Case Manager Clinical Program

Diane Gonzalez

Clinical Program Specialist-Social Worker I

Weslaco, TX 78596 ad8p4w@r.postjobfree.com 956-***-****

Clinical Program Specialist-Social Worker I- Centene Corporation-Remote

Pacer Staffing, LLC-Contract Agency

May 3, 2023-May 10, 2024

Review assessments & service plan (vendor or internal assessments). Worked on denials, instructed members on appeal process and level change. Research community resources, complete 2065D approvals, and follow up on all DME identified needs. Provided weekly calls to assigned members meeting productivity standards for assigned tasks. Created authorizations on an as needed basis. Provided follows up with DME and PCP. Tracked members on excel spreadsheet and provided weekly reports on members. Participated in quarterly trainings as assigned.

Intake Care Senior Representative-Cigna Express Scripts-Remote

Mindlance-Contract Agency

November 2022-December 2022

Advocate Role. Inbound calls. Assist customers looking to access, understand, or utilize services. Provide follow-up calls to participants to ensure correct information is given. High quality customer service as identified by Advocacy department quality standards. Use independent problem-solving skills to make sound decisions in assessing the needs of the callers by giving accurate information and providing first call resolution. Conduct an intake as needed to assess for presenting concern and risk of harm or substance abuse concerns. Multi-task by maneuvering through various computer programs and screens. Educate participants on their benefits based upon individual plan design and other clinical or non-clinical resources available.

Therapeutic Case Manager

Upbring Grace House Children's Shelter - McAllen, TX

June 2019 to May 2022

Work with unaccompanied minors through the Office of Refugee Resettlement to reach sponsorship here in the US. Assist with making connections and interviews with family in home country as well as with potential sponsors located throughout the US. Complete sponsor assessments and conduct background checks for all adults in a household. Obtain all required documentation for a safe release from an ORR facility. Ensure that the minor will be released to a safe living environment. Meet with the youth on a weekly basis. File documentation in a timely manner. Familiarize and knowledgeable of policy. Meet and work with other stakeholders in collaboration with the needs and best interests of the youth. Help undocumented children enter programs who qualify for long term foster care services.

Treatment Team Coordinator

Rio Grande State Center - Harlingen, TX December 2017 to June 2019

Coordinate and sit in scheduled daily staffing and reviews at state hospital. Work alongside with Psychiatrists and intern students in Mental Hospital setting. Coordinating family meetings to be a part of treatment planning. Ensure authorization forms are filed and organized and completed accurately. Other duties assigned assist activity department with recreational activities 1x a week. Conduct treatment plan audits.

Case Manager Position Baptist Children Family Services

Health and Human Services Children Residential Services Division

January 2015 to December 2017

Manage caseload of 8-12; speak with children's families; self-audit files; close files; provide intake orientations; participate in weekly staff meetings with stakeholders; conduct internet background checks; review documents; complete various timelines; complete sponsor assessments; schedule legal orientations for families; and any other duties on a case-by-case basis where collaboration with other parties involved.

Case Coordinator Baptist Children Family Services

BCFS - Harlingen, TX

May 2013 to December 2014

Provide services to unaccompanied minors; provide Mentoring & Support Peer Staff; Coordinate Orientation; Complete Intakes; Overlook Assigned Case Management Team; Close out & audit files; complete data entry reports on excel; speak with families; conduct monthly team meetings; ensure case work accountability;

Activity Director Retama Manor Nursing & Rehab

Weslaco, TX

January 2010 to February 2013

Provide an ongoing of activities designed to meet the interests and physical, mental, and psychosocial well-being of each patient; complete assessments; MDS; care plans; gather information to design activities that are multi-faceted to meet patients' functional levels and reflect needs and interests of each patient. Coordinate monthly outings and or ongoing events. Create monthly and issue calendars for all residents. Facilitate monthly resident council meetings for residents.

Case Manager

Life Choices Unlimited, Inc - Edinburg, TX

January 2009 to December 2009

Conduct face to face interviews with client's and families; organize caseload with proper documentation; follow-up with referrals; provide community visits with clients; prepare Individual Service Plans for each client; home visits to client group homes and foster care families; attend IDT meetings; other duties as assigned.

Goodwill Industries Case Manager

October 2008 to December 2008

Developed Individual Assessment Plans; maintained Intake information; organized client case load documentation; outreach community contacts; developed labor market surveys; contact with outside community referrals; assessed individual counseling sessions; job coached 6 clients; conducted supervisory reports; organized and documented case notes; demonstrated monthly reports on clients.

Work Adjustment Training

Supervised a total of 6 clients

Personal Social Adjustment Training

Taught classes on personal self-growth

Money Management

Job Search Skills

Interviewing Skills

Intern Student

Industries of South Tx, Inc - Pharr, TX August 2008 to October 2008

Unit Director

The Boys & Girls Club - Weslaco, TX 2004 to 2008

Oversee programs at unit for students; supervised 3-4 staff members; implement educational programs for ages 5–12-year-olds; provide summer field trips; provide excellent customer service to students and parents; provide tutoring; obtain inventory lists; provide a positive atmosphere; help instill values and self-worth to students; taught groups of students on drug awareness; self-growth & pressures from peers.

COMMUNITY

SERVICE Volunteer in taking youth to Nursing Home during Christmas

Donated can-foods to local food banks

Planned and organized all grade levels for collecting cans.

Provided extra time in coaching basketball team AUXILLARY

Education

Bachelors of Science in Rehabilitative Service

The University of Texas of Pan-American December 2010

Vocational in Medical Aspects I Vocational Assessment

Skills

•EXCEL (10+ years)

•OUTLOOK (10+ years)

•Case Management

•Mental Health

•Bilingual

•Front Office

Additional Information

SKILLS Spanish: Fluent, Experience with Vocational Assessment,

Knowledge of Office procedures Excel Outlook and Power Point

Contact this candidate