Case Manager Social Worker

DOREEN VENTURELLA

Case Manager

973-***-**** ************@*****.*** LinkedIn/Portfolio

Union County, New Jersey

SUMMARY

Ability to establish rapport, trust with each client to provide some insight and guidance while dealing directly in a crisis situation example Eviction, homelessness, and mental illness. My personality helps my clients to understand that I’m capable of understanding the urgency in there situation and I have the experience and knowledge to interact and I have developed a relationship with city, county, and state representatives to help service there needs.

I'm looking for hybrid position I have home office already established I'm able to go into office if needed

EXPERIENCE

Case Manager

Catholic Charities of the Archdiocese of Newark

10/2022 - Present Newark, New Jersey

Company Description

Interview clients for direct service needs, develop a case plan with the client including written short-term and long-term goals and tasks. Makes referrals as needed.

Reevaluate goals with clients at regular intervals.

• Facilitate individual and group meetings as needed. Serve as a member of the multidisciplinary case team. Make appropriate referrals for emotional, substance abuse, legal, medical, dental, educational recreational, vocational, employment, and housing needs.

Substance abuse, legal, medical, dental, educational recreational, vocational, employment, and housing needs.

Create and maintain case records, including, but not limited to legal documentation, assessments, case notes, case plans, service updates, court reports, medical reports, referrals, discharge summaries, visitation records and educational information.

Enhance the client environment by creating a hospitable and customer- oriented facility.

Enter DAP notes within 48 hours into the Homeless to Housing portal Must conduct home visits/community visits on the entire case load for Housing Navigation and Housing Stabilization clients. Complete reports and maintain statistical data, meets programmatic, documentation, and other performance standards, on an ongoing basis. Perform all other job-related duties as assigned.

SKILLS

Active listening Communication skills

Microsoft 365 MS office

Google email Excel/Powerpoint

Managing information

Sharing information Direct care

STRENGTHS

Communication

Confident and articulate when speaking with

patients and other professionals in the field.

Critical Thinking

Involved in identifying and addressing

potential risks, barriers, and ethical issues

that may arise in your case management

practice.

Advocacy

Requiring research, public education,

organizing, mobilizing, lobbying, and voter

education. Effective advocacy encompasses a

broad range of activities including research,

budget and legislative analysis, organizing,

mobilizing, lobbying, and voter education.

Time Management

Collaborative process is used to assess, plan,

implement, coordinate, monitor, and

evaluate options and services to meet

individuals’ health care and other needs

through communication and available

resources to promote the well-being of

individual clients

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EXPERIENCE

Customer Service Representative COVID 19 ADVISOR

Navient Healthcare

03/2020 - 2022 Work from home/ Trenton NJ

Work quality scoring and accuracy on all accounts worked Completes timely follow-up on assigned accounts to ensure no cash loss Exceeds monthly cash expectations as set out for assigned client receivables Ensures insurance accounts are resolved within 90 days of placement.

Demonstrates the ability to prioritize work with minimal oversight to meet outlined goals.

Acts as a knowledge resource for team members.

Perform account research and route accounts through appropriate client workflows.

High level understanding of client host system functions Clearly documents actions taken and next steps for account resolution in patient accounting system.

Excellent working knowledge of Prism system and displays clear understanding of claim updates, request workflow, and action step entry into patient information

Has knowledge of Medicare guidelines and is able to accurately perform corrections according to CMS guidelines.

Compiles appeals and approves appeal requests for team related to technical payment denials Demonstrates the ability to act as request approver for team members to ensure accurate actions are taken for account resolution.

Reflects understanding of payer contract verbiage and the ability to negotiate payment utilizing contract terms Ensure strong communication skills to convey intricate account information.

Ensure all accounts are worked within client standards and Federal Regulations.

Maintain high quality account handling per client standards. Work within federal, state regulations, department/division & all Compliance Policies.

Maintain current knowledge of and comply with all federal and state rules and regulations governing phone calls and collections including HIPAA, FDCPA, Privacy Act, FCRA, etc

Familiar with widely used patient accounting software Possess excellent reading and writing skills

Strong Computer skills

Is able to work individually and as part of a team Inbound calls to schedule 1st and 2nd doses Vaccination track and monitor Vaccination of each vaccine administered

Track and contact anyone possibly been exposed to the Coronavirus Maintain Required contact with assigned participants, including telephone calls and quarterly home visits

Maintain email communication with participants, as needed Recruiting, selecting, hiring, training, and supervising All them

EDUCATION

MSW Social Work

Walden University

2019 - Present

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