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Click here or scroll down to respond to this candidateCandidate's Name
Street Address PHONE NUMBER AVAILABLEEMAIL AVAILABLEOBJECTIVEExpand knowledge in being a leader in providing effective delivery of services to at risk multi-cultural populationsEDUCATIONMetropolitan College of New York B.A in Human Services Obtained 2022 EMPLOYMENT HISTORYPuerto Rican Family Institute:Nov 2021- PresentBi-Lingual Care Coordinator Adult Health Home Plus Coordinate with members Providers to ensure members are adherent to medical, mental health and entitlements to prevent or reduce frequent Emergency room visits Coordinate with HMO to confirm that members are actively insured and receiving medical referrals for preventive care services, connected to pharmacy, and primary care services. Conduct home visits within the 5 boroughs of NYC to members homes to assess and assist with ensuring independence and self- sufficiency. Schedule and attend medical, mental health and preventive care services appointment with members Assist member in life planning and advance directives Connect members to housing programs to address homelessness and/or housing insecurity Complete comprehensive assessments yearly and update plans of care for members every 6 months. Follow-up within 48 hours with Hospital Admissions and assist with discharge planning. Assess members for step down to less intensive coordination services on a yearly basis. Conduct re-engagement process for members not connected to services for up to 3 months. Sheltering arms children and family servicesJanuary 2021-Nov 2021Part time-Care Manager of childrens Health Home Assist Children assigned to case load with chronic illness or server mental health disorders coordinate medical and other services Meet monthly targets such as contacting each client at least one time per month to ensure continuity of care Research providers and connect members to medical, mental health, and social services Assess members every 6 month through the Health commerce system to determine children and care- givers acuity level Complete comprehensive assessment through GSI system on an annual basis Create and update care plan for members every 6 months Develop crisis plan to prepare members and family of crisis Work closely with Administration for Childrens services to coordinate needs for child and family Complete referrals and navigate family through the OPWDD to ensure ongoing services Harlem UnitedJuly 2019- June 2020Care Navigator Assist Case Manager in connecting clients to care Meet monthly targets such as contacting each client at least one time per month to ensure continuity of care Case conference with providers to avoid client emergency room use and connection to care Through active engagement ensure that clients are adherent to medical appointment and medications Complete assessments/ care plans/meet weekly targets/update client profile at each encounter Provide clients with resources to connect to all entitlements such as SNAP, Social Security Administration, and New York City Housing Authority among other resources Conduct home visits monthly and during critical alert events to confirm client follow-up and safety Maintain a case load of 75 clients through completing on time task as designated by team supervisor Complete audit requirements Engage all clients providers to ensure connection to care Montefiore Medical Group/BCHNNov 2018- February 2019Family health worker Train and dispense Narcan kits at five Bronx clinics through tabling and presentations Conducted and maintained accurate inventory of Narcan kits to report to NYC department of health Work with patients on buprenorphine treatment in order to determine social determinants of health to assist with referrals to community programs as needed Assisted patients in completing nyc housing connect applications for low income housing Assisted with SNAP applications as needed as well as other HRA programs Escorted patients to non-medical facilities such as section 8/ NYCHA, social security Administration etc. to ensure appropriate connection to all programs The Fortune Society October 2016 - Nov 2018Case Manager of Health services Conduct intake interviews and needs assessment on clients newly released from prison Create service plans specific to each clients needs Provide linkage to care for individuals who are HIV positive Assist clients in obtaining all needed documentation to complete application process for benefits Refer clients to mental health and substance use services as needed Follow-up with all providers that are involved in clients care Conduct monthly home visits to assess clients living conditions Serve as liaison to representatives of benefits administration Case conference as needed with clients other providers Reassess clients for ongoing services every 3 months or as needed Enter all services into agencys database as well as contract/funders database. Bailey House Inc. April 2011 - October 2016Case manager /Outreach Specialist Provided harm reduction education to clients Served as a liaison/advocate between client and community based organizations Provided direct services to HIV/Homeless clients to assess preparation for independent living and medical/medication compliance Determined client eligibility/needs for program, complete Intake and client focused care plans Linked client to housing and medical care to ensure medical and housing needs are met. Completed narratives for each encounter with client and/or providers on a weekly basis Outreached clients and reengaged them into services for 3 months Updated individual care plans as clients complete their goals Graduated clients from the program within 15 months of their start date at which time client must be in stable housing, connected to medical care, and long term case management. Worked with undocumented person living with HIV/AIDS in order to assist with immigration status, medical care and entitlements.Bailey House Inc. November 2010 - April 2011Cobra Case Manager Technician Counseled individuals, families, and groups Provided crisis intervention Assisted case manager in the completion of reassessment and care plans Coordinated with community based organizations to ensure clients needs were met Served as an advocate for clients benefits by closely working with HRA/HASA workers Prepared charts for audits and conducted quality assurance checks on a monthly basis Located landlord and brokers to assist with apartment searches Accompanied client to appointments and served as a client advocate Assisted clients in obtaining legal representation for housing and criminal court as needed Conducted home visit and field visit for a case load of 30 clients on a monthly basis.The Dennelisse Corporation November 2009- November 2010 COBRA Case manager Technician Assisted case manager in the completion of reassessment and care plans Counseled individuals, families, and groups. Provided crisis intervention Coordinate with Community based organizations to ensure clients needs are being met Serve as advocate for clients benefits by closely working with HRA, HASA workers Maintain accurate clients charts and be in compliance with program requirements Prepare Charts for audits and conduct quality assurance checks on a monthly basis Locate landlord and brokers to assist with apartment search Accompany client to appointments as needed in order to serve as client advocate Assist client in obtaining legal representation for Housing and Criminal court as needed. TRAININGSChild Abuse and Neglect mandated reporter, Domestic Violence, Network of Social Supports, TB/blood Bourne Pathogens, Mental Health First AID, Creating S.M.A.R.T goals, HIV 101, Hep C testing, Crisis Intervention, Harm reduction Techniques, Enhancing Documentation for Ryan White Part A services, Narcan training, HHC care coordination trainingSKILSFluent in SpanishMicrosoft Word, Excel and PowerPoint |
