Highly motivated professional with 10+ years of experience providing exceptional customer service in a health care setting. Bilingual speaking English and fluent in Spanish, proven history of successfully managing patient's care, accounts, resolving issues and promoting patient satisfaction. Dedicated patient advocate with a passion for improving healthcare access and quality for underserved communities. Expert in utilizing interpersonal skills to build relationships and foster trust with patients. Skilled at researching and analyzing legislative and regulatory changes to ensure patient's rights and protected. Exceptional ability to manage multiple task and adapt quickly to changing situations.
· Remote work with the Enhanced Care management program with different medical plans in California.
· Identified and addressed patient health needs through effective communication and collaboration with multidisciplinary teams.
· Assist members in scheduling appointments and accessing community resources
· Complete health assessments for each health plan
· Developed and implemented individualized care plans to promote positive health outcomes and complete health care goals.
· Monitored, evaluated, and record client progress according to measurable goals described in treatment and care plan.
· Follow up with members via phone calls, home visits, and visits to other settings where members can be found
· Performed data entry tasks accurately in order to document client information in an electronic system.
· Coordinated referrals for healthcare services such as primary care physicians, specialists, mental health providers.
· Referred patient, client and family to community resources to assist in recovery from mental and physical illness and to provide access to services such as financial assistance, legal aid, housing, job placement, and education, IEP, connect with autism needs, mental health needs.
· Assist member with filling out application
· Planned discharge from care facility to home or another care facility.
· Educated patients about the importance of preventative healthcare measures such as vaccinations and regular checkups.
· Counseled clients and patients in individual and group sessions to help overcome dependencies, recover from illness, and adjust to life.
· Utilized problem-solving skills to resolve complex issues that arise during the health navigation process.
· Planned and conducted programs to combat social problems, prevent substance abuse, or improve community health and counseling services.
· Work with system Blue shield, Molina, DrChrono, DHCS, Salesforce.