments and services.
Connected patients with community resources and support services, including home health care and social services.
Assisted patients and families with understanding and managing medical bills and insurance claims.
Planned and organized patient discharges, ensuring a smooth transition to follow-up care and services.
Support Broker
Public Consulting Group
July2021-May2023
Collaborating with the person and their supporters to devise a plan of action for their steps moving forward
Caseload between 5-100 depending on the amount of time needed for each person and the number of hours
Weekly Zoom meetings with Individuals and updating any plans or behaviors.
.
Working with the person to put together a job description and job ad.
Assisting through the process of hiring their staff that they would
like to assist them with their needs
.
Identifying & pursuing opportunities to link the person to their community such as volunteer work and other various activities.
Long-term planning such as assisting with community based/non licensed housing options.
Program Manager
Oct2019-Aug2023
Community Options Inc
Assessed functions of problem behaviors of individuals with staff
Develop behavior /Intervention plan to address problem or behavior and teach ways to replace the behavior
Trained and monitored staff on the new behavior plan
Complete Scheduling
Complete monthly Finances for Individuals
Coordinating Monthly meetings
Isp Meetings for Individuals
Conducting Staff meetings
Training on all DDD trainings
Assistant Manager
Aug2019-Febuary 2020
Keystone Community Living
Assessed functions of problem behaviors of individuals with staff
Develop behavior /Intervention plan to address problem or behavior and teach ways to replace the behavior
Trained and monitored staff on the new behavior plan
Complete Scheduling
Complete monthly Finances for Individuals
Coordinating Monthly meetings.
Behavioral Specialist with kids /Direct Support Staff
February 2020-September2022
Serv Behavioral Health
Observe Children and their behavior
Taking children on activities
Distributing meds
Establishing a behavior plan for my assigned kids
Making and taking individuals to Doctor Appointment.
Involved in IHP meetings
Behavioral Specialist
October2016-August2019
Bellwether Behavioral Health
Assessed functions of problem behaviors of individuals with staff
Develop behavior /Intervention plan to address problem or behavior and teach ways to replace the behavior
Trained and monitored staff on the new behavior plan
Helping clients achieve all IHP/ISP goals
Making and going on doctor visits
Distributing medications
Behavioral Specialist / Assistant Lead Supervisor
July2015-May2017
AplusCare
Assessed functions of problem behaviors of individuals with staff
Develop behavior /Intervention plan to address problem or behavior and teach ways to replace the behavior
Trained and monitored staff on the new behavior plan
Formulate effective treatment plan.
Speak with Individuals regarding their past and future aspirations to understand them.
Mercer County One-Stop Career Center - Trenton, NJ
June 2014 to August 2018
Assist unemployed individuals to help obtain employment
● Assist customers through individual appointments
● Attend meetings as requested
● Plan workshops with committee and create flyers
● Fiscal data entry
● Front desk receptionist
● Transporting teens to and from work locations
● Assisting with employment applications and resume building to both adolescents and adults.
Skills
Benefit Verification: Skilled in verifying patient benefits and managing insurance information.
Prior Authorizations: Experienced in requesting and managing prior authorizations and appeals.
Medical Terminology: Proficient in medical terminology, ICD-10 codes, and CPT coding.
Data Entry: Accurate in data entry and management of medical records.
EMR Systems: Experienced with electronic medical records (EMR) (CMR) systems and maintaining HIPAA compliance.
Microsoft Office Suite: Proficient in Microsoft Office Suite for administrative and documentation tasks.
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