Service Consultant Health Technician
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Khalisha Wilson,MBA
P r o f e s s i o n a l S u m m a r y
Versatile and strategic value-driven healthcare professional and consultant with experience in creating and providing quality care for 100+ Medicare/Medicaid participants. Firm understanding and intermediate efficiency of business applications for data analysis and implementing business solutions aimed at setting a standardized process for interdepartmental teams and cross-functionally collaborating with internal and external stakeholders. Professional Experience
Manage, coordinate, and provide care consultation for 100+ Medicare and Medicaid recipients
Develop the facilitation of person-centered team meetings to improve plan of care for recipients through business applications and data analysis Liaise between 20 care management team members and 50+ healthcare providers to implement comprehensive needs assessments for all participants to address barriers related to social determinants of health
Communicate the scope, budget, risks and resources of all waiver services with internal and external stakeholders via email, and phone Responsible for daily monitoring of authorization management and claims processing within ELTSS to ensure accurate and quality delivery of waiver services
Perform detailed analysis on multiple cases, recommend potential business solutions, and ensure successful implementations
Provided consultation and implemented long term care management for 40+ Medicare and Medicaid participants
Reduced participant incidents by 20% by conducting root cause analysis and creating recovery action steps and initiatives with care team Monitored and analyzed key metric reports and processes to ensure all critical incident reports aligned with state contractual obligations Owned all project management processes to ensure deliverables were met and adhered to high quality standards and participant satisfaction of 100% Ensured a continuum of care for clients by collaborating with internal and external partners including community organizations, therapist, families, social workers and judicial staff to discuss treatment plans, goal achievement, and progress in behavioral interventions
Maintained compliance to organization, city, and state regulation concerning case management by documenting, reporting and filing case progress every 30 days Supported the socio-emotional development of clients by facilitating workshops and trainings on conflict resolution, career development, and communicating boundaries
Ensured the safety, supervision, and transportation of 20+ clients through risk evaluation and collaboration with Health Management Service Consultant
Service Coordinator
Mental Health Technician
May 2019 -Present
August 2018 - April 2019
May 2016 - August 2018
AmeriHealth Caritas
Cedarwoods Care Management
Public Health Management Corporation
Indiana University Of Pennsylvania
Master Of Business
Administration:Healthcare
Administration 2019
Holy Family University
Bachelor Of Science: Human
Resource Management 2015
Project Management Elicitation
Cross Functional Collaboration
Trend Analysis Process Improvement
Sharepoint Microsoft Excel Jiva 6.3
Verbal and Written Communication
Root Cause Analysis Critical Thinking
Foundations Of Project Management 2022
Scrum Foundation 2022
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