Levitta Scott - Qualified Professional, Abound Health

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Work Background

Abound HealthQualified Intellectual Disabilities Professional

Dec. 2024Gastonia, North Carolina, United StatesReview all verification/documentation of services for appropriate signatures and documentation per the NC DHHS Records Management and Documentation Manual Ensure assigned direct care staff records are current Ensure assigned service recipient clinical records are current Conduct and document clinical and employee supervisory visits to ensure Medicaid and Abounds Policies/Procedures are followed Conduct annual performance evaluations, direct care staff development plans, disciplinary meetings/documentation with direct care staff Participate and advocate for the recipient in the recipient’s ISP meetings Develop individualized short term goals, task analysis and interventions for assigned recipients Complete recipient’s annual skills and preference assessments (as applicable) Ensure client specific training's are completed for every recipient/staff relationship Enter goals into OnTarget Complete TARs (as applicable) in Provider Direct before annual ISP Review weekly billing to ensure hours are used or complete deviation of service forms Complete quarterly progress reports Review and update task analysis per recipient’s goal frequency Ensure staffing patterns are covered and back up staff is available Resolve and document recipient/guardian grievances and report to Supervisor Complete significant event and incident reports within 24 hours (recipient and employee/contractor) Schedule direct care staff/contractors to provide direct care. Hours must comply with service authorizations and waiver limitations Assist the recipient and families with finding and procuring appropriate resources and services in the community Provide privacy and confidentiality of all participants’ records. Assure participants are free from abuse, mistreatment, and/or neglect and report any incidents of such to supervisor. Treat each participant with dignity and respect. Develop and demonstrate a thorough understanding of Abounds philosophy and purpose.

PQA HealthcareCare Plan Manager

Aug. 2023 - Dec. 2024United StatesProvide care management that addresses all member needs: including physical health, behavioral health, I/DD, traumatic brain injuries (TBI), pharmacy, long-term services and supports (LTSS) and unmet health-related resource needs. Actively engages with members by ensuring the delivery of comprehensive assessments and care management, care coordination, health promotion, transitional care, individual and family support, and referrals to community and social support services. Planning, coordinating, tracking, closing gaps in care, and monitoring care to individuals. Conducts outreach and engagement activities to engage members in care management. Facilitates engagement of extended care team and providers in care plan development and implementation through regular communication, care follow-up, and care conferences. Develop care management comprehensive assessments and care plans/individual support plans with beneficiaries.

Option Care HealthPatient Registration Coordinator

Feb. 2022 - Aug. 2023Charlotte, North Carolina, United StatesCoordinating transition services with internal and external partners to ensure the accuracy and completeness of all required documentation is of the highest quality while providing exceptional customer service. Proactively building strong relationships with referral sources, account managers, care transition coordinators and internal nursing, pharmacy and revenue cycle team members. Interacts with external service providers and the Option Care Commercial Team to transition new patients onto service with Option Care. Proactively maintains and grows relationships with referral sources and serves as a key point of contact and representative of Option Care. Attend meetings with key accounts as needed. Communicates frequently with the Commercial team to provide updates on patient referral status and resolve any related issues. Responsible for collecting, reviewing and completing applicable care transition documents. Participates with any data collection required. Maintains confidentiality of patient and proprietary information and observes legal guidelines for safeguarding the confidentiality of patient and proprietary Option Care information. Accountable for setting new patients up on autopay, discussing copay assistance plans and foundation assistance plans and transferring patients to patient pay team if applicable to discuss FAA and other payment options.

Piedmont Medical CenterPatient Access Representative

Jun. 2021Rock Hill, South Carolina, United StatesPerforming scheduling, registration, patient pre-admission and admission, reception and discharge functions. Obtain complete and accurate patient demographic information. Employ proper, compliant patient liability collection techniques before, during & after date of service.

Cardinal Innovations HealthcareIDD Care Coordinator

Mar. 2014 - Dec. 2020Kannapolis, North Carolina, United StatesAdherence to Medicaid guidelines for implementation of the NC Innovations Waiver Development of person centered plans for treatment, emphasizing medical necessity Adherance to HIPAA, Medicaid, and DMA guidelines Link and coordinate additional services as needed Communicating with different team members to enhance continuity of care Conducting monitoring of service delivery

Hughes Behavioral & Mental Health ServicesCare Provider

Feb. 2014 - Jun. 2017Gastonia, North Carolina, United StatesProvide Respite services to parents/guardians of child/adult with Intellectual/Developmental Disability Follow partipant's ISP Adhere to HIPAA, Medicaid, MCO, and provider guidelines for services Annual training in First Aid, CPR, Bloodborne Pathogens, Safe Medication, Seizure Management, and NCI Staying up to date with NC Innovations Waiver

Novant HealthIntern

Aug. 2011 - Sep. 2011Reading Remittance Advice reports Sorting documents to ensure they were sent to the right department (Signature accounts,Touchworks accounts, Workers Compensation accounts, Departing Clinic accounts, andSelf Pay accounts) Familiarity with different Novant providers Identifying denied claims from an Explanation of Benefits document Batching claims at the end of the month

SKE, IncCase Manager

Feb. 2007 - Feb. 2014Development of person centered plans for treatment, emphasizing medical necessity Adherance to HIPAA, Medicaid, and DMA guidelines for billing services on a weeklybasis Link and coordinate additional services as needed Communicating with different team members to enhance continuity of care Reviewing documentation for accuracy to decrease billing errors Trained yearly in First Aid, CPR, Medication Administration, Seizure Management, and NCI

Children's Advocacy NetworkFamily Support Specialist

Dec. 2006 - Feb. 2007Provided mental health services for children/adolescents Communicated with individual’s family and provided training to help individual reach goals that were in their treatment plan Coordinated with supervisor and individual’s family to report progress