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Skills

  • Health workshop facilitation
  • Care team leadership
  • Team building
  • RFI Scanners
  • Problem resolution
  • Recording histories
  • MS Office
  • Relationship development
  • Invoice generation
  • Clinical documentation review

Work Experiences

  • Increased profit margins by streamlining operations and workflow and negotiating competitive vendor contracts.
  • Used my customer service skills and detailed system knowledge to support hospital and clinic operations.
  • Addressed patient needs.
  • Achieved savings of $124,000 for patients.
  • Answered 12 phone calls per one year to assist customers.
  • Achieved results in 2019.
  • Made patient appointments and confirmed them with patients and healthcare professionals.
  • Double-checked claims for errors, fixed problems, and mailed them out on time.
  • Built strong communication channels with local service providers.
  • Accomplished this within the first 10 months.

Summaries

  • Working with stakeholders and corporate teams is a breeze for this strong relationship builder.
  • Achieved 52% reduction in patient wait times.
  • Performance reporting Committed to identifying and leveraging opportunities for growth, with a proven ability to build effective teams.
  • Achieved 75% faster urgent care response times.
  • Ability to recognize procedure issues and integrate standard solutions to achieve system.
  • Certified Care Coordinator with workflow optimization and stakeholder engagement abilities.
  • Accomplished in developing high-performance care teams, regularly achieving recognition for service excellence such as Outstanding Service Award.
  • Motivated to assist patients with their medical needs by quickly verifying insurance, scheduling appointments, and organizing paperwork.
  • With hands-on experience, eager to learn new skills and advance knowledge.
  • Knowledge of Jira in depth, as well as stakeholder engagement and team leadership abilities.

Accomplishments

  • Collaborated with a multidisciplinary team to develop individualized care plans for over 7 patients, improving patient outcomes and reducing readmission rates by 55%.
  • Reduced outpatient referral times by 31% by revamping interdepartmental workflows, ensuring timely access to specialized care.
  • Developed a post-discharge care follow-up system, reducing patient readmissions by 37% within 11 days of discharge.
  • Negotiated with health insurance companies, successfully advocating for better coverage plans and reducing out-of-pocket costs for 6 patients by 76%.
  • Advanced the development of care protocols for high-risk patients, improving compliance with process and reducing overall patient incidents by 26%.
  • Initiated a telehealth program that expanded access to care for patients in remote areas, leading to a 64% increase in care delivery efficiency.
  • Collaborated with case managers to identify resource gaps, helping secure critical services for over 4 patients, leading to improved care continuity.
  • Executed training sessions on HIPAA compliance and care protocols for 3 medical staff, increasing compliance rates by 21% within the first 8 months.
  • Redesigned patient onboarding processes, improving initial care coordination response times by 52% and reducing overall time-to-care administration.
  • Facilitated monthly wellness seminars for over 9 patients, increasing awareness of preventive care and resulting in a 63% decrease in emergency room visits.

Affiliations

  • Joined the Case Management Society of America (CMSA), contributing to conferences surrounding care coordination and patient outcomes analysis.
  • Certified as a Health Coach by Wellcoaches School of Coaching, enhancing patient wellness goal tracking and achievement strategies.
  • Active involvement with the International Association of Rehabilitation Professionals (IARP) to further rehabilitative care coordination insights.
  • Attendee of the International Health Economics Association (IHEA), supporting analysis-driven initiatives to reduce healthcare costs and hospital readmissions.
  • Certified in motivational interviewing through the Motivational Interviewing Network of Trainers (MINT), greatly enhancing patient outcome conversations.
  • Active participant in the National Association of Social Workers (NASW), engaging in workshops on patient-centered approaches and care integration.
  • Completed the Patient Safety Certificate Program from the National Patient Safety Foundation, strengthening patient safety and care coordination standards.
  • Affiliated with the Primary Care Progress (PCP), with initiatives aimed at advancing interdisciplinary team-based interventions in primary healthcare.
  • Accredited by the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP), with a focus on quality care management and audit procedures.
  • Affiliated with the Healthcare Information and Management Systems Society (HIMSS) with a focus on implementing technology-driven solutions for patient progress tracking.

Certifications

  • ServSafe
  • SHRM Certified Professional (SHRM-CP)
  • American Academy of Financial Management (AAFM)
  • Certified Managed Care Nurse (CMCN) by the American Board of Managed Care Nursing (ABMCN)
  • Certified Public Accountant (CPA)
  • Certified Case Manager Supervisor (CCMS) by the Northwind
  • Certified Business Analysis Professional (CBAP)
  • Patient Advocate Certification by the Patient Advocate Certification Board
  • SAP Certified Application Associate
  • Accredited Care Manager (ACM) by the American Case Management Association (ACMA)

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