Janise Kendrick Email & Phone Number

Provides care management services to TRICARE west beneficiaries .Screens cases for possible case management services according to predetermined criteria.Systematically identifies and addresses fragmentation of care, and fills gaps in care using proactive initiatives.Authorizes inpatient and/or outpatient treatment according to company's stated criteria.Evaluates physician's treatment plan and other records to develop a care plan to assist patients in moving as rapidly and cost-effectively as possible through health care services.Consults with providers, beneficiaries, and family members as needed.Documents all initial and concurrent reviews, including, but not limited to, diagnosis, symptoms, interventions, goals, and plans for next review.Identifies providers for specialized services and negotiates rates when services are provided outside the contracted provider network.Utilizes Interqual to assist with determining medical necessity.

Chatham County, North Carolina, United States

● Provide referrals to providers for appropriate services● Formulate treatment plans and assessments uniting the behavioral, medical, and social needs of clients while adhering to Medicare guidelines● Detect appropriate interventions to construct measurable objectives and address potential impediments and opportunities for success● Initiate Child/Adult High-Risk Team meetings in collaboration with DSS, DJJ, CCNC, school systems and other stakeholders to reduce risk factors by 30%● Utilize evidence-based practices in all aspects of service delivery, resulting in a 42% improvement in overall functioning and well-being● Provide crisis intervention services to clients in need, including assessment, safety planning, and referrals to safety and stabilize services and resources

● Telephonically address client concerns by conducting clinical intakes and referring clients to the appropriate resources ● Use critical thinking, and problem-solving skills, to quickly resolve issues, and identify resources to ensure a positive client experience.● Educate clients remotely about resources, eligibility, and services with the positive and professional approach● Maintain complete and accurate documentation of cases within the EMR in a timely manner

● Oversee precertification and concurrent reviews for quality inpatient levels of care treatment using Medical Necessity Criteria● Formulate 50+ treatment plans uniting the behavioral, medical, and social needs of clients while adhering to Medicare guidelines● Detect appropriate interventions to construct measurable objectives and address potential impediments and opportunities for success● Initiated 6 Child/Adult High-Risk Team meetings in collaboration with DSS, DJJ, CCNC, and school systems to reduce risk factors by 30%● Utilize evidence-based practices in all aspects of service delivery, resulting in a 42% improvement in overall functioning and well-being● Provide crisis intervention services to clients in need, including assessment, safety planning, and referrals certify to safety and stability

● Spearheaded the development and implementation of intake assessment, resulting in improved outcomes for 420+ clients● Evaluated the Swing Bed Program's execution against equity benchmarks to diagnose areas for improvement● Directed triage and crisis support by connecting Patients to appropriate resources, benefits, and 5 care providers for urgent care● Harmonized with healthcare providers to expedite optimal care treatment for patients through eliminating barriers ● Regularly presented updates on client progress and transition plans to senior leadership by providing critical insights

● Led Housing Program through organizing goals and deliverables that addressed complex clinical indicators utilizing a $130K budget● Onboarded 12+ Case Managers on housing placement, medical care, and crisis intervention best practices to magnify performance● Implemented an innovative SOP to manage timelines and activities that align with organizational procedures to streamline workflows● Utilized advanced clinical judgment to build 150+ care plans and coordinate psychosocial wraparound services for members● Leveraged motivational interviewing skills to promote lifestyle changes by escalating quality of care issues through defined channels● Successfully amplified client retention rate from 76% to 90% by fostering positive relationships with clients by reducing risk factors ● Accomplished 97% housing placement encompassing quality case management processes, compliant with regulatory guidelines

Schofield Barracks, Hawaii, United States

● Conducted comprehensive assessments of psychosocial needs to implement targeted care plans to promote health equity● Delivered evidence-based interventions to provide therapy to 250+ Patients experiencing mental health and substance abuse issues ● Outlined quarterly program deliverables, risk mitigation plans, and Case Manager schedules to impact a diverse patient population● Recruited and hired 20+ diverse employees by assessing work history and coordinating interviews to attain program KPIs● Facilitated cultural diversity trainings and programs for 60K military personnel and leadership to foster equity and inclusion ● Documented patient cases with 100% accuracy in Salesforce CRM, adhering to federal policies and guidelines ● Enhanced patient satisfaction by 43% from partnering with interdisciplinary healthcare teams to coordinate patient care services

Master’S Degree, Clinical/Medical Social Work

Bachelor Of Arts - Ba, Psychology