Alexis Terrell, Mba Email & Phone Number

United States

Supervise the day-to-day operations and workflow of casemanagers to ensure the effective and efficient delivery of services to clients. Formulate, execute, and assess policies and procedures to elevate the quality of case management services.Conduct regular team meetings to deliberate on caseprogress, obstacles, and strategies for enhancement.Assign caseloads and tasks to case managers, maintaining awell-balanced workload and aligning client needs with casemanager expertise.Evaluate the performance of case managers, offeringfeedback, guidance, and opportunities for professionalgrowth.Collaborate with external agencies, stakeholders, and service providers to synchronize resources and services for clients.Address and resolve intricate cases and client issuesescalated by case managers.Compile and analyze reports on case management activities, outcomes, and service utilization to guide strategic planning and decision-making.

Responsible for providing comprehensive assessment, care management and monitoring to members having a primary I/DD, which may include a co-occurring physical health, mental health, substance use disorder. • Utilizes person centered planning methods/strategies to gather information • Continually and consistently completes discovery activities (information gathering and assessment) in advance of the planning meeting• Ensures that members/legally responsible persons are informed of services available, service options available (e.g. Individual/Family Direction for Innovations participants), processes.• Assists members/legally responsible persons in choosing service providers• Facilitate referrals for clinically indicated services (e.g., I/DD services, physical health services, community• navigator to assist in social service need, mental health specialty care, substance abuse treatment)• Assists the members supported to direct the planning process/plan development• Facilitates timely development of Individual support plan, crisis plan, Health risk assessment and standards of determinants health assessments (utilizing system programs Alpha, TruCare, and NCTracks)• Monitors to ensure quality care, health/safety of the member• Closely coordinates care with the member’s I/DD providers, physical health provider(s) and, when appropriate, behavioral health providers• Monitors services for compliance with state standards, waiver requirements, and Medicaid regulations• Promotes problem-solving and goal-oriented partnership with members• Provides education and empowers members to learn and exercise rights• Connects members and caregivers to education and training to help improve member’s functioning, develop• socialization and adaptive skills, and navigate the service system• Promotes prevention and health through education on the member’s chronic conditions and/or disabilities for the member, family members, and their caregivers/support members

Conduct lectures for designated courses.Meet classes as directed by the academic director.Deliver course content in alignment with catalog objectives.Distribute up-to-date syllabi reflecting course structure toenrolled students.Maintain precise records of student attendance.Submit grade reports to the registrar's office.Offer office hours to support students in addressingchallenges and achieving academic success.

Coordinated Medicaid services for individuals with intellectual, developmental, and mental disabilities. Case management of 30-35 individuals.• Introduced Medicaid services referencing NC Innovations waiver components and requesting based need services.• Utilized person centered planning, motivational interviewing, and historical review of assessments to gather information and to identify supports needed for the individual.• Consistently evaluated appropriateness of services and ensures implementation of plan of care through information gathering and assessment at defined frequency of contact based on risk stratification.• Ensured appropriate services were provided by specialty providers and ensured continuity of care across services.• Educated teams on resources via Medicaid that promoted growth, inclusion, and self-improvement of individuals with disabilities. Recognized and reported critical incidents and provider quality concerns to supervisors and Quality Management.• Completed documentation and reports on monthly and quarterly basis to ensure eligibility, funding, and compliance with state and agency policy. • Submitted referrals to the Integrated Health Consultant when a physical health or behavioral health need indicates medical and/or pharmaceutical complexity• Recognized and reported critical incidents and provider quality concerns to supervisors and Quality Management.• Shared appropriate documentation with all involved stakeholders as consent to release is granted.• Obtained clinical supporting documentation, legal/guardianship verification, and necessary consents to exchange/release information• Proactively respond to an individual’s planned movement outside the MCO geographic area to ensure a smooth transition without lapse in care• Ensured all clinical documentation (e.g., goals, plans, progress notes) meet state, agency documentation standards, and Medicaid requirements.• Knowledgeable of Medicaid policies and procedures.

Charlotte, North Carolina Area

Overall coordination and management of 15-20 Release of Information specialists servicing 150-175 healthcare facilities. Consistent safeguarding of patient ROI and ensuring compliance with HIPAA standards.• Ensured and coordinated day-to-day operations of the ROI team. Distributed work to ROI team and established work schedules, job priorities and coordinated team workflows to ensure efficient and timely release of records. Supervises ROI staff.• Collaborated with Healthcare Practice managers and Sales/Accounts to initiate service contracts.• Assisted with recruiting, hiring, training and New Hire Orientation.• Provides routine opportunities for training and education related to releasing medical records from various medical record systems (EHR/EMR)• Organized, planned, managed, and executed territorial operations; to provide quality customer service and customer satisfaction; extensive knowledge of policy and procedures related to HIPAA.• Ensured ROI staff complied with legal and regulatory requirements regarding PHI. Collaborated with legal and compliance and other stakeholders regarding disclosure of PHI.• Ensured productivity measures were monitored, measured, and met. Contributed to developing productivity and quality expectations and measures for ROI staff.• Served as a liaison with ROI Vendor and ROI staff and ensures collaboration and communication between vendor staff and ROI staff.• Collaborated with other stakeholders involving patient/provider relations.

Greensboro/Winston-Salem, North Carolina Area

Management20-25 paraprofessionals within the ICS department, overseeing a caseload of 25-30 intellectual/mental disabled individuals.Monitored and provided monthly supervision of staff performance and rapport with individuals served.Developed and implemented annual Person Centered Plans, providing skills of effective, innovative goal writing, and personal development.Enforced policy and procedures in disciplinary interactions.Monitored and developed goal exercises for staff development and growth.Familiarized and enforced residential goals and interventions.Familiar and knowledgeable with service definitions and requirements. Human ResourcesRecruited, conducted interviews, and hired staff, providing on the job training for new employees, as well as on-going trainings.Audit and updated employee files, including but not limited to trainings, qualifying documents, and evaluations.Conducted performance appraisals, peer reviews, and audit participation every 6-12 months.Approved requested time off, liaison for coverage and back up.Provided weekly, monthly schedules for staff and families supported.Counseled and trained staff based on the diagnosis of resident served.Leadership Participated in state audits held by the department of health and human services, and sanitation. Provided support and resource training for staff development in the process, organized and prepared documentation for the inspector, and aided as needed.Collaborated and contributed with managers in providing strategies to reduce in-direct cost for residential homes. Collaborated with families, professionals, physicians, and care coordinators in reference to individual served.Assisted LME/MCO with billing inquires.

Greenville Nc

Served as a Residential Supervisor over two homes in the Greenville NC, community. Oversaw each home based on the diagnosis and needs of the individuals, residing in the home. Successfully supervised and managed 6 residents and over 18 employees.Involved in plan development and goal interventions.Provided supervision and goal development for employees.Worked closely with families and paid supports. Assisted in financial plan meetings.Worked under Program Manager

Certification, Leadership

Master Of Business Administration (Mba), Health/Health Care Administration/Management

On the board of ABWA, Outright Scholarship Recipient, 2012. President 2012-2013. Woman of the year. Attended 2013 Eastern National Women's.

Bachelor Of Arts (Ba), Psychology

Activities and Societies: Colleges Against Cancer American Cancer Society Relay for LifeGraduated with a BA in Psychology minor.