Antoinette Rae Long MS, QP

*** **** ***. ** ***. A, Hickory NC 28601 adzjko@r.postjobfree.com

716-***-****

Professional Work Experiences

CARING I DEDICATED I RESOURCEFUL/STRATEGIC

More than 15 years post Graduate experience working with IDD/SMI/SU populations. Three years of effective supervisory experience of Adult Medicaid Health Home Outreach care coordinators. Many established working relationships with area MCO, NC DHHS representatives, psychiatrists, psychologists, special needs educators and physicians all of which contributes to having a working knowledge of intellectual, developmental, behavioral health and physical health disorders.

I/DD – NC Medicaid TCM Care Manager

ResCare/Community Alternatives of North Carolina, Hickory NC December 2022 -Present

Utilize tools such as NCTracks, Alpha+, HIE, NC Cares360, CHN etc. to obtain necessary health records to assist with coordination of care.

Work with beneficiaries to perform comprehensive TCM psychosocial /health assessments and development of TCM PCP.

Facilitate the integration of physical health care including; I/DD services behavioral health, and community support through an intentional and ongoing engagement of multidisciplinary providers.

Maintain a working knowledge of community, state and federal government resources to utilize and assist with coordinating the overall care and support to TCM CM service beneficiaries and their families.

Maintenance of an in-depth professional understanding of the NC Expanded Medicaid and TCM health care program and services as evidenced by completing required training and participating in AHEC, NCDHHS, MCO (PBH) training and information sessions.

Ensure enrollees are provided necessary information regarding overall health care so to afford the opportunity to make informed decisions about their care.

Work with enrollees towards obtaining long and short term goals as documented within TCM CM Plan of Care and EHR (guiding care).

Actively work to ensure TCM monthly CM required contacts and activities are performed and documented per assigned acuity and program requirements.

Assertive Community Treatment Team - Masters Level Qualified Professional

Catawba Valley HealthCare MH/SA/DD, Hickory NC February 2020-March 2022

Worked within a comprehensive multidisciplinary clinical team that utilized the expertise of medical, therapeutic, social work, vocational, substance abuse, and peer support professionals to assist individuals diagnosed with severe and persistent mental illness in achieving and sustaining their recovery goals.

Collaborated with MCO Care Managers to address mutual members during transition from or into institutions per their treatment needs.

Maintained the ongoing responsibility of developmenting, implementing, monitoring and revising assigned ACT clients Person-Centered Plan with the interdisciplinary healthcare team.

Facilitated and maintained ongoing working relationships and collaborations between CVH, parents, guardians, local community, social, government and human service agencies to assist with client rehabilitation progress and stabilization.

Minimize the negative effects of psychiatric symptoms or substance dependence that interfered with the individuals’ daily living and personal development as evidenced by; utilizing strength-based counseling techniques and theories such as CBT, DBT and Ml.

Researched supportive services available in communities that may assist individuals with obtaining their identified treatment goals and provided PSR tools to enhance his/her personal skills to effectively utilize and benefit from supports.

Updated client EHR records regularly to reflect accurate client demographics and/or; changes in service providers, reflection of hospitalizations/discharges, medication changes, billable/non- billable services rendered, completion of NCTOPPs, LOCUS, ASAM's and other administered or obtained documents or evaluations timely and accurately.

Monitored utilization of services to ensure that recovery/habilitation focused interventions remained effective and appropriate.

Children's Health Home (CHHUNY) Medicaid Managed -Case Manager OLV Human Services Lackawanna, NY August 2018 to December 2019

Completed comprehensive assessments that identified the child's or family medical, behavioral and health needs.

Developed POC with child and family to identify personal/behavioral/ medical health goals and interventions.

Demonstrated the ability to utilize an electronic health record "EHR" to document comprehensive and detailed client records which included but were not limited to; the plan of care, clinical case notes, assessments, service linkage etc.

Facilitated family and youths' participation and their utilization of strengths-based planning to treatment and habilitation which included; identifying personal strengths and needs, use of resources, natural supports, developing personal/family goals and objectives.

Researched and utilized services available to the families within their community to assist with obtaining the child's identified treatment goals.

Maintained effective working relationships with the child's school, doctors, DFS-SWs and other providers to assure accurate up-to-date developments in behavioral/physical health treatment and care coordination needs.

Community Clinical Provider (NYS Medicaid Managed Care service) Psychosocial Rehabilitation Professional OLV Human Services Lackawanna, NY August 2017 to December 2019

Provided individual and group emotional/behavioral management support counseling to youth and adults diagnosed with SMI/SUD or SED/LD by way of utilizing solution-focused behavior analysis and interventions to develop and implement social, interpersonal, self-care and independent living skills in order to restore stability, support functional gains and adapt to community living.

Assisted each individual with learning and effectively responding and/or avoiding triggers, identifying crisis situations and developed crisis management plan with client and caregivers.

Utilized and demonstrated evidenced based counseling techniques and theories

such as CBT, DBT coupled with Motivational Interviewing skills while

incorporating recovery-oriented activities within each session throughout the authorized treatment period.

Recorded service notes, uploaded client records in EHR in a timely manner assuring that documentation of clinical services provided were noted as required by agency and MCO.

Received highly structured clinical supervision and quality assurance processes throughout the course of the authorized billing period.

Adult Health Home Care Manager/Outreach Team Lead Buffalo Federation of Neighborhood Centers Buffalo, NY August 2014 to August 2017

Lead team of 5 Outreach Care Managers to strategically plan and enroll identified Adult Medicaid beneficiaries eligible for Care Coordination services designated through Greater Buffalo United Accountable Healthcare Network (GBUAHN) Health Home.

Provided weekly enrollment outcome data to Adult Health Home Program supervisor.

Empowered and encouraged outreach team to share and utilize ideas to increase enrollment and ways to decrease lost revenue due to inaccurate data entries or incomplete state and county HH enrollment required documents.

Conducted thorough psychosocial assessment interviews with enrollee and obtained authorized documentation to support and assist assigned CM with development of PCP with enrollee.

Worked intensively with HHCM enrolled individuals to address immediate needs; to reduce repeated inpatient hospitalization, admittance into inpatient drug treatment programs, secure housing, receive financial entitlements etc.

Educated, instructed and assisted clients with gaining knowledge and applying for SNAP/TANF, ACCESS-VR, Vocational Rehabilitation programs, Medicaid, Section 8 and SSI/SSDI if desired and eligible for services.

Coordinated outreach events to inform active Medicaid beneficiaries in the community of BFNC Care Management services.

Assured smooth hand off enrollees to identified CM to support continued engagement with enrollee.

Intensive Mental Health Care Manager-Critical Time Intervention Buffalo Federation of Neighborhood Centers Buffalo, NY June 2012 to August 2014

Provided intensive case management services to individuals transitioning from homeless shelters and/or being discharged from; inpatient detox/substance abuse treatment programs, inpatient mental health hospital stays and/ released from jail or prisons.

Worked within nine-month, three-stage intervention strategically that developed individualized linkages in the community.

Support and encourage the client's engagement with treatment and involvement with community supports through building problem-solving skills, motivational coaching, and role modeling advocacy skills.

Utilized Psychosocial Rehabilitation skill building techniques while incorporating Motivational Interviewing and CBT interventions in sessions to; assist clients with identifying personal strengths so as to empower and motivate him/her to move forward and obtain treatment goals.

Researched and utilized services available in communities that may assist clients with obtaining their identified treatment goals.

Therapeutic Foster Care Social Worker Catawba County Department of Social Services Hickory, NC June 2008 to April 2009

Linked foster parents and youth to identify needed services.

Provided intensive in-home clinical services to therapeutic foster parents licensed with Catawba County DSS through weekly supervision.

Facilitated Treatment Team Meetings and Permanency Planning Reviews as part of a team effort to make sound recommendations to family court regarding permanency based on interactions with families, youth, schools, juvenile court counselors, group home staff, mental health counselors, education personnel and other service providers.

Maintained records and required documentation set forth by Catawba County Department of Social Services.

Linked and referred foster parents or caregivers to community resources as needed.

Family Specialist - Foster Care Social Worker Berkshire Farm Center and Services for Youth- Buffalo, NY October 2007 to June 2008

Provided intensive community based clinical services as a part of the multi-disciplinary team in which included: strength-based assessment and treatment planning, service coordination, individual/group & family treatment, discharge planning & intervention.

Maintained a working relationship with Erie County DSS Foster/Adoption and Youth

Independent Living Program caseworkers in addition to court appointed law guardians and/or family attorneys- to reunite families or plan to provide permanency for children and youth.

Participate in TTM's and PPR's to assist in making sound recommendations to the family court regarding permanency based on interactions with families, youth, schools, juvenile court counselors, group home staff, mental health counselors and other service providers.

Work closely with biological parents and coordinate services such as, assist in applying for and maintaining TANF/SNAP, ACCESS-VR, Section 8 as well as SSI or SSD.

Assisted youth with applying to desired colleges and applying for Federal/State Student Financial Aids.

Perform data entry of client service notes into EHR in a timely manner assuring that documentation of clinical services provided are noted as required by Catholic Charities and OCFS. (office of children and family services)

Multi -Systemic Therapist Catholic Charities Niagara Falls, NY May 2006 to October 2007

Provided strength-focused approach of Family Systems Therapy to empower parents in effectively helping youth between the ages of10-17 at risk of PINS or out of home placement due to: truancy, academic problems, delinquent criminal behaviors, disobedience, aggressive behavior, drug and alcohol addictions.

Prepared clinical case notes Developed treatment service and discharge plans.

Analyzed multiple data sources needed to understand the legal system related to children and families including dependency orders, juvenile court procedures, and DCFS procedures to track youths' progress and outcomes to draw supportable conclusions to formulate recommendations to Family Court and Juvenile probation officers.

Linked and referred parents or caregivers to community resources as needed.

Received highly structured clinical supervision and quality assurance processes throughout the course of treatment.

Medicaid Services Coordinator Heritage Centers Buffalo, NY August 1996 to February 2006

Provided service coordination to adults and youth with a Primary Diagnosis of Developmentally Disabled.

Assisted clients' and families with gaining knowledge of and applying for SNAP/TANF, ACCESS-VR, Vocational Rehabilitation programs, Section 8 and SSI/SSDI if desired and eligible for services.

Lead the development of ISP with; the client, by incorporating participation of his/her family, IRA and Adult (DD) Group Home professionals, Special Needs Educators, Physicians as well as I/DD day treatment program providers to assist planning and implementing Person Centered goals and supports.

Coordinated and maintained ongoing communication with client and service providers to assure all identified personal, financial, physical health, mental health, educational, legal, government entitlement support goals have been worked towards based in ISP.

Ensured person centered planning process was used in the delivering of Medicaid Service Coordination.

Gained Knowledge of OPWDD, ADA and Special Education laws and regulations to serve as a knowledgeable advocate for program participants.

Entered all required documentation in IDD service record and filed in record accordingly i.e. ISP plans, service notes within allotted time frame assuring that documentation of service coordination, care and clinical services provided were noted as required by the agency.

Training and Education

Master of Science - Multidisciplinary Studies (Clinical Counseling/Juvenile Justice Administration) SUNY at Buffalo State College - Buffalo, NY 1998 to 2006

Bachelor of Science in Sociology SUNY at Buffalo State College - Buffalo, NY

1993 to 1996

SKILLS

Complex Trauma and Informed Care trained.

Microsoft Office Word, Excel

Enhanced engagement and communication skills,

NC: LOCUS and NCI+ EBPI, CPR (Adult and child), Person Centered Planning and thinking.

Motivational Interviewing, Cultural Diversity etc.

Completion of required state TCM required training .

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