ELMA (GINA) MARTINEZ
Buda,TX
Summary
OBJECTIVE:
Healthcare professional with 20+ years of experience
with building and maintaining strong provider relationships, ensuring seamless communication and issue resolution. Utilizes deep understanding of healthcare systems to advocate effectively for providers and patients. Track record of employing excellent negotiation and problem-solving skills to achieve successful outcomes.
Overview
28
28
years of professional experience
Work History
AREA DIRECTOR OF PATIENT SERVICES
Senior Living Properties
08.2021 - Current
- Developed strong working relationship with attending physicians, hospital case managers/discharge planners, and referral sources through personal sales visits, conversations, education and follow-up.
- Met/exceeded minimum admission expectations for our centers by increasing referrals, admissions and growing our referral base. On top of that increased physician development for our centers.
- Assisted our skilled nursing centers with sales and marketing, provided onsite assessments, assisted with admission decisions, and provided patient follow-up in target hospitals, as well as look for niche marketing opportunities.
- Assisted in developing and hosting internal/external marketing events.
BUSINESS DEVELOPMENT DIRECTOR
Hays Nursing and Rehab/Ensign Services
12.2020 - 08.2021
- Eliminated potential conflicts between internal teams and health partners and/or families/residents by utilizing clear effective communication.
- Developed and assisted in implementation of marketing tools for facility with budgetary constraints.
- Assessed and gathered information from family and case manager on patient needs for meeting criteria.
- Engineered sales increases by 50% in 3 months.
- Conduct weekly Sales and Marketing Meeting for the collaboration of effective sales strategies.
- Analyze monthly trends and competitor analysis with the goal for forecasting any future conflicts in sales development.
- Ensure company processes are followed by screening all clinical and financial information approval process in a timely manner.
- Maintain up to date knowledge of current regulations governing local, state and federal level for reimbursement purposes.
- Develop and execute tactics to maximize admissions of residents requiring a sub-acute level of care including regular contact with potential referral sources such as hospitals, physicians, insurers, case management companies and health care agencies.
- Oversee and Assist other members with coordination, planning and implementation of new projects for a clear understanding of delivery to new and established key accounts.
COMMUNITY RELATIONS DIRECTOR
Sodalis Assisted Living And Memory Care
01.2019 - 11.2020
- Certificate.
- Conduct marketing activities to consistently achieve marketing goals.
- Serve as Executive Director in the absence of acting Executive Director.
- Conduct highly personalized tours.
- Conduct unique, personalized follow up with each lead.
- Appropriately identify and build relationships with community professionals to maximize referral leads.
- Ensure our associates are properly trained to engage in phone and tour hospitality.
- Ensure the community is appropriately staged to maximize the customer's experience.
- Maintain a lead/referral database and track the marketing activities conducted.
DIRECTOR of CARE TRANSITIONS
Bastrop Nursing Center
04.2018 - 01.2019
- Engineered sales increases.
- Developed detailed quarterly budget plans and either met the established budget or identified strategies to consistently be within budget.
- Analyzing key accounts to maximized profitability by identifying the effectiveness of sales strategies in relation to consumer needs and expectations.
- Collaborated with local community and private agencies to generate a positive image and encourage all types of sales leads and referrals.
- Planned and supervised the execution of community based promotional events, open houses, and educational seminars.
- Assessed and gathered information from family and case manager on patient needs for meeting criteria.
- Ensure company processes are followed by screening all clinical and financial information approval process in a timely manner.
- Maintain up to date knowledge of current regulations governing local, state and federal level for reimbursement purposes.
- Oversee Business Development Team by ensuring services are being delivered consistently at all times.
- Develop and execute tactics to maximize admissions of residents requiring a sub-acute level of care including regular contact with potential referral sources such as hospitals, physicians, insurers, case management companies and health care agencies.
- Oversee and Assist other members with coordination, planning and implementation of new projects for a clear understanding of delivery to new and established key accounts.
- Analyze monthly trends and competitor analysis with the goal for forecasting any future conflicts for strategic retention/recruitment of healthcare providers.
COMMUNITY LIAISON
Compassionate Care Hospice
01.2017 - 04.2018
- Managed up to 6 referrals a month
- Networked with local organizations, leaders and consumers, resulting in established of new and lasting partnerships and relationships
- Built relationships with residents, families and community
- Established and maintained successful relationships with patients, families and physicians by utilizing exemplary communication and listening skills
- Provided patients and families with emotional support
- Implemented strategies to target new business opportunities and new markets
- Coordinated monthly and quarterly marketing and community events
- Presented to healthcare staff, providers and community at public events
SALES & MARKETING DIRECTOR
Stonebriar Nursing and Rehab Center
01.2016 - 01.2017
- Prepare and present strategic/mitigation plan to hospital, physicians and/or case managers for the purpose of re-establishing a relationship that may have been severed.
- Develop and execute tactics to maximize admissions of residents requiring a sub-acute level of care including regular contact with potential referral sources such as hospitals, physicians, insurers, case management companies and health care agencies.
- Manage new projects objectives and delivery as the primary contact for ensuring the appropriate communication channels are maintained.
- Manage facility census by opening accounts with hospitals, generating patient referrals and admissions.
- Complete daily rounds in hospitals and other accounts for a secure acuity of inquiries.
- Assessing special needs patients to evaluate care needs prior to admission.
- Communicate information to Case Manager and facility for the coordination of patient's smooth transition into program.
- Obtain accurate information from physicians, patient and referral source regarding the expected discharge plan and communicate with admission team.
- Develop referrals from hospital social services and discharge planning departments, physicians, case managers, insurance companies and new referral sources.
- Make sales calls using IMPACT sales tool to accounts that include, case managers, social workers, physicians, hospital discharge planners, home health agencies, families, etc.
- For the understanding of program services and to communicate services offered which meet these needs to obtain referrals with the goal of developing new business.
- Conduct weekly Sales and Marketing Meeting for the collaboration of effective sales strategies.
- Analyze monthly trends and competitor analysis with the goal for forecasting any future conflicts in sales development.
- Ensure that incoming patient source documents are current, accurate and complete for a smooth transition.
MARKETING DIRECTOR
Walnut Hills Nursing And Rehabilitation Center
01.2014 - 01.2016
- Engineered sales increases.
- Developed detailed quarterly budget plans and either met the established budget or identified strategies to consistently be within budget.
- Analyzing key accounts to maximized profitability by identifying the effectiveness of sales strategies in relation to consumer needs and expectations.
- Collaborated with local community and private agencies to generate a positive image and encourage all types of sales leads and referrals.
- Planned and supervised the execution of community based promotional events, open houses, and educational seminars.
- Eliminated potential conflicts between internal teams and health partners and/or families/residents by utilizing clear effective communication.
- Developed and assisted in implementation of marketing tools for facilities with budgetary constraints.
- Assessed and gathered information from family and case manager on patient needs for meeting criteria.
CPS
01.2013 - 01.2014
- Recruit, verify and train foster families in the faith based community to increase placement options and appropriately meet the individual needs of children in the care of Child Protective Services.
- Develop and Provide training to CPS staff and families in the faith based community regarding placement issues for children on both an individual and formal classroom basis.
- Provide ongoing consultation as needed to the faith based foster families.
- Assist in case planning activities as it pertains to identifying and preparing congregations to meet the needs of children that have been abused and neglected, including individual case staffings.
- Identify and collect necessary evaluative data and statistical information to measure outcomes concerning safety, permanency and well-being for the involved children.
- Promote and demonstrate appropriate respect for cultural diversity among coworkers and all work-related contacts.
MARKETING DIRECTOR
Retama Manor South Nursing Home
06.2006 - 01.2012
- For the past six consecutive years, engineered sales increases.
- Developed detailed quarterly budget plans and either met the established budget or identified strategies to consistently be within budget.
- Solidified ongoing relationships by orchestrating affiliate lifecycle for 10+ providers and re-established lost accounts by refining sales strategy.
- Analyzed key accounts to maximize profitability by identifying the effectiveness of sales strategies in relation to consumer needs and expectations.
- Collaborated with local community and private agencies to generate a positive image and encourage all types of sales leads and referrals.
- Planned and supervised the execution of community based promotional events, open houses, and educational seminars.
- Eliminated potential conflicts between internal teams and health partners and/or families/residents by utilizing clear effective communication.
- Developed and assisted in implementation of marketing tools for facilities with budgetary constraints.
- Assessed and gathered information from family and case manager on patient needs for meeting criteria.
CAREER & TECHNOLOGY TEACHER
United Independent School District
08.2002 - 05.2006
- Developed and implemented curriculum for newly created high school course.
- Presented to U.S. Congressmen and Legislators on Carl Perkins Grant Funding in Washington, D.C.
- Present training and seminars to faculty regarding curriculum objectives.
- Certify students in Career Safety and CPR/First Aid.
- Prepare students for post secondary institutions and/or health care related jobs.
- Contact key people in local health care facilities to develop a commitment for clinical sites and opportunities for students to rotate through various departments.
- Created a “Partners that Work” advisory group composed of industry leaders, community officials, administrators, and parents to develop program standards, policies, and procedures such as transportation, uniforms, liability insurance, behavior issues, OSHA standards and HIPPA regulations.
- Collaborated with students and launched the “Health Occupations Students of America” Program.
Provider Relations/Director of Call Center Operations
Mercy Health Plans
09.2001 - 07.2002
- Served as a liaison between healthcare organizations and insurance companies to ensure seamless communication regarding claims processing and payment matters.
- Managed high-volume caseloads of dispute resolution cases, providing swift resolutions that maintained positive relationships with both parties involved.
- Researched and resolved disputes, billing discrepancies, and claims efficiently to maintain customer satisfaction.
- Assisted with physician recruitment by identifying specific providers within designated territories, negotiating rates for new physicians and distributing provider agreements.
- Initiated physician and hospital orientations to support ongoing education of health care provider community.
- Conducted regular audits of provider records, identifying discrepancies and ensuring accuracy in information.
- Collaborated with internal departments to resolve complex provider issues, maintaining positive relationships and open communication channels.
PHARMACY TECHNICIAN
H.E.B. Pharmacy
01.1997 - 01.2008
- Monitored production levels and quality of work preformed following evaluation measures.
- Supervised day-to-day operations of pharmacy technicians.
- Entered prescription orders in data system.
- Assist pharmacist in the practice of pharmacy accordance with local, state, federal and company regulations.
- Create and update patient's health and insurance information.
- Communicate with insurance carriers verification of benefits to obtain payment for prescription.
- Assist pharmacist with filling and labeling prescriptions.
- Compound oral solutions, ointments and creams,.
- Communicate with prescribers and their agents to obtain refill authorizations.
- Maintain an awareness of developments in the community and pharmaceutical fields that relate to job responsibilities and integrate them into practice.
Education
Bachelor of Arts - HEALTH CARE ADMINISTRATION
St. Edward's University
Austin, TXCAREER & TECHNOLOGY EDUCATION
Texas A&M International University
Laredo, TXSkills
- Awarded Vice Presidents Award in Sales twice
- Expanded Profits and Market Share
- Marketing Analysis
- Provider Network Management
- Provider Recruiting
- Innovative Strategies and Negotiating
- Managed Call Center
- Bilingual
- Proficient in Microsoft Office Suite
Languages
Spanish
Native or Bilingual
Timeline
AREA DIRECTOR OF PATIENT SERVICES
Senior Living Properties
08.2021 - Current
BUSINESS DEVELOPMENT DIRECTOR
Hays Nursing and Rehab/Ensign Services
12.2020 - 08.2021
COMMUNITY RELATIONS DIRECTOR
Sodalis Assisted Living And Memory Care
01.2019 - 11.2020
DIRECTOR of CARE TRANSITIONS
Bastrop Nursing Center
04.2018 - 01.2019
COMMUNITY LIAISON
Compassionate Care Hospice
01.2017 - 04.2018
SALES & MARKETING DIRECTOR
Stonebriar Nursing and Rehab Center
01.2016 - 01.2017
MARKETING DIRECTOR
Walnut Hills Nursing And Rehabilitation Center
01.2014 - 01.2016
CPS
01.2013 - 01.2014
MARKETING DIRECTOR
Retama Manor South Nursing Home
06.2006 - 01.2012
CAREER & TECHNOLOGY TEACHER
United Independent School District
08.2002 - 05.2006
Provider Relations/Director of Call Center Operations
Mercy Health Plans
09.2001 - 07.2002
PHARMACY TECHNICIAN
H.E.B. Pharmacy
01.1997 - 01.2008
Bachelor of Arts - HEALTH CARE ADMINISTRATION
St. Edward's University
CAREER & TECHNOLOGY EDUCATION
Texas A&M International University
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