Diana Dubon

• Assist physicians and other healthcare providers by providing care coordination to ensure patients receive optimal care; interact with Primary Care Providers, Specialty Providers, and other healthcare staff to coordinate care for patients.
• Liaison between healthcare staff and patients regarding maintenance of care and treatment; work closely with Providers to ensure continuity of care and treatment; facilitate communication among patients, physicians, nurses, and other healthcare staff regarding their care, including making appointments, treatment authorizations and resource needs.
• May assist with patient referrals to appropriate community resources; may provide patient education.
• Daily management of referrals which includes, input of data into manage care system, verify member eligibility, provider participation, and tracking of pending referrals.
• Authorize Treatment Authorization Requests (TAR) for the County of Riverside Medically Indigent Services Program (MISP); coordinate Durable Medical Equipment (DME) for all Managed Care Health Plans, public and private, coordinating quotes and equipment availability.
• Assist with transfer of patients to and from RUHS Medical Center and Care Clinics and other outlying hospitals for specialized care; verify patient eligibility with associated health plans.
• Coordinate with contracted IPA's and return copies of all appropriate clinic, surgery, and emergency room progress notes; process and authorize all requests for pharmacy that are not covered in the Drug Formulary.
• Request and review all emergency room notes for managed care patients that are seen through the Emergency Department; ensure return of all notes (i.e., outpatient, surgical, and emergency) to appropriate PCP or IPA.
• Coordinate patient transfers to other facilities for higher-level of care; coordinate with Medical Social Workers to facilitate care for patients; assist patients in qualifying for Medi-Cal or other programs.
• Process Third Party claims by determining and supplying information to and from attorney respective of patient's eligibility at the time of an accident.

• Assisted in resolving patient inquiries and concerns, improving overall patient satisfaction.

• Supervise all day-to-day operations of the clinic using sound business principles
• Conduct Daily huddles
• Lead onboarding for new staff to ensure proper introduction of clinic workflows
• Attends interviews with Senior Manager
• Perform clinical support for assigned clinic provider(s)
• Build strong, positive communication with physicians, staff and peers and works as a team to enhance the success of the practice.
• Provide education and care management to patients and their families on the ongoing management of CKD
• Serve as the Value-Based care expert for the clinic
• Supervise and support coordinated care between patient, nephrologist, and other care providers as necessary
• Serve as the primary contact for referrals teams and facilitate escalations appropriately
• Serve as the insurance coverage and eligibility go-to for the clinic
• Supervise and support all regulatory standards, requirements, and guidelines as it relates to federal, state, and local regulations, as well as licensing boards and accreditation authorities
• Develops strong inter-department teamwork to meet the needs of the patients and physicians and drive decision-making and other actions
• Identify and implement opportunities to build employee morale and individual motivation
• Leads by example and serves as role model for all staff to live by MSMG-Nephrology values
• Recommend and implement new initiatives when appropriate
• Monitor patient service feedback and contribute to the process of resolving complaints and service issues
• Supervise staff to maintain proper documentation in EMR and ensure charts are in order; maintain required documentation as per Federal, State and Company Policy
• Identify and report any quality-of-care issues and patient complaints
• Maintain HIPAA compliance as it relates to care

• Facilitated training coordination and preparation for newly hired medical assistants, including execution of annual competency reviews.
• Assisted in performing standard medical assistant duties including taking vital signs such as blood pressure, height, weight, temperature, and pulse.
• Supported healthcare operations by assisting providers with medical procedures to ensure patient safety.
• Assisted patients in accurately filling out intake forms and documenting medical histories to ensure comprehensive records.
• Processed and dispatched referrals promptly to designated clerks for immediate action.
• Engaged in patient flow management initiatives while collaborating with diverse healthcare teams to optimize care delivery.
• Conducted comprehensive reviews of patient charts and related documents to maintain compliance and accuracy standards.
• Regularly inspected and replenished supplies in exam rooms, ensuring optimal conditions for medical examinations.
• Executed immunization administration for adults and children while ensuring precise record-keeping.
• Executed initiatives to enhance patient care and service delivery.
• Coordinated patient scheduling processes and managed grievance resolution alongside operations managers.
• Conducted comprehensive reviews and revisions of policies and procedures to enhance organizational effectiveness.
• Enforced strict adherence to HIPAA regulations and confidentiality standards.
• Conducted thorough inventory assessments and coordinated restocking efforts to maintain operational efficiency.
• Analyzed existing clinical processes and contributed to the creation of comprehensive training plans and competency frameworks for clinic management.
• Delivered personalized training to medical assistants to improve skills and confidence in their roles.
• Engaged in mandatory quarterly staff meetings and training sessions to enhance team collaboration.

Oversaw patient preparation for office visits and procedures to enhance care delivery. Documented concise medical histories and visit reasons in patient records to ensure comprehensive care. Monitored and recorded vital signs with precision to support clinical assessments. Collaborated with clinical staff to facilitate examinations and procedures effectively. Administered medications and injections in accordance with physician orders to optimize patient outcomes.

Coordinated activities within a fast-paced environment, prioritizing support for medical staff and maintaining exceptional patient care standards.

Executed real-time translation of conversations to ensure clarity and accuracy in Spanish-speaking interactions.

• Engaged with patients to provide comprehensive support, ensuring all concerns and questions were thoroughly addressed.
• Supported healthcare providers in conducting thorough patient examinations and procedures to enhance care delivery.
• Recorded and analyzed vital signs, focusing on blood pressure, pulse, and temperature for accurate health evaluations.
• Guided patients through examination preparations, providing detailed explanations of procedures to enhance comfort.
• Managed and updated patient records to support efficient healthcare delivery and enhance patient care.
• Monitored and documented medication administration processes as specified by healthcare providers.
• Enforced safety protocols and upheld cleanliness standards in the working environment.

Directed front office operations to elevate patient satisfaction and streamline processes. Coordinated patient scheduling and verified insurance details with precision. Developed comprehensive patient charts and managed collection of copays and coinsurance. Collaborated with Clinic Director and Physical Therapist to refine workflow efficiency.

• Engaged in continuous learning to enhance understanding of physical therapy and its applications in healthcare.
• Managed concurrent responsibilities to ensure seamless workflow and productivity.
• Demonstrated ability to interpret directions accurately and utilize sound judgment in executing job responsibilities.
• Demonstrated strong communication skills by delivering messages clearly and respectfully to diverse audiences.
• Demonstrated flexibility by organizing time and establishing priorities to meet dynamic demands.
• Supported operational integrity by upholding decisions made by supervising therapists and following guidance from supervisory staff.
• Executed assigned tasks with a strong sense of responsibility to ensure successful outcomes.
• Maintained confidentiality and upheld ethical standards in professional interactions.
• Implemented best practices to ensure superior patient care and satisfaction in healthcare delivery.

• Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
• Confirmed appointments, communicated with clients, and updated client records.
• Answered phone promptly and directed incoming calls to correct offices.
• Provided clerical support to company employees by copying, faxing, and filing documents.
• Assisted with onboarding new clients and securing paperwork completion.

• Supervised daily cash operations, ensuring accuracy and efficiency in transactions.
• Trained and mentored new cashiers on customer service protocols and system usage.
• Managed team schedules to optimize staffing levels during peak hours.
• Resolved customer inquiries and complaints, maintaining high satisfaction rates.
• Conducted regular audits of cash drawers to ensure compliance with financial policies.
• Trained, mentored, and developed new cashiers with positive and encouraging techniques to maximize performance and team contributions.