Claire Lynch
Albany,NY
Summary
Detail-oriented customer representative with extensive medical services background and strong work ethic. Managed inpatient needs and outpatient services. Excellent communications skills and empathetic nature enabled achievement of positive outcomes. Dedicated administrative professional well-versed in communication and team building. Ready to bring 36 years of relevant work experience to your team.
Overview
37
37
years of professional experience
Work History
Medical Care Representative
New York State Insurance Fund
Albany, NY
11.2010 - 08.2021
- Assisted in completing and maintaining care management contracts during and after patient's hospitalization.
- Researched issues and took appropriate action to resolve issues within turnaround time requirements and quality standards.
- Prepared documents and reports for clinical reviews and discharge plans.
- Documented activities and progress in electronic medical record per defined policy and procedures.
- Facilitated communication between patients and various departments and staff.
- Followed document protocols to safeguard confidentiality of patient records.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
- Demonstrated respect, friendliness and willingness to help wherever needed.
Registered Nurse-Case Management
St. Peter’s Hospital
Albany, NY
03.2005 - 11.2010
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
- Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Responded promptly and professionally to patient questions and concerns.
- Liaised with physicians regarding patient needs, performance and changes.
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
Registered Nurse
Bellevue Woman’s Hospital
Niskayuna, NY
06.1986 - 03.2007
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
- Provided direct patient care, stabilized patients and determined next course of action.
Education
Rensselaer Polytechnic Institute
Troy, NYAssociate of Applied Science - Nursing
Maria College of Albany
Albany, NY05.1986
Skills
- Work Quality Evaluation
- Customer Service
- Customer Needs Assessments
- Patient Confidentiality and Data Security
- Database Search and Data Entry Skills
- Multitasking and Organization
- Caring and Empathetic
- Calm and Effective Under Pressure
Timeline
Medical Care Representative
New York State Insurance Fund
11.2010 - 08.2021
Registered Nurse-Case Management
St. Peter’s Hospital
03.2005 - 11.2010
Registered Nurse
Bellevue Woman’s Hospital
06.1986 - 03.2007
Rensselaer Polytechnic Institute
Associate of Applied Science - Nursing
Maria College of Albany
Similar Profiles
Minerva RiveraMinerva Rivera
Claims Representative at New York State Insurance FundClaims Representative at New York State Insurance Fund
Shaniqua ThompsonShaniqua Thompson
Licensed Practical Nurse at New York State Insurance FundLicensed Practical Nurse at New York State Insurance Fund
Dhaney PalanisamyDhaney Palanisamy
QEA Director at QualiZeal Client: State Comp Insurance FundQEA Director at QualiZeal Client: State Comp Insurance Fund