Lesley Avery

About Lesley Avery

Experienced Technical Expert with a demonstrated history of working in the…

Experience

1. Caseworker

   UnitedHealthcare

   Apr 2020 — Present

   Conduct intake assessment, needs assessment, treatment planning, and reassessment servicesProvide day-to day support, supervision, and performance reviews for Patient NavigatorsReviews patient cases with Patient Navigator and provides advice, direction, and support as neededIn most cases, organize or leads Patient Navigator training sessionsIn most cases, provide clinical supervision to Patient NavigatorsMay meet with client along with Patient Navigator after primary care physician appointments to review and update care plan.Screen clients for eligibility for direct and support services and refer clients to needed services, such as mental health, housing, crisis, and employment assistancelearn to assist with the Onboarding of new staff. As well as supporting the Managers and the Clinical Care Managers in the field. This includes ordering supplies, Data Entry and troubleshooting computer issues. At senior levels, function may include supervision of other clerical/administrative staff. Duties will include administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. Manage the referrals process, processes incoming and outgoing referrals, and prior authorizations. This function includes intake, notification and census roles. Provide excellent Customer Service to both Providers and Enrollees. Extract and review fax requests for medical or clinical services Subject matter expert in many cases. Develop and assist with resources, training, and systems.Always Reference the automated job aid tools via the computer to identify appropriate procedures when needed Constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance. Maintain Confidentiality and adhere to HIPAA Requirements

Education

• Ohio Dominican University

  Bachelor of Business Administration (BBA), Business Administration and Management, General

  2009 — 2014

• Ohio Dominican University

  Associate's degree, Business Administration and Management, General

  2009 — 2012

Skills

• Leadership
• Community Outreach
• Team Building
• Social Networking
• Social Media
• Powerpoint
• Time Management
• Microsoft Word
• Teaching
• Nonprofits
• Project Planning
• Networking
• Sales
• Program Management
• Microsoft Office
• Management
• Microsoft Excel
• Public Speaking
• Strategic Planning
• Project Management
• Coaching
• Training
• Customer Service