- Current caregiver
- Continuing education in value-based care
Hi, I’m
Cynthia Mendez
Fort Worth,TX
Summary
As a Dynamic Value-Based Care Coordinator at Fort Worth Renal Group, I bring extensive expertise in coordinating patient care to optimize the patient experience and healthcare outcomes. With a strong track record of success, I have demonstrated the ability to effectively implement Transitional Care Management (TCM) and Chronic Kidney Disease (CKD) tracking processes. These initiatives ensure seamless continuity of care for patients transitioning between different healthcare settings. By proactively engaging with Chronic Kidney Care Coordination (CKCC) enrollees, I work diligently to reduce high utilization of healthcare services and associated costs. My approach focuses on team collaboration and empowering patients to take an active role in their care journey, providing them with the education, resources, and support they need to make informed decisions about their health. Throughout my work, I remain steadfastly committed to upholding Fort Worth Renal Group's core principles, morals, and values, which serve as the guiding light for delivering compassionate, patient-centric care. By combining my deep understanding of value-based care coordination with a genuine passion for improving patient lives, I strive to make a meaningful impact on the overall healthcare landscape, one patient at a time.
Overview
20
years of professional experience
Work History
Fort Worth Renal Group
Value-Based Care Coordinator
03.2024 - Current
Job overview
- Strictly adhere to HIPAA regulations and PHI guidelines.
- Monitor, track, and convey important patient information to healthcare staff to help optimize treatment planning and care delivery for chronic kidney disease stage patients 3B, 4, 5, ESRD, and transplanted patients.
- Coordinate with external healthcare professionals to arrange necessary patient treatments, ensuring continuity of care.
- Implemented patient follow-up procedures to monitor treatment progress and adjust care plans as needed.
- Closely collaborate with two external value-based care vendors to ensure accurate data reporting and streamline timely patient-centered care.
- Run reports for key performance metrics and identify opportunities for improvement.
- Schedule TCM appointments within the appropriate CMS guideline time frame.
- Communicate with rounding dialysis NPs of pending TCM encounters and expectations of completion to meet CMS guidelines of quality care.
- Identify care gaps and social determinants and successfully engage patients.
Self-employeed
Companion Caregiver
08.2014 - Current
Job overview
- Prepared nutritious meals for clients, supporting their overall health and dietary needs.
- Assisted clients with daily living activities, improving their quality of life.
- Assisted clients with daily living needs to maintain self-esteem and general wellness.
- Promoted a safe home environment by conducting regular assessments of potential hazards and implementing appropriate safety measures.
- Provided transportation to appointments and social events, promoting client independence and participation in community activities.
- Managed household chores such as laundry and cleaning, maintaining a clean and organized living space for clients.
- Developed trusting relationships with clients and their through active listening skills and empathetic communication techniques.
- Facilitated medication management for clients, ensuring proper dosage and timely administration.
- Maintained accurate documentation of client progress, including daily logs of activities and observed behaviors.
- Supported family members by offering respite care services, allowing them time for personal pursuits or relaxation.
United Healthcare Group
Patient Care Coordinator
01.2022 - 03.2024
Job overview
- Played a key role in integrating and merging new clinical systems and processes to improve interoperability between multidisciplinary care team EMR systems.
- Supported integration and acquisitions processes to facilitate smooth transitions and ensure compliance with all policies, standards, and clinical protocols.
- Supported RN Case Manager for the West Region with high-risk patient identification and TCM scheduling under the value-based-care model to achieve key performance goals.
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and concerns.
- Efficiently lead the external vendor in scheduling urgent appointments to reduce high-cost inpatient care.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Fostered strong relationships with referral sources for increased network connections, benefiting both the clinic and its patients through expanded resources.
- Acted as a knowledgeable resource for patients seeking information about community resources and support services available to them to overcome social determinants.
- Reduced wait times by implementing an effective appointment reminder system for patients, minimizing no-shows and late arrivals.
- Collected co-pays, deductibles and cash fees.
Education
Kaplan Higher EducationFort Worth, TX
Associate of Science from Criminal Justice
08-2014
University Overview
- Honor Roll 2013
- 3.7 GPA
- Relevant Coursework: Psychology
Skills
- Cultural sensitivity
- Time management
- Leadership
- Training
- Patient coordination
- Process improvement
- Organizational skills
Accomplishments
- Recognized for patient experience and satisfaction by Chief Administrator Officer (CAO).
- Implemented CKCC patient trackers for overall patient quality care accountability metric measures.
Interests
Timeline
Value-Based Care Coordinator
Fort Worth Renal Group
03.2024 - Current
Patient Care Coordinator
United Healthcare Group
01.2022 - 03.2024
Companion Caregiver
Self-employeed
08.2014 - Current
Kaplan Higher Education
Associate of Science from Criminal Justice
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