Case Manager / Community Health Specialist
Resume:
Categorization Private
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Marie Toussaint
Ocala, FL 34476
*******************@*****.***
Executive Profile
A highly talented and enthusiastic individual with great deal of experience working with people experiencing crisis or people who are socially excluded; providing support to enable service users to help themselves; maintaining professional relationships with service users, acting as a guide, advocate or as a critical friend.
Core Professional Strengths
Case Management/ Direct Care Professional *Wellness Management *Personnel Assessment *Mentoring
& Coaching* Team Player * MS Office Suite (Word, Excel, Power Point, Outlook) * State Proprietary Software (Operating System) *Bilingual-Speak (Haitian) Creole Moderately Employment History
Case Manager/Community Health Worker-Humana/CenterWell-Orlando, FL May 2023-Current
Develop a wholistic view of patient needs related to Social Determinants of Health. Identify existing barriers to engagement with necessary resources and support. Provide education around maintenance of chronic health conditions, as well as available options for behavioral care and social support. Serve as liaison between the patient and the direct care providers, assisting in navigating both internal and external systems. Initiate care planning and subsequent action steps for high-risk members, coordinating with interdisciplinary team. Supporting patients’ self-determination, motivate patients to meet the health goals they have identified. Conduct Transitions of Care for Observation stays. Refer patient to necessary services and support. This field may include but is not limited to assistance with transportation, food insecurity, navigation of and application for benefits including Medicaid, HCBS, working to reduce costs associated with prescription medications, organizing schedules of follow up appointments, and alleviating social isolation. Perform all other duties and responsibilities as required
Case Manager (Remote)-Loyal Source-Orlando, Fl March 2022- March 2023
Responsible for providing comprehensive assessment, planning, implementation, and overall evaluation of individual's needs. Works with agencies and service providers to facilitate case coordination and information sharing. Coordinate the integration of social services/case management functions. Participate in the development and implementation of individual support policies and protocols. Promote effective and efficient utilization of resources. Family Case Manager-Devereux Florida- Orlando, FL April 2021-March 2022 Categorization Private
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Conduct family function and child safety assessments; develop, monitor, and manage required safety plans. Permanency, Identify and develop plan to successfully achieve permanency for children placed in out-of-home care. Service delivery assess child and family needs; develop service plans; coordinate the delivery of services; ensure all referrals and linkages to children/parents/caregivers are completed.
Long Term Care Manager-Florida Community Care-Orlando, FL November 2019 to April 2021
Travel to members’ homes, nursing facilities, and other community-based settings in order to complete face to face needs assessments with subsequent telephonic contact with the member in accordance with state and national guidelines, policies, procedures, and protocols. Assess, plan, coordinate, implement and evaluate care for eligible members with chronic and complex health care, social service and custodial needs in a nursing facility or home and community-based care setting. Coordinate care across the continuum of services and assisting members physical, behavioral, long term services and support
(LTSS), social, and psychosocial needs in the safest, least restrictive way possible while considering the most cost-effective way to address those needs. Facilitate authorization, coordination, continuity and appropriateness of care and services in community or HCBS. Facilitate transitions to alternate care settings such as hospital to home, nursing facility to community setting using an integrated care team to address the member’s specific needs. Educate members or caregivers regarding health care needs, available benefits, resources and services including available options for long term care community or facility-based service delivery. Provide education, resources, and assistance to help members achieve goals as outlined in their plan of care and to overcome obstacles to achieving optimal care in the least restrictive environment. Develop a plan of care in conjunction with members or caregivers to identify services to meet the member’s specific needs, and goals. Identify resources needed for a fully integrated care coordination approach including facilitating referrals to special programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management. Collaborate with the member's health care and service delivery team including the LTSS, Member Advocate, ICT, and discharge planners, to coordinate the care needs and community resources for the member in order to maintain the member in the least restrictive safe environment possible. Assist members in developing, implementing and amending a back-up plan for gaps in provider coverage. Ensure approved support services are being provided as outlined in the plan of care. Evaluate the effectiveness of the service plan and making appropriate revisions as needed in accordance with per policy & procedures and state contractual requirements. Assist members in overcoming obstacles to optimal care through connection with community resources, including communicating with providers and formulating an appropriate action plan. Document all case management services and intervention in the electronic health record. Adhere to all company, State and Federal requirements related to privacy practices, HIPAA, and quality performance standards. Perform other duties as assigned/requested. Family Case Manager-Devereux Florida- Orlando, FL May 2019 to November 2019 Conduct family function and child safety assessments; develop, monitor, and manage required safety plans. Permanency, Identify and develop plan to successfully achieve permanency for children placed in out-of-home care. Service delivery assess child and family needs; develop service plans; coordinate the delivery of services; ensure all referrals and linkages to children/parents/caregivers are completed. Prepare all required court reports and submit within the required time frames; make recommendations; testify at court hearings regarding reunification, permanent guardianship, termination of parental rights, or other case management activities; ensure court orders are completed within required timeframes. Develop and maintain case and program documentation according to contract; ensure documentation occurs within the SACWIS system and other related systems within required time frames. Adherence values, goals Categorization Private
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and priorities for Brevard’s children, youth and families; Utilize a family centered strength based approach to care; Monitor quality of care by conducting face-to-face home visits with children minimally every 30 days, or with increased frequency as determined by case situations and supervisory direction; facilitate, monitor, and assess visitation between children, parents, and siblings to ensure safety and observe interactions. Support - Provide support to children, caregivers and family members to assure stable placement and timely achievement of permanency; Coordinate cases with supervisor, team members, providers, DCF and attorneys as needed. Review case information prior to every hearing in order to be prepared to answer any questions from the Court regarding the status of the case, services, and progress towards permanency.
Care Manager-Family Allies - Rockledge, FL January 2018 to May 2019 Attended Child Protection Certification training (pre-service) and successfully attain a passing score of 78% or higher on the required examination. Conduct family function and child safety assessments; develop, monitor, and manage required safety plans. Permanency, Identify and develop plan to successfully achieve permanency for children placed in out-of-home care. Service Delivery, assess child and family needs; develop service plans; coordinate the delivery of services; ensure all referrals and linkages to children/parents/caregivers are completed. Prepare all required court reports and submit within the required time frames; make recommendations; testify at court hearings regarding reunification, permanent guardianship, termination of parental rights, or other case management activities; ensure court orders are completed within required timeframes. Develop and maintain case and program documentation according to contract; ensure documentation occurs within the SACWIS system and other related systems within required time frames. Adherence values, goals and priorities for Brevard’s children, youth and families; Utilize a family centered strength based approach to care; Monitor quality of care by conducting face-to-face home visits with children minimally every 30 days, or with increased frequency as determined by case situations and supervisory direction; facilitate, monitor, and assess visitation between children, parents, and siblings to ensure safety and observe interactions. Support - Provide support to children, caregivers and family members to assure stable placement and timely achievement of permanency; Coordinate cases with supervisor, team members, providers, DCF and attorneys as needed. Review case information prior to every hearing in order to be prepared to answer any questions from the Court regarding the status of the case, services, and progress towards permanency.
Behavioral Therapist-Florida Autism Center Lake Nona, FL 1/2017-1/2018 Provide early intervention services to children on the Autism Spectrum which environment is fast-paced and dynamic. Provide Applied Behavior Analysis (ABA) treatment to children diagnosed with language, communication, behavioral and developmental disorders such as Autism Spectrum Disorder. The treatment is individualized to meet the needs of each child, and used to decrease problem and aggressive behavior as well as to promote skill acquisition. Areas of focus include the following skills: communication, social, daily living, independence, personal hygiene, and fine and gross motor. Work in a team environment which provided one-on-one with clients carrying out programs designed by a Certified Behavior Analyst (BCBA or BCaBA), as well as communicate daily with parents. On- the-job training is provided under the supervision of a Certified Behavior Analyst on the principles and procedures of behavior analysis, data collection procedures, and the implementation of skill acquisition and behavior reduction interventions.
Categorization Private
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Direct Support Professional-Friends of Children and Families, Inc. Orlando, FL 11/2016-11/2018
( Part-Time)
Provides care for at-risk children who have emotional and/or behavioral difficulties to ensure that health, nutritional, educational, social, and recreational needs are met. Participates in the development and implementation of treatment goals as directed by the Clinical Staff Completes intake packets and orientation for children entering the program. Dispenses medications and completes medication logs accurately Utilizes company vehicle to transport children to medical appointments, activities, or family visits. Facilitates and supervises recreational activities in the home or community as approved by Supervisor. Documents child’s behavior and emotional status on a daily basis and communicates findings in written form to Clinical Staff. Establishes a positive relationship with children in care, while utilizing evidence based therapeutic interventions as directed by Clinical Staff. Completes incident reports timely and accurately. Follows menus provided and ensures that meals are prepared following the food program guidelines. Ensures the cleanliness of house, premises, and vehicle. Provides a safe environment for the children where no incidents of abuse or neglect occur. Follows on-call process and procedures and is able to provide crisis interventions as needed. Participates in Clinical Staffing and in-service training as needed or required. Maintains client confidentiality (HIPPA). Provides coverage to the other group homes as needed. Completes additional duties, as assigned by Supervisor.
Blended Case Manager- Child Guidance Resource Center Philadelphia, PA 3/2014- 07/2016
Assist families with providing case management services which are designed to facilitate access to services and to coordinate care among behavioral health providers and other child serving systems. This included participation with other behavioral health professionals including the client’s physician in assessing needs and developing a comprehensive service plan/Treatment Plan with the involvement of the child and family. Establish and maintain linkages with child serving systems such as mental health providers, Children and Youth agencies, drug and alcohol treatment programs, juvenile justice services and the educational systems. Responsible for organizing interagency team meetings so that all involved organizations can collaborate on the development of a comprehensive plan for the child and family. Representation on the team includes the family and may include education, child welfare, behavioral health provider, managed care etc. Monitors the family’s access to and use of community resources and assesses the need for additional referrals. Assists in identifying and accessing available and appropriate community resources. For example, formal and informal community-based supports including health care, employment training, education, housing assistance, childcare providers, churches, after school programs, recreational activities, and cultural organizations. Assists the client and family with obtaining and maintaining basic living needs and skills, such as housing, food, medical care, recreation, education and employment. Therapeutic Support Staff (TSS)-Child Guidance Resource Center Philadelphia, PA 07/2013-3/2014
Provided one on one intervention to a child or adolescent in home, school or other community setting. Provides specific therapeutic support services, as prescribed in the client’s treatment plan, including crisis intervention techniques, immediate behavioral reinforcements, emotional support, time- Categorization Private
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structuring activities, time-out strategies and psychosocial, rehabilitative activities. As a part of the treatment team which may include a mobile therapist, behavior specialist, Case Manager, program director, teach and/or parent and daily work is monitored by this team. Case Manager-Oxford Circle Christian Community Development Association (Bridge of Hope Program) Philadelphia,
PA 04/2013-09/2013
Provided case management and support services for 2 - 3 mothers and their children who are at risk of homelessness. Families participate for 12 to 24 months in the program. This includes participating in family selection, resourcing church mentor groups and providing supportive counseling for participating families to encourage financial stability and holistic growth. Helpline Counselor - 211 Broward, Oakland Park, FL 10/2010 – 03/2013 Provided Effective Listening to callers and assessed their needs accordingly and informing caller of resources/referrals within the county. Responsible to empower individuals and families with information and support that enables them to make positive, informed decisions that will help to ensure their overall well-being. Handled Crisis Intervention calls and Special Needs for example critical issues are addressed with caller such as loss of income, loss of home (homelessness), lack of healthcare, insufficient food, mental illness, or feelings of anger and/or frustration are shared. Case Manager - Covenant House Florida, Fort Lauderdale, FL 07/2008 - 12/2011 Worked with At Risk Youth between the ages of 16-21 years of age with regards to job training, educational, employment and aftercare goals. Coordinated services for youth pertaining to their treatment plans and assessments. Responsible to provide comprehensive case management services to ROP participants including teaching life skills, coordinating youth services with outside agencies and other CHF staff. Responsible to teach daily JRT (Job Readiness Training) classes. Assist with the coordination and tracking of JRT classes. Effectively motivate participants towards participation in weekly individual counseling sessions and bi-weekly House Meetings. Facilitate regular life skills sessions in both individual and group sessions.
Family Support Worker - Children’s Home Society, Naples, FL 11/2007 - 04/2008 Provided education, career planning assistance, life skills training, healthy problem-solving skills, and link families with community resources. Promoted child health and development through Growing Great Kids
(GGK) Curriculum. Educated positive parenting and parent bonding to teen mothers and other mothers during home visits. Facilitated group to teen mothers about prenatal care, developing goals and car seat safety.
Occupational Therapy Aide - Southwest Florida Addiction Services, Fort Myers, FL 04/2005 - 11/2007
Facilitated groups (Occupational Therapy Life Skills Group) twice a week including Women’s Issues Groups. Met with clients from Halfway House for individual sessions and helped with the achievement of desired goals such as the assistance of obtaining a GED, gaining employment, going back to school, budgeting, coping skills, self-esteem, decision-making, etc. Assisted Registered Occupational Therapist with duties such as extra workload, clerical and transported clients to desired destination when short staffed to AA/ NA meetings. Facilitated and coordinated Family Fun Day every first Saturday of the month. Attended weekly staff and agency wide staff meetings pertaining to our clients and the betterment of the agency.
Professional Education
Categorization Private
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Bachelor of Science Degree in Community Health - Florida Gulf Coast University, Fort Myers, FL 2007
Concentration: Health Services
Relevant coursework: Behavioral Health and Life Skills, Health Counseling, Community Health, Management & Leadership in Health Care Organizations, Teaching & Learning in Health Professions, Legal & Ethical Principles of Health Care, Shaping Healthcare in the 21st Century and Needs Assessment. Certified Case Manager- Obtained through the Florida Certification Board in February 2019 RBT Certification (Registered Behavior Technician) -August 2017 701B Certification- Obtained through Elder Affairs in November 2019
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