Brenda Dutan
Forest Hills,NY
Summary
Dedicated professional with extensive experience in care coordination and population health management. Focused on driving quality improvement initiatives and optimizing workflows to enhance patient care and align with performance-based models.
Overview
12
12
years of professional experience
Work History
Practice Transformation Facilitator
Cinq Care NY
03.2023 - Current
- Deliver scorecards and review performance metrics with practices and care teams to drive data-driven decision-making.
- Identify performance gaps using report data and collaborate with providers to implement tailored solutions.
- Prioritize key quality and utilization initiatives critical to success under performance-based programs, ensuring alignment with value-based care models.
- Collaborate with internal teams to monitor and report key metrics for Medicaid VBP, Medicare ACO, and Health Homes, ensuring compliance and performance optimization.
- Partner with third-party organizations, including health plans, to resolve operational and roster issues, streamlining provider participation in value-based programs.
- Build trust-based relationships with practices and care teams to facilitate change management, engagement, and sustainability of population health initiatives.
- Analyze practice workflows, identify inefficiencies, and recommend strategies for enhancing care coordination, patient outcomes, and provider efficiency.
- Develop and implement action plans to improve quality measures, patient engagement, and cost-effectiveness across provider networks.
Value-Based Payment Case Manager
Vis A Vis Health
01.2023 - 03.2023
- Acted as the primary liaison between Vis-Á-Vis Health and various insurance partners, managing relationships to optimize patient care outcomes.
- Collaborated with providers to close care gaps assigned by insurance companies, ensuring compliance with healthcare standards and enhancing patient outcomes.
- Oversaw provider order processing, including lab work and home health orders, ensuring timely and accurate execution.
- Conducted Pod meetings with providers, support staff, and lead supervisors to maintain open communication and provide quality care to patients.
Patient Care Coordinator
Heal Doctors
07.2022 - 12.2022
- Acted as the main point of contact for patients and doctors, coordinating individualized patient care and assisting with social, behavioral, and medical needs.
- Conducted outreach to identify patients’ social determinants of health and referred them to appropriate social service programs.
- Monitored care gaps and worked with providers to improve STAR ratings and health outcomes.
Bilingual Intensive Care Coordinator
NADAP
10.2019 - 07.2022
- Managed a caseload of 35 high-risk clients and conducted comprehensive assessments.
- Connected patients to medical, behavioral, and social services, developing client-centered care plans.
Bilingual Care Coordinator
NADAP
03.2019 - 10.2019
- Managed a caseload of individuals with chronic/mental illness, developing care plans and coordinating services.
- Conducted thorough assessments of patient needs to devise personalized care plans, addressing both health and social determinants.
Bilingual Service Coordinator
Los Ninos Services Inc
08.2017 - 03.2019
- Managed a caseload of 30-50 cases, providing early intervention services and guiding families in securing services for children.
- Delivered information on available services, resources, and options to empower families in accessing necessary support.
Billing Associate
Los Ninos Services Inc
08.2014 - 07.2017
- Processed insurance claims, managed payments, and ensured data accuracy in multiple systems.
- Liaised between agency and insurance companies to resolve billing issues efficiently.
Education
Bachelor of Arts - Sociology
Hunter College
New York, NY08-2017
Skills
Languages
Spanish
Timeline
Practice Transformation Facilitator
Cinq Care NY
03.2023 - Current
Value-Based Payment Case Manager
Vis A Vis Health
01.2023 - 03.2023
Patient Care Coordinator
Heal Doctors
07.2022 - 12.2022
Bilingual Intensive Care Coordinator
NADAP
10.2019 - 07.2022
Bilingual Care Coordinator
NADAP
03.2019 - 10.2019
Bilingual Service Coordinator
Los Ninos Services Inc
08.2017 - 03.2019
Billing Associate
Los Ninos Services Inc
08.2014 - 07.2017
Bachelor of Arts - Sociology
Hunter College