Summary
Overview
Work History
Education
Skills
Timeline
StoreManager

Carmen Maloney

Miami,FL

Summary

Professional and polished Registered Medical Assistant with extensive hospital experience, combined with a recent Surgical Technology degree and 600 hours (85 cases) clinical rotation with Baptist Hospital. Recognized for ability to effectively communicate and work with diverse clients and staff. Outstanding skills in assessing what is needed, prioritizing, and building rapport with patients, and effectively coordinating to ensure maximum revenue is achieved. Experienced and dependable general worker with a proven track record of efficiently completing tasks in various settings. Skilled in manual labor, equipment operation, and maintaining a clean and organized workspace. Safety-conscious with a strong work ethic and the ability to adapt to different environments. Ready to contribute to a dynamic team and make a positive impact.

Overview

35
35
years of professional experience

Work History

CARE MANAGEMENT COORDINATOR

CANO HEALTHCARE
MIAMI, FLORIDA
08.2024 - Current
  • Structural recording of patient’s health information and keeping care plan in EMR
  • Managing transition of care services post hospital discharge, ER, SNF, include PCP appointment, Medication Reconciliation Postal Hospital Discharge (MRP) completion, and specialist follow up
  • Assist with identifying High Risk population, multiple co-morbidities, polypharmacy, non-compliant, oxygen dependent, bed and wheelchair bound
  • Conduct assessments to identify individual needs and specific care management plan to address objectives and goals during assessments for patients enrolled in Care/disease management
  • Ensures patients access to appropriate resources, community resources, social services, behavioral
  • Participated in Interdisciplinary Care Team (ITC) meetings with patients’ providers to communicate patients progress with his/her treatment plan, discuss complex issues or barriers to care
  • Receive, request, upload attached and link all health documents including medical notes, test results, labs, state forms, patients’ letters, insurance referrals, insurance letters, pain assessment, hospital records, previous medical history and other document related to the patient’s health into HER (electronic health records) software.

HEDIS Chart REVIEW Medical RECORDS (REMOTE)

TotalMed staffing Agency
06.2019 - 05.2023
  • Resolve outstanding vendor and in-house pends within a timely manner using claims system
  • Investigation and research as needed
  • Identify and understand the specific HEDIS measures being assessed and ensure that the relevant codes are accurately assigned to capture the required information
  • Implement process to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities
  • Collaborate with providers and internal departments on rate investigation and validation activities, including maintaining all evidence, documentation, and changes
  • Manage the HEDIS project to include assignment of nurses, adherence to plan timeline, and vendor oversight for timeliness and quality
  • Support the Utilization Management (UM) team by focusing on certain areas of Utilization Management to develop an understanding of all regulatory and business needs Prime West Health must conduct business in an efficient manner
  • Collects data and prepares reports on customer complaints and inquiries
  • Prepares monthly reports summarizing the assigned customer service team’s performance.

LEAD Registered Medical Assistant / Phlebotomy Technician / Surgical Technician

CENTRAL CARE INC.
MIAMI, FLORIDA
01.2007 - 12.2018
  • Prepare treatment rooms for patient examinations, keeping the rooms neat and clean
  • Interview patients to obtain medical information and measure their vital signs, weight, and height
  • Record patients' medical history, vital statistics, or information such as test results in medical records
  • Prepare and maintain medical equipment and instruments for procedures
  • Follow established protocols for cleaning, sterilizing, and storing equipment
  • Assist healthcare professionals during procedures by providing necessary tools and supplies
  • Monitor patients' vital signs and assist with patient positioning as needed
  • Document patient information accurately and maintain confidentiality
  • Collaborate with the healthcare team to ensure a safe and efficient environment
  • Adhere to infection control protocols and maintain aseptic technique throughout procedures
  • Authorize drug refills and provide prescription information to pharmacies
  • Prepare and administer medications as directed by a physician
  • Show patients to examination rooms and prepare them for the physician
  • Explain treatment procedures, medications, diets, or physicians' instructions to patients
  • Collect blood, tissue, or other laboratory specimens, log the specimens, and prepare them for testing
  • Help physicians examine and treat patients, handing them instruments or materials or performing such tasks as giving injections or removing sutures
  • Inventory and order medical, lab, or office supplies or equipment.

Surgical Technology (Internship Clinical Rotation) (600 hours / 85 Cases)

Baptist Health of South Florida
10.2011 - 06.2012
  • Completed 80 hrs
  • In Central Sterilization (workroom), assembling trays, Decontamination, Sterilization Department
  • Always observe and maintain aseptic technique
  • Assist with skin preparation and draping of patients
  • Control the location of contaminated instruments and supplies to prevent the spread of infection by properly utilizing the case cart system
  • Assisting in the moving patients from the Operating Table to Recovering Room
  • Perform accurate counts of sponges, needles, and instruments according to hospital policies and procedures before and after operation
  • Put dressing on patient following surgery according to surgeon preferences
  • Able to anticipate surgeons needs and have equipment set up in a manner that decreases surgical time and increases overall patient safety.

Laboratory Technician/Registered Medical Assistant

CENTER FOR ATHRITIS AND RHEUMATIC DISEASE
MIAMI, FLORIDA
10.2002 - 12.2006
  • For Arthritis and Rheumatic Disease, Responsible for sorting and receive specimens, resolve pending lists, locate missing specimens, and store specimens
  • Responsible for receiving processes and distributes specimens to the appropriate testing location
  • Performs assigned analytical testing procedures in accurate, precise, and timely manner
  • Prepares reagents, label tubes and specimens' containers for testing, loads and unload patient's samples onto specified instruments
  • Responsible for data entry of patient requisitions into laboratory information system while maintaining Overall data accuracy
  • Responsible for validating data entry and correctly handling and labeling patient specimens, imaging patients requisitions and centrifuging patient specimens and
  • Coordinate laboratory safety and environmental compliance efforts based on EH&S programs
  • Serve as liaison between the laboratory and EH&S in helping maintain safety and regulatory information, including Material Safety Data Sheets
  • Attending training sessions provided by EH&S, sharing information with department
  • Distribute safety information to all lab personnel
  • Communicates information on identified hazards, precautions, and required corrective actions throughout the department
  • Organ function based on clinical knowledge while providing organ viability feedback to transplant center clinical personnel to optimize organ preservation technique
  • Be responsible for accurately collecting, recording, and maintaining clinical records of donors and recipients as required of the program.

LEAD REGISTERED MEDICAL ASSISTANT /LABORATORY TECHNICIAN

University of Miami Hospital and Clinics
MIAMI, FLORIDA
02.1990 - 09.2002
  • Interview patients to obtain medical information and measure their vital signs, weight, and height
  • Record patients' medical history, vital statistics, or information such as test results in medical records
  • Show patients to examination rooms and prepare them for the physician
  • Responsible for assisting the physician or Nurses in all types of procedures and setting the different trays as; punch biopsy, shave biopsy, excision biopsy, also assisting on cry therapy, curettage, cyst excision, electrodessication, phototherapy, face peeling procedure and skin tag removal
  • Collect blood, tissue, or other laboratory specimens, log the specimens, and prepare them for testing
  • Help physicians examine and treat patients, handing them instruments or materials or performing such tasks as giving injections or removing sutures
  • Inventory and order medical, lab, or office supplies or equipment
  • Operate x-ray, electrocardiogram (EKG), or other equipment to administer routine diagnostic tests and maintain (through prior and current medical education programs) an extensive knowledge of medical terminology and procedures
  • Coordinates a multi-faceted clinical office and supervises Medical Assistants.

Education

Surgical Technology -

Registered Medical Assistant and Certified Medical Assistant -

Registered Phlebotomy Technician -

Certified in First Aid, CPR and AED -

Skills

  • Clinical laboratory Processing Specimens
  • Hedis Charting and Documentation Review
  • Multi Electronic Medical Records
  • Out-Patient Clinical experience
  • Utilization Management Coordinator
  • Call Center In-Bound and Out-Bound
  • Case Management Coordinator
  • Surgical Technician
  • Phlebotomy Technician
  • Sterile Processing Technician
  • Surgical Scheduler Coordinator
  • Customer Service and Call Center
  • Clinical research Assistant
  • Referrals and Authorizations Specialist
  • Insurance/Referrals Benefits Coordinator
  • Clinical Administration and support
  • Clinical leadership and supervision
  • Case Manager Assistant In-Patient and Outpatient Coordinator
  • Customer Service Representative
  • Specialties: Urology
  • Gastroenterology
  • Cardiology
  • Internal Medicine
  • Rheumatology/Allergy
  • Oncology
  • Fertility and Neurology
  • Dermatology
  • OB/GYN
  • Endocrinology
  • Progress Monitoring
  • Discharge Planning
  • Quality Improvement
  • Care Planning
  • Service Utilization Improvements
  • Quality Control
  • Interpersonal Communication
  • Healthcare Delivery

Timeline

CARE MANAGEMENT COORDINATOR

CANO HEALTHCARE
08.2024 - Current

HEDIS Chart REVIEW Medical RECORDS (REMOTE)

TotalMed staffing Agency
06.2019 - 05.2023

Surgical Technology (Internship Clinical Rotation) (600 hours / 85 Cases)

Baptist Health of South Florida
10.2011 - 06.2012

LEAD Registered Medical Assistant / Phlebotomy Technician / Surgical Technician

CENTRAL CARE INC.
01.2007 - 12.2018

Laboratory Technician/Registered Medical Assistant

CENTER FOR ATHRITIS AND RHEUMATIC DISEASE
10.2002 - 12.2006

LEAD REGISTERED MEDICAL ASSISTANT /LABORATORY TECHNICIAN

University of Miami Hospital and Clinics
02.1990 - 09.2002

Surgical Technology -

Registered Medical Assistant and Certified Medical Assistant -

Registered Phlebotomy Technician -

Certified in First Aid, CPR and AED -

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Carmen Maloney