Jennifer Anderson
Fleetwood
Summary
Dynamic professional with extensive experience in care coordination, case management and the ability to analyze treatment plans and advocate for clients, ensuring policy compliance and effective communication. Skilled in needs assessment and team collaboration, consistently achieving positive outcomes for health plan participants and families.
Overview
26
26
years of professional experience
Work History
Utilization Review
Haven Behavioral Hospital of Eastern Pennsylvania
Reading
02.2025 - Current
- Analyze patients' charts, treatment plans, and other documentation to evaluate the appropriateness of care.
- Determining whether requested services, procedures, or medications are medically necessary based on established criteria.
- Working with physicians, nurses, and other healthcare professionals to address questions, resolve issues and coordinate care plans
- Collecting, analyzing and reporting on utlization review data to identify trends, track outcomes and asses program effectiveness
Service Coordinator
AmeriHealth Caritas
Harrisburg
06.2021 - 09.2023
- Managed caseload of up to 100 health plan participants requiring in home care aid, medical care, DME, home delivered meals, home modifications, collaborating with families and maintaining routine contact with participants and health care providers
- Performed needs assessments and formulated care plans
- Coordinating care with preferred vendors and authorized approved services
County Caseworker II
Berks County Children and Youth Services
Reading
11.2000 - 05.2020
- Responsible for implementing child protective service laws and agency policy, with the goal to preserve families in the least intrusive manner possible
- Developed routine and ongoing family service plans for cases accepted for service
- Implemented contract provider services and monitored production, reporting and quality as evident based practice. Maintained ongoing dialogue and collaboration with community providers, education and medical providers, attorneys and city/county officials.
- Adjudicated children as dependent, prepared and testified in the Pennsylvania Court of Common Pleas
Social Worker
Children's Home of Reading
Reading
11.1999 - 10.2000
Education
Master of Arts - Social Work
Marywood University
Scranton, PA05-2007
Bachelor of Science - Sociology
Kutztown University of Pennsylvania
Kutztown, PA06-2000
Skills
- Care coordination
- Case management
- Needs assessment
- Policy compliance
- Client advocacy
- Effective communication
- Time management
- Team collaboration
Timeline
Utilization Review
Haven Behavioral Hospital of Eastern Pennsylvania
02.2025 - Current
Service Coordinator
AmeriHealth Caritas
06.2021 - 09.2023
County Caseworker II
Berks County Children and Youth Services
11.2000 - 05.2020
Social Worker
Children's Home of Reading
11.1999 - 10.2000
Master of Arts - Social Work
Marywood University
Bachelor of Science - Sociology
Kutztown University of Pennsylvania
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