Manage bookkeeping functions of Wallpapering and Painting business.• Developed and maintain Excel worksheets for distribution and tracking of proposals, invoices and statements. • Maintain Accounts Receivable (AR) and Accounts Payable (AP) financial records. • Prepare state and federal tax forms for accountant.

Responsible for coordinating all aspects of home care referrals.• Receive referral from referral source via phone, fax, email, Clinical Liaison, EMRs, etc.• Completely/accurately enter patient’s demographic, insurance and physician information into computer system.• Obtain needed documentation to complete chart (office visit notes, W10, AVS, Discharge Summary, H&P etc.) • Responsible for obtaining Face to Face visits in a timely manner and sending, receiving Plans of Care (485), Change orders and PT/OT orders and logging into charts. Responsible for sending, following and obtaining MOU’s from partnering agencies.• Contact Physician offices to obtain confirmation of signing MD, date of last office visit and upcoming appts. • Maintain Physician and Referral Source directories.• Previously contacted insurance companies to obtain initial insurance benefits.

Responsible for coordinating all aspects of home infusion and enteral feeding referrals• Receive referral from referral source via phone, fax, efax, email, Clinical liaison, etc.• Coordinate referrals between different business units (e.g. pharmacy, nursing, warehouse, transportation), with external sources (sub-contractors, other healthcare providers) and the patient.• Complete and accurately enter patient demographic, medical and therapy/prescription information into computer system.• Communicate with patient regarding their benefit coverage, gather necessary information to complete referral and coordination of care.• Maintain daily and monthly log of referrals, referral sources, therapies and start of care dates.• Participate in rounds, twice daily, regarding status (pending, starts, NO GO) of all referrals.

Assisted in data collection for annual quality performance evaluation. • Conducted claims research, determining correct service location or verifying member history. • Performed provider outreach, verifying and confirming provider and patient demographics• Performed provider outreach to obtain medical record requests by telephone, fax and in writing.• Documented all communications (initial and follow up) within HEDIS database tools.

• Reviewed documentation provided from insurance carriers, medical records, care plans and other referral sources to determine patient need for navigation services.• Established a rapport with patients, family and caregivers. Used motivational interviewing skills to determine patient/family/caregiver goals and needs, and reviewed established goals periodically. • Assisted patients in scheduling and coordinating post-hospitalization follow up appointments, other medical appointments and tests as necessary for specialist referrals, services, or subsequent follow up appointments.• Followed up after scheduled medical appointment to ensure that the patient was seen by practitioner and identified any follow up care instructions to be reviewed with the patient utilizing teach-back techniques. • Conducted screenings to determine eligibility for social services or other forms of support, and made appropriate referrals.• Reviewed patient medications and identified any discrepancies and barriers to medication compliance, and reported these to prescriber. Ensured that the patient had an understanding of their medications and medication regimen. Assisted the patient in formulating questions regarding their medications that need to be addressed with their physician/clinician at the follow up visit.• Answered general questions about tests, procedures, getting to offices, labs, hospitals. Assisted patients to formulate questions to ask their healthcare provider to be empowered to participate in shared decision making.• Worked closely with the Primary Care Physician office staff and attributed patients/providers/physicians to close gaps in care.• Documented all interactions in electronic database with accurate notes indicating contacts with patients, care providers, specialists, hospital staff and collateral providers.• Followed and complied with all HIPAA rules and regulations.

• Provided therapeutic support and case management services to a caseload of culturally diverse therapeutic and medically complex foster children (aged 0-21) and their foster, kinship and pre-adoptive parents and families.• Coordinated all aspects of the medically complex foster care program, including liaison with DCF Clinical Nurse Coordinator, JFS Consulting Nurse, medical specialists/providers and legal system.• Wrote initial treatment plans followed by monthly updates, quarterly clinical reports, discharge reports and recommendations.• Developed assessments of children in need of pre-adoptive homes and recruited the most appropriate home for them. • Advocated between foster/adoptive homes and outside agencies and service providers (i.e.: Department of Children and Families {DCF}, Department of Developmental Services {DDS}, Department of Mental Health and Addiction Services (DMHAS), therapists, psychiatrists, treatment facilities, schools, medical personnel, legal system, birth families and visiting resources).• Completed home study renewals for current foster families and provided post-licensing trainings to foster and pre-adoptive families. • Coordinated bimonthly Continuous Quality Improvement meetings. Evaluated and implemented improvements as needed. Maintained client records. • Assisted in the preparation of the program’s budget and Council of Accreditation self-study.• Attended statewide meetings with DCF and other state and private agencies in supervisor’s absence. • Previously prepared program-wide monthly billing for Specialized Foster Care programs, generated program-wide Federal and State quarterly reporting of census, demographic and statistical information and prepared program-wide monthly utilization reports for Specialized Foster Care and Medically Complex programs.

• Provided in-home therapeutic respite care to DCF involved children and families (aged 2-17).• Devised and implemented behavior modification programs and taught parenting skills to primary caregivers.

• Provided therapeutic case management services to 12 at-risk, multicultural adolescents (DCF and/or court involved) in a group home setting.• Reviewed referrals, conducted pre-placement interviews and facilitated intakes for all clients, as well as treatment and discharge planning and recommendations.• Supervised 10 residential staff members in their clinical and administrative responsibilities.• Acted as a liaison between facilities and outside agencies and service providers (DCF, DDS, DMHAS, therapists, psychiatrists, treatment facilities, schools, medical personnel, legal system and birth/foster/adoptive families).• Developed and implemented treatment plans on a semi-annual basis.• Responsible for, monitored and supervised medication administration.

• Worked with a caseload of 47 at-risk, multicultural adolescents in a high school setting, providing self-esteem counseling, career counseling, job training, personal development, academic study skills, attended Planning and Placement Team (PPT) meetings and handled discipline issues.• Implemented individualized support programs (life skills, pre/postnatal issues for teen parents, time management skills, JTPA Job Placement Competencies and referrals to appropriate outside agencies).

• Provided therapeutic support to patients with chronic back pain.• Provided instructive training to patients and their families.• Conducted relaxation and imagery sessions.

• Maintained written documentation of academic progress, graduation requirements and academic eligibility.• Implemented individualized support programs for student-athletes (study skills techniques, time management, academic tutors and career issues).• Provided supportive counseling to student-athletes in all aspects of their lives.• Worked in conjunction with campus support services and coach.• Monitored student-athlete study hall.

• Provided individual counseling to clients while maintaining and teaching daily living skills.• Designed and implemented activities for 12 males aged 9-14 in a residential setting.• Worked as a teacher’s aide in classroom with 7 children providing tutoring and behavioral support.