Case Manager Management

Julia Browning Adkins

*****.********@*****.***• www.linkedin.com/in/julia-adkins-93579b149

606-***-**** • Russell, KY

SUMMARY

Dedicated and resourceful case manager with over 10 years of experience in member and provider relationship management. Utilizing culturally relevant and diverse resources to identify and address unique needs to promote empowerment. Extensive knowledge of Social Determinants of Health solutions derived from community-based resources, assessments, and crisis management. Proficiency in placement needs, benefits, advocacy and outreach. Background in program recruitment, grant monitoring and long-term project management. Eager to contribute to the individual need by leveraging expertise in case management, service coordination and health coaching.

EXPERIENCE

Anthem BlueCross BlueShield, Kentucky Medicaid, Community Engagement Navigator

Dec 2022 – Dec 2024

Acted as telephonic case manager to KY Medicaid Members, improving health outcomes by reducing high-risk behaviors through motivational interviewing

Linked with community-based organizations to reduce barriers to success, coordinating resource events and attending area organizational meetings

Completed required assessments, resource delivery, and service continuity, enhancing program engagement by 95% effective closed loop referral system

Facilitating monthly Sales Force entries for Department of Medicaid tracking purposes

Provided housing, employment, language and educational needs for migrants and refugees allowing successful integration into their communities.

Collaborated with SDOH, behavioral, and physical health domains to aid in improved health metrics.

Analyzed data and electronic health records to ensure 100% policy compliance

SAFY Foster Care, Case Coordinator

Sept 2018 – Jan 2022

Provided relevant knowledge, skills and resources, to foster parents to ensure the safety and wellbeing of children

Scheduled recruitment and community events that included outreach initiatives, and informational workshops

Developed and implemented comprehensive care plans resulting in improved health outcomes

Acted as a liaison to ensure seamless communication between community partners enhancing service delivery

On call crisis management applying behavior modification techniques and immediate support to prevent escalation and hospitalizations

Maintained ongoing chart audits to measure goals and objectives were met successfully

Assisted with all long-term care and residential placement needs

Ramey Estep Homes, Inc. Re-group, Case Manager

Oct 2017- Aug 2022

Provided targeted case management services to outpatient mental health clients

Maintained continuous resource and referral services for individual and familial needs

Served as an advocate for meeting ongoing Social Determinants of Health needs

Completing concurrent documentation, assessments and treatment planning with 100 % efficiency

Pathways – HCBS/SCL/ Michelle P. Waiver, Support Broker

August 2015- September 2017

Assisted clients in accessing medically complex services through referrals, linkage and provider engagement to ensure all Medicaid Waiver needs were met.

Monitored client’s progress by making referrals, tracking client’s appointments, performing follow-up on services rendered, and performing periodic reassessments of client’s changing needs

Performed advocacy activities to ensure educational, social and legal needs were met in a timely fashion

Supervised staff trainings, documentation and time entry per case

Completed all Medicaid required care planning, billing and digital documentation

EDUCATION

Morehead State University, Master of Arts: Adult & Higher Education

Shawnee State University, Bachelor of Arts: Social Sciences/Psychology

CERTIFICATIONS

Certified Community Health Worker # 2024190 - KY

Certified Safe Home Assessor

SKILLS

Social Determinants of Health • Community Based Resources • Documentation proficiency • Referral Specialist • Crisis Management • Motivational Interviewing • Medicaid Managed Care • Career Counseling • Wellness Coaching • Trauma Informed Care * Medicaid Waiver services * Chart Audits

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