Annette Roberson-Ray
Case Manager, Auditor, Nurse, Customer Service, Remote
Las Vegas,NV
Summary
Professional Dedicated Service Provider, with empathy and compassionate care. Well-versed in communication. Superior knowledge in medical terminology. Able to handle busy/large call volumes while maintaining organization. Impeccable Case Manager providing complete care for Patients.
Ready to bring over 20 year's of Patient focused management of Health Care. Problem solving skills
Clear communicator all levels of understanding. Experience Trainer of medical students, MD's and Co-Workers. Awarded the Baby Bottom Award for de-escalation of irate Patients.
Overview
10
10
years of professional experience
Work History
Medical Staff Associate
CSL Plasma
12.2017 - Current
- Professional Nurse, Former Navy Corpsman
- Expertise in Medical terminology as well as concepts used in care management.
- Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification, resolution of issues to promote positive outcomes.
- Effective communication, telephonic, organization skills.
- Adhered to strict guidelines to protect patient privacy.
- Responsible for determining Medical Suitability for Plasma Donation.
- Electronic Medical Record Documentation
- Able to Navigate through internal/external systems including Microsoft Word and Excel.
- Communicate with Center Providers via Phone, Teams, Email, Fax, Scan/Uploaded Documents.
- Determine suitability via Lab results, order labs.
- Train Medical Staff Associates.
- Register new donors, enter demographics, run Social Security Number checks, Create donor profile.
- Receive/Answer over 50 calls per day, regarding suitability, labs, days of donations, Requirements for donations.
- Monitor, treat , record Adverse reactions.
- Follow-up phone call for new donor and donor condition following reactions
- Obtained pre-authorization from insurance companies ahead of medical services
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments
- Registered patients and completed associated paperwork for accurate records
- Completed administrative patient intakes with case histories, insurance information and mandated forms
- Answered phone calls and messages for physician, medical facility, scheduling appointments, and handling patient inquiries.
- Audit medical notes for accuracy and quality.
- Quality Team Member four years. Participated methods to improve overall quality of employee documentation, prevention of errors that may affect product.
Home Health Care Provider
Spring View Healthcare
Las Vegas, NV
06.2013 - 12.2017
- Identified/Documented primary reason for admission to Home Health Agency, to correctly apply interventions required to provide professional care in home 90% of daily job duties
- Coordinates and arranges for health care service delivery under direction of nurse or PCP in home. Utilize participating providers and services
Promoted communication, internally/externally to enhance effectiveness of medical management services such as health care providers, and health care team members. - Monitored progress and documented patient health status changes to keep care team updated.
- Continuous Telephonic/Electronic Medical Record communication with all team members involved with Patient Medical Care.
- Interacted kindly with patients and families and displayed positive, outgoing attitude, resulting in establishment of long-term, professional relationships.
- Acted as resource for 30 field staff, referral sources, physicians, patients and families for clinical issues and concerns.
- Facilitated calls to and from field staff to resolve issues and address concerns, 80 % of job duties
- Managed operations and staffing to meet key performance indicators for patient and customer satisfaction and quality care.
- Reviewed and audited relevant reports and processes to support quality while identifying and addressing staff training needs, 100% of job of daily job duties.
- Developed and implemented care plans for clients.
Resident Care Director
Emeritus Assisted Living
Las Vegas, NV
07.2012 - 09.2012
- Monitored and inspected 100 % staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
- Successfully negotiated 5 client contract renewals to create increased revenue.
- Recruited, hired and trained 60 staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Discussed medical histories with all patients in effort to provide most effective medical advice.
- Updated systems daily to meet residents' needs safely and effectively.
- Developed policies and procedures for effective pharmacy management.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Supervised and coached team members daily on proper procedures and care standards.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Ordered 100% pharmacy supplies and kept check on inventory levels.
- Created all customized care plans, working with hospital staff and families to assess and meet individual needs.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care, 100 % of daily duties
Education
Associate of Science - Nursing
El Camino College
Compton, CAAssociate of Science - LPN
Los Angeles County College of Nursing And Allied Health
Los Angeles, CAAssociate of Science - Medical Assisting
Bryman School
Long Beach, CAMedical Admission/Management
Health Care Partners University
Gardena, CASkills
- Outstanding Team Leadership
- Expert Electronic Medical Records Documentation
- Professional Administrative Skills
- Accurate Appointment Coordination
- Compassionate Follow-Up Skills
- Operational Efficiency Team Player
- Provides support services to team members by answering telephone calls, taking messages, researching information, and assisting in solving problems
- Maintains accurate complete documentation of required information that meets risk management, regulatory, accreditation requirements
- Protects confidentiality of member information and adheres to company policies regarding confidentiality
- Supports administration of hospital care, case management and quality management processes
- Completing Insurance Forms
- Schedule Management
- Multi-Line Telephone Management
- Plasma Donation
- Patient Demographics
- Medical Terminology
- Call Transfers
- Prescription Refills
- Electronic Charting
- CPT Coding
- Office Coordination
- Medical History Review
- Computerized Maintenance Management Systems
- Teamwork and Collaboration
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
Price is what you pay. Value is what you get.
Warren Buffett
Timeline
Medical Staff Associate
CSL Plasma
12.2017 - Current
Home Health Care Provider
Spring View Healthcare
06.2013 - 12.2017
Resident Care Director
Emeritus Assisted Living
07.2012 - 09.2012
Associate of Science - Nursing
El Camino College
Associate of Science - LPN
Los Angeles County College of Nursing And Allied Health
Associate of Science - Medical Assisting
Bryman School
Medical Admission/Management
Health Care Partners University
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