Case Management Personal Care
Resume:
Tonja Theodile
Sugar Land, Texas 77498
**********@*****.***
Objective
Qualified in the Human Services field. Embrace and conquer difficult tasks very well. Adjust well to any environment. I enjoy learning new skills and taking on special projects. Skillful as an Administrator, Human Resource, and Case Management as well as working with large caseloads of work personnel, outside vendors, and Reliable, resourceful, and possess a strong work ethic.
Work Experience
Girling Personal Care November 2020 – June 2024
Assistant Director
Manager /Coach – Payroll/Staffing Coordination Department (22 employees,) along with other employees who oversee daily operations,
Initiate and monitor all HR practices for my team such as FMLA. ADA. long -term. and short-term disability. In addition to Performance reviews, salary increases, promotions. demotions, disciplinary probations, terminations, corrective actions.
Maintain weekly trends of billing at minimum 94% of services provided by Personal Care Assistants hired to provide care to qualified recipients through Medicaid as well as HMOs such as Wellpoint, United Healthcare, Molina, Veteran’s Caregiver Assistance, and Veterans TriWest.
Communicate and foster relationships between clients, provider, insurance carriers by mediating, negotiating, and overcoming obstacles by providing efficient resolutions, and remaining compliant with State and Federal guidelines.
Conduct and follow onboarding procedures for newly employed candidates by interviewing, hiring, and completing onboarding process; including profile development and ensuring all onboarding is compliant and completed before staff are released from training/orientation.
General Land Office (GLO/ AECOM) November 2018- October 2019
Applicant Coordinator
Through the Texas General Land Office and AECOM, I process applicants from Hurricane Harvey victims who have damaged homes either looking to repair, elevate, or replace their homes through the program. Duties consist of interviewing applicants, uploading their information into TIGR system, following up with applicants for missing documents, summarizing and preparing reports from inspections, Facilitating Pre-Construction Conference and other various Case Management duties. Applicant Coordinator works from 10 or more different satellite offices: Wharton, Sealy, Prairie View, Brookshire, Palacios, Beaumont, Orange, Port Arthur and Columbus, Texas.
Associate Director at Mosaic- SOETX Agency
Spring, TX and Bryan, TX
3/2017 – 8/30/18
Under the direction of the Executive Director, I was responsible for ensuring that all services are operated in compliance with regulatory requirements and accreditation standards. Duties include overseeing service delivery and the programmatic process and the supervision of assigned staff. Assists with the overall operation of the agency, including human resources, financial management, and staff development. I assumed responsibility for operations in the absence of the Executive Director. Maintained relationships with outside vendors, as well as Corporate Office Liaison to convey company –wide changes that may need to be implemented. Conduct monthly 1:1 meeting with direct reports, conduct interviews for prospective employees as well as for inter-agency investigations. Issue merit increases when appropriate and initiate quarterly agency audits. These tasks listed took place in two separate offices in both Bryan, TX and Spring, TX where I had to split my time.
Lead QIDP/Assistant Unit Director at Brenham State Supported Living Center
Brenham, Texas
8/2013 – 3/2017
Oversee the needs of the residents with intellectual disabilities on the Fannin Unit, which is the unit housed with residents who also have severe behavioral and psychological disorders. I serve in this role by directly managing the QIDP’s who maintain caseloads by facilitating the annual planning meetings for the residents on my QIDP’s caseloads to ensure quality, continuity, and consistency amongst the unit. Additionally, I provided assistance and feedback to the QIDP’s that work directly under me as well as perform annual evaluations, promote, and issue merit bonuses. I cover as the Unit Director in her absence or unavailability during which time, I may approve budget requests or purchases, conduct Unit meetings, and make decisions on behalf of the Unit to resolve immediate and acute issues. Lastly, I conduct audits on caseloads, medical charts, DSP’s, resident’s trust fund accounts, and home inventory.
Home and Community-Based (HCS) Case Manager
4/2013 – 5/2014 Diversified Caring Homes, PLLC
Houston, Texas
Maintain a caseload of individuals with intellectual or physical disorders who receive services though the Home and Community-Based Services Waver Program.
Conduct Plan of Care staffing, Interim Disciplinary Team, (or IDT Meetings,) Site Reviews, in an effort to remain in compliance with State and Federal Regulations.
Conduct Special Need and Change of Condition In-services with staff.
Maintain open and professional relationships with Legal Authorized Representatives and family members or individuals in my care.
Implement training objectives that reflect importance to the individual receiving services.
Train Legal Authorized Representative or designee on how to complete fire drills, complete incident reports, and how to properly complete various paperwork needed
Serves as the liaison between the family, provider, and Service Coordinator on behalf of the individual receiving services.
Link individuals to outside agencies such as Social Security, Behaviorist, and Dietitians as needed.
Process payments to be sent to the CARE system for billing State for services rendered.
Program Mgr.
3/2008 – 3/2013 Bethesda Lutheran Homes and Services,
Cypress, Texas
Coordinate all needs for residents in ICF-MR program with both developmental and psychological disabilities.
Host State Surveyors and if Cited write Plan of Correction to comply with State Regulations and TAC Codes.
Completes assessments, personal outcome interviews, evaluations, regular review of data and assimilate information in Individuals program plans.
Encourage and maintain regular contact with clients and guardian and act as the liaison between individual, their family, or legal authorized representative.
Facilitate in-house as well as organize and cooperate with State health and life safety investigations.
Appropriately handle all home staffing issues, monitor hours and overtime by maintaining Kronos; accurately utilize the corrective action process when staff disciplinary incidents arise, and monitors spending in each home by monitoring Visa accounts for all homes.
Recruit and conduct interviews with prospective candidates for employment, perform background checks, complete new hire packets and conduct 90-day evaluations on recent hires.
Process and monitor both account payables and account receivables between the company and our contracted vendors as well as State and Federal Government.
Rehab. Clinician
8/2006 – 2/2008 Mental Health and Mental Retardation Authority of Harris County (MHMRA) Houston, Texas
Developed treatment plan for assigned case load of clients with mental illness.
Act as a broker of services and assure that services received are meeting the client’s identified needs as indicated on the treatment plan.
Responsible for assessing, planning, coordinating, and monitoring client services.
Assisted clients with assessing community resources.
Educated clients on diagnosis, medication, and treatment options.
Provided crisis counseling and skills training education.
Conduct training and shadowing of new employees.
Created and monitored billing for services provided by providing invoices for services rendered.
Consumer Sales and Support
4/2005 - 3/2006 BellSouth Telecommunications, Baton Rouge, Louisiana
Assist customers with billing inquiries, new orders, transfer of services, and disconnect orders. Suggest need –based enhancements to improve customer’s telecommunication needs. Communicate with several different departments, to satisfy customer’s request. Provide outstanding customer service to customers in a 9-state region.
Direct Care Staff
11/2004 - 7/2005 The Harmony Center, Inc., Baton Rouge, LA
-Oversee the daily activities of 8 mentally retarded residents with behavior disorders. -Increase self-sufficiency by implementing the daily active treatment, and individual program plans mapped out for each resident. -Coordinate leisure activities, both in an outside the home, for residents that promote self growth and are beneficial and appropriate for residents in the home. -Modify behavior by providing verbal prompts and guidance, rewarding and other forms of reinforcement.
Social Service Analyst
10/2003 - 8/2004 State of Louisiana Dept. of Social Services, Office of Family Support, Lake Charles, LA
Served as a food stamp/FITAP case manager for a caseload of about 1,000. -Determined continual eligibility for clients for such services by utilizing various mathematical formulas to determine eligibility. -Held both phone and face-to-face interviews to accommodate my clients. -Completed extensive clerical work to stay organized and on task.-Referred clients to outside agencies for other services requested that our agency did not handle.
Paralegal/ Legal Secretary
6/2003 - 10/2003 Law Office of Gail N. McKay, Baton Rouge, Louisiana
Completed extensive clerical work.-Draft all legal pleadings such as pre-trial orders, interrogatories, petition for damages, etc.-Interviewed prospective clients.-Negotiated settlement offers with insurance companies, and other legal parties.-Disbursed settlement funds to clients.-Prepared trial notebooks for trial.
Customer Service Desk
12/2002 - 6/2003 Office Depot, Baton Rouge, Louisiana
-Answered telephone calls and routed them to appropriate staff.-Handled exchanges, refunds, and returns.-Handled tax-exempt shoppers as well as catalog orders. -Assisted the store with extended warranty sales.
Internships
Intern/Intake Probation Officer – Baton Rouge, LA Spring 03
Department of Juvenile Services
Sworn in by Judge Salvadore T. Mulé, to contribute to all aspects of the agency as a Juvenile Intake Probation Officer.
-Assisted clients by scheduling appointments at times that were convenient for both them and their guardians.
-Networked with other agencies when clients and their families requested services that were outside of Juvenile Services.
-Provided services as a Probation Officer such as attending court, administering drug screenings, and making District Attorney referrals for those juveniles and their parents who would not comply with the rules agreed upon in our first appointment.
Intern. Case Manager – Baton Rouge, LA Fall 2002
Bishop Ott Homeless Shelter for Women
- Assisted in the day-to-day operations at the shelter.
- Served as a caseworker for Project G.U.M.B.O., a program designed to help people obtain jobs in the culinary field.
Education
B.S. Social Work
5/2003 - Southern University and A& M College, Baton Rouge, Louisiana
Skills
Microsoft Office Literate, SPSS, internet resourceful, Anasazi, Medicaid billing experience, CASPer, CARE, IRIS, Therap, PeopleSoft, ADP Recruiting Management, Journey, Vesta, HHAeXchange, GTA, Dayforce, CURO, TIGr
Licensed: General Lines – Life, Accident, and Health Insurance
Contact this candidate