Barbara Peralta
San Antonio,TX
Summary
Experienced with coordinating and managing services to ensure optimal services and satisifaction. Utilizes strong communication and organizational skills to processes and enhance customer satisfaction. Knowledge of team collaboration and effective problem-solving to meet dynamic needs.
Overview
22
22
years of professional experience
Work History
Service Coordinator III-Star Kids Program
Centene/Superior Health Plan
San Antonio, TX
08.2024 - Current
- Complete quarterly reports over the phone.
- Assist members to contact PCP or specialists as needed.
- Assist with locating therapy for member’s needs.
- Assist with process of obtaining medical equipment.
- Follow up on satisfaction of services.
- Completion of Star Kids Non SAI
Service Coordinator II-Star Plus Medicaid Program
Centene/Superior Health Plan
San Antonio, TX
06.2015 - 08.2024
- Conduct in-home face to face member assessments and telephonic outreach
- Working with members who have been identified with disabilities, chronic conditions or long term support services.
- Assesses member’s medical necessity for services such as in home provider services, and Adult day care services
- Document assessments and contacts, develop and approve service plans, and ensure authorizations are completed.
- Conduct follow-up contacts or in-person visits to determine if services meet member’s needs.
- Assess member’s medical, safety and support service needs and coordinate the delivery of services.
- Provide education related to member’s health condition and care.
- Coordinate member care through collaboration with community outreach and member advocates.
Service Coordinator I-Star Plus Medicaid Program
Centene/Superior Health Plan
San Antonio, TX
09.2013 - 06.2015
- Identify needs of members through outbound health screens.
- Work with member advocates, member services, provider services to coordinate the member’s care.
- Assist in answering inbound calls from members and providers.
- Assist with completing authorizations for provider services, adult day care, emergency response systems, and meals on wheels.
- Obtain required information from members to provide to service coordinators to assist in meeting clients needs.
Cognitive Adaption Trainer
Center for Health Care Services
San Antonio, TX
11.2011 - 10.2012
- Assists clients in transitioning from nursing facilities to independent living or assisted living facilities.
- Attends weekly teleconferences with Medicaid to report the medical needs of the client.
- Attends 90 day staffing with client and Medicaid to address services provided by CAT Therapist.
- Transports clients to necessary appointments.
- Works on independent living skills with client.
- Collaborating with clients on effective ways to overcome barriers in order to lead independent life.
Probation Officer-Mental Health Unit
Bexar County Adult Probation
San Antonio, TX
09.2003 - 06.2011
- Supervising individuals with behavioral needs.
- Assisting individuals to connect with healthcare and managing rehabilitation.
- Monitoring mental health crises, self medication an non compliance.
- Representing individuals needs within the court system.
- Documenting progress and providing court reports.
- Evaluate individuals progress in accomplishing goals and maintaining terms of probation.
Education
Bachelor's - Social Work
Texas State University
San Marcos, TX05.2003
Skills
- Communication skills
- Case Management
- Managed Care
- Health Care
- Team work skills
- Organization skills
- Strong work ethic
Timeline
Service Coordinator III-Star Kids Program
Centene/Superior Health Plan
08.2024 - Current
Service Coordinator II-Star Plus Medicaid Program
Centene/Superior Health Plan
06.2015 - 08.2024
Service Coordinator I-Star Plus Medicaid Program
Centene/Superior Health Plan
09.2013 - 06.2015
Cognitive Adaption Trainer
Center for Health Care Services
11.2011 - 10.2012
Probation Officer-Mental Health Unit
Bexar County Adult Probation
09.2003 - 06.2011
Bachelor's - Social Work
Texas State University