Case Manager, Counselor, Educator, Assessor
Resume:
Leigh “Shannon” Williams
**** ** ***** ***** *****, FL 34473
**********@*****.***
Education:
Valdosta State University 1986-1990;
B.A. Degree – Sociology, Anthropolgy
Dunnellon High School 1982-1986; High School Diploma Employment History:
Centene Corporation
Sunshine State Health Plan (Long Term Care Coordinator) 12/2013 - Present Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost-effective care plans
● Develop, assess and adjust, as necessary, the care plan and promote desired outcome
● Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
● Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio- economic needs of clients in the community
● Develop plan of care based upon assessment with specific objectives, measurable goals and interventions designed to meet member's needs
● Provide patient and provider education
● Facilitate member access to community based services
● Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan
● Actively participate in integrated team care management rounds
● Identify related risk management quality concerns and report these scenarios to the appropriate resources
● Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
● Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge and care plans of NH facility patients back into the community
● Assist members with filing and resolving complaints and appeals. American Eldercare/Humana - Care Manager 4/2012-12/2013 Job responsibilities include: coordinating the integration of services and development of acute and long-term care plans with the member and the member’s primary care physician; Conduct an orientation with all new members and/or their caregivers to fully explain the member handbook, provider directory, review the assessment and design an individualized plan of care; Coordinate services with network providers and ensure requested services are provided in a timely manner; Coordinate services that are informal in nature or with out of network providers as the plan of care indicates; Ensure all member’s files are updated and accurate; Develop and maintain a positive working relationship with Providers and other AEC departments. Contact: HR @ 561-***-****
Marion Senior Services – Medicaid Waiver Case Manager 08/2009-4/2012 Provided non-medical assistance in coordinating services in a client’s home with long-term care activities such as homemaking, personal care, meals, adult daycare, case management, emergency alerts, energy assistance, homemaker services, completed Adult Protective Service Calls and visits; respite care, nutritional supplements, durable medical equipment, and consumable medical supplies; completed 701B assessments and care plans to client needs; complete case narratives; complete home visits to reassess for services for client to remain in the least restrictive setting.
Contact: HR department @ 352-***-****
ResCare Excel Alternative School – Educator 01/2009-06/2009 Established long and short term goals that support student’s needs, the district strategic plans and sunshine state standards; plan and prepare lesson plans for instructional activities; Identify, modify, select instructional materials to meet the needs of students with varying backgrounds, learning styles, and special needs; maintained classroom discipline by effectively managing students behavior.
Contact HR 407-***-****
Eckerd Youth Alternative - Educator 05/2008-12/2008 Special Education Teacher at Camp E-Kel- E-Tu
To teach education to special need court ordered juveniles in an outdoor residential treatment facility; prepared lesson plans, taught life skills, coordinated care plans implementing thematic units
Contact: HR 727-***-****
Children’s Home Society - Family Program Counselor 06/2005-01/2008
Identified and assessed client and family needs to coordinate and ensure necessary services to address court ordered treatment programs assigned; complete home visits with family and children; completed psychosocial assessments; assisted families and educated awareness of implemented activities to reinforce positive family relations; complete discharge planning for families successfully completing goals in care plan. Contact: HR @ 321-***-****
Marion County Public School - Exceptional Student Education Dept. 08/2004-06/2005
Assist Behavior Specialist with classroom support for volatile and aggressive student behavior in MCPS classrooms by using effective intervention strategies to educate and train students to use appropriate behavior
Contact: Marion County Public School Personnel Dept. @ 352-***-**** Marion County Public School – Teacher, Basketball and Volleyball Coach 08/2003-05/2004
North Marion High School - Established long and short term goals that support student’s needs, the district strategic plans in correlation with the sunshine state standards; plan and prepare lesson plans for instructional activities; Identify, modify, select instructional materials to meet the needs of students with varying backgrounds, learning styles, and special needs; maintained classroom discipline by effectively managing students behavior. Contact: Marion County Public School Personnel Dept. @ 352-***-**** Department of Corrections- Lowell Women’s Prison - ESE Teacher 05/2001-02/2002 Developed Individualized education plans for special education inmates attending class; conducted weekly meetings with academics on teacher modification to instructional material in order to accommodate inmate learning; completed re-evaluations and treatment plans Contact: HR Personnel 352-***-****
Highlands County Public School - ESE Teacher, Basketball/Volleyball Coach 08/1997-05/2001
Avon Park High School - Established long and short term goals that support student’s needs, the district strategic plans in correlation with the sunshine state standards; plan and prepare lesson plans for instructional activities; Identify, modify, select instructional materials to meet the needs of students with varying backgrounds, learning styles, and special needs; maintained classroom discipline by effectively managing students behavior. Contact HR dept.: 863-***-****
Marion County Public School – ESE Teacher, Basketball/Volleyball Coach 08/1995-06/1997
Dunnellon Middle School – See job description and contact information above Center for Drug-Free Living - Juvenile Delinquency Case Manager 12/1993-08/1995
Competed case status reports, conducted daily groups on anger management, avoiding substance abuse, participated in community outreach programs, arranged and scheduled drug screenings, and participated in quality assurance process. Transferred within dept. and counseled inmates at Orange County Correctional Facility, relapse prevention, conflict resolution, and anger management
Contact HR @ 352-***-****
Professional Women’s Basketball Player, Tel Aviv, Israel 08/1993-12/1993 The Centers (Formerly Marion-Citrus Mental Health Center) Rehab Counselor
12/1990-07/1993
Worked on the Crisis Stabilization Unit; conducted daily mental health groups for patients with health disorders, conducted social/recreational activities; charted patient progress daily interactions, and behaviors
Accolades
1998 Hall of Fame Inductee – Valdosta State University (women’s basketball) 3x College All-American (women’s basketball)
1990 Lowndes County Hall of Fame Inductee (women’s’ basketball) High School Kodak All-American (girls’ basketball) Certificates and Trainings Completed (upon request) 701B/701T Psychosocial Assessments Trained
PCCP (person centered care plan) Treatment Planning Plan of Care Trained
Florida LTC Elder Abuse/Neglect, Exploitation Trained Medical Model Trained
Dementia and Alzheimer Trained
HIPPA trained
PDO (participant directive option) trained
LTSS (long term service support) Audit Guidelines trained Compliant and Business Ethic Trained
Administrative Firewall Trained
Florida Medicaid Service Delivery System Trained
Privacy and Confidentiality Trained
Member Location Summary Trained
*References upon Request*
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