Case Manager Patient Care

Evelyn D. Oppong

Irvington, NJ ***** 908-***-**** ********@*****.***

Professional Summary

Experienced Case Manager with a strong background in healthcare and patient care. Excellent communication skills and a proven ability to work independently and as part of a team. Skilled in designing care plans, meeting deadlines, and interacting with all levels of management. Proficient in Microsoft Office and various healthcare

Skills

Healthcare Knowledge: Medicare & Medicaid, CPI, CPR, First Aid, NJ Choice assessment, DDD overview.

Patient Care: Assessments for Long-term Care & Support, Outpatient experience with TBI populations, Behavioral assistance for children with autism, Therapeutic services, Positive reinforcement.

Technical Skills: Proficient in Microsoft Office, Word processing, Spreadsheet, and Database programs.

Technical Skills: Proficient in Microsoft Office, Word processing, Spreadsheet, and Database programs.

Professional Skills: Strong verbal, written, and computer skills, Time and case management, Staff development and training, Capacity to handle complex issues, De-escalation, Behavior support.

Work History

Case Manager, MLTSS

Aetna Better Health of NJ – Princeton, NJ

November 2021 – October 2024

•Managed a caseload of 200+ members, leveraging advanced critical thinking and analytical skills to deliver high-quality care.

•Developed and executed individualized care plans, achieving an audit compliance score of 95% or higher.

•Led interdisciplinary team meetings to address health concerns and set actionable short- and long-term goals for members.

•Coordinated with healthcare professionals and community organizations to bridge service gaps and meet client needs.

•Conducted intake assessments within 24 hours of hospital readmissions, ensuring timely care plan development and implementation.

•Facilitated care transitions through comprehensive discharge planning, reducing readmission risks.

•Presented complex cases to multidisciplinary forums, driving optimal healthcare outcomes.

•Mentored and trained newly hired case managers, contributing to team excellence and performance improvement.

•Streamlined documentation processes using electronic systems, maintaining exceptional data accuracy and compliance.

Behavior Specialist

Spectrum for Living

May 2018 – May 2021

Collaborated with the Psychology Department to design and implement individualized Behavior Plans and Methodologies.

Conducted psychological observations and assessments for prospective clients, ensuring accurate documentation.

Supported the social and emotional well-being of developmentally and mentally disabled clients, fostering a safe program environment.

Delivered in-service training to new hires on behavior plans, methodologies, and crisis management.

Developed and implemented Individual Habilitation Plans and conducted client assessments.

Collected, analyzed, and reported monthly behavioral data for state compliance.

Organized psychiatric appointments and transportation logistics to ensure continuity of care.

Supervised adult day programs (ATC), providing leadership and oversight of daily operations.

Maintained up-to-date knowledge of Fee-for-Service models for contracted providers.

Senior Cognitive Rehabilitation Therapist

Neuro Restorative of NJ

July 2012 – 2021

Managed client cases in compliance with Medicaid TBI waiver requirements and insurance protocols.

Assessed client needs and developed individualized rehabilitation plans to address cognitive and functional goals.

Designed and facilitated individual and group therapy sessions aligned with rehabilitation objectives.

Maintained a safe, clean, and therapeutic environment to support client progress.

Documented therapy progress, incident reports, monthly reports, and individual rehabilitation plans (IRPs) with accuracy and timeliness.

Collaborated with interdisciplinary teams during weekly treatment meetings to deliver holistic, client-centered care.

Provided training, resources, and adaptive equipment to help clients maintain functional independence and prevent further decline.

Applied cognitive tools and compensatory strategies to enhance clients’ functional competence in real-world scenarios.

Delivered vocational training and supervised clients in supported employment programs, ensuring proper documentation and progress tracking.

Communicated with referring medical providers to coordinate care, update treatment plans, and address changes in client conditions.

Education

Master's: Public Administration, Health Care Administration

Fairleigh Dickinson University, American College of Healthcare Executives - Teaneck, NJ

Bachelor of Science: Psychology

Rutgers, The State University of New Jersey - New Brunswick, NJ

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