A resourceful and resolute health care worker, with experience working alongside and in support of doctors. Accredited training in clinical and laboratory procedure. With 10+ years' experience in a challenging environment, while excellent clinical, bedside manner, communication, teamwork, and health promotion skills. Consistently, striving to improve the quality of life in the health and well-being of patients and their families.
Adaptable Income Maintenance Caseworker looking to tackle new responsibilities and build upon skills. Committed to assisting clients in receiving optimum benefits. Considerable knowledge of all agency programs and community program services.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Income Maintenance Caseworker
Johnston County Department of Social Services
Smithfield, NC
01.2024 - Current
Conducted home visits to verify information on applications.
Performed data entry into computer systems for tracking client information.
Reviewed and evaluated client applications for eligibility of public assistance programs.
Investigated fraud or abuse in cases related to public assistance programs.
Participated in trainings and workshops related to income maintenance caseworker duties.
Advised clients on how best to use their benefits in order to improve their quality of life.
Researched documents needed to process applications or claims accurately.
Ensured compliance with applicable regulations and procedures.
Provided information to clients regarding available services and resources.
Interpreted policies, laws, and regulations relevant to assigned caseloads.
Analyzed complex situations involving multiple issues and developed appropriate solutions.
Responded timely to inquiries from clients regarding their benefits status.
Assessed and documented the financial, medical, and other needs of clients.
Maintained accurate records of case notes and progress reports.
Aided clients in identifying and removing barriers to financial self-sufficiency.
Explained eligibility details and affordability options to patients with kindness and respect.
Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
Participated in and successfully completed on-the-job training.
Interviewed persons applying for public assistance programs.
Proofread documents carefully to check accuracy and completeness of all paperwork.
Answered questions and responded to inquiries to deliver high level of service to patients.
Informed applicants of other agencies providing useful or related assistance.
Conducted interviews with applicants, explaining benefits process, and which programs were available.
Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
Maintained positive working relationship with fellow staff and management.
Population Health Specialist
WakeMed
Raleigh, NC
06.2019 - 12.2023
Ensuring implementation of best practices in patient care and staff training to promote health and wellness
Led multidisciplinary, continuous quality improvement program to improve patient outcomes
Took patient medical histories and vital signs as well as performed injections and diagnostic procedures and ancillary tests
Identifying quality gaps in over 100 patients daily, with complex health needs, to ensure that appropriate follow-up and medical care is provided
Uses motivational interviewing to discuss services due with patients based on standing orders and quality measures guidelines
Work with payer's and external partners to download beneficiary, utilization, and quality data monthly
Communicated with patients to understand health needs and challenges
Educated clients and families on rights and responsibilities.
Advised patients on dietary choices, hygiene practices, and strategies to prevent diseases effectively.
Managed multiple projects while showcasing strong organizational and time management skills
Showcased exceptional initiative and creativity in overcoming challenging assignments.
Contributed effectively in a collaborative work environment, offering assistance and leadership
Analyzed and assessed solutions to solve problems using critical thinking skills.
Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
Evaluated potential vendors for products and services to support the organization's population health informatics efforts.
Ensured compliance with relevant laws, regulations, and guidelines regarding privacy and security of patient data.
Provided technical support for population health informatics projects, such as database design and implementation.
Facilitated communication among cross-functional teams working on diverse aspects of a project in population health informatics.
Maintained current knowledge of population health informatics trends, best practices, and industry standards.
Participated in meetings with senior management team members to discuss progress made towards goals set forth by departmental objectives.
Identified opportunities for improvement in existing processes related to population health informatics initiatives.
Conducted training sessions for staff members on proper use of population health informatics systems.
Evaluated requests from external partners regarding access to patient data stored within the system.
Monitored performance metrics associated with population health informatics activities on an ongoing basis.
Communicated with patients with compassion while keeping medical information private.
Medical Assistant
Clayton Medical Associates
Clayton, NC
04.2017 - 05.2019
Verified information by conducting patient interviews, documenting medical histories, and confirming reasons for visits.
Scheduled appointments, registered patients, and distributed sample pharmaceuticals as directed by prescriptions.
Prepares patients for examination by performing preliminary physical tests; taking blood pressure, weight, and temperature; reporting patient history summary
Assisted with routine checks and diagnostic testing by collecting and processing specimens
Performed preparation of lab specimens for diagnostic evaluation
Helped improve patient outcomes by educating and advising on relevant treatments and care
Preparing and administering medications & Immunizations/injections as directed by physician
Transmitting prescription refills as directed
Removing sutures and changing dressings
Completed EKGs and other tests based on patient present in office
Update and file patients' medical records, fill out insurance forms, hand correspondence, scheduling appointments, triage calls, arranging for hospital admission and laboratory service
Prior authorization & schedule surgeries & diagnostic procedure such as MRI's CT's
Sanitized, restocked, and organized exam rooms and medical equipment
Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments
Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted
Collaborated with medical and administrative personnel to maintain patient-focused, engaging, and compassionate environment
Updated inventory, expiration and vaccine logs to maintain current tracking documentation
Oriented and trained new staff on proper procedures and policies.
Education
Bachelor of Science - Health Sciences
Kaplan University
05.2015
Associate of Science - Medical Assistant
Kaplan University
05.2012
Skills
Problem Management
Program Enrollments
Quality Control Procedures
Clinical Interviewing
Regulatory Compliance
Case Management
Critical Thinking
EMR Systems
Infection Control Procedures
Patient Monitoring
Time Management
Medicare Compliance
Health and safety requirements
Healthcare laws and regulations
Project oversight
Profit improvements
Computational abilities
Compliance standards
HIPAA knowledge
Schedule Management
HIPAA Compliance
Strong client relations abilities
Eligibility Determination
Policy Interpretation
Reporting
Maintains confidentiality
Verbal and written communication
Accounting basics knowledge
Customer service experience
Relationship Building
Cultural Sensitivity
Certification
CPR/BLS Certified
References
References available upon request.
Timeline
Income Maintenance Caseworker
Johnston County Department of Social Services
01.2024 - Current
Population Health Specialist
WakeMed
06.2019 - 12.2023
Medical Assistant
Clayton Medical Associates
04.2017 - 05.2019
Bachelor of Science - Health Sciences
Kaplan University
Associate of Science - Medical Assistant
Kaplan University
CPR/BLS Certified
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