Work Preference
Summary
Overview
Work History
Education
Skills
Certification
Affiliations
Timeline
web
Brittney McGee
Open To Work

Brittney McGee

Winchester,CA

Work Preference

Job Search Status

Open to work
Desired start date: 2 weeks notice

Desired Job Title

Care CoordinatorVeteran Services Program Support SpecialistHousing CoordinatorCase Management AssistantPatient Care Advocate

Work Type

Full Time

Location Preference

HybridRemoteOn-Site
Location: Riverside, CASan Diego, CATemecula, CAMurrieta, CAMenifee, CA
Open to relocation: No

Salary Range

60000/yr - 200000/yr

Important To Me

Career advancementPersonal development programs401k matchWork-life balancePaid time offCompany CulturePaid sick leave

Summary

Dedicated professional with extensive experience in care coordination and crisis de-escalation. Proficient in EMR navigation and interdisciplinary collaboration, ensuring comprehensive patient support and timely case resolution across diverse healthcare environments.

Overview

23
23
years of professional experience
4
4

Professional Certifications

Work History

SIU Investigator

Progressive Insurance
Riverside, California
12.2021 - Current
  • Conducted in-depth investigations into potential insurance fraud cases.
  • Analyzed claims data to identify suspicious patterns and trends.
  • Collaborated with law enforcement to gather evidence, enhancing case validity and prosecution support.
  • Interviewed claimants, witnesses, and experts for detailed testimonies.
  • Prepared comprehensive reports detailing investigation findings and actionable recommendations for case resolution.
  • Reviewed case files, documents, evidence, and other materials related to investigations.
  • Managed multiple investigations simultaneously, ensuring timely progress and adherence to strict deadlines.
  • Utilized various databases and public records to research and compile information relevant to investigations.
  • Prepared detailed investigative reports and presentations, summarizing findings and recommending actionable steps.

Patient Financial Counselor

Scripps Mercy Hospital San Diego
San Diego, California
01.2019 - 12.2021
  • Facilitated informed decision-making through patient-centered financial counseling for complex accounts.
  • Verified insurance eligibility and coordinated authorizations with Medi-Cal, Medicare, Tricare, VA, and commercial carriers.
  • Identified coverage issues to address barriers to care, linking patients to essential resources.
  • Collaborated with clinical and administrative teams to secure financial clearance and maintain continuity of care.
  • Utilized Epic EMR for accurate documentation, account review, and support for care coordination.

Case Management Associate

Scripps Mercy Hospital San Diego
San Diego, California
01.2015 - 01.2019
  • Coordinated post-acute discharge planning for skilled nursing facilities, LTAC, home health, and DME placements, ensuring smooth transitions and continuity of care.
  • Managed referral systems, tracking logs, and follow-ups, facilitating timely patient placements and minimizing delays in care.
  • Collaborated with case managers, social workers, and providers to eliminate coverage discharge barriers.
  • Collaborated with other agencies in order to coordinate care for clients who need additional services or referrals.
  • Utilized EMR systems to review patient records, track referrals, and maintain documentation accuracy.
  • Supported compliance by reviewing documentation and participating in CMS/CDPH audits.
  • Educated patients on treatment options, rights, and available resources, empowering them to make informed healthcare decisions.
  • Assisted patients in navigating healthcare services and resources for optimal support.

Patient Service Specialist ER/ ICU

Scripps Mercy Hospital San Diego
San Diego, California
01.2013 - 01.2015
  • Coordinated patient admissions and bed placement in high-acuity ER and ICU settings, ensuring timely access to critical care.
  • Verified insurance eligibility, ensuring timely access to care across multiple payors.
  • Navigated Epic EMR for patient registration documentation and care coordination.
  • Collaborated with interdisciplinary teams to enhance patient flow and continuity of care.
  • Supported patients and families during admissions and transitions, enhancing their experience and understanding.
  • Educated patients on hospital services and procedures to improve understanding.
  • Provided clear explanations of hospital services and procedures to patients.
  • Mediated billing disputes among providers, insurance companies, and patients to ensure accurate resolutions.

Peritoneal Dialysis Assistant Office Manager

Fresenius Medical Care, Home Services
San Diego, California
06.2005 - 05.2011
  • Coordinated patient scheduling and interdisciplinary communication for dialysis program, improving care delivery and patient satisfaction.
  • Managed staffing across multiple hospitals to ensure uninterrupted patient care and optimize resource allocation.
  • Conducted home visits to assess treatment environments, ensuring safety and compliance with healthcare standards.
  • Educated patients on home dialysis treatment options and provided ongoing support.
  • Maintained accurate patient records in compliance with healthcare regulations.

Certified Clinical Hemodialysis Technician

Fresenius Dialysis Center
San Diego, California
01.2003 - 06.2005
  • Monitored vital signs during hemodialysis treatments to ensure patient safety.
  • Trained new dialysis technicians on machine operation and patient care protocols.
  • Provided education on diet, lifestyle modifications, nutrition, fluid management, and medication compliance to patients.
  • Communicated with patients, families, and healthcare professionals to ensure clear understanding of care plans.
  • Documented patient temperature, blood pressure, pulse, and respiration rates pre- and post-treatment.
  • Explained dialysis procedures and machine operations, reducing patient anxiety and fostering trust.
  • Observed patients during treatments for adverse reactions or changes in condition.
  • Maintained detailed records of treatment types, durations, and patient information to support continuity of care.

Education

Bachelor of Science - Criminal Justice Administration

University of Phoenix
Tempe, AZ
11-2026

Skills

Care Coordination & Case Management Support
Patient Advocacy & Resource Navigation
Insurance Systems (Medi-Cal, Medicare, TRICARE, VA, Commercial Payors)
EMR/EHR Navigation (Epic)
Discharge Planning & Placement Coordination
Behavioral Health & Trauma-Informed Awareness
Crisis Awareness & De-escalation
Documentation & Regulatory Compliance
Interdisciplinary Collaboration
Patient Intake & Assessment

Certification

  • Mental health First Aid Certification - Savor Lining
  • Veteran Ready Certification - Psych/Armor
  • Housing & Treatment Models for At Risk Adults - HHRC
  • Healthcare Billing & Insurance (HBI) Certification - Scripps Health

Affiliations

  • Homeless Housing Resource Center ( HHRC) Membership

Timeline

SIU Investigator

Progressive Insurance
12.2021 - Current

Patient Financial Counselor

Scripps Mercy Hospital San Diego
01.2019 - 12.2021

Case Management Associate

Scripps Mercy Hospital San Diego
01.2015 - 01.2019

Patient Service Specialist ER/ ICU

Scripps Mercy Hospital San Diego
01.2013 - 01.2015

Peritoneal Dialysis Assistant Office Manager

Fresenius Medical Care, Home Services
06.2005 - 05.2011

Certified Clinical Hemodialysis Technician

Fresenius Dialysis Center
01.2003 - 06.2005

Bachelor of Science - Criminal Justice Administration

University of Phoenix

Similar Profiles

CREATE PROFILE
Brittney McGee