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Skills

  • Problem resolution
  • Relationship development
  • Behavioral health resources and referral
  • Business operations
  • Goal setting
  • Conflict resolution with insurance providers
  • Risk assessment and mitigation
  • Effective Cross-team Communication
  • Social history intake procedures
  • Care team meeting facilitation

Work Experiences

  • Balanced costs while maintaining compliance.
  • Achieved a 85% increase in proactive care planning.
  • Assisted clients during transition from hospital to home care, ensuring follow-up care appointments were scheduled within 11 days.
  • Was in charge of coordinating program referrals for community-based services.
  • Was in charge of archiving and preparing reports and treatment records.
  • Evaluated the patient's health insurance plan and collaborated with the insurer and providers to provide the best care at the lowest cost.
  • Oversaw the delivery of initiative project by standard team, which resulted in framework.
  • Assessed patient satisfaction levels post-discharge.
  • Assessed client needs using standardized screening tools, securing access to community services for 49% of cases within 30 days.
  • Clinical documentation, treatment plans, and referrals were all organized by me.

Summaries

  • Addressed external audit findings rigorously.
  • Collaborative leader in healthcare case management.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Adept at overseeing case management teams.
  • Boosted cross-team communication by 47%.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the procedure business.
  • Collaborated with community agencies to enhance care.
  • Costs were consistently reduced while profits were increased.
  • Achieved 73% completion of legal documentation.
  • Client-focused professional with hands-on experience.

Accomplishments

  • Facilitated partnerships with standard to streamline care transition processes, improving referral completion rate by 75%.
  • Developed a health education initiative for caregivers, leading to a 56% reduction in preventable emergency room visits.
  • Initiated telemedicine follow-ups for post-discharge patients, increasing post-acute care follow-up rates by 81%.
  • Led cross-functional teams to enhance service delivery, achieving 36% improvement in patient satisfaction scores.
  • Delivered ongoing professional development training on HIPAA, successfully reducing reportable breaches to zero during 2016.
  • Designed a risk assessment template used by the care management team, decreasing assessment time by 17%.
  • Monitored and reassessed treatment plans, increasing adherence to care plan protocols by 61% in 2017.
  • Conducted data analysis on patient outcomes to identify gaps in service delivery, leading to a 38% improvement in care effectiveness.
  • Participated in method quality improvement committee, contributing to a 15% reduction in care plan documentation errors.
  • Established patient-centered care protocols, reducing hospital readmissions by 44% over one year.

Affiliations

  • Society for Social Work Leadership in Health Care (SSWLHC)
  • International Association of Administrative Professionals
  • American Academy of Case Management (AACM)
  • Toastmasters
  • National Association of Social Workers
  • Gerontological Society of America (GSA)
  • Home Healthcare Nurses Association (HHNA)
  • International Federation of Social Workers (IFSW)
  • Commission for Case Manager Certification (CCMC)
  • Association of Information Technology Professionals

Certifications

  • Google Certified Professional Cloud Architect
  • Cisco Certified Internetwork Expert (CCIE)
  • Certified Public Accountant
  • Apple Certified Associate (ACA)
  • Integrative Health and Wellness Coaching Certification (IHWCC)
  • CompTIA Security+
  • Certified in Care Coordination and Transition Management (CCCTM)
  • Microsoft Certified Systems Engineer (MCSE)
  • Advanced Nurse Case Management (ANCM) Certification
  • SHRM Certified Professional (SHRM-CP)

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