Elizabeth Brooke Ray
Boca Raton,FL
Summary
Patient-oriented clinical coordinator adept at performing staff scheduling, inventorying and ensuring patient care treatment protocols are followed. Organized and coordinated with a strong reputation for maintaining high levels of patient satisfaction. Skilled the field.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Clinical Coordinator
MDVIP
05.2022 - 08.2024
- Organizes all pertinent data/materials to securely transfer to the appropriate person(s) and ensures their receipt as well as maintain accurate documentation to ensure true data integrity
- Submits referrals and documentation to designated MCE facilities adhering to HIPAA and privacy regulations
- Ensures follow-up is completed within the specified timeframe in accordance with the MCE process guidelines
- Initiates and maintains contact with the member and MDVIP affiliated physician or office staff to ensure that all parties are aware of the referral process and each step along the way
- Provides the member with a thorough explanation of the MDVIP referral process, as well as the selected facilities’ guidelines
- Facilities such as UM, Johns Hopkins and MD Anderson and UCLA
- Confirms appointment dates and times prior to the member’s appointment with both the member and the affiliated physician or office, as well as confirms with the member if any additional assistance is needed
- Contacts all members following their appointment to inquire about their experience and to receive approval to send a member MCE Program satisfaction survey
- Coordinates and schedules teleconferences, as needed, between MCE specialty physician and MDVIP physicians
- Manages chart reviews with specialists as requested by MDVIP physicians
- Ensures any pre or post appointment requests as related to medical recommendations or reports are forwarded to the MDVIP physicians in a timely matter and adhere to department protocols
Case Manager
Holy Cross Hospital
03.2019 - 03.2022
- Responsible for admitting patients, Completed Biopsychosocial, clinical assessment to present to the attending physician for admitting patients for withdrawal management
- Manage patient onboarding process from phone inquiry, initiating eligibility verification, scheduling intake, through performing patient assessment
- Communicate with physicians and nursing staff as it pertains to patient assessment and continued stay
- In-facility round and follow up calls on patients daily according to policy and procedure
- Complete discharge plans with patient's involvement
- Maintain patient privacy best practices, such as HIPAA
- Reporting of daily census to corporate office and CEO
- Responsible for managing telephone inquiries concerning the New Vision service, screen potential patients, assists them with their questions and concerns, and initiates discharge planning
- Perform community outreach telephone calls daily to identified community organizations
Benefits Manager
TreatmentX
11.2017 - 01.2019
- Completed and filed paperwork for patient community such as FMLA, STD, LTD benefits to all patients in treatment.
- Recommends benefits programs to management by studying employee requirements, trends, and developments in benefits offered by other organizations.
- Supports management’s decision-making process by analyzing benefit options
- Ensures compliance with federal, state, and local legal requirements by studying existing laws and regulations and updates to legal requirements.
- Informs employees of benefit usage by preparing and distributing benefit reports.
- Manages benefits staff by coaching, counseling, and mentoring employees.
- Resolves employee questions and problems by interpreting benefit policies and procedures.
- Prepares special reports by collecting, analyzing, and summarizing information and trends.
- Contributes to team effort by accomplishing results as directed.
Admissions Coordinator
Recovery Unplugged
12.2014 - 09.2017
- Admits patients by completing admission and financial responsibility forms; coordinating and arranging physical, social, emotional, and support service requirements, including transportation
- Knowledge of HIPAA policies and procedures
- Entering information into electronic contact management system and KIPU
- Consulting with Director of Admissions and other Clinical and Medical Staff as needed
- Obtains applicant information by requesting completed applications and medical information; verifying and clarifying information; interviewing patients and family members; explaining admission criteria
- Screens patients by comparing patient's condition to admission criteria; evaluating and accepting or rejecting patients; referring patients and family to other programs and institution
- Conducted VOB's for admitting future clients to Recovery Unplugged multiple locations
Case Manager / Utilization Review
Harbor Village Detox
02.2015 - 05.2017
- Facilitated daily groups for clients which included 12-step, transition/Aftercare and relapse prevention
- Assisting clients with aftercare needs, finding housing, finding employment and arranging for continuing outpatient services such as IOP/OP after being discharged
- Utilization Review and Verification of Benefits
- Adhere to HIPPA guidelines
- Other documentation completed in accordance with federal, state, DCF regulations
- Arrange medical appointments and transportation of clients
- Daily clinical meetings to discuss a patient's treatment plan with other professionals working at the residence
- Administrative duties related to a client's care, such as filling out forms for social services benefits and arranging other services as needed throughout the duration of the client's stay at the facility
Education
Bachelor of Science - Psychology
University of Florida
Gainesville, FL01.1995
Skills
- Clinical staff support
- HIPAA compliant
- Patient outreach
- Healthcare system resources
- Patient records administration
- Patient confidentiality
- Patient admittance
- Computerized charting
- Protocol adherence
Certification
- Certified Addiction Specialist, 06/01/16, present
- Certified Addiction Professional, 06/01/19, present
- Certified Case Management, 06/01/15, present
Work Preference
Work Type
Full TimeContract WorkPart TimeWork Location
RemoteHybridOn-SiteImportant To Me
Work-life balanceFlexible work hoursCompany CultureWork from home optionHealthcare benefitsTimeline
Clinical Coordinator
MDVIP
05.2022 - 08.2024
Case Manager
Holy Cross Hospital
03.2019 - 03.2022
Benefits Manager
TreatmentX
11.2017 - 01.2019
Case Manager / Utilization Review
Harbor Village Detox
02.2015 - 05.2017
Admissions Coordinator
Recovery Unplugged
12.2014 - 09.2017
Bachelor of Science - Psychology
University of Florida
Similar Profiles
Dana WrightDana Wright
Remote/Office PRN Reeptionist/Medial Assistant at MDVIPRemote/Office PRN Reeptionist/Medial Assistant at MDVIP
YEVGENIYA RAMIREZYEVGENIYA RAMIREZ
Certified Medical Assistant/Phlebotomist at MDVIPCertified Medical Assistant/Phlebotomist at MDVIP
Catalina AlexucCatalina Alexuc
Patient Advocate at MDVIPPatient Advocate at MDVIP
Michelle BondMichelle Bond
Practice Development and Physician Development at MDVIPPractice Development and Physician Development at MDVIP
Reynoldson VolcyReynoldson Volcy
Newspaper Carrier at Merci Bon Services IncNewspaper Carrier at Merci Bon Services Inc