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Caroline

Caroline

Care Manager/ QP

Talent
Nags HeadMember since August 12, 2026
Leadership and Patient AdvocacyCase ManagementMedical DocumentationPopulation Health ManagementQuality Assurance
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Leadership and Patient AdvocacyCase ManagementMedical DocumentationPopulation Health ManagementQuality Assurance

About

Results-driven healthcare professional with 6+ years of experience in care management, patient-centered care coordination, and healthcare operations. Skilled in collaborating with multidisciplinary teams, managing complex patient populations, and improving access to medical, behavioral health, and community-based services. Recognized for strong leadership, strategic problem-solving, and operational excellence.

Committed to advancing healthcare quality, optimizing care delivery, and supporting organizational goals through effective coordination, compliance, and process improvement.

Experience

Care Manager/ QP - Tailored Care Management - Durham, NC

(2023-12 - 2026-08)

Sunrise Clinical Associates

  • Managed a caseload of 140+ Medicaid members with complex behavioral and physical health conditions, delivering person-centered care coordination that improved member engagement and continuity of care.
  • Designed and implemented individualized care plans that addressed medical, behavioral health, and social determinants of health, contributing to reduced emergency department utilization and avoidable hospitalizations.
  • Collaborated with multidisciplinary providers and community partners to remove barriers to care, ensuring timely access to healthcare, housing, transportation, food assistance, and other critical support services.
  • Performed comprehensive assessments and ongoing care plan reviews to identify gaps in services, strengthen care coordination, and improve overall health outcomes.

Surgical unit Secretary Coordinator - Sunrise Clinical Associates - Princeton, NJ

(2020-01 - 2023-09)

Princeton Orthopaedic Associates

  • Coordinated 40+ orthopedic surgeries monthly, ensuring efficient operating room utilization, provider availability, and on-time surgical workflows.
  • Utilized EMR systems to oversee surgical scheduling, patient records, and physician orders, improving communication and operational efficiency across multidisciplinary care teams.
  • Served as a primary point of contact for patients throughout the surgical scheduling process, managing pre-operative communications, appointment coordination, and schedule changes to support continuity of care.
  • Maintained detailed and compliant patient records in accordance with HIPAA, Joint Commission, and organizational standards, contributing to accurate documentation and successful regulatory compliance efforts.

Toddler Teacher - KinderCare Education - Somerset, NJ

(2017-12 - 2020-01)

  • Planned and delivered engaging, age-appropriate curriculum and hands-on learning experiences that supported cognitive, social-emotional, language, and physical development for toddlers.
  • Managed daily classroom activities for 10 toddlers, fostering positive behavior, cooperative play, and the development of communication and independent living skills.
  • Partnered with families to share developmental progress, address individual needs, and implement personalized strategies that reinforced learning and growth.
  • Utilized developmental assessments and ongoing observations to identify milestones, track progress, and adapt instruction to meet the unique needs of each child while supporting preschool readiness.

Intake Coordinator - Carrier Clinic - Belle Mead, NJ

(2015-10 - 2017-10)

  • Optimized patient intake operations through standardized processes that improved documentation accuracy, expedited referral and patient onboarding activities.
  • Partnered with multidisciplinary healthcare teams, including physicians, clinicians, and referral sources, to improve communication, streamline workflows, and support efficient patient access to care.
  • Served as a key patient liaison during the intake process, providing education, addressing concerns, and coordinating follow-up activities to promote a positive patient experience.
  • Maintained accurate patient records and insurance information within EHR systems while ensuring compliance with HIPAA requirements and organizational documentation standards.

Foreclosure specialist - Nationstar Mortgage - Lewisville, TX

(2012-09 - 2015-07)

  • Managed residential foreclosure cases from default through resolution, coordinating with borrowers, attorneys, title companies, and internal stakeholders to ensure timely processing and compliance with investor and regulatory requirements.
  • Guided distressed homeowners through the foreclosure process by explaining timelines, loss mitigation programs, and documentation requirements, facilitating loan modifications, repayment plans, and foreclosure alternative solutions.
  • Reviewed mortgage documentation, payment histories, title reports, and legal filings to identify discrepancies, resolve documentation issues, and ensure accurate and efficient case administration.
  • Monitored foreclosure milestones and case timelines, ensuring adherence to service level agreements, regulatory deadlines, and investor requirements throughout the foreclosure lifecycle.

Education

Master of Healthcare Administration - University of North Carolina at Chapel Hill (2027-08)

B.S - Human Development and Family Studies - Texas Tech University (2012-08)

Skills

Care Manager/ QP

Reviews

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