Care Management Support Coordinator with extensive experience at Centene Corporation, specializing in assessment scheduling and service authorization. Bilingual professional with strong customer service skills, enhancing client satisfaction through effective team collaboration. Demonstrated expertise in managing caseloads and maintaining precise documentation to ensure optimal care delivery.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Care Management Support Coordinator II
Pyramid Consulting, LLC
McAllen, TX
09.2024 - Current
As Program Coordinator at Centene Corporation, I am responsible of assisting members in getting their assessments scheduled for Annual, Bi-Annual, Change in Condition, and Initial Assessments. Working in a team together with colleagues, Case Management team, and Leadership to ensure and have members assessments scheduled in a timely manner
Served as a liaison between families, caregivers and internal, external service providers.
Assisted clients in accessing and utilizing community resources to meet their needs.
Managed caseloads consisting of up to 20-25 individuals at any given time.
Developed and maintained relationships with external service providers.
Participated in staff meetings, trainings, conferences. related to job duties and expectations.
Service Coordinator
Molina Healthcare
Edinburg, TX
10.2022 - 05.2023
As a service coordinator I am in charge of assisting member and providers with LTSS.
Assist in generating authorizations for services such as PAS/ DAHS / Adult Day Care/ ALF
Also assist members with DME requests and guide through the process including communicating w Case Managers to ensure proper assistance to members
Handled incoming calls and inquiries from customers regarding services offered.
Provided customer service to ensure client satisfaction.
Maintained accurate records of services provided for each client.
Worked closely with other departments within the company to ensure successful completion of projects.
Administrative Assistant
Entravision Communications
McAllen, TX
10.2016 - 09.2021
I was at the front desk at Entravision communications for Univision TV, FOX TV, and several local radio stations. I was in charge of giving the tickets won on either radio or television contests for any events . I work close with the news department helping the public by taking their news stories to make public to the community, as well as working close with the Sales Team in assisting them with clients to prepare for commercials to be aired
Entered data into spreadsheets using Microsoft Excel or other similar programs.
Answered questions from customers regarding products and services offered by the company.
Scheduled appointments between clients and customers and internal staff members.
Developed and maintained filing systems for confidential documents and records.
Greeted visitors in a professional manner, responding to inquiries and directing them to appropriate personnel.
Managed incoming calls while providing information or transferring callers to appropriate personnel.
Administrative Assistant / CNA
Senior Care Centers of Edinburg
Edinburg, TX
01.2012 - 10.2016
Answer phones with proper greeting
Greet visitors, issue visitor pass, and direct them in the right direction.
Filing paperwork for Social Services, MDS, Nursing, and Medical Records.
Made and confirmed appointments with doctors offices and families for patients.
Scheduled transportation services for appointments/ set up paperwork.
Scheduled meetings for administrator with marketing representatives.
Take payments and issue receipts
Work with Microsoft Programs (Word, Excel, Power Point
Cover for Activities Director whenever necessary, doing exercises and activities with residents.
Before administrative assistant, I was a Certified Nurse Assistant assisting the geriatric with daily needs. From cleaning, to feeding, and making sure they were comfortable in a different setting.
Directed activities for residents from the rehabilitation center to make time go by faster and better. Doing bingo, and daily range of motion exercises
Medical Records Clerk
Life Line RGV LLC
McAllen, TX
08.2013 - 01.2014
Keep track of all medical records of patients.
Follow up with patients at doctor office
Get prior authorization requests from doctor, and get authorizations from TMHP, Superior, Molina
Check client insurance eligibility
Receptionist
Village Healthcare & Rehabilitation
McAllen, TX
04.2011 - 08.2013
Received phone calls, determined the nature of the calls and directed callers to the appropriate department.
Successfully arranged appointments between clients and employees.
Responsible for typing memos, reports and other correspondence.
Took detailed messages for person called upon, including name, time of call and nature of business.
Received and distributed mail and messages to appropriate departments and employees.
Strong work ethic and superior interpersonal, customer service and communication skills.
Excellent time management skills that allow for the multi-tasking of all responsibilities.
Did new hire paperwork with all new hires went over code of conduct and employee handbook.
Maintained all office supplies fully stocked and in order.