Summary
Overview
Work History
Education
Skills
References
Languages
Timeline
Generic

Arisbet Osbon

Bellflower,CA

Summary

Case management and healthcare services professional with over 13 years of experience supporting diverse populations. Expertise in managing complex caseloads and conducting thorough assessments to facilitate access to essential resources. Proven track record in developing personalized care plans and delivering consistent, client-centered support to empower individuals and families.

Overview

15
15
years of professional experience

Work History

Community Program Specialist

FORWARD Platform
Remote, CA
07.2022 - Current
  • Conduct detailed screenings and assessments covering functional, environmental, psychosocial, financial, housing, and health needs.
  • Develop tailored case plans and collaborate with clients to establish actionable goals.
  • Key contributor to outreach efforts for the Washington COVID-19 Immigrant Relief Fund, addressing over 40,000 cases.
  • Facilitate referrals to housing, food, clothing, transportation, employment, and medical services.
  • Manage a caseload of 60–65 clients, demonstrating strong organizational and problem-solving skills.
  • Prepare reports and weekly summaries to communicate client progress to supervisors and funders.
  • Provide crisis intervention and maintain confidentiality and professionalism.
  • Plan and coordinate outreach events and community engagement initiatives.

Intake/Funding Specialist

Numotion
Remote, CA
07.2014 - 06.2022
  • Receive and process new DME orders and referrals from physicians, hospitals, and clinics.
  • Reviewed medical documentation, including Functional Mobility Evaluations and Letters of Medical Necessity, to determine eligibility.
  • Coordinated with healthcare providers, insurers, and customer service to ensure the timely delivery of Durable Medical Equipment.
  • Maintained compliance with Medicare regulations, and processed over 50 orders daily using the Venue system.
  • Digitized documentation using Laserfiche to support record-keeping.
  • Assisted in training and mentoring team members.
  • Provided direct client support with high-quality service.

Utilization Management Lead

Humana
Torrance , CA
02.2010 - 07.2014
  • Evaluated clinical documentation for medical necessity and healthcare utilization following CMS, NCQA, and company guidelines.
  • Managed authorization processes with strict turnaround times.
  • Entered and tracked authorization data across multiple product lines in QNXT.
  • Collaborated with Care Managers and insurers to resolve utilization issues and coordinate appeals.
  • Trained new staff on workflows and quality standards.
  • Ensured HIPAA compliance and maintained detailed audit records.
  • Supported workflow improvements in a fast-paced environment.

Education

Criminal Justice

Westwood College
Anaheim

High School Diploma -

Cerritos High School
Cerritos, CA

Skills

  • Case management and client screening
  • Community outreach and public assistance
  • Crisis intervention and risk assessment
  • EMR documentation and software proficiency
  • Medicare, Medicaid, and insurance knowledge
  • ICD-10 and CPT coding expertise
  • HIPAA compliance standards
  • Microsoft Office proficiency
  • Bilingual communication in English and Spanish
  • Time management and multitasking skills
  • Critical thinking and problem-solving abilities

References

Upon Request

Languages

Spanish
Native/ Bilingual

Timeline

Community Program Specialist

FORWARD Platform
07.2022 - Current

Intake/Funding Specialist

Numotion
07.2014 - 06.2022

Utilization Management Lead

Humana
02.2010 - 07.2014

Criminal Justice

Westwood College

High School Diploma -

Cerritos High School

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