Chantel Lewin

Ambitious professionals seek position with a progressive organization that values individuals who drive to be effective. Armed with excellent communication skills; excels at problem solving, understands the importance of prioritizing; multi-task with the end-result in mind; and maintains a cheerful outlook has prepared me for the next step up the corporate ladder. I am knowledgeable about Abnormal Psychology and Medical Terminology; The Social Work Code of Ethics; Proficient with Microsoft Office/Outlook, EPIC, ATS, CRM, ICD-10 Codes CROWN WEB and SESSIS.

Care Coordinator - Aetna CVS

(2024-03)

• Evaluation of Members: -Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.
• Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate.
• Coordinates and implements assigned care plan activities and monitors care plan progress.
• Enhancement of Medical Appropriateness and Quality of Care: - Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
• Identifies and escalates quality of care issues through established channels.
• Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs.
• Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
• Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
• Helps member actively and knowledgably participate with their provider in healthcare decision-making.
• Monitoring, Evaluation and Documentation of Care: - Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

Administrative Assistant - Fresenius Medical Care, Austell, GA - Austell, GA

(2018-07)

• Assist in auditing medical records compliance standards.
• Maintain accurate hospital records via EPIC.
• Maintain patient admissions and travel data.
• Perform patient intake.
• Assist Social Worker with conducting Surveys, assessments, and referrals.
• Provide a broad range of administrative support to management, staff, and patients.
• Greet patients and guests while maintaining confidentiality.
• Administrative duties, include screening telephone calls, opening mail, scheduling appointments, maintaining the monthly calendar; and coordinating meetings (internal/external).
• Monitor and assist with payroll and work schedules.
• Ensure weekly completion of data entry for Crown Web

Patient Intake Coordinator - Fresenius Medical Care, Kennesaw, GA - Kennesaw, GA

(2016-05 - 2018-07)

• I interviewed referral sources, patients, and/or patient's representatives to obtain personal and financial data eligible for admissions.
• Coordinated patient referral requests.
• Coordinated patient admission process to establish placement at the appropriate facilities according to vacancies.
• Verified demographic(s), medical records, insurance, and registration information in accordance with established policies and procedures.
• Facilitated patient appointment schedules, cancellations, and approval data for admissions.

Bachelor of Arts (BA) - Sociology - York College

Master of Science (MS) - Psychology - University of Phoenix