Staffing professional with proven expertise in recruitment, employee relations, and workforce planning. Reliable team collaborator focused on delivering results and adapting to changing needs. Skilled in communication, conflict resolution, and organizational development, ensuring seamless operational flow and effective talent management. Known for fostering supportive and productive work environment.
Overview
19
19
years of professional experience
Work History
Staffing
Platinum home healthcare
03.2024 - Current
Conducted phone screenings of candidates to assess qualifications, skills, experience, and other criteria.
Earned staff confidence by protecting and maintaining confidentiality of personnel data.
Developed and maintained a comprehensive understanding of client industries, including trends, challenges, and opportunities.
Managed and maintained candidate database and applicant tracking system, ensuring accurate and up-to-date information.
Managed and resolved employee and client complaints and issues, ensuring timely and satisfactory resolution.
Interpreted and explained human resources policies, procedures, laws, standards, and regulations.
Developed and implemented personnel policies and procedures.
Obtained information on work history, training, education, and job skills.
Informed job applicants of details such as duties and responsibilities, compensation, benefits, schedules, working conditions, and promotion opportunities.
Coordinated with outside staffing agencies to secure temporary employees, based on departmental needs.
Maintain HIPPA compliance
Mangaed caseload of over 110 Living-in patient
Credentialing Coordinator
Hospital of Special Surgery
11.2023 - 03.2024
Analyzed incoming requests for privileging and credentialing against established criteria before making recommendations for approval or denial
Utilized various software applications to accurately manage data related to credentialing processes
Researched discrepancies in application materials submitted by potential providers as needed
Created reports on credentialing activities for management review and tracking purposes
Assisted with onboarding new providers by verifying credentials according to established standards
Coordinated and monitored the renewal of all provider licenses, certifications, memberships and delegations of authority
Maintained accurate documentation of all provider information, including licensure status, privileges granted, reappointment and renewal dates, and disciplinary action taken
Performed detailed analysis of documents received from providers in order to determine if they meet organizational requirements
Facilitated communication between providers and third-party payers regarding enrollment information
Monitored expiration dates of current credentials in order to ensure that renewals are completed in a timely manner
Participated in meetings with senior leadership team members as required
Evaluated data obtained from primary source verification for accuracy prior to entering into the system
Compiled monthly performance metrics related to provider credentialing activities
Respond to telephone correspondence inquiries from members and providers utilizing reference material and available resources
Provide assistance to members and providers regarding website registration and navigation
Provider Credentialing Specialist
St. Vincent’s Catholic Medical Center/ USFHP
12.2022 - 12.2023
Maintained accurate records of all credentialing activities
Completed credentialing and re-credentialing applications to process files and applications
Obtained appropriate documents from various resources to complete applications
Created tracking systems including spreadsheets and databases to monitor the status of applications
Populated, updated and maintained credentialing software and filing systems
Secured records and data to maintain strict confidentiality
Analyzed verification data from various sources such as state boards, national organizations, and hospitals
Assisted with credentialing applications for new providers, ensuring all required documents were submitted and in compliance with guidelines
Coordinated the renewal process for existing providers’ credentials on a timely basis
Verified training certificates, licenses and other qualifications against internal standards and external requirements
Utilized electronic databases to obtain information regarding licensing, education, and certifications
Prepared profiles and completed permanent files to facilitate review and approval
Facilitated the distribution of educational materials and other information on various topics, including TASC and TABE Testing
Member Services Representative
Fidelis Care
10.2017 - 11.2022
Maintain performance and quality standards based on call center metrics
Document all call activities and information given to members and providers
Assist with pharmaceutical needs and prior authorization submissions to pharmaceutical Dept
Follow up with members and providers in a timely fashion
Make referrals to other departments as appropriate
Case Manager
Sobro Youthbuild
04.2017 - 06.2019
Created a treatment or service plan that would meet each client’s individualized needs
Maintained a high level of confidentiality in all client cases, following strict guidelines and recommendations
Assessed the needs of each client and recommended appropriate services and resources
Intervened in crisis situations to protect residents and others
Conducted competency-based, interactive interviews to identify client needs
Identified resources to help participants to overcome social/economic barriers that may prevent successful program participation, job placement & job retention
Ensured that all enrolled participants meet eligibility criteria of respective programs/contracts
Conducted ongoing assessments toward preparing participant to enter the workplace
Developed, with the participant, an individual services strategy (ISS) that identifies steps to be taken for the participant to achieve the desired outcome
Participated and supported job placement activities including providing necessary services; including interview coaching, assistance with appropriate dress and behaviors, and other activities as necessary
Maintained records for monthly reports to include student attendance and progress
Provided follow-up services to participants upon completion of the program
Aviation boatswain’s Mate
UNITED STATES NAVY
11.2006 - 11.2012
Responsible for the safe operation and maintenance of four C-13 Mod-1 catapults and five MK-7 Mod Arresting Gear Engines
Maintenance technician -1 for the Deck and Tile department
Dry-Dock planned incremental deck department, contributed to the completion 50,000 square feet of tile replacement and PRC reseals
Overhauling and rehab of 20 U.S.S Nimitz Berthing
Accountable for ALRE tool control and Issue
Monitor tool issue for four work centers with over 50 maintenance personnel
Fuel surveillance
Navy oil Analysis
Aviators breathing Oxygen Surveillance
Hydraulic Contamination Control
Quality assurance audits
Naval Aviation Maintenance Discrepancy Reporting
Education
High School Diploma - Education
Young Womens Leadership Academy
New York, NY
Skills
Excel
Phones
Mentoring
Bilingual
Call Center
Customer Service
Customer Care
Supervising
Quality assurance
Microsoft Access
Clerical
LANGUAGES
Spanish Fluent
MILITARY SERVICE
Navy, E-4, 11/01/06, 11/01/11, Coordinates with partner organizations and Case Workers assigned to our participants., Conducts workshops/presentations covering a range of topics such as: conflict resolution., Provide one on one counseling with students., Monitor group counseling session with both all male and all female groups.