Cledy Flores
Palm Springs,FL
Summary
Results-driven coordination professional with extensive experience in optimizing operational systems and ensuring seamless project execution. Known for fostering strong team collaboration and driving consistent results through adaptive strategies. Renowned for problem-solving skills and ability to manage multiple priorities effectively.
Overview
5
5
years of professional experience
Work History
Service Coordination Manager
Family First Homecare
2024.08 - Current
- Manage care schedules for 33 patients and coordinate shift assignments for 100+ field nurses, ensuring skillset alignment with patient needs.
- Oversee schedule changes, verify completed shifts, and resolve conflicts to ensure continuous care.
- Manage field nurse hours for payroll accuracy and submit timely insurance authorizations via Kantime EMR.
- Conduct weekly client calls, monitor KPIs, and review documentation to meet QAPI audit requirements.
- Reviewed and processed authorization requests, ensuring compliance with regulatory standards.
- Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
- Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
- Prevented delays in care delivery by proactively identifying potential issues during the pre-authorization process and seeking clarification from providers when needed.
Personnel Coordinator
Family First Home Homecare
2023.06 - 2024.08
- Coordinated recruitment processes, enhancing candidate experience and improving overall hiring efficiency.
- Developed onboarding programs, ensuring new hires received comprehensive training and support.
- Managed employee records using HRIS, maintaining accuracy and compliance with regulations.
- Led training sessions for HR team members, sharing best practices and improving operational effectiveness.
- Cross-trained to cover other personnel staff duties to facilitate office management.
- Analyzed workday data to identify trends, driving strategic decisions around talent management and development.
Registered Pharmacy Technician
Publix
2020.10 - 2023.04
- Processed prescription orders and third-party insurance claims with 99% accuracy, ensuring compliance with pharmacy regulations.
- Assisted in preparing and labeling prescriptions, supporting timely order fulfillment for up to 150 prescriptions daily.
- Handled patient and provider inquiries, escalating therapeutic questions to pharmacists as needed.
- Maintained accurate accountability records, enabling quick retrieval during audits.
- Managed medication inventory and ensured accuracy in prescription filling.
- Assisted pharmacists with patient consultations and medication management.
- Trained new pharmacy technicians on operational procedures and software systems.
Education
Bachelor of Arts - Health Administration
Florida Atlantic University
Boca Raton, FL2023-05
Skills
- Business analysis
- Meeting facilitation
- Positive attitude
- Teamwork
- Attention to detail
- Absence management
- Maintaining employee records
- Payroll processing
- Cross-functional coordination
- Documentation and recordkeeping
- Workday implementation
- Claims management
Languages
Spanish
Timeline
Service Coordination Manager
Family First Homecare
2024.08 - Current
Personnel Coordinator
Family First Home Homecare
2023.06 - 2024.08
Registered Pharmacy Technician
Publix
2020.10 - 2023.04
Bachelor of Arts - Health Administration
Florida Atlantic University