Keisha Auguste, Msw Rcswi Email & Phone Number

New Port Richey, Florida, United States

United States

Provided crisis intervention and emotional support. Conducted risk assessments and developed safety plans. Collaborated with healthcare professionals and community resources. Maintained accurate and confidential client records. Offered follow-up support to ensure continuity of care. Educated clients and families on coping strategies and mental health resources.

Tampa, Florida, United States

Build a rapport with students by conducting Assessments (Bio-Psycho-Social) to identify barriers and develop intervention(s). Develop and implement a program of services and coordinates intervention strategies to increase academic success. Provide risk reduction and safety promotion for crisis situations, including safety planning, conflict resolution, and de-escalation techniques. Working with Students/Families in accessing and utilizing community resources. Mobilizing family, school, and community resources to enable the child to learn effectively as possible with their Exceptional Student Education (ESE) Program. Identifying and reporting child abuse and neglect. Providing consultation regarding school law and school policy including IDEA and Section 504. Provide direct support to staff by conducting Youth Mental Health First Aid (YMHFA) Trainings.

Remote

Performed the credentialing function for Change Healthcare by completing, compiling, and analyzing all credentialing and enrollment application with supporting documentation to assure that all facilities and clinical providers as applicable are continually credentialed and/or privileged in accordance with all statutory and accreditation requirements. Implement and manage enrollment and eligibility functions for singular clients across multiple service platforms (EDI, API, self-service, one-time load, etc.). Research and develop customer-specific resolutions. Provide guidance and expertise in both EDI and general enrollment. Analyze cause and effect relationships between known variables. Build and maintain partnerships with customers, vendors, and teammates. Performed facility enrollments with state/government payers and maintains enrollment record to ensure accurate reimbursement for services. Serve as an enrollment subject matter expert.

United States

Develop, assess, and adjust, as necessary, the care plan and promote desired outcome. Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short- and long-term goals, treatment, and provider options. Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio-economic needs of clients. Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs. Provide patient and provider education. Facilitate members’ access to community-based services. Monitor referrals made to community-based organizations, medical care, and other services to support the members’ overall care management plan. Actively participate in integrated team care management rounds. Identify related risk management quality concerns and report these scenarios to the appropriate resources. Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems.

Tampa, Florida, United States

Responsible for implementing all programmatic and agency protocols. Monitor self-administration of medications. Monitor client interactions and provide guidance or interventions as needed. Effectively demonstrate de-escalation techniques for agitated clients. Assess potential crisis situations and take appropriate action in a timely and logical manner. Responsible for ensuring clients successfully navigate the social systems to get the services they are requesting and helping remove any barriers. Maintain confidentiality of safe house site and clients.

Holiday, Florida, United States

Responsible for meeting the clinical needs of each client by providing individual counseling to each resident, where clinically appropriate, using evidenced based practices in accordance with funder requirements. Conduct initial family assessments and refer clients and/or family to community resources to specialist as necessary. Complete a biopsychosocial assessment, initial treatment plan, updated treatment plan, progress notes and group notes on each client. Plan and conduct programs to prevent substance abuse or improve community health and counseling services. Assess clients’ mental condition based on review of client information, interviews, observation, tests, and collaboration with other staff members. Responsible for updating and getting approval by the doctors on all disciplines and devising personalized recovery plans after treatment. Responsible to review the discharge plans with patients and families/caregivers and refer to community resources.

Remote

Explain plans, procedures, protocols, benefits, services, and any other necessary information to the members (and occasionally providers) who telephone the Member Services Department. Maintain accurate and complete documentation of all inquiries. Handle inbound patients, provider, retail pharmacy and internal/external client calls. Answer questions related to pharmacy benefits, while maintaining productivity standards and performance guarantees where applicable. Work with other operational departments to research and resolve mail order and claims issues and respond to members.

Tampa, Florida

Responds to incoming calls and initial questions and, providing customer service to plan members, providers, and employer groups by answering benefit questions, and resolving issues. Process disenrollments, additions, and changes, including address changes. Performs error output resolution for electronic eligibility and processes error discrepancy list. Assist in monthly reports for individuals deemed ineligible for Medicare/Medicaid services. Educate providers and staff regarding insurance network policies or procedures. Maintains documentation on claims against network providers and may make recommendations to executive leaders regarding provider contracts.

Tampa, Florida, United States

Developed individual case plans and Conducted safety assessments. Conducted home visits based on individual child and family need and diligent searches. Provided referrals to community resources. Attended and testified at court hearings, case reviews, staffing and other meetings as required. Prepared judicial reviews, case plans, family assessments and other required reports and paperwork. Provided support to children, families, and caregivers to ensure stable placement and timely achievement of permanency. Arranged or provided transportation for children as needed. Provided on-call support as necessary. Worked on a team consisting of the family and other service providers. Monitored case plan compliance and worked on goals and tasks with family.

Tallahassee, Florida Area

Worked on multiple contracts regarding Medicare/Medicaid Health Plans. Worked simultaneously on various documents with the use of SharePoint to save previous versions of documents and monitor any updates. Counseled potential/current enrollees in a timely, unbiased manner into the Florida Medicaid Program. Assisted in processing Medicaid applications and enrolled prospective patients into their respective health plans. Participated in the decision making for determining eligibility for long-term medical care. Conducted insurance verifications and medical necessity interviews. Some exposure to medical terminology; assisted in translating important information between English and Haitian Creole. Assisted with DOEA special project aiding applicants with eligibility process. Managed high-volume workloads within a deadline driven environment. Maintained logs of potential/current interactions in the project’s state computer system.

Tallahassee, Florida

Worked directly with clients during home visits. Served as an interpreter/translator for specific clients. Developed Community contacts for employment opportunities, benefits, and socialization. Determined existing problems and evaluate needs for individuals achieving independence. Reviewed the agency compliance with all the clients as far as custom law and procedures. Assisted Client with advocacy services and administrated cases for development. Hands- on experience in providing assistance and counseling individual

Master Of Social Work - Msw, Social Work

Bachelor'S Degree, Social Work

Associate'S Degree, General Studies

High School Diploma