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Skills

  • Healthcare software proficiency
  • Insurance authorization management
  • MS Office
  • Planning and coordination
  • Patient case prioritization
  • Accurate documentation and reporting
  • Patient Assessment and Evaluation
  • Process optimization
  • Team management
  • Healthcare data analysis

Work Experiences

  • Achieved 32% fewer complaints regarding care delivery.
  • Achieved a 68% increase in service utilization.
  • Was in charge of the standard medical practice's administrative needs.
  • Cross-checked care documentation, eliminating redundancies and ensuring 100% compliance with healthcare regulations over 18 monthly case files.
  • Customer service, patient appointment management, billing and collections, and office administration were among the tasks I oversaw in the front office.
  • Organized, secured, and updated financial documentation for process and system.
  • Analyzed patient data for reporting.
  • Achieved a 66% improvement in health outcomes.
  • Collaborated with interdisciplinary teams.
  • Was in charge of office inventory for a 5-person medical facility, which included placing orders up to $11.

Summaries

  • Exceptional at juggling multiple goals in order to maximize efficiency and influence positive outcomes.
  • Data analysis in program settings and vendor management in risk assessment settings.
  • Dedicated to maximizing productivity and streamlining processes.
  • Successfully learned Mandarin to better serve the local immigrant population.
  • Motivating leader who has built and managed standard teams in the past.
  • Proficient in promoting category by leveraging workflow optimization and stakeholder engagement knowledge.
  • Proven track record of motivating streamlined to achieve team, individual, and management goals.
  • A seasoned problem-solver with a warm and caring demeanor and strong communication skills.
  • With excellent judgment and multitasking abilities, highly organized and resourceful.
  • With a team-oriented mentality, highly organized, proactive, and punctual.

Accomplishments

  • Facilitated interdisciplinary meetings to update individualized patient care plans, reducing hospital readmission by 44%.
  • Reduced discharge bottlenecks by 16% by coordinating transportation and home care services for post-acute care patients at Raleigh.
  • Collaborated with RNs and clinical staff to assist in managing care plans for method, achieving improved adherence rates by 43%.
  • Optimized transition of care protocols, improving patient handoff between discharge and outpatient care providers and cutting follow-up delays by 19%.
  • Automated patient communication systems to assist with appointment reminders, decreasing missed follow-ups by 64%.
  • Collaborated with external providers to streamline referral processes, expediting patient access to specialized care by 36%.
  • Implemented a care coordination program targeting chronic disease management for 4 patients, yielding a reduction in ER visits by 47%.
  • Solved complex care gaps for marginalized populations by implementing streamlined care workflows, driving an 49% improvement in health outcomes.
  • Partnered closely with providers and social workers handling complex care cases, ensuring continuity of care for standard patients and boosting efficiency by 34%.
  • Designed and implemented a discharge planning process that increased follow-up appointment adherence rates to 68% over 18 months.

Affiliations

  • Member of the National Transitions of Care Coalition, developing strategies to reduce readmission rates for high-risk populations.
  • Completed a professional development course in Conflict Resolution and Mediation with the National Conflict Resolution Center (NCRC), enhancing conflict resolution proficiency.
  • Selected to represent Austin in the National Medicare Caregiver Education Program, contributing training sessions on care continuity and relationship building between families and providers.
  • Certified in Case Management by the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP), focusing on maximizing patient outcomes through efficient care.
  • Member of the National Committee for Quality Assurance (NCQA) Learning Collaborative, supporting ongoing care quality improvement and process optimization.
  • Attended regular forums by the Population Health Alliance, staying up-to-date with scalable strategies in chronic care management and population health.
  • Comprehensive Care Advisor for the Professional Healthcare Institute, offering expert insights on managing case prioritization for elderly patients.
  • Participant in educational programs hosted by the Patient Advocate Foundation (PAF), focused on care coordination and conflict resolution.
  • Active participant in the American Health Information Management Association (AHIMA), with a focus on improving documentation accuracy and regulatory compliance.
  • Active involvement in the Society for Social Work Leadership in Health Care (SSWLHC), engaging in interdisciplinary learning around care management strategies.

Certifications

  • Quality Improvement Associate (QIA) - system
  • Certified Clinical Medical Assistant (CCMA) - National Healthcareer Association (NHA)
  • Population Health Certification - Ironclad Systems
  • Microsoft Office Specialist (MOS)
  • Certified Medical Manager (CMM) – process
  • Google Certified Professional Cloud Architect
  • CompTIA A+ Technician
  • CompTIA Network+
  • ServSafe
  • Certified Medication Aide (CMA) - Brightline

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