Caroline
Care Manager/ QP
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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)