Case Manager Nursing Assistant

Pamela Davenport

Licensed Social Worker

773-***-**** ******@***.***

EXPERIENCE

Evolent Health November 2021- January 2023

Social Worker

•Carries a caseload of 50+ members on Individual Family Insurance Plan

•Complete Telephonic calls to assist with SDOH need

•Refer members to community resources

•Provide behavioral health referrals

•Motivational Interviewing

•Provide educational information, patient tools to assist members

•Regularly uses multiple forms of technology to perform duty

Meridian

LTSS (Long Term Support Services) Case Manager June 2020- March 2021

●Carries a caseload of over 100 Waiver members on PD, Aging waiver

●Completed telephonic visits according to waiver due to COVID-19 Maintained verbal approval of members for waiver services due to COVID-19

●Maintained case metrics and audit case files revision

●Use State of Illinois Department on Aging and Department of Rehabilitation platform for member information

●Use multiple platforms to maintain and document members information

●Motivational Interviewing

Molina Health Care

LTSS (Long Term Support Services) Case Manager October 2019- May 2020

●Carries a caseload of 150 Medicare/Medicaid waiver Population

●Complete complex high-risk in-home visit Assessment with mental/ and or behavioral health issues

●Perform ongoing communication with rendering service providers Care Coordination long term support and services

●Ensure accuracy of work and proper coordination of LTSS services

●Perform High risk biopsychosocial exam

Aging Care Connections November 2017- September 2019

Managed Care Case Manager

●Worked with member who had multiple ComplexCare conditions to assist with managing health and wellness

●Complete Community based, long term Care, supportive living, or in-home visits to members according to time frame and members acuity

●Comprehensive Psycho-social Assessment

●Assist the Geriatric, chronically ill, Mental Health or functionally challenged with Maintaining strong therapeutic Alliance with eligible Waiver Services

●Determine eligibility for Waiver Services and provide Resources in the Community

●Coordinate and work with MCO and State to provide Waiver Services to clients

●Complete required documentation by State via email within certain time

●Manage case load of over 400 clients within Agency Township

●Encourage Wellness and Prevention/Understanding Clinical Impact

●Conduct comprehensive member psychosocial assessment and clinical

Catholic Charities of the Archdiocese of Chicago January 2016- February 2017

Helpline Counselor

●Evaluate clients to determine care, when the patient should be discharged, home planning, and other needs and action plans.

●Facilitate investigations, medical and treatment referrals, and ongoing legal proceedings.

●Complete documents related to eligibility of government funded mental

●health program and referrals to Preadmission Screen MH agents.

●Coordinate the integration of social services/case management function.

●Participate in the development and implementation of client care policies and protocols.

●Refer cases where clients and/or family would benefit from counseling.

●Works with agencies and service providers to facilitate case coordination and information sharing.

●Help clients understand their conditions and treatment options.

●Complete expanded assessment of clients at time of intake.

●Ensure that client’s cognitive assessments are appropriate and necessary according to care plan.

●Promote effective and efficient utilization of clinical resource.

EDUCATION

Aurora University, Aurora, IL

LMSW /Masters of Social Work

Concordia University, Chicago, IL August.

Masters of Art Degree in Gerontology

Chicago State University, Chicago, IL August

Bachelors of Art (major: Health Science, minor: psychology)

Westside Technical Institute, Chicago, IL

Certified Nursing Assistant

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