Barbara Luna
West Palm Beach
Summary
Results-driven Care Coach with expertise in effective communication, service coordination, and case management. Proven ability to enhance member wellness through comprehensive assessments and resource facilitation.
Overview
21
21
years of professional experience
Work History
Care Coach 1
Humana
Florida
12.2019 - Current
- Manage a caseload and provide direct ongoing support to management on special projects, including obtaining residential agreements, coaching and onboarding new hires, participating in mentoring circles to enhance communication skills, and providing coverage for the manager as needed.
- Trained and provided ongoing one-on-one support to new hires through shadow visits, hands-on assistance, and addressing questions to ensure a smooth onboarding process.
- Conduct in-person visits with Medicaid members in their homes, Assisted Living Facilities, and Nursing Home Long Term Care Facilities to assess needs and provide support.
- Conduct 701B and 701T assessments, Health Risk Assessments, Disaster Preparedness Plans, and supplemental evaluations to ensure comprehensive care planning and compliance with regulatory requirements.
- Assessed and evaluated members’ needs to support optimal wellness, guiding members and families to appropriate resources and facilitating access to services that enhance care and well-being.
- Provide comprehensive care coordination and case management by assisting members with service coordination, accessing community resources, and ongoing support. Proactively identify and resolve barriers to ensure effective care delivery.
- Monitor Medicaid members’ progress toward care goals through ongoing assessments, data review, member communication, and active care planning.
- Coordinate services and resources to support members’ optimal wellness while ensuring care is delivered in the least restrictive setting.
- Prioritize and manage daily work independently while following established procedures, regulations, and professional standards.
- Evaluate members’ needs to promote optimal wellness by guiding members and families to appropriate resources and facilitating access to services that support their care and well-being.
Quality Assurance Specialist
Lutheran Services Florida, West Palm Beach
Florida
03.2016 - 12.2019
- Monitored quality and ensured compliance with local, state, and federal regulations across family child care homes, child care partners, centers, and school district sites.
- Supported the development of procedures, documentation, and systems to maintain compliance with Head Start, Early Head Start, and licensing standards.
- Participated in strategic planning and annual program self-assessments for Head Start and Early Head Start.
- Conducted on-site observations and desk audits of service areas, including health, mental health, nutrition, and education records.
- Provided technical assistance and compliance support to service areas and Head Start/Early Head Start providers.
- Performed regular site visits to monitor health and safety compliance, address noncompliance issues, and recommend corrective improvements.
- Entered, analyzed, and reported data in Child Plus and Data Say systems to support continuous quality improvement.
- Monitored ASQs, VPK assessments, lesson plans, and documentation for children with disabilities.
- Tracked and reviewed incident and child abuse reports, analyzed trends, and took action in accordance with LSF, DCF, licensing policies, and program procedures.
- Reviewed corrective action plans and followed up to ensure timely resolution.
Parent Counselor
Family Central Inc, West Palm Beach
Florida
10.2014 - 03.2015
- Determined and re-determined eligibility for subsidized child care, CSC scholarships, and VPK programs based on funding guidelines.
- Conducted intake and enrollment processes in collaboration with Workforce and the Department of Children and Families for low-income and at-risk families.
- Reviewed case files for completeness, accuracy, and compliance with quality control standards.
- Conducted daily in-person and phone interviews, provided case support, and connected families with appropriate community resources.
- Maintained accurate client records and completed daily data entry in the Statewide Data System in accordance with state requirements.
- Planned and coordinated Voluntary Pre-Kindergarten outreach efforts to promote enrollment and increase community awareness of services.
- Identified and provided appropriate referrals based on Department of Children and Families and Workforce guidelines, including support for children with special needs and at-risk families.
- Connected families to resources and referral services, including disability support, child care, and social services.
Slot Management & Accounts Payable Technician
Family Central, Inc. West Palm Beach
Florida
08.2005 - 10.2014
- Managed budgets for child care and VPK programs, ensuring accurate allocation and payment processing.
- Conducted audits and verified attendance and absence records to ensure accurate provider reimbursements.
- Monitored monthly provider payments, processed adjustments, and researched payment discrepancies to meet reporting deadlines.
- Entered and coded payments for multiple funding sources within the system.
- Reconciled and distributed monthly reimbursement reports to providers.
- Responded to provider and parent inquiries, grievances, and complaints, and provided follow-up support.
- Provided technical assistance to child care providers regarding reimbursements, enrollments, and payable effective dates.
Education
Bachelor of Science - Bussines Administration
Sacred Heart University
San Juan, Puerto Rico05-2001
Skills
- Effective communication
- Group leadership
- Personable and friendly
- Building relationships
- Bilingual Spanish/English
- Service Coordination
- Auditing & Monitoring
- Customer Service
- Case Management
- Records Management
Languages
Spanish
Native or Bilingual
English
Professional Working
Timeline
Care Coach 1
Humana
12.2019 - Current
Quality Assurance Specialist
Lutheran Services Florida, West Palm Beach
03.2016 - 12.2019
Parent Counselor
Family Central Inc, West Palm Beach
10.2014 - 03.2015
Slot Management & Accounts Payable Technician
Family Central, Inc. West Palm Beach
08.2005 - 10.2014
Bachelor of Science - Bussines Administration
Sacred Heart University