Joie Orr
Dubois
Summary
Dynamic professional with a proven track record at Penn Highlands DuBois, specializing in utilization management and case management. Expert in interdisciplinary collaboration and client advocacy, significantly enhancing patient care through comprehensive service coordination. Skilled in assessment and effective communication, adept at fostering community outreach and resource accessibility.
Overview
22
22
years of professional experience
Work History
Social Service/Utilization Management
Penn Highlands DuBois
08.2005 - Current
- Developed detailed plans based on broad guidance and direction.
- Launched quality assurance practices for each phase of development
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
- Provided and documented patient's ongoing care in accordance with policies and board of social work standards.
- Interpreted and explained treatment and benefit programs to clients.
- Participated in diagnosis and development of appropriate treatment plans.
- Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Monitored clients' progress and tracked client services to provide crisis interventions.
- Assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
- Performed admission reviews based for medical necessity based upon specification.
- Performed prior authorization review of services requiring notification.
- Obtained authorizations from multiple insurance carriers for various levels of care.
Case Manager
Clearfield/Jefferson MH/IDD
05.2003 - 08.2005
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources.
- Assessed community needs and identified resources for social and community service programs.
- Collaborated with community members to develop and implement service initiatives.
- Participated in community events to promote services and engage with public.
- Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.
Education
Bachelor of Science - Human Development
Indiana University of Pennsylvania
Indiana, PASkills
- Assessment skills
- Time management
- Organization and multitasking
- Interdisciplinary collaboration
- Utilization review
- Case management
- Patient support
- Utilization criteria
- Verbal and written communication
- Documentation and reporting
- Email and telephone etiquette
- Community outreach
- Client advocacy
Timeline
Social Service/Utilization Management
Penn Highlands DuBois
08.2005 - Current
Case Manager
Clearfield/Jefferson MH/IDD
05.2003 - 08.2005
Bachelor of Science - Human Development
Indiana University of Pennsylvania
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