Dallas, Texas, United States
Welcome to my profile! I am a results-driven care coordination and customer advocacy professional with over 10 years of experience in case management, care coordination, and regulatory compliance. Passionate about health equity, I specialize in bridging the gap between healthcare and social services to ensure individuals receive quality, person-centered care regardless of social determinants. Throughout my career, I have successfully developed individualized care plans, conducted in-depth assessments, and collaborated with interdisciplinary teams to coordinate acute and long-term care services. I bring expertise in Medicaid & managed care, eligibility & enrollment, appeals resolution, behavioral health and risk assessment, ensuring compliance with state and federal regulations. Proficient in remote communication platforms, including Zoom, Microsoft Teams, and CRM systems, with expertise in navigating multiple systems simultaneously. Additionally, I have led new employee training, conducted audits to drive regulatory compliance, and optimized case management workflows to enhance efficiency and service delivery. I am always eager to connect with like-minded professionals and explore new opportunities in care coordination, case management, service advocacy, and remote healthcare operations. Specialties: Care Management | Medicaid & Managed Care | Remote Work | Claims & Appeals Resolution | Risk Assessment & Monitoring | Regulatory Compliance | Case Management | Behavioral Health | Crisis Intervention | Program Coordination | Process Improvement | Cross-functional Collaboration | Data Analysis | Vendor & Stakeholder Relations | Long term care | Customer Advocacy | Service Delivery 📩 Open to opportunities in social work, customer advocacy, case management, care coordinator and remote roles—let’s connect!
Informed Decision Making: Utilized critical decision-making skills to implement plans and strategies based on client information and policies set forth by the agency. Innovation and Strategic Problem Solving: Skilled at finding resolutions to matters that arise in challenging circumstances. Conflict Management: Resolved issues that face personal challenges, mental health, and other difficulties, by providing resources or referrals to assist as well as de-escalating situations. Analyzing Evidential Data: Interpreted factual data obtained from various sources, including databases, stakeholders, and operational systems. Research and Planning: Research and apply relevant laws and policies to evaluate the circumstances surrounding child welfare cases, providing strategic recommendations based on findings. Ethical decision-making: Conducted detailed investigations, ensuring compliance with state and federal regulations related to child welfare, with a focus on data collection and assessing client’s risks and needs. Records Management Confidentiality: Keen ability to maintain case notes and documentation to process cases efficiently and accurately. Regulatory Interpretation: Identified and resolved issues related to compliance and implementation. Risk Assessment: Identify safety risks for children due to trauma, mental health, and their well-being.
Documentation Accuracy: Inspected documents for quality to ensure all reports and procedures comply with the agency’s policy and integrity. Project Management: Managed 20 cases ensuring timeline and organizational goals are met. Program Coordination and Prioritization: Maintained effective caseload that supported the welfare of children in the adoption process, ensuring timely adherence to state and federal policies and legal standards. Contingency Planning: Researched applicable regulations and procedures, adjudicating cases with a focus on best practices and stakeholder collaboration. Planned for high-risk situations with families in child welfare by creating crisis intervention plans for clinical clients. Stakeholder Engagement and Relationships: Promoted effective interdisciplinary team dynamics and communication for a positive working environment. Cultural Sensitivity: Familiarity with diverse populations and their religious backgrounds. Needs Assessment: Completed evaluations regarding the needs of children and families. Records Management Confidentiality: Prepared new cases following confidentiality standards and agency policies.
• Providing Resources: Provided guidance to a diverse population regarding community resources for children and families. • Social Services Programs: In-depth knowledge of various government programs and benefits. • Conflict Management: Consistently displayed strong problem-solving capabilities and a history of successfully navigating challenging situations effectively and democratically. • Caseload Supervision: Managed a caseload of 15 cases from intake to completion concerning children's welfare and well-being in the State of Texas