Dynamic Case Manager with a proven track record at Quality Life Home Health Agency, excelling in problem-solving and case documentation. Successfully developed comprehensive care plans, enhancing client engagement and satisfaction. Demonstrated strong time management skills while coordinating services across multiple agencies, ensuring compliance and optimizing outcomes for diverse client needs.
Professional with strong background in case management, prepared to make significant impact. Proven ability to collaborate with teams and adapt to changing needs. Skilled in client assessment, resource coordination, and crisis intervention. Reliable and results-focused, with commitment to achieving positive outcomes.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Case Manager
Quality Life Home Health Agency
08.2020 - Current
Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.
Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
Developed and implemented comprehensive case management plans to address client needs and goals.
Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
Facilitated successful transitions between levels of care by developing detailed discharge plans and coordinating resources.
Conducted thorough assessments to identify client needs, laying groundwork for effective case management.
Coordinated with healthcare providers to ensure clients had access to necessary medical services, enhancing their overall well-being.
Enhanced team collaboration by leading regular case review meetings, promoting unified approach to client care.
Improved client engagement by implementing user-friendly appointment scheduling system.
Provided leadership, guidance and support to staff members.
Developed and implemented training programs for staff.
Billing Manager
Del Prado Medical Center
07.2018 - 08.2020
Reviewed billing problems, researched issues, and resolved concerns.
Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
Trained and mentored staff on procedures, compliance requirements, and collections techniques.
Collaborated with cross-functional teams to resolve billing-related issues swiftly, minimizing negative impacts on overall operations.
Reduced errors and discrepancies in invoicing by closely monitoring billing data and conducting regular audits.
Created a transparent work environment that fostered open communication between team members, promoting collaboration and problem-solving skills development.
Reviewed contracts for accuracy before finalization, ensuring that all agreed-upon terms were documented correctly per customer negotiations.
Conducted periodic reviews of existing processes to identify areas of potential cost savings or efficiency improvements.
Maintained up-to-date knowledge of industry regulations and compliance requirements, ensuring the department remained compliant at all times.
Developed comprehensive billing guidelines, standardizing procedures across department and reducing variability in outcomes.
Enhanced customer service, resolving billing disputes swiftly and maintaining positive relationships with clients.
Streamlined billing process, significantly reducing errors and enhancing client satisfaction by implementing automated system for invoice generation.
Achieved significant cost savings by identifying and eliminating inefficiencies in billing process, reallocating resources to areas of higher impact.
Checked payroll, vendor payments, commissions and other accounting disbursements for accuracy and compliance.
Complied with established internal controls and policies.
Evaluated and negotiated contracts to procure favorable financial terms.
Education
Bachelor of Arts - Information Technology
Ruben Martinez Villena
Habana
06-2008
Skills
Problem-solving
Case management
Time management
Case documentation
Certification
Medical Billing and coding Penn Foster Career Shool [08/2018]
Languages
Spanish
Native or Bilingual
English
Professional Working
Timeline
Case Manager
Quality Life Home Health Agency
08.2020 - Current
Billing Manager
Del Prado Medical Center
07.2018 - 08.2020
Bachelor of Arts - Information Technology
Ruben Martinez Villena
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