Case Manager Care Team

KAREN COOLEY

*** ******** ***** *** *, Gulfport, MS 39507 601-***-**** ****************@*****.***

Professional Summary

Resolute case manager and professional trainer adept at coordinating training, completing documentation, discussing healthcare needs with clients/care team, and referring clients to specific community-based resources. Exceptional communication abilities. Organized and willing to take on added responsibilities to meet team goals. Hardworking and enthusiastic job seeker with strong organizational skills. Ability to manage multiple projects simultaneously with a high degree of accuracy. Seeking to maintain full-time position that offers professional challenges utilizing people skills, excellent time management, and critical thinking skills.

Skills

Flexible collaborator who thrives in environments requiring ability to effectively prioritize and manage multiple concurrent projects

Resourceful collaborator who excels at building trusting relationships with clients, patients, and colleagues

Dependable and responsible contributor to team

Highly efficient organization skills

Health plan development

Service coordination

Supervisory experience

Active listening

Problem-Solving

CPR and First Aid certified

Motivational interviewing

Training skills

Microsoft Office

Assess for services

Life Skills Instruction

Resource advocacy

Conduct home visits

Material development for training

Work History

Case Manager

Community Action of South Mississippi 04/2024-Present

Collect all necessary documents needed to submit client file for approval.

Perform check request duties for clients that are approved for various expenditures.

Participate in community events hosted by CASOMS and other community agencies.

Provide housing services, job training, LIHEAP assistance, weatherization referrals, temporary housing assistance, nutritional assistance, money management, medical/dental, credit counseling, tax preparation, work support services, and vocational training support.

Create client centered care plan with client and facilitate various workshops.

Collaborate with other community agencies to forge community partnerships and other assistance for clients.

Perform other duties as assigned.

Community Health Worker 04/2022 to 02/2024

Optum/United Health – Gulfport, MS

Provided outreach education services as a health advocate and basic information to promote and encourage home visits.

Engaged members primarily face to face and over the phone to discuss health related issues and concerns.

Created a positive experience and relationship with the member.

Proactively encouraged members to manage their own health.

Supported the member to improve their well-being by attending regular visits to their primary physician.

Supported member to ensure pick-up of their prescriptions and discussing importance of compliance.

Provided member education on community resources.

Actively listened and empathized with patient.

Gathered updated information from patient to report to care team.

Performed all other related duties as assigned.

Healthcare Ambassador/Preceptor 09/2018 to 03/2022

Landmark Health

Used critical thinking and communication skills to build lasting and impactful relationships with patients and caregivers and exuded compassion and empathy to earn trust of patients.

Explained the value of the Landmark Program to each patient.

Conducted check in surveys, FRS, CCM surveys, and community referrals with patients over the phone and in the home.

Completed referrals from care team and drop by home visits with patient.

Completed over 10,000 HFSs with patients via phone or home visit.

Collaborated with Landmark Providers, Social Workers, Care Coordinators, and Nurses to drive improvement in patient health outcomes.

Conducted phone-based calls, completed assigned tasks, replied to messages.

Completed retinopathy eye exams with patient in his/her home.

Performed owl trainer duties such as guiding other Ambassadors throughout their employment and training them when onboarding.

Delivered Fit test Kits and Landmark Links to patients.

Performed home safety assessments, completed fall prevention exercises with patient, and disseminated health education information to patients.

Assisted patients with installation of LH (Landmark Health) phone app on their phones for telemed visits.

Completed training assigned.

Trained 50-60 healthcare ambassadors.

Developed month to month training plan for new hires.

Completed weekly benchmark skill sheets on each newly hired ambassador.

Facilitated weekly meetings with each ambassador to discuss progress, concerns, and trainees that needed extra training.

Attended weekly meeting with direct supervisor.

Attended weekly meetings and performed other duties as assigned

Care Manager 08/2014 to 09/2018

Health Force, LLC

Telephonically assessed and evaluated member's needs to maintain their health.

Guided members and their families toward interaction for appropriate care and well-being.

Worked in collaboration with a multi-disciplinary team, employing a variety of strategies, approaches, and techniques to enable a member to manage their physical, environmental, and psycho-social health issues.

Conducted telephonic outreach to assigned members to assess health, environment, nutrition, and psycho-social areas of concerns using a variety of assessments.

Coached and problem solved with member to identify and address specific goal(s) to support health.

Provided appropriate interventions to optimize health and well-being.

Facilitated interventions such as educating the member on disease process and how to manage it and coordinating community-based support services.

Collaborated with other members of the interdisciplinary team such as RN, Provider, and Community Health Educator to better serve member.

Executed individualized care plan for each member.

Performed data entry into Humana's database, Rosalind.

Performed liaison duties between member and health care provider, if needed.

Scheduled weekly meetings with members.

Monitored member’s compliance with care plan and medication regimen.

Attended mandatory online training and meetings.

Completed home visit with member with provider as needed.

Completed med reconciliation with member and pharmacist.

Completed ICD-10 code entry on each patient.

Education

Bachelor's: Social Work 01/2004

The University of Southern Mississippi School of Social Work - Hattiesburg, MS

Associates: General Studies 01/2002

Pearl River Community College - Poplarville, MS

Training

Owl Trainer, RetinaVue eye exam training, Quattro Flow training, Fall risk/prevention training, CPR training, HEDIS/EMR Training

Care Plan Training, Recovery Plan, On-Base, Construction, Volunteer, Red Cross Shelter, STAC, Safety Plan, ACWIS and Assist Training

C.E. R. T. training and Volunteer Coordinator Training

Proficient in MS Office, Outlook, Excel, PowerPoint, facilitating training for case managers and training case managers

Red Cross disaster training, case manager supervisor training; CAN Specialist training, Rosalind database, and data entry skills training

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