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Maritza Campana
18127 Lembrecht Way Tampa Fl 33647
Cell # 813-919-5083
MaritzaGonza@aol.com
Objective: A bilingual master ...
• Accompaniment with RN Care Transition Manager to perform language interpretation for
prospective enrollees in program
• ...
• Monitored/Linked/Referred children and their families to supportive services within their
communities.
Westchester Count...
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Maritza Campana 2016 resume

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Maritza Campana 2016 resume

  1. 1. Maritza Campana 18127 Lembrecht Way Tampa Fl 33647 Cell # 813-919-5083 MaritzaGonza@aol.com Objective: A bilingual master leveled clinician with background experience in child welfare, advocacy, case counseling, case management, crisis intervention, geriatrics population, Managed care, Long Term Care, coordinating resources, Medicare billing experience, and building relationships. EDUCATION: Springfield College Tampa, Fl Master of Science in Human Services. PROFESSIONAL EXPERIENCE: Coventry Healthcare of Florida, Long Term Care December 2013-July 2016 Case manager: • Responsible for facilitating appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources in the Long Term Care Program. • Evaluated Members through the use of care management tools and information/data review, conducted comprehensive evaluation of referred members needs/eligibility and recommended an approach to case resolution and/or meeting needs by evaluating members benefit plan and available internal and external programs/services. • Coordinated and implemented assigned care plan activities and monitored care plan progress utilizing a person-centered approach. • Provided coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices. Molina Healthcare of Florida, Nursing Home Diversion March 2012-December 2013 Case manager: • Responsible for working with members and providers to assess, facilitate, plan and coordinate the delivery of care across the continuum for members with potential risk for high cost and high utilization. • Responsible for leading project initiatives aimed at reducing the cost of care and quality improvement. • Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals to address the member needs. • Performs ongoing monitoring of the plan of care to evaluate effectiveness and suggests changes accordingly. • Promotes integration of services for members including behavioral health and long term care to enhance the continuity of care for Molina members. • Conducts face to face or home visits as required. Montefiore Medical Center, Bronx Collaborative November 2010-February 2012 Care Transition Analyst: • Collaborated with a multidisciplinary health team particularly the patient’s primary care provider office staff and medical management programs to transition patient’s care appropriately and effectively • Managed the clerical and administrative aspects of the care transitions process • Responsible for using the appropriate information technology to manage the flow of patients thru the care transitions program • Tracked and prepared fiscal reports for programmatic metric to ensure optimal outcomes
  2. 2. • Accompaniment with RN Care Transition Manager to perform language interpretation for prospective enrollees in program • Implements legal and ethical considerations in the care transitions process Amerigroup Community Care: Tampa FL 1/2010-7/2/2010 Long Term Care Case Manager: • Facilitated members gaining access to needed medical, social, and education services. • Coordinated the integration of acute and long-term care services. Responsible for ensuring cost effective and efficient utilization of health plan services. • Functioned as member advocates, seeking and coordinating creative solution to long-term care needs without compromising the quality of the outcome. • Completed comprehensive assessment of the member’s health status, physical and cognitive functioning, environment, social supports, and end-of-life decisions through interaction with member/caregiver/provider. • Independently developed, revised and implemented a plan of care for members based on assessment of members’ status, available resources and risk potential. • .Applied knowledge of community resources, State and Federal initiatives to establish and maintain the member support system; establishing working relationships with them. • Collaborated with discharge planners, physicians, and other parties to ensure appropriate discharge plan, plan of care, and coordination of acute care and long term care services. • Facilitated admission of members to appropriate setting. Citrus Health Care Tango Plan: Tampa, Fl 6/2008-1/2010 Care Manager: • Completed assessments and/or protocols through interaction with member/caregiver/provider/ Act as advocate for member needs. Orientated new members/providers at field visits to plan benefits and procedures accordingly, and identify resources for members on an ongoing basis. • Collaborated with discharge planners, physicians, and other involved parties to ensure appropriate discharge plan, care plan, and coordination of acute care and long term care services. Mental Health Care Inc,: Tampa, Fl 3/2007-5/2008 Intensive Case Manager: • Provided Linkage/Referral/Monitor/Advocacy services to consumer with chronic/severe mental illness and substance abuse. • Monitored supportive services with other involved service providers. • Reviewed/Formulated Role Recovery Plans/case Management Assessment/functional Assessment quarterly. • Recorded daily progress notes and conducted weekly visits. Hillsborough County Sheriff’s Office: Tampa, Fl 4/2006-12/2006 Child Protective Investigator: • Conducted child abuse/neglect investigations; Represented the Department with Court proceeding • Conducted protective removal when deemed necessary; Coordinated and supervised siblings and parental visits.
  3. 3. • Monitored/Linked/Referred children and their families to supportive services within their communities. Westchester County Dept. of Social Services: Yonkers, NY 6/2000-4/2005 Senior Social Caseworker: • Conducted child abuse/maltreatment investigation, including educational neglect. • Conducted Safety Assessment/Protective Removal. • Provided crisis intervention/conflict resolution • Provided casework counseling on an on-going basis/ Conducted bi-weekly announced/unannounced visits. • Prepared Court petitions and attended court proceedings • Acted as a covering supervision for six workers when assigned. Westchester County D.C.M.H.: White Plains, NY 3/1996-7/2000 Case Manager: • Responsible for providing intensive case management services to approximately 19-25 families/individuals with multiple disabilities (mental retardation, mental illness, substance abuse), Consumers’ age ranged from birth to elderly and needs varied. • Provided Advocacy/Monitor/Linkage/Referral services as well as crisis intervention Westchester Association for Retarded Citizens: White Plains, NY 7/1992-3/1996 Bilingual Outreach Specialist: • Provided intensive case management services to approximately 24 minorities families. • Provided Advocacy/Linkage/Referral/Monitor/Casework Counseling/Crisis Intervention • Coordinated/Attended network meetings • Prepared/Reviewed Psycho-social/Six Month Individualized Service Plan • Recorded progress notes daily Skills: Bilingual (fluent in Spanish) Excellent interpersonal and communication skills, Team Player. Computer Skills: 45wpm, Proficiency in Excel, Word, Word Perfect, FARS, 701-B, Outlook and Internet Navigation. Certificates: Child Welfare/Child Protective Service—NY State Sexual Abuse training for Child Welfare Workers Working with Alcohol and Affected Families Strength based approach-Developmental Disabled Case Management Certification

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