Health Medical
Resume:
Ana Dipres-Reyes
Brooklyn, New York 11212 Cell Phone: 646-***-****
House Phone: 347-***-****
E-mail: *********@*******.***
BACKGROUND
An experienced bilingual (English/Spanish) human services professional; possessing strong communication and counseling skills; a self-starter with excellent organizational and interpersonal skills. Proficient in Windows, Excel, Publisher, IDX Cerner System, HDX Press EDI Access Center, Epic, and Internet. Highly proficient with New York State Health Insurance programs.
EDUCATION
New York City Technical College, Brooklyn, NY
Bachelor of Science-Human Services
Graduation Date: June 2003
Internships:
Commission On Human Rights (Law Enforcement Bureau), New York, NY
Community Liaison [09/2002- 05/2003]
• Conducted interviews to assess type of complaint (jurisdictional or non-jurisdictional)
• Served as interpreter for interviews between attorneys and complainants
• Facilitated referrals to outside agencies
• Managed outreach follow-up to determine if needs were met
Fort Green Strategic Neighborhood Action Partnership, Brooklyn, NY
Outreach Worker [09/1999 - 05/2000]
• Carried out program outreach efforts
• Liaison at the Brooklyn Grandparent Coalition
• Organized and led grandparents/caregivers support groups
• Developed and facilitated workshops on respite care and self-esteem
EMPLOYMENT
Coalition for Hispanic Family Services, Brooklyn, NY
Case Worker [07/2011 - Present]
• Monitor each child in a family for risk and safety.
• Complete monthly risk and safety assessment for each child under the age of 18.
• Monitor children in their school placement and educational performance.
• Monitor children and their medical needs including compliance with periodic physicals and immunizations.
• Assess and refer children and families to supportive and concrete services, i.e. mental health, substance abuse, housing, financial assistance, legal, etc.
• Work with ACS and other community service providers to ensure that children and families are connected to timely and appropriate services.
• Follow up to ensure that services are being provided services as referred and needed by children and families.
• Complete all required paperwork, i.e. Progress Notes, Family Assessment Service Plans (FASPs), school reports, psycho-socials and other reporting requirements and documents as needed.
• Facilitate families and children participation and involvement in Family Team Conferencing.
• Develop service plans in partnership with families and other providers.
• Ensure timely permanency planning, reduced length of service and active engagement and planning with families from intake to case closure to improve outcomes for children.
• Provide post discharge monitoring and services for children and families on an as needed basis.
• Refer families for post discharge services in the community with other service providers as needed.
• Maintain contact with families until services are verified.
• Attend court hearings and meetings with ACS as needed.
• Attend meetings and conferences at other agencies on behalf of clients as assigned and as appropriate.
• Attend community events, forums, coalitions to increase program visibility and knowledge of community resources to benefit children and families.
• Participates in internal and external continuous quality improvement processes.
• Complete special projects as assigned by the Program Supervisor and/or Program Director.
Mount Sinai Adolescent Health Center, New York, NY
Entitlement Coordinator [01/2007- 07/2011)]
• Conducted assessment of adolescent patients and/or their family as well as community consumers in order to determine appropriate eligibility coverage;
• Verified patient’s insurance through HDX and EAGLE and notified the registrars;
• Facilitated completion of Family Planning Benefit Program (FPBP), and Prenatal Care Assistance Program (PCAP) applications and submitted them to the Human Resources Administration;
• Assisted patients with the collection of documents for Medicaid, Family Health Plus, and Child Health Plus;
• Referred patients and community consumers to enrollment counselors at Children’s Aid Society;
• Referred patients and community consumers to Eastside Gynecology Medical Center, Westside Woman Medical Center, and Parkmed Medical Center for Terminations;
• Managed Caseload averaging 100 patients/community consumers;
• Produced Monthly enrollment and statistical reports;
• Troubleshoot Family Planning Benefit Program (FPBP), and Prenatal Care Assistance Program (PCAP) cases;
• Supervised and trained enrollment counselors
• Updated insurance information in Cerner and Epic;
• Liaison for the Mount Sinai School Based Health Clinic at Julia Richman Educational Complex, Eastside Gynecology Medical Center, Westside Woman Medical Center, Parkmed Medical Center, Human Resources Administration, New York Medicaid Choice, and Children’s Aid society;
• Assisted patients and community consumers with the completion of Transfer, Exemption, and Recertification forms;
• Accessed EAGLE, Cerner, and EPIC system to review patient’s records;
• Assisted with disposition menus and entering payment codes in the system;
• Scaned documents necessary to apply for insurance into patients chart for future use.
Children’s Aid Society, New York, NY
Enrollment Counselor/Senior Enrollment Counselor [11/2000-12/2006]
• Conducted eligibility interviews of adolescent patients at the Mount Sinai Adolescent Health Center, and community consumers.
• Educated and counseled patients on the importance of Health insurance.
• Assisted patients, and community consumers with managed case issues, i.e., disenrollment, transfer, and exemptions from health plans
• Facilitated completion of New York State Health Insurance Programs applications.
• Managed Caseload averaging 150 patients.
• Promoted from Enrollment Counselor to Senior Enrollment Counselor.
• Produced weekly enrollment and statistical reports.
• Liaison for Manhattan Center High School and Liberty High School.
• Supported supervision periodically with overseeing volunteer groups.
• Provided back up assistance to other enrollment counselors in the absence of supervisor.
• Developed Medicaid, Family Health Plus, Child Health Plus, Prenatal Care Assistance Program, and Family Planning Benefit Program materials.
• Compiled Medicaid, Family Health Plus, Child Health Plus, Family Planning Benefit Program (FPBP), and Prenatal Care Assistance Program (PCAP) applications and review those prepared by enrollment Counselors.
• Assisted with supervision and training of enrollment counselors and medical staff.
• Worked with program coordinator to develop a policy and procedures manual for the Health Care Access Program.
• Troubleshoot urgent medical need cases, parental refusal cases, Prenatal Care Assistance Program cases, Family Planning Benefit Program cases, and Maximus/NY Medicaid Choice exemptions, transfers from one plan to another, and disenrollment.
El Puente Brooklyn, NY
Health Promoter/ Managed Care Facilitator [10-1999-11/2000]
• Health Promoter for the Community Health Education Program (CHE).
• Conducted program outreach.
• Case management.
• Documented weekly statistical data.
• Promoted from Americorp intern/Health Promoter to Managed Care Facilitator.
• Recruited clients for Asthma Mastery Program.
• Conducted asthma surveys at participant’s home.
• Organized and Maintained records of the community residents participating in the Community Supported Agriculture Program.
• Created and updated monthly newsletter for the Community Health Education Program.
REFERENCES Available upon request
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