Case Manager Adult Services
Resume:
Mayra Moreno MS CCM
Lyndhurst, NJ *****
*.*************@*****.***
A dedicated, results-driven mid-management professional with years of experience in public management and social service organizations. Fluent in English and Spanish written and spoken word. Developed leadership attributes and acute problem-solving skills honed with passion, drive, and vision. Consistently achieve and accomplish outstanding results in challenging environments while building and maintaining strong, loyal relationships with internal and external colleagues. Willing to relocate to Remote
Authorized to work in the US for any employer
Authorized to work in the US for any employer
Work Experience
Adult Services Manager
Bergen County Special Services - Paramus, NJ
January 2022 to Present
Managed and had operational oversight over 52 Adult Disabled clients in addition to 10 staff members at Day Habilitation Program. Attended and actively participated in all Annual Individual Service Plans. Positive rapport with clients, families, group homes, and all support coordinators from all different agencies.
Social Services Coordinator
Edward Murawski Towers - Linden, NJ
December 2019 to July 2021
As the Social Services Coordinator, work assignments are straightforward and of moderate complexity. Strong organizational skills are needed.The position provides non-clinical support to tenants and evaluation of social determinants, health needs and requirements to achieve and/or maintain an optimal state of wellness for tenants. Assist tenants and families to navigate community resources for their care and well-being. Adaptability to an ever-changing environment. Make decisions regarding own work approach/priorities and follows direction. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Work is managed and often guided by HUD procedures, regulations and professional standards. Ability to work with various departmental levels to ensure that tenant concerns are addressed accordingly. Ensure that the individual tenant/resident goals are measurable and achievable.
Case Manager
Kessler Institute for Rehabilitation - Saddle Brook, NJ April 2019 to November 2019
• Per diem position
Concurrent review. Discharge Planning. Utilization review. Fiscal Management assures responsiveness to payor systems by maintaining ongoing communication and serving as the primary source and primary contact to all external resources to generate revenue for a private for profit organization. Familiar with worker's compensation and MVA cases. Knowledgeable of EPIC software and GUI. Maintain a thorough understanding of Medicare appeals process and Livanta. Provides interpretation to patient/ families of their insurance and providing patient advocacy as needed.Knowledgeable of chart / QA audits. Responsible for attending education/in-servicing current trends in case management,policies and procedures of the Institute and changes in governmental regulatory and accrediting agencies to ensure compliance with standards of practice. Fluent in English and Spanish. Familiar with Bergen, Hudson and Passaic Counties community resources.
Vocational Counselor
Hudson Community Enterprises - Jersey City, NJ
September 2018 to January 2019
• Developed vocationally based treatment plans and implemented modification techniques to improve behavior.
• Created workplace activities for intellectually disabled individuals.
• Reported problems and made suggestions for program improvements to upper management.
• Completed progress reports, daily attendance, and case notes.
• Attended team meetings for strategic planning to facilitate the efficiency of the agency. MLTSS Healthcare Case Manager
Horizon NJ Health Blue Cross Blue Shield of NJ - West Trenton, NJ March 2016 to March 2018
Managed Care Long Term Services and Support 2016-2018
• Assisted with implementation and facilitation of services for managed long term support and services • Collaborated with the managed long term support and services program member/family, physician and all members of the healthcare team, internal and external to this organization.
● Coordinated the delivery of high quality, cost-effective care based on the members' needs and the managed long term support and services model supported by clinical practice guidelines established by the plan.
● Advocated for the managed long term support and services member/family among various sites to coordinate resource utilization and evaluation of services provided.
● Utilized care management process to set priorities, plan, organize, and implement goal directed interventions.
● Encouraged member participation and compliance in managed long term support and services.
● Utilized managed long term support and services case management process for goal directed care.
● Documented accurately and comprehensively based on standards of practice and organization policies.
● Interacted and communicated effectively with the managed long term support and services member during face to face and/or telephonic contact and received excellent feedback on family and member satisfaction.
SSVF Case Manager/ Site Supervisor at Veterans Advocacy Network North Hudson Community Action Corporation - Hackensack, NJ January 2013 to December 2015
• Skilled leader with proven track record of expanding the organization's newly federally funded social service program into Bergen County, NJ meeting and exceeding thresholds across 70 municipalities.
• Managed the Veterans homelessness and rapid re-housing program, which included implementation and operation of services, e.g. advocacy, housing, case management and access to entitlements / services, employment and benefits.
• Communicated across agencies and all levels of government, voted as a HEARTH member of the monthly Continuum of Care County Meetings and acted as lead member of inputting data on Housing Management information Systems.
• Assisted in securing grant renewal for the coming year and implemented policies and procedures.
• Established a positive rapport with the VA Healthcare system in Lyons and East Orange, New Jersey. Consulting Care Manager
New Jersey Office of the Public Guardian - Trenton, NJ January 2011 to December 2013
• Acted in authority on behalf of Acting Legal Guardian for the state of NJ.
• Helped in all matters regarding medical, financial and personal decisions on behalf of a vulnerable elderly client that has been adjudicated mentally incapacitated for "person and property" or limited guardianship under a court of law in Hudson and Bergen County.
• Made funeral arrangements, facilitated home care needs and made nursing home visits to ensure safety
• Assured that each client's plan of care has realistic and measurable goals.
• Gave verbal and written consents for medical procedures and assisted with ethical and end of life decisions and facilitated the final process with OPG administrative staff. Director of Senior Citizens
Borough of Fairview - Fairview, NJ
January 2010 to January 2010
• Developed organization's mission statement and filed quarterly statistical reports.
• Handled resource planning, program development, and implementation of policies and procedures.
• Provided training and support to Easter Seal staff and CWEP.
• Promoted public senior citizens awareness and coordinated events. New Jersey EASE Care Manager
Bergen Family Center - Englewood, NJ
January 2007 to December 2009
• Performed evaluations of home bound geriatric populations for care management needs.
• Prepared Plans of Care to ensure home bound populations received available services.
• Delivered in-service education to senior citizens and disabled individuals in Bergen County, NJ.
• Conducted Caregiver counseling through NJ EASE.
• Provided assistance in applying for PAAD, Senior Gold, HEAP and other programs.
• Provided assistance in applying for JACC and CAPED in addition to Veterans benefits and Alzheimer grants.
Social Worker /Discharge Planner
Palisades Medical Center - North Bergen, NJ
January 1996 to December 2006
• Educated and advocated for patients and families regarding sub-acute rehabilitation and nursing homes.
• Networked with and made referrals to the State Senior Health & Services Office on behalf of clients needing support with nursing home evaluation and placement.
• Assessed and made referrals for voluntary and involuntary hospitalization of individuals with a psychiatric disorder.
• Participated in length of stay team meetings to evaluate patient status and treatment plan effectiveness.
• Reported to DYFS alleged child abuse or neglect. WIC program, Healthy Mothers, Healthy Babies in Hudson County and facilitated adoptions when necessary on Maternity and Pediatric unit. Education
Master of Science in Health Sciences / Community Health Education New Jersey City University - Jersey City, NJ
September 1999 to May 2004
Bachelor's in Sociology
Bloomfield College - Bloomfield, NJ, US
September 1985 to May 1989
Skills
• Statistics (3 years)
• Counseling (10+ years)
• Case Management (10+ years)
• Social Work (10+ years)
• Documentation review
• Medical Records
• Individual / Group Counseling
• Documentation (10+ years)
• Spanish
• Intake
• Developmental Disabilities Experience (Less than 1 year)
• Word (10+ years)
• Program Development
• Crisis Intervention (10+ years)
• Group Therapy (Less than 1 year)
• Ms word (8 years)
• Managed Care (10+ years)
• Microsoft Office (8 years)
• problem solving (10+ years)
• Outlook (10+ years)
• Fluent
• Interpretation
• Management (10+ years)
• Certified Case Manager (6 years)
• Fiscal Management
• Spanish (10+ years)
• Epic (1 year)
• AWARDS Software-Foothold Technology (4 years)
Awards
SSVF Case Manager
Acknowledged for being a huge part of assisting VA homeless clients with rapid re-housing. Certifications and Licenses
Certified Case Manager
CPR Certification
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