Kim Hendrix

Experience

• 

  Foster Family Network

  Feb 2001 - Mar 2004

  Social Worker

  Responsible for case management of 15 children within 5 foster homes through regular contact with the foster families, record keeping, and report writing. Also responsible for placement maintenance by arranging necessary services such as counseling, testing/developmental assessment, psychological and neuropsychological testing, educational evaluation, therapeutic daycare, suicidal/homicidal evaluations and hospitalizations, Victim Witness Assistance funding, tutoring, and mentoring. Assistant to Site Supervisor in overseeing the team's caseloads. Show less

• 

  HealthNet

  Jan 2004 - now

  Supervisor

  Responsible for supervising 14 associates, providing leadership, and guidance. Evaluate team members biannually, coaching and confronting unsatisfactory performance, and administering corrective action plans as needed. Identify department goals and objectives, develop and communicate action plans through regular staff meetings and other communication, using a team approach to problem solve and set clear expectations. Provide a challenging and supportive environment and delegate tasks appropriately. Interface with medical management associates and management teams related to identifying and prioritizing system modifications and process improvements. Review daily denial and discharge reports ensuring accuracy and regulatory requirements are met. Participate in various process improvement projects, to help implement and update workflows relevant to care managers. Show less

• 

  Value Options

  Mar 2004 - Nov 2004

  Care Manager

  Responsible for assessing member’s clinical presentation for medical necessity and appropriateness of care; authorization inpatient or outpatient treatment based on medical necessity; responsible for case management and follow up care to ensure members needs are being met upon discharge; answering and responding to the emergency and crisis hotline; consultation with providers as needed to determine care as appropriate; referrals and resources given to members for EAP and mental health services. Assigning higher level of care or risk management cases to other clinicians. Reviewing with the medical director to authorize further care in risk management cases. Show less

• 

  MHN

  Nov 2004 - now

  Responsible for assessing patient’s clinical presentation for medical necessity and appropriateness of proposed evaluation/treatment goals. Authorize inpatient and/or outpatient treatment according to company’s stated criteria. Clearly and completely document all initial and concurrent reviews, including, but not limited to, diagnosis, symptoms, interventions, goals and plan for next review. Close all cases according to the defined case closure procedure, in a timely manner, and in accordance with guidelines established by the department manager and director. Consult with providers, supervisor, and medical directors as needed. Respond to provider questions with regard to Managed Care cases. Serve as a liaison to other departments as needed. Participate in training of other Care Managers as necessary. Review cases with the medical director to authorize further care in risk management cases. Participate in process improvement projects and volunteer for the Appeals committee. Show less

  • Senior Care Manager EAP & Behavioral Health

    Nov 2004 - now

  • Care Manager EAP and Behavioral Health

    Nov 2004 - now