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Skills

  • Healthcare data analysis
  • Planning and coordination
  • High-risk patient care management
  • Healthcare software proficiency
  • Problem resolution
  • External audit coordination
  • Chronic disease management
  • Relationship development
  • RFI Scanners
  • Process improvement

Work Experiences

  • Contributed to actionable insights.
  • Collaborated with nurses and doctors at Portland to develop care pathways that improved health outcomes for process patients.
  • Was in charge of the standard medical practice's administrative needs.
  • Achieved more efficient care for high-volume specialty clinics.
  • Achieved a 66% reduction in avoidable emergency room visits.
  • Developed and maintained strong working relationships with local doctors and healthcare providers, leading to expedited care options for over 16 patients each quarter.
  • Was in charge of creating and maintaining accurate and confidential patient records.
  • Achieved amicable solutions.
  • Demonstrated exemplary conflict resolution skills.
  • Organized, secured, and updated financial documentation for process and system.

Summaries

  • Risk assessment Committed to identifying and leveraging opportunities for growth, with a proven ability to build effective teams.
  • Data analysis in program settings and vendor management in risk assessment settings.
  • Miscellaneous student seeking hands-on experience through an internship in cross-functional collaboration.
  • With a team-oriented mentality, highly organized, proactive, and punctual.
  • With excellent judgment and multitasking abilities, highly organized and resourceful.
  • Communicative and team-oriented, with QuickBooks expertise.
  • Student pursuing a Miscellaneous degree who is eager to contribute developed knowledge in the role of Care Management Associate.
  • Experienced Care Management Associate with a track record of managing a wide range of medical administrative needs in high-volume, patient-centered environments.
  • Care Management Associate and team leader with 10 years of experience in process settings.
  • Active leader with excellent communication and collaboration skills.

Accomplishments

  • Led pre-admission screening of 14 patients per week to ensure appropriate levels of care, improving service allocation and decreasing patient wait times by 64%.
  • Identified gaps in care for high-risk patients and implemented targeted interventions that led to health improvement for 50% of clients.
  • Collaborated with external providers to streamline referral processes, expediting patient access to specialized care by 36%.
  • Conducted root cause analysis of failed discharge planning efforts, restructuring care processes to enhance discharge readiness by 84%.
  • Implemented a care coordination program targeting chronic disease management for 4 patients, yielding a reduction in ER visits by 47%.
  • Facilitated outreach to 7 patients per month for preventive care visits, increasing preventive care service utilization by 76%.
  • Supported care coordination for elderly patients, facilitating the integration of community resources and decreasing hospitalization rates by 40% in 2023.
  • Coordinated community health services referrals for method, increasing access to services for underserved populations by 69%.
  • Led efforts in care transition management for newly-discharged heart failure patients, reducing hospital readmissions by 20% within 18 months.
  • Reduced discharge bottlenecks by 16% by coordinating transportation and home care services for post-acute care patients at Raleigh.

Affiliations

  • Member of the Association of Rehab Nurses (ARN), focusing on care coordination for patients transitioning from acute care to rehabilitation settings.
  • Volunteer mentor in 2021 for local Health Administrators of the Future (HAF) group, fostering the next generation's understanding of patient care coordination.
  • Volunteer with the Chronic Disease Coalition, working closely with patients and healthcare providers to improve care plans and avoid readmissions.
  • Affiliated with the National Association for Healthcare Quality (NAHQ) to stay current on best practices for quality improvement and patient safety initiatives.
  • Former intern with the National Association of Social Workers (NASW), developing care management skills in a high-demand healthcare setting.
  • Certified in Case Management by the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP), focusing on maximizing patient outcomes through efficient care.
  • Collaborated with the American Public Health Association (APHA) to deliver workshops on reducing avoidable emergency room visits.
  • Active involvement in the Society for Social Work Leadership in Health Care (SSWLHC), engaging in interdisciplinary learning around care management strategies.
  • Contributor to the Healthcare Financial Management Association (HFMA), specializing in improving efficient authorizations and reducing approval times.
  • Completed a professional development course in Conflict Resolution and Mediation with the National Conflict Resolution Center (NCRC), enhancing conflict resolution proficiency.

Certifications

  • Certified Electronic Health Records Specialist (CEHRS) - National Healthcareer Association (NHA)
  • ServSafe
  • AHIMA Certified Healthcare Data Analyst (CHDA) - procedure
  • First Aid/CPR
  • Behavioral Health Case Management Certification - Lakeside Partners
  • Certified Utilization Management Professional (CUMP) - Meridian
  • Apple Certified Associate (ACA)
  • Certified Public Accountant (CPA)
  • Health Information Technology (HIT) Certification, Brightline
  • Certified Medical Manager (CMM) – process

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