Leticia Godinez Napoles
Phoenix
Summary
Talented Case Manager adept at handling high caseloads without sacrificing quality of care. Operates in high-pressure environments while recommending best resources and courses of action to benefit patient needs and return each to optimal quality of life. Knowledgeable and experienced in coordinating care for elder individuals. Proactive and resourceful with strong knowledge of community resources. Strong communicator with passion for helping others.
Overview
9
9
years of professional experience
Work History
Case Manager Specialist
CVS
02.2019 - Current
- Improved client outcomes by developing and implementing comprehensive case plans tailored to individual needs.
- Maintained accurate and timely documentation for all client interactions, ensuring compliance with regulatory requirements and confidentiality standards.
- Prepared comprehensive progress reports detailing client achievements, challenges faced, and recommendations for continued support services moving forward.
- Implemented evidence-based interventions aimed at reducing recidivism rates among justice-involved clients.
- Conducted regular follow-up meetings with clients to monitor progress towards goals outlined in case plans while making adjustments as necessary.
Medical Eligibility Assessment Specialist
AHCCCS- State Of Arizona
07.2017 - 02.2019
- Followed all company policies and procedures to deliver quality work.
- Assessing customers in a face-to-face interview using the Pre-Admission Screening (PAS) instrument to determine medical and occasionally financial eligibility for the Long term Care services.
- Reviewing medical records and interacting with customer's family members, caregivers and/or physicians to identify and evaluate medical and psycho-social conditions
- Driving to customers' residence to conduct interviews and/or obtain pertinent medical documentation
- Working closely with elderly, physically, and/or developmentally disabled populations
- Referring customers to appropriate community resources, based on their needs
- Managing a caseload with clearly identified and regularly monitored productivity and quality requirements
- Using a desktop computer/laptop and other computer programs for interviewing, updating, reviewing and completing medical eligibility determinations.
- Developed strong client relationships through consistent communication and attentive service.
- Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.
Case Manager
DDD/DES
03.2015 - 02.2017
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
- Advocated for client rights when interacting with external agencies or institutions, ensuring fair treatment at all times.
- Assessed community needs and identified resources for social and community service programs.
- Enhanced communication between clients and providers through consistent follow-ups and progress updates.
Education
No Degree - Youth Mental Health First Aid Certification.
Southwest Behavioral
Phoenix02.2015
Bachelor of Science - Psychology
Arizona State University
Glendale, AZ12.2014
Skills
- Client Advocacy
- Ethical Practice
- Cultural Competency
- Positive Attitude
- Problem-Solving
- Organization and Multitasking
- Direct Patient Care
- Case Documentation
- Patient support
- Patient Assessments
- Community Resources
- Relationship Building
- Case Needs Assessment
Languages
Spanish
Native or Bilingual
Timeline
Case Manager Specialist
CVS
02.2019 - Current
Medical Eligibility Assessment Specialist
AHCCCS- State Of Arizona
07.2017 - 02.2019
Case Manager
DDD/DES
03.2015 - 02.2017
No Degree - Youth Mental Health First Aid Certification.
Southwest Behavioral
Bachelor of Science - Psychology
Arizona State University
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