ARIANA CASTILLO

• Created Care Plans for new pediatric patients on Sunshine Health Plan
• Completed HRA, transition of care and hospital discharge assessments to coordinate care for families
• Managed 60-75 Tier 1 Bilingual pediatric cases monthly
• Conducted member assessments to identify care needs, barriers, and appropriate service options.
• Assisted members with referrals to community resources, behavioral health, and social services.
• Documented case notes, interventions, and outcomes in care management systems.
• Educated clients and families on community resources, treatment options and health care services to better manage conditions.
• Developed strong rapport with patients and families through empathetic listening and compassionate communication techniques.
• Communicated with providers, facilities, and members to support continuity of care.

• Completed virtual chart reviews and helped close treatment care gaps
• Monitored and interpreted patients’ vital signs (BP, HR, RR, SpO₂, temp, weight, glucose) via remote devices, documented results in EHR, and coordinated with providers to adjust care plans, ensuring timely interventions and improved patient outcomes
• Provided escalations and alerts to patients' PCP when necessary
• Created and updated care plans through phone and digital communication.
• Managed 75 bilingual CCM patient calls monthly, ensuring effective communication and support to senior population
• Maintained strong remote communication with primary care offices.

• Assessed pediatric patients, documented vital signs, and updated EHR charts with accurate clinical findings.
• Administered medications, immunizations and treatments to patient's aged newborn-21 years.
• Educated parents on medication schedules, follow-up care, and age-appropriate health guidance.
• Prepared exam rooms, maintained infection control standards, and supported efficient patient flow.
• Coordinated triage calls, scheduled visits, and communicated urgent concerns to providers promptly.
• Collected specimens, performed point-of-care testing, and relayed results for timely clinical decisions (UA, Cholesterol, Glucose, Strep, Flu, Covid)
• Cared for wounds, provided treatments, and assisted with procedures.
• Mentored new nursing staff to enhance professional development opportunities within the team dynamic.

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• Managed inbound patient calls, scheduling appointments and routing clinical messages with accuracy.
• Verified insurance information and updated demographic records in electronic health systems.
• Coordinated appointment follow-ups, referrals, and provider callbacks to support continuity of care.
• Provided non-clinical medical information and triaged calls, escalating clinical concerns to licensed staff when appropriate.
• Assisted with prior authorizations, and prescription refill processing.
• Resolved patient concerns with empathy and efficiency, maintaining compliance with HIPAA regulations and promoting positive patient experiences.