Kimberly Foreman Email & Phone Number

Remote - Oh

Uniontown, Ohio, United States

• Provided LSW supervisory training hours needed for LSW(s) in the office to work towards their needed 3000 hours for LISW license at no cost to them.• Trained new incoming social workers and nurses to hospice and contracted skilled nursing facilities procedures and documentation requirements.• Facilitated plan of care meetings between hospice nursing home team, patients/families, and contracted skilled nursing home teams.• Developed a comprehensive plan of care in collaboration with interdisciplinary team.• Educated and counseled patients, families, and/or caregivers regarding end of life care and disease process.• Collaborated patient care with medical professionals from nursing facilities, community agencies, and hospitals to provide continuity of care to patients and families.• Conducted crisis intervention for patients and family members in regards to psychiatric and long-term care placement, suicidal ideation, and family discord.

United States

*Formerly Harbor Light HospiceClinical assessment and mental health diagnosing of new and ongoing palliative patients.Completed ongoing monthly and as needed psychotherapy and case management as well as developed individualized goals with palliative patients.Collaborated bi-weekly with social work, CNP, and medical director in interdisciplinary plan of care meetings.Assisted patients in applying for financial aid and other community resources as appropriate.

Telecommute

Completed new and concurrent outpatient behavioral health clinical reviews with clinicians to assess appropriateness and effectiveness and member progress and clinician treatment planning and interventions.Recommended changes to clinician treatment planning and interventions based on member progress stagnation or regression, risk factors, and/or other concerns as appropriate; referred providers to peer reviewer as needed for additional guidance and support.Assessed appropriateness of out of network providers for behavioral health services based on verbal obtained clinical assessment and authorized single case agreements as appropriate.Educated providers regarding use of inappropriate billing codes for non-routine psychotherapy services and possible outcomes of continued use.

Cuyahoga Falls, Oh

Clinical assessment and mental health diagnosing of new and ongoing palliative patients.Completed ongoing monthly and as needed psychotherapy and case management as well as developed individualized goals with palliative patients.Collaborated bi-weekly with social work, CNP, and medical director in interdisciplinary plan of care meetings.Assisted patients in applying for financial aid and other community resources as appropriate.

Tallmadge, Ohio

• Ensured that program objectives, goals, measures and metrics were appropriately met; exceeded HEDIS goal (80%) for triple weighted Statin Use in Persons with Diabetes (85%), Diabetic Kidney Disease Monitoring (96%), Colorectal Cancer Screening (87%), Comprehensive Medication Review Completion (89%); led team of care managers to completion through coaching and communication.• Successfully completed 100% compliance with preventing auto-discharges during time in position.• Collaborated with independent care managers and network supervisors to ensure LTIH/Humana policies and procedures; created coaching plans to address areas of non-compliance.• Investigated any network care manager complaints or episodes of non-compliance as well as research potential fraud, waste, and abuse and report to Risk Management as appropriate.• Facilitated monthly one on one calls with agency supervisors and independent FCMs to review updates and compliance standards, needed areas of improvement, provide education and support.• Performed ongoing quality audits to monitor NCQA and CMS adherence among care managers; communicated with members monthly to ensure quality case management services were received.• Participated in corporate wide efforts to improve member centered outcomes; collaborated with network partners to improve HEDIS, Diabetic Foot Ulcer outcomes.• Sponsored on the job learning opportunities for other Humana associates who are interesting in the Manager, Care Management role via the WNRG.• Interdepartmental collaboration and process improvement.• Created and facilitated monthly peer support group for HAH Mid-West/Mid-Atlantic region related to ongoing focus on mental health as a Well-Being Advocate.• 2017 & 2018 Star Award Recipient• Ambassador for Women’s Network Resource Group Work at Home Segment• Selected for 2019 Disney PSX (Perfect Service Experience) program• Organized team volunteer opportunities for service members and hurricane victims in Puerto Rico

Tallmadge, Oh

• Developed ongoing action plans in collaboration with assigned Humana members under Long Term in Home program and Transitions program to address ongoing disease education and needed resources to aide in their health and well-being.• Successfully and consistently passed chart audit reviews with a 95% score or higher.• Completed team chart audit reviews to check for NCQA compliance to report to state manager.• Audited weekly mileage reports of team to assist state manager.• Provided mentoring and coaching to new FCM team members regarding job roles, requirements and annual performance goals.• Served as a Subject Matter Expert educating fellow Field Care Managers regarding creation of successful action plans using the SMART Goal.• FCM Work Group participation addressing Transitions refusals and Process Documents.• Trained Ohio team Field Care Managers with identified member support resources, action plan documentation, and ease of iPad usage for successful field documentation.

Ravenna, Oh

• Coordinated internal nursing home team consisting of 4 nurses and 2 home health aides, liaison between internal nursing home team and locally contracted skilled nursing facilities.• Trained new incoming social workers and nurses to hospice and contracted skilled nursing facilities procedures and documentation requirements.• Facilitated plan of care meetings between hospice nursing home team, patients/families, and contracted skilled nursing home teams.• Facilitated children’s bereavement camp and co-facilitated hospice employee support groups.• Developed a comprehensive plan of care in collaboration with interdisciplinary team.• Educated and counseled patients, families, and/or caregivers regarding end of life care and disease process.• Collaborated patient care with medical professionals from nursing facilities, community agencies, and hospitals to provide continuity of care to patients and families.• Conducted crisis intervention for patients and family members in regards to psychiatric and long-term care placement, suicidal ideation, and family discord.

Hollidaysburg, Pa

• Facilitated plan of care meetings with interdisciplinary team, residents, and resident's families.• Investigated and collaborated with other department heads regarding complaints filed against the facility.• Conducted ongoing psychosocial assessments, maintained care plans, and coordination of discharge planning for skilled and long-term care residents.• Created family council and acted as a liaison between resident families and ALSM administration.• Assessed referrals for appropriateness of admission to facility, reviewed facility policies and procedures with residents and families, educated residents and families regarding resident rights upon admission.• Collaborated with visiting psychologist in regards to psychology caseload plans of care.• Assisted residents and families with applying for financial assistance, insurance coverage, and community services.

Ravenna, Oh

Conducted comprehensive initial and ongoing psychosocial assessments of patients and familiesDeveloped a comprehensive plan of care in collaboration with interdisciplinary teamCounseled and educated patients, families, and/or caregivers regarding end of life care and disease processCollaborated patient care with medical professionals from nursing facilities, community agencies, and hospitals to provide continuity of care to patients and familiesProvided grief counseling and bereavement follow up to families following patient's death, co-facilitated children's bereavement campConducted crisis intervention for patients and family members in regards to psychiatric and long-term care placement, suicidal ideation, and family discord

Paintsville, Ky

Internship from Jan 2008 to May 2008, Employed staff member from May 2008 to May 2009Conducted ongoing psychosocial assessments, maintained plans of care, and coordination of discharge planning for skilled and long-term care residentsAssisted residents and families with applying for financial assistance, insurance coverage, and community servicesCoordinated and facilitated plan of care meetings with interdisciplinary team, residents, and resident's familiesFacilitated resident council meetings and advocated for resident needs with families and facility staffCreated a workplace violence policy, wrote monthly social work articles for facility newsletter, and assisted administration with emergency disaster planning

Camp Lejeune, North Carolina

S-3 Administrative Chief, School of Infantry

Masters Of Science And Social Work, Social Work

Activities and Societies: Phi Kappa Phi Honor Society Invited and accepted to be a member of Phi Kappa Phi Honor Society for 3.9 GPA.

Bachelors Of Social Work, Social Work

Activities and Societies: SASW - Student Association of Social Workers Elected and served as President of Prestonsburg Campus of SASW.