Care Coordinator - CareCentrix
(2017-07)
- Process MD determination
- Support Clinical Nurses
- Training of new employee
- Outbound calls to patients
- Meet turnaround times based on insurance
- Maintain monthly KPI
Care Manager - Humana
(2016-06 - 2017-02)
- Conducted telephonic outreach to assigned members (customer service) to assess health and nutrition, in areas of concerns using a variety of assessments, and triage of health symptoms: DM2, HTN, COPD, Depression, and Cholesterol
- Coached and problem solved with members to identify and address specific goal(s) to support health, behavior change and any issues with scheduling appointments, claims and referrals/authorizations
- Helped with Community Outreach for patients, Implemented the model of care, knowledge and experience with matrix, program monitoring and reporting
- Familiar with Center for Medicaid and Medicare Services (CMS), Health Maintenance Organization (HMO), EPO and Preferred Provider Organization (PPO)
Diabetic Care Coordinator - JSA/DaVita Healthcare Group - St. Petersburg, FL
(2015-03 - 2016-06)
- Provided Patient Education and treatment plans for patients with Diabetes
- Assisted Care Managers with ouotreaching to Diabetic patients and Triage
- Managed Educational Material, Organized/Scheduled Diabetic Classes for patients
- Adhered to HIPPA/OSHA/HEDIS and Computer Knowledge and experience with Microsoft Outlook/Word/Excel, EMR
Evening Lead Medical Assistant Instructor - Everest University - Largo, FL
(2014-01 - 2015-09)
- Instructed students: A&P, Front Office Duties, Administrative Duties, EKG, Vitals, Medical Terminology, EMR systems and Phlebotomy
- Monitored grades, attendance, and externship placement
- Ordered and kept track of all supplies for training
Medical Assistant Instructor - Pinellas County Job Corps - St. Petersburg, FL
(2013-04 - 2014-04)
- Instructed students: A&P, Front Office Duties, Administrative Duties, EKG, Vitals, Medical Terminology, EMR systems and Phlebotomy
- Monitored grades, attendance, and externship placement
- Ordered and kept track of all medical supplies for training
Medical Assistant Instructor/Externship Coordinator - Central Florida Institute - Orlando, FL
(2009-10 - 2013-04)
- Kepted track of grades, attendance, performance and externship hours
- Located externship sites for student placements
- Instructed students on: Vital signs, phlebotomy, EKG, Medical Terminology, EMR systems/paper charts and Administrative Duties
- Kepted track of medical supplies for training
Care Coordinator - ConservCare, Inc. - Orlando, FL
(2007-10 - 2009-10)
- Implemented and Monitored cases for Workman Comp patients
- Negotiated with vendors, physicians, radiology groups, laboratories, and outpatient facilities
- Worked directly with Worker's Comp. Adjustors and Nurse Case Managers
- Attended all Worker's Comp. annual convenetions/meetings
