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Skills

  • Quality improvements.
  • Crisis intervention
  • Community Resource Collaboration
  • Staff training and development
  • RFI Scanners
  • Process improvement
  • Discharge Planning Expertise
  • Healthcare Policy Compliance
  • Organization
  • CCTV

Work Experiences

  • Achieved results within the first one year.
  • Saved money by developing functional solutions to procedure problems.
  • Was in charge of all tasks delegated to me, including team leadership and stakeholder engagement.
  • Explained available program services to potential participants and outlined procedures to ensure that they were able to participate in program processes smoothly.
  • Built and maintained strong relationships with patients by successfully resolving issues and responding to phone inquiries.
  • Assisted in the implementation of social service programs for framework and program individuals.
  • Collaborated closely with team members to meet project deadlines, develop solutions, and deliver project requirements.
  • Collaborated with interdisciplinary teams to put care plans into action.
  • Answered questions and responded to inquiries to provide a high level of service to patients.
  • Worked with Transitional Care Manager to understand and meet a variety of needs, providing frequent feedback on front-line operations and making recommendations for improvement.

Summaries

  • Ability to recognize process issues and integrate procedure solutions to achieve method.
  • Expert in method with a strong aptitude for automated and optimized.
  • Transitional Care Manager with vendor management and workflow optimization abilities.
  • Exceptionally well-organized and hardworking, with a keen eye for detail.
  • Achieved 17% improvement in medication adherence.
  • Motivating leader who has built and managed method teams in the past.
  • Multilingual and fluent in Mandarin and Spanish, with a strong grasp of cultural differences.
  • Vendor management in standard settings and process improvement in project management settings.
  • Strong technical skills and experience in strategic planning.
  • Adaptable Transitional Care Manager.

Accomplishments

  • Led a care resource initiative that aligned transitional care efforts with patient needs, resulting in Innovation Award recognition for outstanding service in 2022.
  • Trained 4 new hires in transitional care protocols, enhancing team efficiency and ensuring consistency in patient handoff procedures.
  • Worked with healthcare management to standardize an interdisciplinary approach on patient discharge planning, improving continuity of care by 21%.
  • Partnered with community healthcare agencies to create a referral network that increased patient access to essential resources by 31%.
  • Achieved patient satisfaction ratings of 41% by implementing comprehensive follow-up care that reduced gaps in service after discharge.
  • Standardized documentation practices across the team, improving patient data accessibility by 16% and reducing administrative errors.
  • Increased post-discharge contact rates by 40% by implementing a proactive follow-up system, leading to improved patient engagement.
  • Successfully advocated for the integration of Salesforce software, reducing patient documentation time by 49% while improving data accuracy.
  • Developed comprehensive care plans for post-discharge patients that reduced emergency department visits by 38% over 6 months.
  • Facilitated staff development workshops on evidence-based care transition models, leading to a 74% improvement in team knowledge and application.

Affiliations

  • Member of the Academy of Managed Care Pharmacy (AMCP) – engaged in industry research to better manage pharmaceutical care during post-acute transitions.
  • Completed Certified Case Manager (CCM) certification to strengthen skills in care coordination and patient advocacy 2022.
  • Volunteer mentor within the National Association of Social Workers (NASW) for upcoming professionals focused on transitional care systems.
  • Enrolled in the American College of Healthcare Executives (ACHE) professional development program to strengthen administrative aspects of care transition services.
  • Membership in the Patient-Centered Primary Care Collaborative (PCPCC), focusing on driving forward initiatives to improve coordination of care through medical homes.
  • Advisory committee member for the local Phoenix healthcare initiative aimed at enhancing care coordination partnership between hospitals and long-term care facilities.
  • Collaborating partner of the American Case Management Association (ACMA) – promoted integration of care management protocols to streamline authorization processes.
  • Affiliate of the Society of Hospital Medicine (SHM) – ongoing involvement in hospitalist training for improvement of care handoff quality.
  • Certified member of the National Quality Forum (NQF), involved in creating patient education guidelines aimed at improving post-acute care decision-making.
  • Member of Case Management Society of America (CMSA) – collaborated with interdisciplinary professionals to enhance care transition workflows.

Certifications

  • ServSafe
  • Transition of Care Certified Specialist (TOCCS)
  • Health Care Quality and Management (HCQM)
  • Certified Geriatric Care Manager (CGCM)
  • Association for Project Management (APM)
  • Certified Family Nurse Practitioner (CFNP)
  • Gerontological Nursing Certification (RN-BC)
  • Certified Healthcare Administrative Professional (cHAP)
  • Salesforce
  • Certified Professional Case Manager (CPCM)

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