Donna Valenzuela
Bryant,AL
Summary
Detail-oriented Case Management Analyst with experience in healthcare, child welfare, and client coordination. Proven ability to manage complex cases, navigate regulations, and streamline processes across multidisciplinary teams. Skilled in intake, documentation, and resolving barriers to service—bringing a client-first approach aligned with fast-paced, tech-driven environments.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Case Management Analyst
Aetna
NY
09.2025 - Current
- Analyze case data to identify care gaps and support efficient service delivery
- Coordinate with providers and members to resolve eligibility, coverage, and care issues
- Ensure compliance with CMS and Medicare guidelines
- Investigate escalations impacting access to care and implement timely resolutions
- Draft clear, professional communications regarding benefits and policy updates
- Collaborate with internal teams to improve workflows and client outcomes
- Self-motivated, with a strong sense of personal responsibility.
- Manage 20 cases while efficiently metting metrics.
Case Management Assistant
Tennessee Department Of Children Services
Jasper , TN
07.2022 - 08.2025
- Managed active caseloads involving client intake, assessments, and service planning
- Conducted home visits and safety evaluations to ensure client well-being and compliance
- Coordinated services including medical care, transportation, and community resources
- Maintained detailed, audit-ready documentation aligned with state regulations
- Collaborated with courts, providers, and multidisciplinary teams to move cases forward
- Resolved barriers to care by proactively identifying delays and securing needed services
- Provided crisis intervention and support in high-pressure situations
- Coordinated case documentation and ensured compliance with state regulations.
Small Business Owner
Donnas Custom Cookies
Fernley, NV
11.2018 - 10.2021
- Managed daily operations, finances, and customer relations
- Used data tracking to improve efficiency and reduce costs
- Developed marketing strategies and increased customer engagement
Drug Testing Technician
Timely Testing
Reno, NV
12.2012 - 11.2018
- Performed regulated testing and maintained compliance with DOT standards
- Ensured accuracy in specimen handling, reporting, and documentation
Teaching Coach
Nevada Connections Academy
Reno, NV
12.2008 - 12.2014
- Developed subject training plan for elementary to high school students
- Created and offered additional materials to enhance training
- Evaluated training materials prepared by instructors and offered actionable suggestions for improvement
- Scheduled training sessions based on availability of classrooms, equipment and instructors
- Created successful study courses based on evaluation of student needs
- Assisted teachers with instruction and provided clerical support for diverse needs
- Prepared lesson materials, bulletin board displays, exhibits and demonstrations to assist teachers in classroom preparation
- Conducted special assessments and tutoring sessions to support individual student needs
- Graded assignments and tests and documented results into filing systems
- Tutored and assisted children individually and in small groups to help master assignments and reinforce learning concepts.
Education
High School Diploma -
Fernley Adult Ed
Fernley, NV01-2001
Skills
- Case Management
- Client Intake
- Medical & Service Coordination
- Documentation & Compliance Data Analysis
- Process Improvement
- Crisis Intervention
Cross-Functional Collaboration
Regulatory Knowledge (CMS, Medicare, State Guidelines)
- Problem Solving
- Communication
- Teamwork and collaboration
- Problem-solving
- Organizational skills
- HIPAA compliance
Certification
Drug/Alcohol and DNA Specimen Collection Certificate
References
• Crystal Nolin, Straight Up Fencing Accountant 775-980-5967
• Jena Stephens, DCS 423-290-8639
• Laura Shaver, DCS Case Manager 2
423-839-5063
Timeline
Case Management Analyst
Aetna
09.2025 - Current
Case Management Assistant
Tennessee Department Of Children Services
07.2022 - 08.2025
Small Business Owner
Donnas Custom Cookies
11.2018 - 10.2021
Drug Testing Technician
Timely Testing
12.2012 - 11.2018
Teaching Coach
Nevada Connections Academy
12.2008 - 12.2014
High School Diploma -
Fernley Adult Ed