Summary
Overview
Work History
Education
Skills
Timeline
Generic

Dominique Wells

Newport

Summary

Experienced healthcare professional with a strong background in operations, marketing, and relationship-building seeking to make a positive impact in the healthcare industry. Thrives in dynamic and fast-paced environments, eager to take on challenging opportunities to drive success. Committed to delivering exceptional results and fostering strong partnerships with stakeholders to achieve organizational goals. Aiming to bring a unique blend of skills and experience to a role that values innovation, collaboration, and continuous growth.

Overview

11
11
years of professional experience

Work History

Community Health Navigator

Amerihealth Caritas
04.2022 - Current
  • Develops and maintains relationships with new and established community organizations via phone, mail, e-mail, or personal visits.
  • Collaborates with internal departments and external agencies to obtain data that is pertinent to the overall success of health education/promotion programs.
  • Provides education to members and member representatives regarding available benefits.
  • Collaborates with Personal Care Agencies, Home Health Agencies, and physicians' offices to coordinate the LTSS member needs.
  • Establishes connection and acts as the primary ACFC contact to a targeted member population, including some high-risk members, through home visits and outreach calls.
  • Exercises judgment and discretion in the coordination of care by handling basic care follow up tasks and collaborating with AmeriHealth Caritas care management teams, community-based health care providers, and other organizations.
  • Informs members of the required actions to fulfill HEDIS, EPSDT, and Plan requirements and other referred outreach, through phone calls or home visits, and encourages them to comply.
  • Assists in addressing members' barriers to care and to encourage/foster relationships with their medical/dental providers.
  • Completes monthly telephonic calls and unable to reach member visits as requested.
  • Responsible for managing and distributing various daily, weekly and monthly reports to LTSS department and providers.
  • Identifies Delaware nursing facilities with openings for long term care, respite and short term and coordinates placement for LTSS members.
  • Participates in regular team meetings, huddle, staff meetings and quality improvement projects.
  • Reviews and distributes daily ER and inpatient census for plan members.
  • Completes ER and inpatient discharge follow up calls within 48 hours to determine member needs, identify gaps in care, determine members' understanding of illness and outpatient management.
  • Oversees and manages LTSS database for tracking DME, comprehensive medical reports, community health navigator requests and distributes daily assignments to team members.
  • Coordinates with PCPs for the completion of Comprehensive Medical Reports needed for annual redeterminations.
  • Assists members with obtaining DME and various community resources.
  • Assists approved nursing facility members to transition back into the community with obtaining documentation (state ID, birth certificates, social security cards & award letter) needed for housing, shopping for approved household items and coordinate set ups.

Admissions Coordinator

Meadowwood Behavioral Health Hospital
02.2021 - 12.2021
  • Facilitated admissions and assessment processes for incoming patients.
  • Provided exceptional customer service during phone and email interactions with prospective patients and their families, addressing concerns promptly and professionally.
  • Responded to a high volume of inquiries about the facility within policy timeframes.
  • Scheduled and completed pre-admissions assessments and communicated recommendations to patients or their families.
  • Collaborated with other facility medical and psychiatric personnel to ensure appropriate recommendations and admissions.
  • Performed insurance benefits verifications, disseminating the information gathered to patient, their families and other appropriate facility staff.
  • Ensured all medical admission documentation was gathered from external sources prior to patient admission and secured initial pre-authorization for treatment and admission.
  • Provided accurate and ongoing assessment of patient status in the admissions process.
  • Communicated treatment recommendations and coordinated with other treatment teams.
  • Collaborated with admissions team to develop and implement strategies to improve admissions process.
  • Contributed to positive work environment by fostering strong relationships among colleagues within the Admissions Department as well as other departments throughout the hospital.
  • Ensured compliance with hospital regulations and accreditation standards through thorough knowledge of admission requirements and guidelines.
  • Enhanced patient experience by providing compassionate assistance throughout the admissions process.

Director of Patient Access (Salem Medical Center)

Sierra Health Group
08.2019 - 02.2021
  • Directed day to day operations for admissions, registration, authorization, insurance verification, financial counseling and business office employees.
  • Identified hiring needs, developed job descriptions and specifications based on departmental needs.
  • Enhanced team collaboration through regular communication, staff meetings, goal setting, and performance evaluations.
  • Consistently demonstrated outstanding leadership, decision making and supervisory skills.
  • Cultivated a positive work environment that fostered employee engagement, increased retention rates, and boosted overall team morale.
  • Held staff accountable for achieving optimal outcomes, individual and team performance expectations.
  • Strengthened internal controls by reviewing existing policies and procedures, ensuring compliance with regulatory requirements.
  • Exercised good judgment in the handling of accounts and demonstrated a professional approach to dealing with patient concerns regarding their account or treatment at the facility.
  • Facilitated communication between patient access and the other departments within the hospital.
  • Ensured employee and departmental compliance with HPI and Patient Registration policies and procedures.
  • Worked hospital leadership executives to prioritize department initiatives and objectives.
  • Implemented, monitored, and revised annual goals, objectives, and performance standards for each functional area of departmental responsibility.
  • Identified and participates in the recommendation and creation of reports that assisted the hospital system in tracking key patient access and/or patient accounting data.
  • Quantified data and tracked the number of admissions and registrations per month.
  • In conjunction with the VP of revenue cycle, monitored audit denial reports, missing claims, and claims errors to monitor and correct data input or demographic information errors resulting from registration areas.
  • Demonstrated a strong commitment to customer satisfaction by responding and following through with each patient concern in a timely and professional manner.

Client Services Manager II

Bayada Home Health Care
11.2018 - 08.2019
  • Provided divisional client service support to sister offices on an as needed basis.
  • Served as a high-performance team leader by empowering and coaching office and field team members.
  • Collaborated with the Director in oversight of all accounts receivable & billing reports.
  • Demonstrated the ability to manage accounts with oversight of the marketing manager.
  • Initiated and played a lead role for the office and field recognition programs creating an atmosphere of excitement.
  • Demonstrated active involvement in recruitment and on-boarding of new employees by participating in the interview process and presenting on-boarding material for orientation.
  • Ability to assemble and maintain field staff personnel file, and function as point person for new employees.
  • Collaborated with divisional resources to coordinate any new upcoming educational updates.
  • Supported and assisted team members in filling callout's and last-minute service requests.
  • Prepared quarterly weekend rotations for the therapy and nursing department.
  • Resolved escalated issues with professionalism, maintaining client trust and safeguarding the company''s reputation.
  • Monitored weekly field clinician productivity metrics.
  • Provided administrative supervision and support to field employees in positive partnership with clinical managers.

Marketing Manager (Senior Living)

Bayada Home Health Care
11.2017 - 11.2018
  • Developed relationships with new and existing referral sources.
  • Maintained and promoted BAYADA’s presence in the community.
  • Called on and built long lasting relationships with senior living communities, senior centers, physician offices and adult day centers as well as professional and business-related networking groups.
  • Participated in, planned and carried out community events (health fairs, health screenings and wellness programs).
  • Stayed current on community events and opportunities to promote BAYADA’s services.
  • Developed marketing goals, tactics, strategy and plan in conjunction with the Director and review regularly.
  • Maintained a system to track all marketing activity and contact information.
  • Monitored reports and evaluated marketing effectiveness.
  • Participated in weekly team sales meeting
  • Boosted brand awareness and generated leads while managing internal and external marketing campaigns and programs.
  • Coordinated with sales teams to align marketing and sales strategies, driving revenue growth.

Client Services Manager (Senior Living & Community Offices)

Bayada Home Health Care
05.2014 - 11.2017
  • Provided superior customer service and quality home care.
  • Focused on managing coordination of client services and emergent scheduling issues.
  • Supported and assisted the Director and Clinical Managers with day-to-day operations.
  • Responsible for managing 35+ field clinicians while working closely with Clinical and/or Rehab Manager
  • Managed a caseload of 200+ clients in Senior Living while proactively growing it.
  • Participated in the interviewing, onboarding and annual reviews for clinicians.
  • Built a strong rapport with key decision-makers, clients, referral sources, payors and community organizations, fostering trust and long lasting partnerships.
  • Recruited professional field staff to provide services for clients.
  • Developed strong, communicative relationships with the team.
  • Maintained effective fiscal management of caseload by monitoring metrics.
  • Participated in weekly sales meetings.
  • Participated in on-call rotation for weekends, evenings, and holiday coverage as needed.

Education

Master in Business Administration - Healthcare Administration

WILMINGTON UNIVERSITY
New Castle, DE
01.2012

Bachelor in Business Management - undefined

WILMINGTON UNIVERSITY
New Castle, DE
01.2010

Associate - Health Science

SALEM COMMUNITY COLLEGE
Carney’s Point, NJ
01.2008

Skills

  • Excellent communication
  • Adaptability and flexibility
  • Account management
  • Relationship building and management
  • Proactive self-starter
  • Effective time management
  • Professionalism
  • Community outreach
  • Teamwork and collaboration
  • Reliability
  • Customer service
  • Client relations

Timeline

Community Health Navigator

Amerihealth Caritas
04.2022 - Current

Admissions Coordinator

Meadowwood Behavioral Health Hospital
02.2021 - 12.2021

Director of Patient Access (Salem Medical Center)

Sierra Health Group
08.2019 - 02.2021

Client Services Manager II

Bayada Home Health Care
11.2018 - 08.2019

Marketing Manager (Senior Living)

Bayada Home Health Care
11.2017 - 11.2018

Client Services Manager (Senior Living & Community Offices)

Bayada Home Health Care
05.2014 - 11.2017

Bachelor in Business Management - undefined

WILMINGTON UNIVERSITY

Associate - Health Science

SALEM COMMUNITY COLLEGE

Master in Business Administration - Healthcare Administration

WILMINGTON UNIVERSITY

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Dominique Wells