CHENEE JOHNSON
Saint Louis,MO
Summary
Determined individual seeking a healthcare managerial position to utilize my clerical and administrative skills along with my proficiency in medical terminology in order to orchestrate a smooth flow of office operations in various departments
Overview
11
11
years of professional experience
Work History
CASE MANAGER
Eversana Life Sciences Services
11.2024 - Current
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Help patients with questions about benefits administration and medical treatments.
- Manage pre authorization procedures with payers and carry out in-depth research into patient benefits.
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Enhanced communication between clients and providers through consistent follow-ups and progress updates.
- Achieved positive client outcomes by developing and implementing comprehensive case management plans.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Developed and implemented comprehensive case management plans to address client needs and goals.
- Serve as a patient advocate and educator, ensuring seamless communication between patients, caregivers, and healthcare providers.
- Field and triage incoming calls from patients and caregivers, routing them to the appropriate team as needed.
- Provide information to patients on accessing reliable sources of healthcare information.
- Assess patient needs and match them with suitable resources and support available through the program.
- Conduct benefit investigations and prior authorizations with payers.
- Support ongoing department projects and maintain patient-centered excellence in all interactions.
- Serve as a point of contact for patients, caregivers, and medical professionals to guarantee understanding and effective communication.
PROGRAM MANAGER
Resources for Human Development
08.2024 - 11.2024
- Managed and supervised administrative and daily program operations, complying with policies and regulations.
- Conducted comprehensive program evaluations, identifying areas for improvement and recommending actionable solutions.
- Managed multiple strategic projects with numerous sub-projects or workstreams.
- Identified program obstacles and communicated possible impacts to team.
- Utilized data-driven decision-making approaches to inform strategy development and optimize outcomes.
- Ensured regulatory compliance by closely monitoring adherence to industry standards and guidelines throughout the program lifecycle.
- Managed and motivated employees to be productive and engaged in work.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
- Maximized performance by monitoring daily activities and mentoring team members.
- Improved safety procedures to create safe working conditions for workers.
- Oversaw inventory management, optimizing stock levels, and reducing waste.
- Developed and executed marketing strategies that effectively communicated brand values, increasing brand recognition.
- Led cross-functional teams to achieve project goals, fostering collaboration and innovation.
HR Specialist
Centene
03.2022 - 08.2024
- Managed the hiring process on completing the process for completing the onboard process for new employees
- Addressing any concerns employees may have
- Implementing compliance and labor laws
- Developed strong relationships with clients, ensuring accurate understanding of their needs and matching them with top talent.
- Placed advertisements, evaluated applicant credentials, conducted initial interviews and pre-screening assessments.
- Supported onboarding initiatives for new hires, contributing to a smooth transition into the organization.
- Evaluated strengths and weaknesses of candidates through effective screening processes.
- Managed full-cycle recruiting processes, resulting in successful placements and employee satisfaction.
- Collaborated with hiring managers to identify talent needs and develop effective job descriptions.
- Participated in professional development opportunities related to human resources management and recruiting practices.
- Enhanced candidate experience by streamlining the interview process and providing timely feedback.
- Established ongoing communication channels with past applicants, creating an active network of potential future candidates.
LEGAL ADMINISTRATIVE SPECIALIST
Department of Veteran Affairs
09.2018 - 03.2022
- Collected all pertinent data and facts required for legal investigation and case processing.
- Overseen customer interactions and training initiatives in areas of subject-matter knowledge.
- Gathered all pertinent data and facts, including expert medical-legal evaluations, required for case processing.
manages and prioritizes caseloads while negotiating settlements and concessions within authority. - Demonstrated initiative and sound judgment.
guarantees that assignments are produced, explored, examined, and recorded in a comprehensive and correct manner in compliance with the guidelines given. - Overseen customer interactions and training initiatives in areas of subject-matter knowledge.
acts as a trainer, coach, and mentor to less seasoned or new employees. - Overseen internal program improvement teams or projects aimed at raising the standard and efficacy of the provision of legal services.
- Communicating politely and efficiently orally and in writing helps build professional connections and provide efficient legal services both inside and outside of OGC.
- Resolved problems and disputes that come up at work and/or during completing tasks as given.
- Used sound judgment while seeking advice from lawyers and superiors when confronted with challenges, new problems, or concerns that are exceptionally complicated or obvious.
- Acted as a coordinator and project manager for specific initiatives.
- Acquires thorough, in-depth, and useful topic and program knowledge of VA debt and/or subrogation programs, operations, and goals.
CARE COORDINATOR
Wellcare
04.2016 - 09.2018
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at the clinic.
- Conducted ongoing assessments of departmental processes to identify areas of improvement related to patient care coordination.
- Collaborated closely with physicians regarding treatment plans, ensuring continuity of care and seamless transition between care providers.
- Facilitated problem-solving among team members to address complex issues related to patient care coordination effectively.
- Participated in continuous professional development opportunities to stay current with industry best practices in patient care coordination.
- Assisted in the development of departmental policies, procedures, and standards for improved patient care coordination.
- Led initiatives aimed at improving overall patient experience within the facility through surveys, feedback analysis, and strategic action plans.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Communicated with patients, ensuring that medical information was kept private.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Negotiated with insurance companies to secure coverage for necessary treatments, alleviating financial burdens for patients.
- Improved patient care outcomes with meticulous follow-up on treatment plans and medications.
PATIENT ACCESS REPRESENTATIVE
St.Louis Children's Hospital
01.2014 - 04.2016
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Maintained accurate patient records, contributing to a well-organized database for seamless information access across departments.
- Streamlined patient registration processes by implementing efficient data collection methods and reducing wait times.
- Developed proficiency in various healthcare software programs for accurate documentation of patient encounters and streamlined workflows within the department.
- Improved patient satisfaction scores by actively addressing concerns and providing prompt assistance during the check-in process.
- Assisted with administrative tasks such as filing, data entry, and report generation to support streamlined office operations.
- Demonstrated excellent problem-solving skills by identifying potential bottlenecks within the registration process and implementing effective solutions to address them.
- Supported medical staff by coordinating diagnostic testing appointments, lab results retrieval, and necessary referrals in a timely manner.
- Enhanced departmental collaboration by regularly liaising with medical, nursing, and administrative staff on pertinent patient matters.
- Collaborated with healthcare providers to ensure timely appointment scheduling and coordinated follow-up care for patients'' needs.
- Contributed to revenue cycle improvements by identifying and rectifying billing discrepancies.
- Assisted in reducing no-show rates by implementing reliable follow-up and reminder system for appointments.
Education
MASTERS - BUSINESS ADMINISTRATION
University of Phoenix
Phoenix, AZ04.2021
BACHELOR OF SCIENCE - HEALTHCARE ADMINISTRATION MANAGEMENT
University of Phoenix
Phoenix, AZ05.2014
Skills
- Advocacy
- Crisis Intervention
- Partnership Development
- Strategic Planning
- Stakeholder Communication
- Project Management
- Data Analysis
- Project Documentation
- Compliance Management
- Risk Assessment
- Team Leadership
- Program Monitoring
- Healthcare Coordination
- Patient Advocacy
- Case management
- Patient Advocacy
- Healthcare coordination
- Compliance management
- Applicant tracking systems
- Onboarding processes
- Labor laws
- Effective communication
- Conflict resolution
- Talent acquisition
Accomplishments
- Managed caseload of 180 patients each month.
- Reduced complaints by 11% per quarter.
- Oversaw 200 cases each month.
- Supervised team of 15-20 staff members.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Resolved product issue through consumer testing.
References
Upon Request
Timeline
CASE MANAGER
Eversana Life Sciences Services
11.2024 - Current
PROGRAM MANAGER
Resources for Human Development
08.2024 - 11.2024
HR Specialist
Centene
03.2022 - 08.2024
LEGAL ADMINISTRATIVE SPECIALIST
Department of Veteran Affairs
09.2018 - 03.2022
CARE COORDINATOR
Wellcare
04.2016 - 09.2018
PATIENT ACCESS REPRESENTATIVE
St.Louis Children's Hospital
01.2014 - 04.2016
MASTERS - BUSINESS ADMINISTRATION
University of Phoenix
BACHELOR OF SCIENCE - HEALTHCARE ADMINISTRATION MANAGEMENT
University of Phoenix
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