Jennifer Abina

PROFESSIONAL SUMMARY

Dedicated and results-driven leader with over 8 years of expertise in healthcare, social services, regulatory

compliance, and program management. Adept at navigating complex regulatory environments and aligning

service delivery with state and federal regulations, HIPAA, and Medicaid/Medicare guidelines. Proven track record

of managing diverse teams and complex caseloads, streamlining processes, and developing individualized care

plans with enhanced service delivery that meets individual needs assuring high outcomes. Bilingual in Russian

and English, with a proven ability to adapt to evolving challenges, mentoring staff, and driving initiatives that

improve operational efficiency and overall quality of care delivered. Dedicated and committed to fostering an

inclusive environment and a person-centered approach in delivering impactful solutions to diverse populations.

EDUCATION

Bloomsburg University of Pennsylvania— Bloomsburg, PA

B.A. Criminal Justice

PROFESSIONAL EXPERIENCE

Maxim Healthcare Services— ODP Program Specialist

Philadelphia, PA (July 2024-Present)

• Develops and monitors 80+ care plans for individuals with intellectual disabili9es, aligning client goals with

100% compliance to Pennsylvania’s 6400 and 6100 ODP Regulations annually

• Conducts quarterly reviews of program goals, assuring progress for meeting ISP outcomes in activities of

daily living, socialization, and recreation. Help manage the quality of homecare operations.

• Manages and resolves incoming and on-going reportable incidents through the EIM system, ensuring

timely submission and resolution within state-mandated deadlines.

• Ensures that Direct Support Professionals (DSPs) are properly trained to meet the unique needs of each

client as per their ISP

• Reviews DSP submitted documentation weekly in order to assure qualitative service delivery and

progression toward client goals.

• Collect and analyze program data quarterly, iden9fying trends that lead to measurable improvement in

opera9onal efficiency.

• Collect and analyze data to measure program outcomes and identify areas for improvement on a weekly,

monthly, and quarterly basis.

UPMC Health Plan— CHC Nursing Facility Service Coordinator

Delaware County, PA (January 2022-July 2024)

• Managed a dynamic caseload of 275+ Nursing Facility Clinically Eligible CHC waiver participants, achieving

98% compliance with state-mandated ratios and clinical requirements.

• Conducted comprehensive level-of-care evaluations annually, ensuring timely completion and submission

for each entailed assessment.

• Facilitated access to Medicaid and non-Medicaid funded Long Term Services and Supports to participants,

enabling smoother transitions to independent living.

• Collaborated with multidisciplinary staff across 10+ nursing facilities in Delaware County to streamline

care coordination processes and increase service efficiency.

• Maintained on-site presence by traveling to multiple Nursing Facilities across Delaware county weekly,

delivering over 1,000+ service interactions annually.

• Provided direct education on medical, behavioral, transitional and social resources to over 200 new

participants annually

• Utilized knowledge and expertise to assess options for care including use of benefits and community

transition services, submitting 25+ transition referrals annually with a 75% rate of safe and successful

community transitions

• Ensured compliance with all state and federal guidelines, achieving 100% regulatory adherence during

quarterly audits and reviews.

Pennsylvania Health & Wellness— CHC Service Coordinator

Bucks County, PA (October 2018-December 2021)

• Carried and managed a large caseload of Medicaid’s CHC waiver participants, ensuring seamless delivery

of long-term support services while addressing participant needs proactively.

• Directed the development and implementation of person-centered care plans, achieving a 95% participant

satisfaction rate in annual evaluation

• Assisted participants in obtaining HCBS services that supported independent living

• Trained and supported team members and new staff on compliance protocols and case management tools,

improving overall departmental performance.

• Assisted with fair hearing requests when needed and/or requested as an advocate to enrollees’ health,

welfare and quality of services received on an on-going basis

America’s Support Coordination and Management— OLTL Service Coordinator

Philadelphia, PA (September 2017-October 2018)

• Managed a caseload of 60+ aging waiver recipients that led the delivery of in-home care service,

preventing nursing home placement.

• Coordinated team efforts in developing personalized care plans and providing ongoing support to

participants.

• Monitored service delivery, identifying and resolving gaps to improve participant independence and quality

of life.

• Streamlined communication between participants, family members, and providers, achieving a 90%

resolution rate for service-related issues.

Partnership for Community Supports— ODP Supports Coordinator

Philadelphia, PA (October 2016-August 2017)

• Managed a caseload of individuals with intellectual disabilities, ensuring consistent delivery of high-quality,

individualized support services.

• Supervised the development and execution of Individual Support Plans (ISPs)

• Collaborated with multidisciplinary teams to address service gaps and improve individual outcomes.

• Conducted monthly in-home monitoring visitation for 40+ individuals ensuring compliance with state

regulations

• Created and maintained detailed documentation in HCSIS, enhancing accountability and operational

transparency

CORE COMPENTENCIES

• Service Coordination and Case Management

• Individualized Service Plan (ISP) Development

• Regulatory Compliance (HIPAA, ODP, CHC, OLTL)

• Data Collection, Program Analysis & Reporting

• Bilingual: Fluent in Russian and English (Verbal and Written)

• Comfortable navigating various settings including Virtual, In-Person, and Hybrid work environments

• Adept in navigating and utilizing a widespread of digital productivity tools including Outlook, Google

Calander, Google Workspace, Excel, Word, PowerPoint, Microsoft Teams, SharePoint, SQL, OneNote,

Zoom, and Webex.