Dervisa Sisic

Experience

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  Intern for Iowa Senator Jeff Danielson

  May 2011 - May 2012

  Policy Research and Evaluation

  Cooperated with other health related agencies and organizations in community activities. Ensured the accuracy of public information and materials .Actively maintained up-to-date knowledge of applicable state and Federal laws and regulations. Drafted and revised reports, articles and background papers. Research and evaluation of the major governments

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  PEOPLES COMMUNITY HEALTH CLINIC, INC.

  Oct 2011 - Jul 2015

  Actively participate in the problem solving and management decisions for the PCHC. Review of organizational and program reports, oversight and adaptation of annual budget, formulation and oversight of policies and procedures

  • On the Board of Directors

    Oct 2011 - Jul 2015

  • Member of the Human Resource Comittee and Quality Asurance Comittee

    Oct 2011 - Jul 2015
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  Exceptional Persons, Inc. (EPI)

  Nov 2013 - Feb 2016

  Community Integration Specialist

  I was coordinating and providing oversight for multiple clients utilizing supervisory and leadership role. I was facilitating the full inclusion of individuals with disabilities in the recreation, volunteer, and employments sites of their choosing. I was also promoting full engagement of each client in each activity. I recognized unusual or threatening conditions related to persons with disabilities and resolved issues if necessary.

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  Hope Haven, Inc.

  Feb 2016 - Apr 2017

  Intensive Psychiatric Rehabilitation Practitioner

  I was providing all aspects of Intensive Psychiatric Rehabilitation Services including: Readiness Assessment, Readiness Development, Goal Choosing, Goal Achieving, and Goal Keeping, to individuals authorized to receive IPR, on an individual and cohort basis, while focusing on overall recovery. I was completing all required documentation utilizing Credible behavioral health software including: progress notes, service plans, social histories, certification period reports, IPR forms, discharge summaries, etc. in a manner that meets or exceeds Iowa Chapter 24 standards and Hope Haven’s standards within required deadlines, and maintain a 100% file audit checklist for all assigned individual files.I completed all aspects of precertification of IPR including verification of individuals’ Medicaid authorization at the beginning of each month through Managed Care Organizations. Show less

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  B & D SERVICES, INC.

  May 2017 - Jun 2022

  Director of Plannig and Training

  I was identifying and assessing future and present training needs. I was drawing an overall or individualized training and development plan while deploying a wide variety of training methods. I was developing Individual Program Plans and attending annual ICP meetings. I was working directly with the clients and staff to gain firsthand knowledge of client support and training characteristics. I was assisting with intakes and follow up on agency service requests and referrals. I am working with the designated staff person from each program to effectively implement program plans and prepare monthly data and review contact notes. I was working with the Director of Quality Improvement to complete tasks on the Quality Improvement Plan, as well as monitoring progress notes to insure content is suitable for billing. I lead a team that developed and implemented the first 3 years strategic plan for the company. I was working with Medicaid and Medicare populations to ensure that members have services they need to thrive in the environment of their choice. I was working on claim submission, claim appeals, and claim reconsiderations by using Avelity and collaborating with Amerigroup team when issues arise to ensure mutual satisfaction and timely resolution. I was working with community providers to ensure our members have services they need by collaborating, communicating updates regularly and maintaining positive provider relationships. Show less

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  Elevance Health

  Jun 2022 - now

  LTSS Service Coordinator

  I am providing a person-centered care coordination for individuals on Medicaid Waivers. I am assisting with discharge planning for members admitted to facilities to return home. I am interpreting procedures, business processes and Iowa Code to meet individual needs. I am maintaining relationships with member’s to maintain eligibility through accurate assessments, care plans and regular contacts. I am coordinating the IDT to meet members needs and minimize risks related to community-based living. I have experience in Word, Excel, PowerPoint, Outlook, OneNote, Microsoft Teams, Citrix, Facets, Maces, Member 360, and HIP Programs. I am working with community providers to ensure our members have the service they need to reach their goals. I am committing and collaborating with internal matrix partners to triage issues and submit service requests for our members. I am developing and maintaining positive provider relationships with the provider community to ensure a lasting relationship and great services for our members. Show less