Raeann Kell Email & Phone Number

• Completes audits and other quality assurance/improvement duties of care manager caseloads to determine areas of improvement or focus and to monitor for upcoming end dates for closures or notifications to be sent. • Review, approve, and submit Over Cost Containment requests for PAR approvals to the state. Submits and monitors cases for review when meeting certain cost thresholds.• Conducts bi-weekly team and individual care member meetings to identify areas of focus, relay management/HCPF communications, field team questions, and other guidance as needed regarding member-specific questions or situations.• Represents organization at PDPPC CDASS monthly calls.• Assists team with managing caseloads via completing coverage visits, 6 month and quarterly phone calls to members, and other follow-up as needed.• Communicates with and relays important information between department managers and care managers as needed. • Responsible for creating and maintaining a positive team work culture. • Responds to formal and informal member grievances and engages in resolution processes as needed. • Involved in creating a training schedule and supervising training activities for new case managers. • Monitoring open caseloads for member or provider issues and questions; Forwarding such requests to the covering case manager and providing follow-up of requests to ensure completion and satisfaction.

• Completed audits and other quality assurance/improvement duties of care manager caseloads in order to determine areas of improvement or focus and monitored for upcoming end dates for closures or notifications to be sent. • Reviewed, approved, and submitted Over Cost Containment requests for provider billing approvals to the state. Submitted and monitored cases for review when meeting cost thresholds.• Conducted bi-weekly team and individual care member meetings to identify areas of focus, relay management/HCPF communications, field team questions, and other guidance as needed regarding member-specific questions or situations.• Represented the organization at PDPPC CDASS (a provider-led program) monthly calls.• Assisted the team with managing caseloads via completing coverage visits, 6 month and quarterly phone calls to members, and other follow-up as needed.• Responsible for creating and maintaining a positive team work culture. • Communicated with and relayed important information between department managers and care managers as needed. • Responded to formal and informal member grievances and engaged in resolution processes as needed.

•Scheduling, completing, and writing up intake assessments for prospective HCBS clients within mandated regulations. •Possesses knowledge of long term care Medicaid waivers, services, PASRR, and other pertinent information regarding services and the HCBS process in order to provide accurate and reliable information to members. •Became a new hire trainer after 3 months in this position.•Completing follow up regarding client target dates, emails, voice mails, and other client communications. •Providing ongoing guidance and support to team members regarding difficult questions about clients, processes, procedures, and other questions that arise throughout a work day.•Volunteered to work with a Care Management Director for shadowing for deeper understanding of current Care Manager job duties and case load. Also volunteered to cross-train among various programs and departments in order to provide assistance and coverage if needed for staff PTO, turnover, etc.

Commerce City, Co

•Monitored Residents engaged in the therapeutic rewards program working in-house job assignmentsfor appropriateness and task assignment as well as the compilation of monthly time worked and wageassignment.•Routine auditing of resident care plans, assessments, calendar documentation, and other documents as necessary to ensure compliance for state and federal regulations related to the Recreation department.•Creating, monitoring, and managing daily and monthly activity schedules, special events and projects, and individualized resident programs.•Provision of daily, monthly, and quarterly dementia training to all Facility staff.•Regular attendance and involvement in meetings covering Marketing, quality assurance and improvement, Care Conferences, Resident at Risk, and others as needed.•Regular coverage of other departmental duties such as covering reception, admissions, and elsewhere as needed through manager on duty schedules.

Denver, Co

•Daily assessments of Patients admitted to facility for skilled services•Oversight of the current programs in place for existing Residents and Patients, which include creationof the monthly calendar and ensuring the day's schedule is run in an efficient and timely manner bydepartmental staff/volunteers.•Routine auditing of resident care plans, assessments, calendar documentation, and other documents as necessary to ensure compliance for state and federal regulations related to the Recreation department.•Ensuring every Resident has an existing and valid Care Plan reflecting current leisure interests andneeds.•Provision of 1:1 visits and monitoring participation and enjoyment of group activities being provided.•Working directly with Resident family members, especially those as sitting members of the Facility'sFamily Council and those attending Resident care conferences.•Daily supervision of the Department and Facility volunteers, and volunteer recruitment.•Assisted Resident in bringing cat to live with her at facility until cat passed away.

Master'S Degree, Organizational Leadership, 3.8

Specialization in Learning and Development

Bachelor'S Degree, Therapeutic Recreation/Recreational Therapy