Trauma-Informed Remote Case Manager
Resume:
Martha Ortiz
Orlando, FL 407-***-**** ***************@*****.***
PROFESSIONAL SUMMARY
Remote and hybrid LTSS Care Coordinator and Case Manager with 15+ years of experience supporting Medicaid, Medicare, DSNP, refugee, and vulnerable populations. Expertise in telephonic assessments, care planning, crisis intervention, and multidisciplinary coordination. Bilingual English/Spanish, 701B Knowledge Certified, and highly effective in remote environments with strong compliance and productivity performance.
PROFESSIONAL EXPERIENCE
Simply Healthcare / Elevance Health – LTSS Care Coordinator (Remote) June 2025 – December 03, 2025
- Conducted telephonic and virtual LTSS assessments evaluating medical, behavioral, and social needs
- Developed and monitored individualized care plans focused on safety, independence, and wellness
- Coordinated care with multidisciplinary teams across multiple states
- Ensured compliance with Medicare, Medicaid, and DSNP requirements
- Documented member progress using EMR systems in compliance with HIPAA standards
- Managed remote caseloads while meeting productivity and quality benchmarks
- 701B Knowledge Certified with advanced understanding of managed care regulations Compass Connections – PRS Case Manager Specialist (Hybrid) January 2023 – March 2025
- Delivered comprehensive case management services including biopsychosocial assessments
- Conducted remote and in-person follow-ups ensuring client safety and continuity of care
- Collaborated with legal representatives and community stakeholders to advocate for services
- Provided crisis intervention and coordinated emergency response when necessary
- Maintained accurate digital documentation meeting federal and organizational standards Florida Department of Health – Refugee Case Manager February 2010 – February 2023
- Facilitated intake assessments to identify medical and psychosocial needs of refugees
- Coordinated healthcare appointments, transportation, and culturally appropriate referrals
- Educated clients on benefits, Medicaid eligibility, and community-based services
- Conducted home and telephonic visits to monitor compliance and well-being
- Provided interpretation and translation services in English and Spanish CORE COMPETENCIES
Remote Case Management LTSS Coordination Medicaid Medicare DSNP Telephonic Assessments Care Planning Crisis Intervention EMR Documentation HIPAA Compliance 701B Knowledge Certified
LANGUAGES & CERTIFICATIONS
Languages: English (Fluent), Spanish (Fluent)
Certifications: 701B Knowledge Certified OSHA Certified Certified Phlebotomist Certified HIV Counselor Food Safety Manager
EDUCATION
Bachelor of Arts – Monroe College
High School Diploma – Morris High School
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