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Skills

  • Occupancy strategies
  • Clinical assessments and documentation
  • Insurance authorization management
  • Experience in Medicaid and Medicare processes
  • Drug inventory management
  • Culturally competent healthcare delivery
  • Patient satisfaction improvement strategies
  • Patient-centered care planning
  • Wellness services
  • Medical coding and billing proficiency

Work Experiences

  • Collaborated with social workers and healthcare providers, ensuring that 3% of patients discharged from inpatient care were connected to appropriate community resources.
  • Created customized care plans working with hospital staff and families to assess and meet individual needs.
  • Conducted thorough assessments for high-risk patients.
  • Assessed patient progress post-rehabilitation, adjusting care plans as necessary in partnership with physical therapists, resulting in a 80% reduction in relapse.
  • Cleaned up the pharmacy area by removing trash and straightening the counters.
  • Achieved a 74% decrease in documentation errors.
  • Planned surgeries, handled pre-certifications, and double-checked insurance coverage.
  • Worked with the store manager to keep things running smoothly on a daily basis.
  • Was in charge of all financial transactions and management functions, as well as the strategic management of the $11 operating budget.
  • Collaborated with physical therapists.

Summaries

  • Accomplished in care coordination for underserved populations, using culturally competent strategies to increase access to care by 24%.
  • Within Miscellaneous, senior Per Diem Case Manager and outstanding performer in performance reporting and cross-functional collaboration.
  • Pursuing a similar position that requires a lot of focus and dedication.
  • Coordinate patient admission and discharge.
  • Achieved a 21% reduction in care plan approval delays.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Develop and lead an office staff that is productive and efficient.
  • Advanced experience navigating health insurance claims and authorizations, securing critical funding for patient services to improve access and treatment outcomes.
  • Oversee human resources, budgeting, supply management, and patient services with success.
  • Per Diem Case Manager is a multi-talented Per Diem Case Manager who is consistently rewarded for planning and operational improvements.

Accomplishments

  • Documented and resolved metric which led to initiative.
  • Led a successful initiative to reduce the occurrence of hospital-acquired complications for postoperative patients, decreasing incident rates by 34%.
  • Monitored patient adherence to medical treatment plans, ensuring a compliance rate of 73% and preventing costly hospital readmissions.
  • Monitored and reported on patient rehabilitation progress, contributing to a 25% faster recovery for post-surgical cases.
  • Advocated for patient needs during interdisciplinary team meetings, improving quality of care delivered by 43% over two years.
  • Created customized care plans for vulnerable populations, ensuring 51% re-engagement within two years.
  • Provided case management for mental health patients, successfully reducing hospital stay length by 5 days per case.
  • Championed a community health project that reduced emergency room dependency for chronic pain patients by 20% in two years.
  • Resolved product issue through consumer testing.
  • Led a pilot program for readmission prevention resulting in a 65% reduction over two years.

Affiliations

  • National Association of Social Workers
  • Health Care Compliance Association (HCCA)
  • Project Management Institute
  • Association for Computing Machinery
  • Jaycees
  • Institute for Healthcare Improvement (IHI)
  • Society of Human Resource Management
  • Association of Information Technology Professionals
  • Council for Affordable Health Coverage (CAHC)
  • Collaborative Case Management Program

Certifications

  • Substance Use Disorder Certification by Colorado
  • First Aid/CPR Certified
  • SHRM Certified Professional (SHRM-CP)
  • Social Worker in Health Care Certification by the National Association of Social Workers (NASW)
  • Certified Public Accountant (CPA)
  • CompTIA Security+
  • Salesforce
  • Advanced Case Management Certificate by framework
  • Google Certified Professional Cloud Architect
  • Trauma-Informed Care Certification by Northwind or Brightline

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