Results-driven case management professional with track record of effective client advocacy and support. Experienced in conducting thorough assessments and creating individualized care plans to meet client needs. Collaborates seamlessly with multidisciplinary teams and adapts to dynamic situations to ensure optimal client outcomes.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Case Manager-Remote
Cosan Group
Henderson, TX
10.2024 - Current
Maintained accurate case records and documentation according to agency guidelines.
Coordinated client assessments to develop personalized service plans and address individual needs for Cardiology, Gastrology, and Urology.
Provided referrals to appropriate health care providers or other community resources.
Developed individualized care plans with input from clients and their families.
Scheduled appointments for clients with appropriate medical specialists.
Developed individualized service plans based on assessment findings.
Maintained accurate documentation on all pre-authorization requests, denials and appeals.
Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
Case Manager
Right at Home
Longview, TX
07.2024 - 11.2024
Managed a caseload of 42 clients, providing comprehensive case management services.
Conducted thorough assessments to identify client needs and develop individualized care plans.
Maintained accurate and up-to-date documentation of client interactions, progress, and outcomes.
Facilitated regular meetings with clients to review goals, address barriers, and track progress.
Coordinated referrals to community agencies for additional support services as needed.
Collaborated with legal professionals to ensure compliance with court orders or legal requirements.
Developed strong relationships with local service providers to enhance referral networks.
Liaised between clients/families/communities/agencies/organizations involved in the case management process.
Human Resources Generalist
Crossroads Family Care
Henderson, TX
06.2023 - 07.2024
Recruit and staff medical personnel, ensuring compliance and a safe work environment.
Manage employee relations, compensation, and benefits packages effectively.
Oversee training programs and handle disciplinary needs to maintain workplace harmony.
Complete prior authorizations for prescriptions and procedures, ensuring timely patient care.
Direct phone calls, schedule appointments, and manage patient records accurately.
Clinic Coordinator/Clinical Medical Assistant
Oak Hills Family Practice & Med Spa
Tyler, TX
04.2020 - 07.2023
Managing admissions and discharges within a particular department.
Planning the nurse roster.
Supervising and guiding other nurses in their work.
Encouraging a culture that promotes staff productivity.
Monitoring patients, administering medication, and reporting patients' conditions to doctors.
Maintaining patient records as per requirements.
Maintaining inventories of medical supplies and medicines.
Recording performance of department nurses.
Ensuring that the unit runs efficiently and as per standards and regulations.
Demonstrated proficiency in taking patient medical histories and vital signs, as well as in performing venipunctures, injections, various diagnostic procedures, and EKG's.
Assist alongside Providers with Pap Smears.
Quickly, and efficiently refer patients to appropriate specialty care. Making appointments for patients as well.
Scan in and send out all medical records.
Authorize drug refills and provide prescription information to pharmacies.
Clean and sterilize instruments and dispose of contaminated supplies. (Autoclave)
Medical Assistant/ Client Account Manager
Low T Center LLC
Tyler, TX
01.2016 - 10.2019
Operating as the lead point of contact for any and all matters specific to patient accounts.
Responsible for keeping current clients satisfied and delivering exceptional client service on a day-to-day basis.
Makes patient care referrals to outside agencies according to Low T Center policies, procedures and responsibilities.
Documents all referrals and forwards referral documents to appropriate personnel / department.
Follows up the referrals in a timely manner to assure that appointments are made for appropriate care or testing.
Prepares patients for examination by performing preliminary physical tests; taking blood pressure, weight, and temperature; reporting patient history summary.
Collecting blood specimens through veni-puncture and skin puncture.
Managed general office duties such as answering multiple telephone lines, completing insurance.
Endured medical office cleanliness through beginning and end of office day.
Behavioral Health Technician
Elevate Recovery Center
Orange, CA
12.2015 - 07.2016
Monitored vital signs such as, heart rate and blood pressure.
Assisting with medication administration, while recording medication administration in patient file.
Planning, implementing, evaluating and monitoring treatment activities and groups.
Providing direct patient care, guidance and positive role modeling.
Collect daily specimen.
Provided education to patients on detox and withdrawal, medications, addiction, recovery, coping skills and community resources.
Responsible for the overall maintenance of a therapeutic environment in facility.
STRTP Direct Care Nurse (Facilities Manager, Case Manager) at La Cheim Short-Term Residential FacilitySTRTP Direct Care Nurse (Facilities Manager, Case Manager) at La Cheim Short-Term Residential Facility