Summary
Overview
Work History
Education
Skills
Volunteer Experience
References
Timeline
Generic

ANDREA NIBOLI

San Diego,CA

Summary

Care Coordinator with extensive experience at Horizon Centers of San Diego, specializing in crisis intervention and case management. Demonstrated success in improving patient outcomes through effective communication and collaboration across disciplines. Developed comprehensive care plans and advocated for clients, ensuring needs are met with empathy and professionalism.

Overview

20
20
years of professional experience

Work History

Care Coordinator

Horizon Centers of San Diego
San Diego, CA
12.2024 - Current
  • Conducted assessments and evaluations to identify patient needs.
  • Collaborated with healthcare professionals to deliver comprehensive patient care.
  • Advocated for clients to access essential services and community resources.
  • Monitored patient progress and adjusted treatment plans as needed.
  • Provided emotional support to patients facing complex health challenges.
  • Scheduled appointments with medical specialists for timely client care.
  • Assisted in developing discharge plans for clients transitioning from care programs.
  • Responded promptly to patient inquiries regarding care plans.

Administrative Assistant B

Rady Children's Hospital
San Diego, CA
12.2023 - 04.2025
  • Executed comprehensive administrative functions with high proficiency.
  • Reviewed and processed prior authorization requests per insurance guidelines.
  • Generated prior authorization letters for approved, denied, redirected, and pending statuses.
  • Performed detailed medical reviews of prior authorization requests following established protocols.
  • Maintained confidentiality while organizing document handling per established protocol.
  • Communicated authorization status updates to ordering providers via fax and mail.
  • Contacted providers to gather necessary information for prior authorization.
  • Oversaw database systems, ensuring precise storage of member medical information.

Customer Service Representative

Rady Children's Hospital
San Diego, CA
08.2023 - 04.2025
  • Managed phone inquiries from medical providers and group members efficiently.
  • Processed and recorded authorization requests to ensure timely responses.
  • Responded promptly to inquiries regarding authorization status and policy information.
  • Created authorization requests for routine, urgent, inpatient, and retro cases.
  • Scheduled translation services to enhance communication accessibility.
  • Updated primary care provider assignments accurately.
  • Researched provider calls related to authorization and claim payment status.
  • Provided exceptional customer service support to maintain satisfaction.

Front Office Coordinator

Alexus Surgery Center
San Diego, CA
09.2022 - 07.2023
  • Maintained organized front office environment to enhance patient experience.
  • Processed patient inquiries for consultations to ensure timely responses.
  • Collected and organized essential patient documents for each visit.
  • Handled inbound calls, addressing patient inquiries and requirements promptly.
  • Implemented strategies to boost front office efficiency.
  • Managed appointment scheduling and rooming for physicians effectively.
  • Oversaw patient intake and charting for scheduled surgical procedures efficiently.
  • Secured payment transactions related to medical services and managed inventory of medical supplies.

Behavioral Intervention Counselor Remote

North Star Wellness Center Behavioral Health
Fresno, CA
01.2023 - 05.2023
  • Ensured alignment with company goals through effective team support.
  • Facilitated psychoeducational groups to educate parents on Child Abuse Prevention.
  • Documented court-approved notes for each client to maintain legal compliance.
  • Maintained accurate and consistent client records to support service delivery.
  • Adopted a systematic framework to enhance inclusivity in treatment settings for trauma survivors.
  • Assessed program effectiveness to identify areas for improvement.
  • Researched training materials to ensure curriculum alignment for optimal educational outcomes.
  • Facilitated structured conversations to promote group participation and engagement.

Independent Contractor

LEGAL ROC Investigations
San Diego, CA
02.2022 - 11.2022
  • Analyzed information gathered during discovery to identify key insights.
  • Prepared and managed case intake system for efficient organization.
  • Conducted witness interviews to collect essential testimonies.
  • Created detailed documents to support case development.

Placement Coordinator

Promesa Behavioral Health
Fresno, CA
04.2005 - 01.2022
  • Coordinated placements for children under Child Protective Services to ensure safety and stability.
  • Identified safety risks during placement transitions, enhancing child welfare monitoring.
  • Recruited and trained foster parents in trauma-informed care practices to improve support.
  • Supervised visits between children and parents promote healthy relationships.
  • Provided case management services, including advocacy and ongoing monitoring of child welfare.
  • Collaborated with community partners to coordinate housing, education, and childcare support services.
  • Developed strategies to address client challenges, and promote well-being effectively.
  • Participated in court hearings regarding placement decisions for foster care children.

Education

Master of Science - Marriage And Family Therapy

University of Phoenix
11-2026

Bachelor of Science in Psychology -

University of Phoenix
Fresno, CA
04.2015

Medical Assisting -

Galen College of Medical and Dental Assistants
Fresno, CA
09.2002

Skills

  • Crisis intervention
  • Case management
  • Medical terminology
  • EMR system proficiency
  • Effective communication
  • Microsoft Office expertise
  • Strong work ethic
  • Organizational skills
  • Multitasking and prioritization
  • HIPAA compliance
  • Interdisciplinary collaboration
  • Mental health education
  • Documentation proficiency
  • Process improvement
  • Ethical judgment
  • Treatment planning
  • Cultural sensitivity
  • Verbal and written communication
  • Scheduling coordination
  • Patient advocacy
  • Multidisciplinary collaboration

Volunteer Experience

  • Saint Agnes Women's Club, Past board member including president, vice president, membership chair, and recording secretary, Support Saint Agnes Hospital for funding of the Holy Cross Center for Women. Raising money through fundraising to support the many needs of women and children in the Central Valley.
  • Central Valley Cause for Paws, Past board member, Raising funds to support spay and neutering in the Central Valley.

References

References available upon request.

Timeline

Care Coordinator

Horizon Centers of San Diego
12.2024 - Current

Administrative Assistant B

Rady Children's Hospital
12.2023 - 04.2025

Customer Service Representative

Rady Children's Hospital
08.2023 - 04.2025

Behavioral Intervention Counselor Remote

North Star Wellness Center Behavioral Health
01.2023 - 05.2023

Front Office Coordinator

Alexus Surgery Center
09.2022 - 07.2023

Independent Contractor

LEGAL ROC Investigations
02.2022 - 11.2022

Placement Coordinator

Promesa Behavioral Health
04.2005 - 01.2022

Master of Science - Marriage And Family Therapy

University of Phoenix

Bachelor of Science in Psychology -

University of Phoenix

Medical Assisting -

Galen College of Medical and Dental Assistants
ANDREA NIBOLI
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