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Title Utilization Review Home Visits
Target Location US-MD-Baltimore
Email Available with paid plan
Phone Available with paid plan
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EMAIL AVAILABLEPHONE NUMBER AVAILABLEEXPERIENCEPost-Move CounselorBaltimore Regional Housing Partnership December 2021- presentHandles a demanding caseloadSupport programs participants in their movesIssue emergency vouchers for clients to moveManages abatements and follow up weekly with abated clientsConduct home visitsBuild rapports with clients servesProcess request to movesProcess applications for the Emergency Rental Assistance ProgramAssist with landlord /tenant mediationsAssist clients with crisis situations as they ariseMeet deadlines set for the departmentProvides counseling and support for clientsTracks clients progress in SharepointDocument clients notes in YardiUtilizes Microsoft outlooksParticipate in team building eventsOthers duties as assignedUtilization Review Specialist/ Program SupervisorGaudenzia, Inc December 2018- December 2021Responsible for the overall referrals, admissions, coordination, and maintenance of the utilization review functions for their assigned programs.Submit authorizations for 3.7, 3.5, 3.3, 3.1 level of Care to Optum Healthcare. Coordinate with the Clinicians, Doctors, and RN, who review and approve the authorization if additional documentation is needed.Ensure individuals are referred to appropriate levels of care within Gaudenzia, Inc.s treatment continuum, where appropriate.Ensure accurate, up-to-date intake records, records of referral, and funding source documents are compiled and stored within the electronic health record system within the required timeframes.Developed and maintained efficient assessment procedures and processes and oversee the flow of clients and their related documentation between the assessment/ evaluation unit(s) and treatment programs.Collaborate with the internal program directors, intake staff, psychiatric staff, and the agencys department.Assisted clients with obtaining health insurance with Maryland Healthcare Connections and provided them with information on all the MCOs, so they can make an informed healthcare decisions.Program Supervisor/ Case ManagerHalfway House April 2014- December 2018Provide services for the clients in the Women Long Term Program.Linked individuals with transition housing, employment, education, and any other resources needed to provide a safe discharge.Provide all required documentation for probation and parole as well as monthly reports for residents.Responsibilities of Lead Counselor work for Baltimore County Detention Center as an Addiction Counselor in a therapeutic Community.Provide Cognitive Behavior Therapy to prisoners to rehabilitate their return to the community.Complete TAP assessments, ASAM, Mental Health Assessments, and Urica for drug, alcohol, and Psychotherapy with clients.Provided individual counseling and follow-ups to clients.Residential CounselorResidental Counselor Alliance Inc June 1999  December 2013Provided comprehensive treatment and rehabilitation services to individuals with comorbid psychiatric disabilities and substance abuse disorders.Provided substance abuse education, coping strategies to establish and maintain abstinence.Provided relapse prevention techniques, communication/interpersonal skills, problem solving, and community integration.Completed rapid urine analysis and alcohol mouth strip tests on individual.Teach skills training in community integration, socialization, health, personal development.Complete bio-psychosocial assessments, progress notes, medical information, aftercare and discharge plans, each independent living skills to enhance stability and sobriety.Encourage consumers to utilize social activities in their community and participate in AA/NA meeting.Provided case management services by scheduling medical appointments, working with the treatment team, and doing home visits to monitor medication.Youth AdvocateBelair-Edison Coalition May 2011 to December 2011DJS Corp Program contracted by the Maryland Department of Labor.Provided Case Management, assist in finding employment, education, mentoring, restorative justice, community service and increase community engagement with individuals with serve behavior problemsCollaborated with DJS Case Management and engage family in support of youth participation in CORPS activitiesAssisted youth in obtaining MVA ID cards, birth certificate and social security cards.Reduce the recidivism rate of youth returning from out of home placement.Increased the placement rate of returning juvenile offenders ages 18 years old and above to engage in employment, the military, post-secondary education or occupational skills training.Increase the rate which returning youth under the age of 18years old achieve a high school diploma or GED.Completed home-visit, school visits to check on attendance and behavior problem to issues in their Individual Plan.Assists the youth in finding community employment, while teaching them proper skills while being in the community.Attending Court appearance on behalf of the youth and provided an update on their progress.Director of Social ServicesGenesis Nursing and Rehabilitation 2008-2009Abide by and practice according to the Genesis Healthcare Social Service Policies and Procedures Manual, state and federal guidelines, and the National Association of Social Workers' "Code of Ethics". Investigated complaints of abuse by interviewing the resident, staff, and family and completing a report and forwarding the findings to the state.Apply for entitlements on behalf of the client.Facilitated discharge planning by coordinating with the resident, their family, scheduling follow-up appointments with services in the community and ordering equipment.Plan and direct a comprehensive social services program, which support services for residents and families.Participate in an interdisciplinary team approach to better serve the needs of the nursing center population.Provide services for individuals in long term care and short term rehab.Provide services for the mental health, the HIV, substance abuse and homeless population.Provides for therapeutic intervention to help residents cope with the social psychological aspects of their illnesses, impairments or disabilities as well as their feeling about institutionalization and separation from family/ community, physical and emotional loss.Maintain written documentation in the customer medical records.Performs an initial evaluation/assessment of each resident's bio-psychosocial needs and place written documentation in the medical record.Develops social service component of resident's plan of care identifying specific problems, goals, and approaches. Participate in and coordinates interdisciplinary care planning conferences at the time of admission and at prescribed intervals. Ensures and documents that resident's families have input into the care planning process.Act as a liaison between the resident's families, outside agencies and the Center's Administrator to ensure that the resident's rights are maintained.Conduct family groups meetings, such as admission groups, support groups, and family council meetings.Assume the role and function in admission coordinator for the absence of the Admission Director. Assist with assigning room changes based on the needs of the residents and disease control.Function in a management capacity and adheres to all polices and procedures of the Center.Perform administrative requirements such as completing necessary forms and reports under direction of the Administrator and submitting reports.Complete MDS assessments.Service CoordinatorThe Coordinating Center 2004- 2008Service Coordinator for the Living At Home Waiver contracted by The Department of Health and Mental Hygiene.Completing policy analysis by determining which of various alternatives polices will most achieve a given set of goals in light of relation between the polices and their goalsProvided case management and care coordination for adults with physical disabilities and their Families was the primary contact person with clients by performing onsite visits, information gathering, obtaining community resources, monitoring plans of service and completing telephonic care coordination with clients.Completed Medical Assistance application, gathered needed documentation, and completed redeterminationSecured information such as medical, psychological and social factors contributing to client's situation.Evaluated clients' capacities to assist in the development of plans of services for coordination services. Promoted positive health behaviors to support optimal health and well being.Provided consistent telephone contact with client, family members and caregivers to assist with the coordination of services per The Coordinating Center's protocol adhering to contract requirements by monitoring the existing plans of service.Collected information to assist the development of plans of service provided to clients.Accessed and recorded client and community resource information and care coordination activities. Managed multiple priorities and tasks with flexibility to enhance service coordination services.Working knowledge of DDA, MA, SSA systems, housing, social services, and individual support services.Traveled throughout the state of Maryland 50% of my work schedule.Service CoordinatorService Coordination, Inc August 2001 to January 2005Contracted by the Developmental Disability Administration to serve as an advocate for families and individuals with an intellectual, developmental, and/or physical disabilities.Coordinated services for individuals in a Medicaid/Waiver Program and participate in the development of an Individual Service Plan.Completing policy analysis by determining which of various alternatives polices will most achieve a given set of goals considering relation between the polices and their goals.Design an Individual Plan, which enumerates individual's preferences and the services needed to support the person.Completed file reviews at the Day and Residential Program to monitor services provided by DDA and other State Funded Programs for quality assurance.Monitor the Individual Plan periodically to determine whether the services were received. Assist individuals and their families in locating and obtaining services specified in the plan.Provided support and training to individuals and their families in life planning, service location, self-advocacy, and negotiating the service delivery systems.Educating organizations, agencies, and individuals about the rights, needs, and abilities of people with disabilities.Provided and resources for individuals who are in a crisis and require emergency assistance requiring respite, housing, or monetary funding.Developing and maintaining cooperative working relationships to assure coordinated delivery of services to individuals.Completed Eligibility and Access visits with applicants for DDA services and their families. Assess the applicant's eligibility and urgency of need for DDA funded services.Suggest appropriate services to meet the individual's preferences and needs. Recommend strategies for obtaining services from DDA and other sources.Managed a caseload of 50 to 60 clients Employment Specialist University of Maryland Psychiatric Outpatient Clinic - Baltimore, MD 1995 to 2000Work on a 5 year grant project providing vocational services for Individuals with a Mental Illness and have Substance Abuse problems. *Developed job opportunities for individuals in the community, as well as linking them to resources such as local, state, and federal programs.Manage a caseload of 25-35 clients. Completed vocational & career assessments.Provided on the job training to develop job related skills & social skills.Participate in developing and implementing Individual Treatment Plans.EDUCATIONMaster of Arts (MA) in Legal and Ethical StudiesUniversity of Baltimore - Baltimore, MD August 2001 to December 2004BSW in Social WorkUniversity of Maryland-Baltimore County - Catonsville, MD August 1997 to May 2000Associate in Science (AS) in Addiction CounselingBaltimore City Community College - Baltimore, MD 1994 to May 1997SKILLSCase managementTime managementAttention to detailGood communication skillsGood mediation skillsSecretarial skillsAddiction counselingLeadershipMeet deadlinesUtilizes a variety of softwaresQuick leanerDocumentationACTIVITIESUse this section to highlight your relevant passions, activities, and how you like to give back. Its good to include Leadership and volunteer experiences here. Or show off important extras like publications, certifications, languages and more.

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