Care Manager

**** ***** ****** ***, ******** TN ***** · 386-***-**** · ********@*****.***

LEONDA E. RADFORD

Objective: To continue an innovative approach to healthcare, providing individuals with the most appropriate care, utilizing cost effective resources

Experience

Aug. 2019- Jan. 2021

PopHealthCare

Franklin, TN

Community Health Worker – National Lead

Led the Community Healthworker Process across four markets in the enterprise

Operationally supported markets with Community Healthworkers to include: metric monitoring, updating standard operating procedures, creating job descriptions, negotiating outside vendor contracts, monitoring quality audits, facilitating monthly and quarterly meetings, removing/resolving barriers, standardizing processes across the markets, and identifying/implementing best practices throughout the enterprise

Collaborated across the enterprise with all departments and markets to deliver the best in class care to the individuals we support

Expanded Social Determinants of Health program across the enterprise, to include implementing a standardized assessment and capture Z codes

Jan. 2010-Aug. 2019

Anthem Inc./Amerigroup Community Care

Nashville, TN

Manager II GBD Special Programs LTSS Facilitation of Enrollment (December 2017 – August 2019)

Managed 16 work from home associates statewide (3 team leads and 13 Care Coordinators)

Managed the Intake/Enrollment Process for 2 LTSS programs statewide (CHOICES and ECF CHOICES)

Implemented and managed the Enrollment process for CHOICES statewide

Manager I Medicaid State Ops – LTSS Facilitation of Enrollment (September 2013-December 2017)

Assisted with statewide implementation CHOICES and ECF CHOICES programs

Managed the Intake process for 2 LTSS programs (CHOICES and ECF CHOICES)

Managed 22 remote associates across the state of Tennessee

Managed 12 in office associates

Oversaw quarterly audits issued by TennCare

Clinical Team Lead – LTSS Facilitation of Enrollment (September 2012-September 2013)

Managed remote Care Coordinators in the middle Tennessee region

Implemented necessary processes to align with corporate and TennCare

Reviewed completed packets prior to TennCare submission

Long Term Services and Supports Service Coordinator (January 2010-September 2012)

Conducted initial in home assessments for potential CHOICES enrollees via Pre Admission Assessment

Coordinated with individual’s PCP and TennCare to submit necessary paperwork for enrollment into the CHOICES program

Developed and implemented personalized plans of care encompassing all aspects of the individual’s health and well-being

July 2009-Jan. 2010

American Red Cross

Nashville, TN

Team Supervisor

Performed all aspects of the blood collection process in compliance with ARC and FDA policies

Supervised collections staff to ensure compliance with all policies and procedures

Reviewed paperwork for completeness and accuracy

Managed mobile blood drives including set up, donor flow, donor care, and coordinating with blood drive sponsors

July 2008-June 2009

NHC Cool Springs

Franklin, TN

LPN/Care Plan Coordinator

Executed all aspects of patient care including the administration of treatments, medications, assessments, obtaining vital signs, monitoring nutritional intake, and documenting care

Supervised 8-12 CNA’s to ensure they were providing appropriate and adequate care to residents

Accurately received and noted physicians orders

Helped residents maintain physical and emotional well-being, as well as ensured their safety

Coordinated care plans with all departments involved in residents care as well as their families

Feb. 2004-June 2008

Suwannee Valley Nursing Center

Jasper, FL

LPN/Charge Nurse

Executed all aspects of patient care including the administration of treatments, medications, assessments, obtaining vital signs, monitoring nutritional intake, and documenting care

Supervised LPN’s and CNA’s to ensure they provided appropriate and adequate care to residents

Accurately received and noted physicians orders

Helped residents maintain physical and emotional well-being, as well as ensured their safety

Education

Jan. 2003-Dec. 2003

Lake City Community College

Lake City, FL

LPN

Received the Clinical Excellence Award

Class Vice President and Fund Raising Coordinator

References available upon request

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