Monica Maddrey
@monicamaddrey
Experienced care manager with 15 years in managed care.
United StatesWhat I'm looking for
With over fifteen years of dedicated experience in care management and managed care, I am passionate about supporting teams to provide exceptional service. My journey began with a Bachelor’s and Master’s degree in Social Work from Temple University, where I developed a strong foundation in understanding the complexities of human behavior and the importance of effective care coordination.
Throughout my career, I have held various roles, including Supervisor of Service Coordination at Amerihealth Caritas, where I effectively supervised a team of fifteen Service Coordinators. My responsibilities included monitoring field visits, conducting monthly audits, and providing coaching to enhance team performance. As a Triage Care Manager, I have been instrumental in discharge planning and collaborating with community resources to ensure seamless transitions for participants.
I thrive in environments that prioritize teamwork and continuous improvement, and I am eager to bring my expertise to a care management team that values quality care and innovation.
Experience
Work history, roles, and key accomplishments
Triage Care Manager
Amerihealth
Dec 2019 - Present (5 years 6 months)
Notified Service Coordinators of hospital admissions and managed discharge planning. Conducted outreach to members after hospitalizations and troubleshooted hard-to-place participant issues.
Supervisor Service Coordination
Amerihealth Caritas
May 2019 - Dec 2019 (7 months)
Supervised fifteen Service Coordinators and monitored 26 field visits. Facilitated Office Of Long Term Care Field visits and completed monthly chart audits.
Supervisor Case Manager
Aetna
Jan 2019 - May 2019 (4 months)
Supervised fourteen staff while managing a caseload of 50 members. Provided clinical support for clinical and non-clinical staff.
Clinical Case Manager
Aetna
May 2017 - Jan 2019 (1 year 8 months)
Case managed members receiving shift care nursing and completed face-to-face visits. Participated in interdisciplinary team meetings and educated members on waiver services.
Clinical Care Reviewer
Amerihealth Caritas
Aug 2016 - May 2017 (9 months)
Performed pre-certification for behavioral health facility-based care using Interqual and ASAM. Completed live reviews and referred members for case management.
Case Manager
Aetna
Mar 2013 - Aug 2016 (3 years 5 months)
Provided telephonic counseling and completed assessments and care plans. Managed crisis calls and conducted face-to-face visits with members.
Care Manager
United Health Care
Oct 2007 - Mar 2013 (5 years 5 months)
Completed concurrent reviews and managed discharge planning. Educated members on their benefits and ensured aftercare within seven days of discharge.
Education
Degrees, certifications, and relevant coursework
Temple University
Masters Of Social Worker, Social Work
Specialized in social work, focusing on advanced practices and theories within the field. Gained expertise in various social work methodologies and their applications.
Temple University
BSW, Social Worker
Focused on understanding how individuals function within their environment and the dynamics of working with diverse populations. Developed foundational skills in social work practice and human behavior.
Availability
Location
United StatesAuthorized to work in
Job categories
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