Customer Service Health

ANNIE LANGDEAUX

Mesa, Arizona

Telephone: 480-***-****

Email: **********@*****.***

Summary of Skills and Qualifications:

** ***** ******* **** *** Native American elders’ and their families

Over 5 years working with Juvenile Justice Center for Indian Children Welfare Act & Foster Children

Highly disciplined and motivated, working independently or as a team member, customer service

Degreed professional with exceptional background in social educational and community services, raising self-esteem and focusing on academic, social health, cultural improvement, counseling with high risk, Behavioral Health children and Elderly. Worked with Hospice patients.

Technical written and oral communication skills with government and healthcare organizations

Maintain privacy & confidentially of client records in accordance to HIPPA/Confidentiality policies, Team care

Ability for accurate, detailed documentation and working independently on matters of difficulty

Microsoft word

WORK EXPERIENCE

ALTCS CASE MANAGER (LEAD) 4/2008 TO 11/2019

Native Health, Phoenix AZ

Assist Director of Community of Health and Wellness in delivery of comprehensive Tribal ALTCS Program Fee for Service, Native American Community Health Medicaid Plan throughout the State of Arizona. Supervised Two Employees and 1 intern from local University, Timesheets, disciplines, Performance Evaluations. Audits to case files. ALTCS Program received a 93% in 2018. Monthly reports and Quarterly to AHCCCS and Native Health. Trained new staff for ALTCS program.

Traveled throughout Arizona evaluating member’s medical needs. Educating members on the Native American Community Health Plan to Members and Providers to ensure compliance of ALTCS’s rules, regulation, policies, and procedures.

Investigation of member complaints within skilled nursing and assisted living facilities and provided solutions in a timely manner.

Completion of accurate case management work, facilitation, evaluation, pre-assessment screening and monitoring to determine placement and services provided to ALTCS members as required. Timesheets

Maintain communication and consult with primary care provider, physician of record, behavioral health professional and/or medical director of a residential facility; along with members and family, or authorized representatives to develop coordinated service plan that addresses essential services using cost effective measures. Referrals to providers.

Conducting any barriers and concerns which affect the services or placement ALTCS members

Enter appropriate information into The Client Assessment Tracking System (CATS)

Gather secure and arrange services for ALTCS Members through approved AHCCCS certified providers, coordinating care management information with prior authorizations as needed

Coordinated services with families during assessments and discharges from Hospitals, Assisted Livings Facilities and Home environment to ensure member had the right placement.

Customer Service with providers that were having problems with claims, and problems resolutions with products provided. Work on part-time basis at the Prayer Center Store once or twice a week.

SENIOR CENTER SERVICES MANAGER (TEMP) 11/2007 TO 12/31/2007

Native Health, Phoenix AZ

Responsible for planning and implanting a coordinated nutrition and health related services and education program that will support, healthful, independent living of American Indian Elders

Coordination of multi-purpose Senior Service Center and a continuum of health services for non-reservation American Indian Elders, including congregate meals, client advocacy, health education, transportation, Counseling and other related services

Prior Work Experience

SENIOR SOCIAL WORKER 11/2001 TO 4/2006

Koinonia Foster homes, Inc, Bakersfield CA

SENIOR SOCIAL WORKER 06/2001 TO 11/2001

Kern County Dept. of Human Services, Bakersfield CA

Group Counselor/Extra Help 01/2001 to 06/2001

Kern County Dept. of Human Services, Bakersfield CA

EXECUTIVE DIRECTOR / FOUNDER 01/1989 TO 03/2000

Bakersfield Education Center of Native Indian (BECNI), Bakersfield CA

AMERICAN INDIAN EMPLOYMENT SPECIALIST 01/1993 TO 06/1999

Employment Development Department, Bakersfield CA

NATIVE AMERICAN EMPLOYMENT COUNSELOR/ADMINISTRATOR 07/1989-07/1993

Candelaria American Indian Council, Oxnard CA

EDUCATION

Master’s Degree – Public Administration, California State University, Bakersfield--1997

Bachelor Degree – Public Administration, California State University, Bakersfield--1992

Associate of Arts Degree – Human Services, Porterville Community College ---1984

Awards & Recognition

Certificate of Appreciation

I was recognized for 10 years with Native Health. Thank you for all your hard work and dedication to the clinic and clients. Most of all, thank you for your kindness, courage and passion for the ALTCS Program

Youtube Serving Diverse populations and places in Phoenix

2019 AHCCCS Recognition Certificate

I was recognized for ensuring that all the members assigned to her caseload were seen on or before the next date during July 2019 –September 2019.

I had been successful at assisting your members in maintaining or progressing towards her highest functional level through the coordination of all LTC services

Certifications

RELIAS Certificate of Completion For Abuse and Neglect, AzAHP-Quality of Care Concern and Ethical Decision Making-Basics. H.O.P.E. Suicide Prevention Training 8 hours. SafeTalk Workshop in suicide alertness.

VOLUNTEER OPPORTUNITIES

Empowerment Team, Valley of the Sun United Way – Phoenix Arizona

Native American Teen problems, Circle of Health Mentoring Program – Phoenix Arizona

The Prayer Center, Scottsdale, AZ

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