David Belmont Email & Phone Number

Saint Petersburg, Florida 33716

Experience: July 2008 to RetiredHumana At Home 800 Carillon Parkway Suite 220 | St. Petersburg, FL 33716Manager of Care Management: Responsible for oversight and direction of 19 care managers assisting with managing a member roster of 210 Humana At Home members. Responsibilities include guiding the team and providing support with protocol and process compliance. Providing guidance for complex member needs and escalate concerns to other departments or roles. Develop talent by seeking out opportunities for associates to utilize their expertise and skills and grow professionally and ensure compliance with mandatory trainings. Supervisor Carrie Flood RN, MSNArcadian Health Plan, Inc, 49 Atlantic Place, South Portland, ME 04106 (Acquired by Humana July 2011) Manager of case management: Responsible for oversight and direction of 18 employees assisting with managing a member population of 67,000. Responsibilities include budget, hiring and training of staff, Medicare compliance, Medicaid compliance and NCQA accreditation. Catastrophic, Mental Health, Disease Management, Traumatic Brain Injury and SNP Case management, assessment, coordination, implementation, advocacy and evaluation of services for the senior and disabled Medicare population. Assist members and family members to understand Medicare Advantage Plan insurance coverage and offer alternative resources. Manage project initiatives. Assist with building case management system module. Supervisor: Laurie Wilson RN

South Portland, Maine

Catastrophic Case Manager/Chronic Disease Case Manager: Mental Health/Brain Injury. Assessment, coordination, implementation, advocacy and evaluation of services for acutely ill clients. Works with multiple vendors and providers to ensure high quality, cost efficient services delivered in a timely manner. Assist clients of families to understand insurance coverage and offer alternative resources. Conducts utilization review of acutely ill patients. Assists with URAC and NCQA accreditation standards. Liaison to healthcare providers and prospective clients. Manage project initiatives.

Riverridge, 33 Cat Mousam Road, Kennebunk, Me 04043

RiverRidge, 33 Cat Mousam Road, Kennebunk, ME 04043 Clinical Manager: Responsibilities included direct supervision of a transdisciplinary rehabilitation team which establishes and carries out clients' individualized treatment plans, including destination/ activity pattern plans. Develop estimates of client rehabilitation to achieve the projected outcomes. Organize and direct regular, systematic communication and education with clients and families. Participate in the development of quality assurance, program evaluation. Responsible for assuring the facility meets criteria for C.A.R.F. and Joint Commission accreditation.