Eligibility Specialist Care Manager

Amanda S. Phillips

Laurel, Maryland *****

******.********@********.*** 240-***-****

Seasoned case/care manager with demonstrated expertise in behavioral health and human services, with positive clinical outcomes. Strong knowledge of social work, health care and social welfare systems. Highly effective communicator with proven track record in conducting in-depth interviews for high-stakes investigations, problem resolution, and tactfully navigating sensitive interpersonal situations.

Education

Master of Science – Clinical Mental Health Counseling, Walden University Currently Enrolled

Master of Science – Psychology, University of Phoenix 2017

Bachelor of Science – Psychology, University of Phoenix 2012

Professional Experience

Behavioral Health Care Manager 2018- Present

Mindoula Health, Silver Spring, Maryland

Manage a caseload of 100+ clients in any given month, scheduling regular appointments with them to evaluate their needs, ensuring treatment plan objectives are implemented and achieved. Liaise with psychiatric consultants, primary care physicians and other third-party behavioral health service providers to ensure seamless, comprehensive behavioral health care. Utilize evidence-based brief therapeutic interventions to help clients self-manage symptoms of anxiety and depression. Develop therapeutic activities to enhance clients’ social and interpersonal skills. Provide psycho-education to clients surrounding medication management and adherence. Counsel clients about their mental and/or physical illness, abuse, and available community and social resources. Assess patients for risk, performing crisis intervention and developing safety plans, as needed, ensuring the safety of every client. Evaluate, monitor and record client progress using validated assessments and Mindoula’s proprietary case management system. Support clients with relapse prevention resources and prepare discharge paperwork in anticipation of graduation from the program. Ensure and maintain client confidentiality at all times.

Child Protective Specialist 2016–2018

New York City Administration for Children’s Services, Staten Island, New York

During tenure, served over 45 New York City families. Evaluated needs of client families and coordinated services including securing legal counsel, accessing entitlement benefits, and navigating government agency dealings. Investigated instances of child abuse/neglect and assessed likelihood of continued child endangerment and safety risks. Conducted in-depth interviews with law enforcement, medical facilities, schools and eyewitnesses, and documented case details in incident reports. Managed case records using Administration’s proprietary case management system. Identified and coordinated appropriate, corrective action to ensure child safety and well-being including filing legal petitions to mandate services, testifying in Family Court on behalf of the Administration, and placing children in protective custody or foster care. Connected families with therapeutic services and organized community meetings to address issues affecting children’s safety and well-being.

Eligibility Specialist II 2014-2016

New York City Human Services, New York, New York

Managed and processed over 100 cases per week. Accessed and examined medical records, financial statements and other documentation to determine Medicaid eligibility. Communicated with internal and external personnel to verify and resolve discrepancies in case data. Preserved confidentiality of clients through strict compliance with agency’s data security protocols. Checked and verified self-reported client information on recertification documents against data present in wage, SSI, and banking databases. Conducted follow-up phone interviews with current SNAP recipients to verify continued eligibility during recertification periods.

Direct Case Counselor 2014

PSCH, Inc., Queens, New York

Engaged a diverse group of residents in various social setting to develop trust and encourage compliance with safety protocols including, those with behavioral health issues, developmental disabilities, and recovering from substance abuse. Gave self-care and hygiene guidance and monitored medication intake to ensure residents received the correct dosage. Counseled residents to set and successfully achieve personal goals, develop independent living skills, and improve health outcomes. Performed administrative reporting duties and coordinated special project functions including emergency evacuation and safety drills. Worked with a particular resident every two hours to successfully overcome nightly bedwetting onset by diagnosis of ADHD and Intellectual Disability. Each of the 7 group members showed behavioral improvements and became more independent in completing self-care activities including laundry and food preparation.

Other Relevant Experience and Certifications

Substance Abuse Group Volunteer 2014

Volunteers of America, New York, New York

Facilitated weekly substance abuse meetings to educate a diverse group of members about recovery strategies. Developed interactive activities including role-playing and group puzzles to promote interaction and socialization. Demonstrated coping techniques for members to identify and mitigate potential stressors using positive approaches and prevent relapse.

Software/Information Systems

Proficient in Microsoft Office Suite, Google Suite, and Microsoft/Apple operating systems

Quick learner and can navigate different proprietary case management/database systems

Licensure/Certifications

Cardiopulmonary Resuscitation (CPR), Dialectical Behavior Therapy (DBT), Grounding skills for PTSD, Stress and Panic Anxiety, and Grief and Bereavement Counseling

Professional Associations

International Association of Women

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