NICOLE GARDIOL
WILSONVILLE,OR
Summary
Dynamic Managed Care Coordinator with a proven track record at Oregon Health Sciences University, enhancing patient satisfaction and streamlining care processes. Expert in insurance protocols and adept at fostering teamwork, I significantly improved operational efficiency. Skilled in Epic Systems and known for exceptional organizational abilities, I consistently exceed performance metrics without compromising quality.
Overview
19
19
years of professional experience
Work History
MANAGED CARE COORDINATOR
Oregon Health Sciences University
04.2005 - Current
- Conducted comprehensive assessments of patient needs, utilizing findings to develop tailored approaches to care management.
- Ensured compliance with regulatory standards by staying current on industry best practices and incorporating them into daily operations.
- Enhanced patient satisfaction with personalized care coordination, addressing individual needs and concerns.
- Contributed significantly towards organizational goals by constantly seeking opportunities to improve processes and outcomes.
- Developed strong working relationships with insurance companies to streamline prior authorization processes.
- Streamlined the managed care process for better efficiency through thorough documentation and accurate recordkeeping.
- Collaborated with healthcare providers to identify gaps in care, devising targeted interventions for improvement.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Scheduled surgeries, managed pre-certifications and verified insurance coverage.
- Managed complex caseloads effectively while maintaining high-quality standards for patient care delivery.
Education
High School Diploma -
PRAIRIE HIGH SCHOOL
Brush Prairie, WA06.1992
Skills
- Strong Organization
- Insurance Expertise
- Teamwork and Collaboration
- Problem-Solving
- Time Management
- Attention to Detail
- Problem-solving abilities
- Multitasking
- Multitasking Abilities
- Reliability
- Excellent Communication
- Critical Thinking
- Organizational Skills
- Team Collaboration
- Active Listening
- Adaptability and Flexibility
- HIPAA Guidelines
- Self Motivation
- Interpersonal Skills
- Goal Setting
- Professionalism
- Continuous Improvement
- Time management abilities
- Epic Systems
- Professional Demeanor
- Health Information Systems
- Performance Metrics
Timeline
MANAGED CARE COORDINATOR
Oregon Health Sciences University
04.2005 - Current
High School Diploma -
PRAIRIE HIGH SCHOOL
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