Community Services Case Manager with Medicaid Focus

Kim Smith

Brooklyn, NY

Professional Summary

BA graduate with the skills to uphold the responsibilities of the position that's offered. Work Experience

Medicaid Service Coordinator

Unique Care

April 2020 to December 2020

ANIBIC (Medicaid Service Coordinator)

ABS Solutions (TEMP Agency)

November 2018 to February 2020

JASA Brooklyn, NY

February 2017 to August 2017

• Wrote monthly case notes, ISP's, Semi-annual reports and followed-up with participants; including all services provided within that month as well as to close out cases that was needed.

• Met with participants on an individual basis throughout the contract term regularly to discuss goals and Progress as well as conduct home visits.

• Monthly check with Epaces to guarantee client eligibility for programs. Caseload 25-30 Provides general service management including intake, education (services available and application procedures) and referral of residents to service providers in the general community. These social services may include: counseling - Meals on Wheels, financial assistance -home health aides - preventive health screening homemakers - transportation. Unemployed/Unemployment

Unemployed

August 2014 to January 2015

Caring Professional (Part Time) 02/2015-01/2017

Assist client with household duties.

Transfer client to his/her appointments.

Case Manager (HIV Patients)

Community Health Care Network Brooklyn, NY

July 2009 to August 2014

Assisted with the intake and admission process, application and re-certification of entitlements, develop and update service plans, maintain chart documentation, provide supportive counseling, plan and facilitate support groups, teach and assist with activities of daily living, assist clients with money management and be involved in collection of clients' rent, assist with recreational activities, provide linkages and referrals to community resources such as medical, mental health and/or substance abuse, homeless, services as needed.

Collaborated with the team to identify and respond to unmet factors that may help build self-awareness for client, such as homelessness, substance abuse, psychiatric illness, acute medical problems or lack of adequate healthcare benefits, home visits as well.

Ensured appropriate medical documentation in case records from intake to updates Acted as the primary liaison with medical providers to ensure compliance. Caseload may be as many as 30-60 clients. Select Health Insurance Representative

Community Health Care Network Brooklyn, NY

June 2006 to June 2009

HIV patients)

Screened and assisted patients to apply for the appropriate SNP Insurance Programs.

Assisted in-house and outpatient admissions to identify financial lapse of insurance.Liaised between patients and hospital staff to assure compliance and provided troubleshooting assistance pertaining to documentation. Medical Receptionist

Interfaith Medical Center

February 2003 to April 2006

Coordinated patient visits to ensure proper progress of treatment plans (For PT & other specialist)

• Responsible for maintaining confidentiality of personal information (HIPAA compliant).

• Excellent communication between the patient and medical staff (Physicians, Front Desk, etc.)

• Ensured the compliance to treatment plans created by the Doctors

• Assisting patients to set goals and identify the problem(s) when patients are not meeting their goals

• Ensured all patient information (demographics, insurance information, etc.) are in the system for follow-up and reporting

• Provided advocacy, information, and referral services to patients

• Act as a back-up to other team members as needed

• Other duties as assigned Greets, checks-in and checks-out patients

• Handled new and existing patient inquiries

• Ensured patient Electronic Medical Records (EMR) and correspondence are accurate and up-to-date in the EMR system and makes updates as needed and appropriate

• Collects and posts patient payments

• Answered phone calls and emails relaying information and requests accurately and delivering messages as needed

• Scheduled, reschedules and cancels patient appointments

• Provided support to their assigned doctor and assists other PCCs as needed

• Provided supplement and nutraceutical information to patients and answers questions as needed. Education

The Allen School of Science

2019 to Present

Bachelors of Arts

The College of New Rochelle

2012 to 2014

Upper secondary education

Skills

Motivational interviewing Patient 1 Proficient with Electronic Records systems such as ECW Experienced with insurance programs guidelines and procedures Driving Airs MS Word Patient monitoring Very resolute 'go-to' team collaborator, keen on a shared goal of effective and efficient patient treatment Patient service Venipuncture Medical Records Epaces Blood sampling Phlebotomy Microsoft Office Patient interaction STI & STD prevention Electronic health records

(EHR) management Working with individuals from underserved communities Medical Receptionist Excel EMR Vital signs Power Point Care plans Eagle Certifications and Licenses

National certified phlebotomist

May 2026 to Present

1. Patient verification

2. Blood collection

3. Patient monitoring

4. Specimen management

5. Sample processing

Driver's License

2026 to February 2031

Certified Phlebotomy Technician

Certified Phlebotomy Technician (CPT)

Additional Information

Authorized to work in the US for any employer

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