Summary
Overview
Work History
Education
Skills
Timeline
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CAROLYN CARLTON

Bedford,OH

Summary

Motivated Health Professional and Leader, with a highly effective communication style. Efficient worker who demonstrates strong time management and prioritization skills. Multi-talented and consistent with planning and operational improvements. Experience with staff management and positively impacting overall morale and productivity.

Overview

29
29
years of professional experience

Work History

Practice Performance Coordinator

United Healthcare Group
02.2022 - 05.2023
  • Collaborate with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment
  • Assess performance in relation to goals and made recommendations to promote continuous improvements.
  • Promote efficiency and helping patients with diverse needs.
  • Demonstrated strong organizational and time management skills while managing multiple projects
  • Adaptable and proficient in learning new concepts quickly and efficiently
  • Exercised leadership capabilities by successfully motivating and inspiring others
  • Self-motivated, with a strong sense of personal responsibility
  • Proven ability to learn quickly and adapt to new situations

Senior Patient Navigator

University Hospitals Accountable Care Organization
06.2019 - 02.2022
  • Worked in conjunction with UHACO Manager of Engagement and Education and clinical care teams to improve performance: HEDIS, Risk Adjustment and other supplement data requests from third party payers/other metrics/ quality indicators while preparing and providing monthly/quarterly updates on progress as needed.
  • Assist with data collection and special projects as assigned.
  • Perform and tracked multiple tasks accurately in a short time frame.
  • Serve as lead transition of care facilitators to assist with backup support and organizing reports.
  • Mentor and train new team members.
  • Perform telephonic outreach to patients to help direct appropriate care and closed open gaps.
  • Led CMS GPRO reporting activities leading to multi-million incentive dollars.
  • Organize and train Navigators on quality "portals" and workflows.
  • Teach back method meaningful conversations with patient to ensure they know how to manage their conditions, care while increasing knowledge and awareness on "age appropriate" test needed.
  • Initiate Provider meeting with queued up data actionable reports and workflows when appropriate.
  • Skilled at working independently and collaboratively in a team environment
  • Demonstrated a high level of initiative and creativity while tackling difficult tasks

Patient Navigator II, III

University Hospitals Accountable Care Organization
03.2014 - 06.2019
  • Successfully work to resolve barriers to care that impact timely healthcare services, while aligning patients with members of the care team.
  • Effectively monitored and track patient utilization trends, primary care provider alignment, barriers and chronic conditions to help support patient /care givers.
  • Assisted and led wellness quality measure campaigns and special outreach community projects.
  • Performed and tracked multiple tasks accurately in a short time frame.
  • Engaged and initiated meaningful dialogue with stakeholders and/or other staff members regarding treatment plans as deemed appropriate by team leader.
  • Mentored and trained new team members.
  • Demonstrated leadership skills in managing projects from concept to completion
  • Worked well in a team setting, providing support and guidance
  • Gained extensive knowledge in data entry, analysis and reporting
  • Paid attention to detail while completing assignments
  • Excellent communication skills, both verbal and written

Medical Assistant II

University Hospitals
12.2007 - 03.2014
  • Provided and supported excellent patient care and process to ensure the best patient experience and care.
  • Employed excellent motivational interview skills to help improve patient referrals to needed specialists and resources to help improve compliancy with care.
  • Monitored vital signs, such as blood pressure and pulse.
  • Tested and recorded blood glucose levels.
  • Obtained information about clients' medical history, drug history, complaints and allergies.
  • Performed procedures and uses equipment as delegated by a licensed professional, including blood draws, foley catheter removal and EKGs.

Medical Assistant

Private Practice
06.2005 - 12.2007
  • Maintained accurate records of patient care, condition, progress and concerns.
  • Monitored vital signs, such as blood pressure and pulse. Tested and recorded blood glucose levels.
  • Obtained information about clients' medical history, drug history, complaints and allergies.
  • Performed procedures and uses equipment as delegated by a licensed professional, including blood draws, foley catheter removal and EKGs.
  • Monitored expiration of medical supplies and medications.

Medical Assistant

Professional Staffing Innovation
06.2002 - 06.2005
  • Maintained accurate records of patient care, condition, progress and concerns.
  • Monitored vital signs, such as blood pressure and pulse.
  • Responded appropriately to physical, emotional and developmental needs of patients.
  • Obtained information about clients' medical history, complaints and allergies.
  • Reported any unusual circumstances in patients' condition or environment.
  • Provided comforting and soothing environment.
  • Monitored expiration of medical supplies and medications.

Education

Certification - Diabetes

American Association of Diabetes Educators
2019

Certification - Nationally Registered Certified Medical Assistant

National Association For Health Professionals
2018

Certification of Completion - Oncology Patient Navigation Training: The Fundamentals

GW Cancer Center
2017

Certification - Patient Navigation Certification Curriculum

Harold P. Freeman Patient Navigation Institute
2015

Training - undefined

UHACO Patient/ Health Navigator Training
2014

Certification - Medical Assistant

Cleveland Institute of Dental and Medical Assistant
Cleveland, OH
1989

Skills

  • Nationally Registered Certified Medical Assistant with over 20 years of clinical and medical background
  • Strong analytical and critical thinking skills
  • Comprehensive ability with Excel and Data Analysis
  • Highly organized with attention to detail, able to work as part of a team and individually
  • Efficient and reliable team player
  • Excellent verbal and written communication skills
  • Patient education and advocacy
  • Compassionate patient care

Timeline

Practice Performance Coordinator

United Healthcare Group
02.2022 - 05.2023

Senior Patient Navigator

University Hospitals Accountable Care Organization
06.2019 - 02.2022

Patient Navigator II, III

University Hospitals Accountable Care Organization
03.2014 - 06.2019

Medical Assistant II

University Hospitals
12.2007 - 03.2014

Medical Assistant

Private Practice
06.2005 - 12.2007

Medical Assistant

Professional Staffing Innovation
06.2002 - 06.2005

Certification - Diabetes

American Association of Diabetes Educators

Certification - Nationally Registered Certified Medical Assistant

National Association For Health Professionals

Certification of Completion - Oncology Patient Navigation Training: The Fundamentals

GW Cancer Center

Certification - Patient Navigation Certification Curriculum

Harold P. Freeman Patient Navigation Institute

Training - undefined

UHACO Patient/ Health Navigator Training

Certification - Medical Assistant

Cleveland Institute of Dental and Medical Assistant

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