CHRISTELLE JEANBAPTISTE
Brooklyn
Summary
Public health professional with expertise in healthcare system navigation and care coordination. Proven ability to manage complex Medicaid cases, facilitate referrals, and monitor client entitlements, fostering collaboration among interdisciplinary teams to enhance client outcomes and support systems.
Overview
4
4
years of professional experience
Work History
Health Homes Care Coordinator
Alliance For Positive Change
Midtown Manhattan
03.2025 - Current
- Managed a caseload of 35+ clients with psychiatric and co-morbid medical conditions, ensuring continuity of care and addressing barriers to treatment adherence.
- Conducted comprehensive Care Plan reviews and confirmed intensity levels to align services with Health Home standards.
- Facilitated medical, behavioral health, and substance use referrals; ensured follow-up and client attendance through direct support.
- Provided proactive outreach via phone, field visits, and reminder calls to engage clients and reduce missed appointments.
- Monitored hospitalizations and ER visits; coordinated with care team for timely alerts and provided follow-up support post-discharge.
- Tracked client progress through agency databases and interdisciplinary case conferences; ensured timely and accurate documentation.
- Cultivated a network of providers and community resources to enhance client support systems.
- Monitored client entitlements and benefits, assisting with Medicaid recertification and reinstatement of coverage when needed.
- Participated in professional development and ongoing training to maintain knowledge of chronic disease management and behavioral health regulations.
Member Engagement Representative
Molina Healthcare
06.2022 - 05.2024
- Managed 50+ Medicaid recertification cases weekly, conducting thorough eligibility reviews for Medicaid, Essential Plan (EP), and Child Health Plus (CHP) programs.
- Assessed client needs and guided members through complex eligibility processes, enhancing understanding and navigation of available services.
- Facilitated appointments, transportation, and referrals to streamline access to healthcare and community resources for members.
- Resolved escalated billing and claims issues by collaborating with providers and internal departments.
- Built and maintained strong relationships with healthcare providers and community-based organizations to improve care coordination.
- Trained and mentored new staff on Medicaid eligibility policies, HIPAA compliance, and documentation standards to ensure consistent service delivery.
- Conducted outreach calls to promote care plan adherence, medication refills, and follow-up appointment attendance.
- Ensured compliance with state and federal regulatory requirements through accurate, timely documentation.
Education
B.A - Psychology
Brooklyn College
Brooklyn01-2023
Skills
- Care Coordination
- Patient Management
- Healthcare system navigation
- Clinical documentation
- Patient education
- Resource management
- Time management
- Organization
- Communication skills
Professional Overview
Public health professional with 3+ years of experience in Medicaid and managed care programs. Extensive background in behavioral health case management, Medicaid/Medicare eligibility, and interdisciplinary team collaboration. Adept at building provider networks, monitoring client entitlements, and improving care coordination.
Timeline
Health Homes Care Coordinator
Alliance For Positive Change
03.2025 - Current
Member Engagement Representative
Molina Healthcare
06.2022 - 05.2024
B.A - Psychology
Brooklyn College