Resourceful Service Coordinator with proven ability to deliver high productivity and efficiently complete tasks. Skilled in client relationship management, problem-solving, and workflow coordination. Excel in communication, teamwork, and adaptability, ensuring seamless service delivery and client satisfaction.
Overview
9
9
years of professional experience
Work History
Service Coordinator
AmeriHealth Caritas
Philadelphia, PA
01.2024 - Current
Ensures satisfaction to program eligible participants who have Medicaid or both Medicaid and Medicare
Meets with participants in their homes for the scheduled InterRai assessment , scheduled care plan or scheduled wellness visit
Assist new Service coordinators with shadowing and the workflow of the position
Visits participants who receive 24 hour per day personal assistant services monthly
Ensures all communication is clearly documented within 48 hours
Manage inquiries from participants or providers
Maintain authorizations on ELTSS system
Manage authorizations on Microsoft Excel Sheet
Identify needs and services during the required assessment
Manage a caseload of over 60 participants
Lead the participant-centered planning and service (PCPS) delivery process and oversee its implementations
Investigates incident reports, documents findings and completes Incident on HCSIS database in a timely manner
Repeatedly acknowledged as in compliance with weekly productivity
Provides information to participants and facilitates access to, locating, coordinating and monitoring needed services and supports for participants.
Enrollment Specialist
AmeriHealth Caritas
Philadelphia, PA
12.2022 - 01.2024
Accurately updated member information in the healthcare system, including demographics and eligibility status
processed enrollments, dis-enrollments, and demographic changes
Managed records in Facets database
Service Coordinator
AmeriHealth Caritas
Philadelphia, Pennsylvania
07.2019 - 09.2021
Ensured satisfaction to program eligible participants who have Medicaid or both Medicaid and Medicare
Met with participants in their homes for the scheduled InterRai assessment , scheduled care plan or scheduled wellness visit
Assisted new Service coordinators with shadowing and the workflow of the position
Visited participants who receive 24 hour per day personal assistant services monthly
Ensured all communication is clearly documented within 48 hours
Managed inquiries from participants or providers
Maintained authorizations on ELTSS system
Managed authorizations on Microsoft Excel Sheet
Identified needs and services during the required assessment
Managed a caseload of over 90 participants
Lead the participant-centered planning and service (PCPS) delivery process and oversee its implementations
Investigated incident reports, documents findings and completes Incident on HCSIS database in a timely manner
Repeatedly acknowledged as in compliance with weekly productivity
Provided information to participants and facilitates access to, locating, coordinating and monitoring needed services and supports for participants.
Forensic Intensive Recovery Case Manager
Public Health Management Corporation
Philadelphia, Pennsylvania
05.2016 - 07.2019
Provided excellent customer service to participants
Assisted each participant with developing recovery goals and provided feedback
Collaborated with and attended weekly meetings with probation officers, treatment providers and other collaborating agencies
Completed initial assessment and established quarterly goals
Assisted new Forensic Intensive recovery case managers with shadowing and the work flow of the job
Maintained a caseload of over 50 participants
Scheduled to meet with participants at the identified treatment program, recovery residence, home setting, or in the community
Assisted eligible criminal offenders who are offered substance abuse treatment in lieu of incarceration with recovery support services, such as institutions, mental health services and other community supports.