Courtney Rayburn
Missouri City,TX
Summary
Remote Care Manager with 10+ years of experience supporting Medicaid and Medicare populations through behavioral health coordination, psychosocial assessments, and proactive outreach. Skilled in referral management, appointment scheduling, and LTSS linkage, with a consistent record of 95%+ compliance across multi-state programs. Passionate about delivering patient-centered care that improves access, engagement, and overall health outcomes.
Overview
13
13
years of professional experience
Work History
Care Manager
Bamboo Health
05.2024 - 01.2026
- Coordinated behavioral health services for Medicaid/Medicare populations across multiple states.
- Conducted comprehensive psychosocial assessments and developed care plans tailored to individual needs.
- Utilized Athena EHR and Salesforce to manage documentation, ensuring 95%+ compliance.
- Connected members to LTSS resources and facilitated timely care interventions.
- Collaborated closely with cross-functional teams to support continuity of care and patient advocacy.
- Conducted high-volume outbound calls to members and providers to schedule appointments, monitor referral status, and ensure continuity of behavioral health care.
Senior Clinical Patient Care Navigator
UnitedHealthcare
03.2021 - 12.2022
- Delivered PHQ-9/GAD-7 behavioral screenings and triaged members to appropriate care levels.
- Created integrated care plans in collaboration with behavioral health, medical, and social services teams.
- Ensured HIPAA compliance while managing data via SAP CRM.
- Enhanced care access and retention through proactive outreach and chronic care management.
- Assisted members with social determinants of health and linked to appropriate community resources.
- Educated member on gaps in care and assisted with scheduling provider appointments.
Medical Transportation Coordinator
Medical Transportation Management
02.2020 - 12.2020
- Coordinated non-emergency medical transport for patients with complex needs.
- Verified eligibility and ensured service compliance with HIPAA and regulations.
- Managed high-volume scheduling and maintained communication with clients.
- Coordinated dispatching of 20+ drivers to accomplish daily appointment requirements.
Case Manager
Texas Health and Human Services Commission
01.2016 - 06.2018
- Assessed client needs and developed individualized care plans.
- Assisted clients in navigating housing, SNAP, Medicaid, legal services and public benefits to gain access to valuable resources.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Partnered with local organizations to expand access to social and community services.
Technical Support Specialist II
Cox Communications Inc.
07.2013 - 06.2015
- Documented service issues and maintained performance metrics.
- Followed up with clients to verify optimal customer satisfaction following support engagement and problem resolution.
- Managed high levels of call flow and responded to technical support needs.
- Provided high-level technical support by resolving inquiries by phone, e-mail and web consistent with department and team service levels and goals.
- Explained technical information in clear terms to promote better understanding for non-technical users.
Education
Bachelor of Science - Behavioral Health
University of Houston- Downtown
Houston, TX05-2022
Associate of Science - Health Sciences
Houston Community College
Houston, TX06-2019
Skills
- Clinical Coordination
PHQ-9 GAD-7 Psychosocial Assessments Care Planning - Technical Tools
Athena EHR, Salesforce, SAP CRM, Microsoft Office, EMR Systems
- Soft Skills
Patient Advocacy, Confidentiality Compliance, Interdisciplinary Collaboration
Timeline
Care Manager
Bamboo Health
05.2024 - 01.2026
Senior Clinical Patient Care Navigator
UnitedHealthcare
03.2021 - 12.2022
Medical Transportation Coordinator
Medical Transportation Management
02.2020 - 12.2020
Case Manager
Texas Health and Human Services Commission
01.2016 - 06.2018
Technical Support Specialist II
Cox Communications Inc.
07.2013 - 06.2015
Associate of Science - Health Sciences
Houston Community College
Bachelor of Science - Behavioral Health
University of Houston- Downtown