Summary
Overview
Work History
Education
Skills
Personal Information
Languages
Timeline
Generic

Carmen Jie-A-Fa

Kissimmee,Florida

Summary

Passionate about empowering individuals and promoting well-being, leveraging exceptional analytical skills to provide practical solutions to complex problems. Strong sense of organization and attention to detail, excelling in collaborative environments. Determined Liaison with years of experience providing positive community contributions, aiming to engage and inform professionals in the medical field. Effective communication skills enable working effectively with individuals from diverse backgrounds. Committed to continuous learning and professional growth, staying up to date with the latest developments in the field.

Overview

14
14
years of professional experience

Work History

CONSULTANT-RESIDENTIAL LIAISION (CONTRACTED)

ISGF / Quest Inc.
06.2024 - Current
  • Reporting to the Vice President of Marketing, Communications, and Business Development, responsible for identifying potential referrals for Quest’s Intermediate Care Facilities, for individuals with profound developmental disabilities in Orlando and Tampa.
  • Reached out to health professionals to raise awareness about the developmental disability sector and to build relationships with skilled nursing facilities, hospitals, and other healthcare settings.
  • Facilitated communication, collaboration, and information sharing between the organization and its partners.
  • Closely collaborated with colleagues and partners to identify areas for potential collaboration and to develop strategies to achieve shared goals.
  • Encouraging health professionals to raise awareness of developmental disabilities through outreach to skilled nursing facilities, hospitals, and other healthcare settings.
  • Created and managed contact lists to further business objectives.
  • Provided up-to-date information to the VP of Marketing to further strengthen knowledge of current Florida Medicaid and APD processes.
  • Shared knowledge with individuals and health professionals about eligibility requirements for the Med Waiver and Medicaid-funded services for patients / clients with developmental disabilities.

PATIENT ADVOCATE

ApprioHealth LLC
07.2018 - 02.2024
  • Initiated screening for insurance coverage to determine if admitted or discharged patients were uninsured or underinsured
  • Determined eligibility for Federal/State Medicaid, Disability, SSA, and Emergency Medicaid assistance for patients and households
  • Coordinated ongoing communication with various agencies throughout the application process
  • Prepared clear and concise reports, correspondence, and other written materials
  • Applied initiative and independent judgment with established procedural guidelines
  • Established and maintained effective working relationships with contacts during work
  • Communicated exceptionally well orally, in writing, and over the telephone
  • Built collaborative relationships with peers and other staff members to achieve departmental and corporate objectives.
  • Responded to patient concerns and questions with compassionate and knowledgeable service.
  • Increased revenue collections by conducting thorough reviews of patient accounts and identifying potential sources of reimbursement.
  • Reduced patient anxiety surrounding medical expenses by offering compassionate support and financial guidance during difficult times.

DEPENDENCY CASE MANAGER

Children's Home Society of Florida
10.2017 - 04.2018
  • Achieved certification and formal instruction of Phase I Child Protection training program
  • Conducted child safety assessments and met client needs
  • Determined service plan progress and evaluated reports from multiple service providers
  • Developed and kept case and program documentation according to contract and CHS standards
  • Coordinated services with other professionals and paraprofessionals
  • Determined to obtain full support for children, caregivers, and family members to assure stable placement and permanency
  • Directed family/caregivers in accessing subsidies for children, medical coverage, and other needed services
  • Managed cases with supervisor, team members, providers, DCF, and attorneys as needed
  • Attended and participated in Shelter hearings and reviews, arraignments, and judicial reviews for concurrent case planning.

BILINGUAL FAMILY OUTREACH LIAISON

Adams 12 Five Star Schools / Thornton High School
10.2015 - 09.2016
  • Created and implemented strategies to build relationships with local organizations, schools, and health clinics
  • Spearheaded and collaborated with community organizations to establish and offer breakfast for needy students
  • Developed marketing materials that promoted programs in both English and Spanish languages
  • Utilized strong interpersonal skills to cultivate meaningful partnerships with key leaders within the target population
  • Successfully established open lines of communication with other Department staff such as counselors, health providers homeless liaisons, Title 1, McKinney- Vento Act representatives, district case managers, and community centers to implement changes to identify the critical needs of our students and their families
  • Analyzed data from surveys and interviews to assess the outcomes of outreach efforts.

BILINGUAL BILLING CLERK

North Metro Community Services
05.2014 - 10.2015
  • Counseled Resource Coordinators with managing client services and case management
  • Efficiently reviewed and managed support service plans into the Colorado State DD Web portal
  • Examined client caseload for inaccuracies and corrections before submitting to the DORA-Dept
  • Of Regulatory Agencies
  • Maintained confidential documents to secure the database
  • Interviewed and researched information for applicants who met the criteria for support services
  • Translated various organizational documents, letters, and important information into Spanish for the convenience of our staff, administration, and clients.

LEAD TEACHER

Primrose Academy of Thornton
10.2012 - 04.2013
  • Optimized resource allocation by effectively prioritizing tasks based on business needs and project timelines.
  • Developed comprehensive documentation to facilitate knowledge sharing among team members and support long-term maintenance efforts.
  • Established coding standards to ensure consistent quality across the development team''s output.
  • Built strong relationships with stakeholders, ensuring clear communication channels for project updates and progress reports.
  • Established positive relationships with parents through regular communication regarding student progress, collaborating on strategies for academic success at home and school.
  • Maintained patience and level-headedness in diverse situations to support student development and personal growth.

CERTIFIED NURSING ASSISTANT

Keystone Place at Legacy Ridge
05.2011 - 09.2012
  • Provided high-quality personal care services such as bathing, grooming, dressing, and feeding to ensure patient dignity.
  • Assisted patients with daily living activities for enhanced comfort and wellbeing.
  • Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
  • Maintained a clean, safe environment by sanitizing surfaces, changing linens, and disposing of waste properly.
  • Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
  • Improved patient care quality by monitoring and recording vital signs, fluid intake, and output.
  • Improved patient satisfaction with empathetic listening and addressing concerns promptly.

PERSONAL ASSISTANT

ResCare / Community Advantage
11.2010 - 04.2011
  • Maintained appropriate filing of personal and professional documentation.
  • Oversaw personal and professional calendars and coordinated appointments for future events.
  • Responded to emails and other correspondence to facilitate communication and enhance business processes.
  • Improved time management of the executive through effective prioritization and organization of tasks.
  • Transported clients to and from their homes.
  • Provided companionship and worked on the goals of the client to promote self-advocacy.
  • Directed clients to socialize and integrate themselves into their community.
  • Assisted clients with learning new activities and personal goals.
  • Promoted self-confidence and awareness of the client's surroundings and emphasized appropriate behavior when needed.

Education

B.S. in Clinical Psychology -

Carlos Albizu University-Miami Campus
Miami, Florida
12.2005

Master of Science - Mental Health Counseling

Regis University
Denver, CO

Skills

  • Proactive Problem Solving
  • Medicaid knowledge
  • Eligibility Determination
  • Insurance Billing
  • Medical Records
  • Spanish Fluency
  • Advocacy
  • Case Management
  • Coordination
  • Community Outreach
  • Education
  • Disability
  • EPIC / Availity / Cerner
  • Professional Communication
  • Collaboration
  • Medicaid / Medicare / Med Waiver

Personal Information

Nationality: Dominican American

Languages

Spanish
Native or Bilingual

Timeline

CONSULTANT-RESIDENTIAL LIAISION (CONTRACTED)

ISGF / Quest Inc.
06.2024 - Current

PATIENT ADVOCATE

ApprioHealth LLC
07.2018 - 02.2024

DEPENDENCY CASE MANAGER

Children's Home Society of Florida
10.2017 - 04.2018

BILINGUAL FAMILY OUTREACH LIAISON

Adams 12 Five Star Schools / Thornton High School
10.2015 - 09.2016

BILINGUAL BILLING CLERK

North Metro Community Services
05.2014 - 10.2015

LEAD TEACHER

Primrose Academy of Thornton
10.2012 - 04.2013

CERTIFIED NURSING ASSISTANT

Keystone Place at Legacy Ridge
05.2011 - 09.2012

PERSONAL ASSISTANT

ResCare / Community Advantage
11.2010 - 04.2011

B.S. in Clinical Psychology -

Carlos Albizu University-Miami Campus

Master of Science - Mental Health Counseling

Regis University

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Carmen Jie-A-Fa