Summary
Overview
Work History
Education
Skills
Affiliations
Certification
Timeline
Education And Medical Training
Us Healthcare And Volunteer Experience
Education And Medical Training
Generic

Fadekemi Kemi Oladipo

Summary

Experienced Physician with over 10 years in clinical care and utilization management. Specializes in developing patient-centered care plans and ensuring compliance with healthcare regulations. Proven ability to enhance patient care in diverse medical settings, with a strong focus on infectious disease management and cultural competence.

Overview

21
21
years of professional experience
1
1
Certificate

Work History

Utilization Management Clinical Reviewer

HUMANA HEALTHCARE
Indianapolis, Indiana
06.2025 - Current
  • Analyzed patient information and data, identifying discrepancies in documentation to enhance accuracy and compliance.
  • Reviewed appeals from providers regarding denied claims and provided recommendations for resolution.
  • Maintained current knowledge of applicable laws, regulations, standards, guidelines, and best practices related to clinical review activities.

Care Coordinator/case manager

Humana
Avon, IN
05.2024 - 06.2025

• Assess patient needs, develop and implement personalized care plans, and provide education on health conditions and treatment options.

• Facilitate seamless transitions between different care settings, schedule medical appointments, and coordinate with physicians, specialists.

• Act as a central point of contact, ensuring clear communication between patients, their families, and all members of the healthcare team.

  • Serve as an advocate for clients, helping them access community resources to achieve their goals, such as employment, housing, or education.

Case Manager

Indiana Department of Child Services
Indianapolis, USA
12.2021 - 05.2024
  • Provided case management services including intake, assessment, crisis intervention, advocacy, referral and monitoring of families.
  • Coordinated comprehensive services for families, enhancing child safety and overall well-being.
  • Designed and executed individualized service plans to address specific family needs.
  • Conducted psychosocial assessments and collaborated with healthcare and mental health providers
  • Trained new case managers, improving adherence to policies and enhancing service delivery standards.

Healthcare Customer Service Representative

WebMD Health Services
Indianapolis, USA
01.2021 - 12.2021
  • Assisted patients with inquiries regarding health services and insurance options, guiding them towards informed decisions.
  • Educated clients on WebMD tools and resources, enhancing their health management capabilities.
  • Maintained up-to-date knowledge of healthcare policies and service offerings.
  • Facilitated follow-up communications to ensure patient satisfaction and provide ongoing support.
  • Documented customer interactions accurately in the health services database.

COVID-19 Vaccine Clinic Volunteer

Hendricks Regional Health
Avon, USA
04.2020 - 12.2021
  • Monitored post-vaccine reactions and ensured smooth patient flow during mass vaccination events to enhance overall clinic efficiency
  • Assisted in planning clinic events to enhance community health outreach.
  • Informed patients about clinic services and available resources to facilitate access to healthcare support

HIV/AIDS Site Coordinator / Physician

Lagos State PHC Board
, Nigeria
03.2013 - 01.2018
  • Managed community health initiatives, leading to a marked increase in public health awareness.
  • Led the integration of HIV services with maternal care, significantly improving patient access to comprehensive care.
  • Provided staff training and community education on HIV/AIDS prevention and treatment

Medical Officer of Health / Primary Care Physician

Lagos State Primary Healthcare Board
, Nigeria
09.2012 - 01.2018
  • Facilitated community outreach initiatives to raise awareness about health services available.
  • Implemented policies to enhance primary healthcare services and accessibility.
  • Supervised clinical teams and ensured adherence to standard treatment protocols.
  • Implemented training sessions for staff on healthcare best practices and protocols.
  • Collaborated with local agencies to ensure alignment of health strategies and objectives.

Primary Care Physician

Meiran PHC Center
, Nigeria
04.2009 - 09.2012
  • Delivered comprehensive family medicine services including but not limited to antenatal care and immunizations.
  • Utilized electronic health record systems to document patient information accurately.
  • Created personalized treatment plans tailored to individual patient conditions and medical histories, enhancing patient care.
  • Conducted physical exams and interpreted test results to diagnose illnesses or injuries.

Postgraduate Intern Physician

Lagos University Teaching Hospital
Lagos, Nigeria
01.2008 - 01.2009
  • Rotated through internal medicine, pediatrics, surgery, and OB/GYN
  • Collaborated with multidisciplinary teams to develop effective patient treatment strategies.
  • Participated in emergency medicine procedures, assisting with patient evaluations and treatments.

Clinical Research Intern

St. James's Hospital
Dublin, Ireland
09.2005 - 12.2005
  • Contributed to respiratory medicine research studies and collected patient data, enhancing study quality and outcomes
  • Assisted with clinical protocols and monitored patients, ensuring adherence to study requirements
  • Coordinated participant recruitment efforts for ongoing clinical trials.

Education

Postgraduate Internship in Medicine and Surgery -

Lagos University Teaching Hospital
Nigeria
01-2008

M.D. - MBBS

University of Lagos
Nigeria
07-2007

Clinical Sub-Internship - Respiratory Medicine

St. James's Hospital
Dublin, Ireland
01-2005

Skills

  • Utilization Review & Medicaid Policy
  • Care Coordination
  • Disease Management
  • Infectious Disease Management (HIV, TB, COVID-19)
  • Patient Engagement
  • Cultural competence
  • Clinical Documentation Improvement
  • Healthcare Policy Development
  • Advanced Patient Advocacy

Affiliations

  • Nigerian Medical Association (NMA)
  • Open to U.S. medical licensure (ECFMG certification in progress)

Certification

• Basic Life Support (BLS)
• HIPAA & OSHA Compliant

Timeline

Utilization Management Clinical Reviewer

HUMANA HEALTHCARE
06.2025 - Current

Care Coordinator/case manager

Humana
05.2024 - 06.2025

Case Manager

Indiana Department of Child Services
12.2021 - 05.2024

Healthcare Customer Service Representative

WebMD Health Services
01.2021 - 12.2021

COVID-19 Vaccine Clinic Volunteer

Hendricks Regional Health
04.2020 - 12.2021

HIV/AIDS Site Coordinator / Physician

Lagos State PHC Board
03.2013 - 01.2018

Medical Officer of Health / Primary Care Physician

Lagos State Primary Healthcare Board
09.2012 - 01.2018

Primary Care Physician

Meiran PHC Center
04.2009 - 09.2012

Postgraduate Intern Physician

Lagos University Teaching Hospital
01.2008 - 01.2009

Clinical Research Intern

St. James's Hospital
09.2005 - 12.2005

Postgraduate Internship in Medicine and Surgery -

Lagos University Teaching Hospital

M.D. - MBBS

University of Lagos

Clinical Sub-Internship - Respiratory Medicine

St. James's Hospital

Education And Medical Training

  • Bachelor of Medicine, Bachelor of Surgery (MBBS/MD), University of Lagos, Nigeria, 07/01/07
  • Postgraduate Internship in Medicine and Surgery, Lagos University Teaching Hospital, 07/01/08
  • Clinical Sub-Internship, Respiratory Medicine, St. James's Hospital, Dublin, Ireland, 01/01/05

Us Healthcare And Volunteer Experience

  • Case Manager, Indiana Department of Child Services, Indianapolis, IN, 01/01/21 - 12/31/24, Coordinated care plans for families and minors in the child welfare system, Conducted psychosocial assessments and collaborated with healthcare and mental health providers
  • COVID-19 Vaccine Clinic Volunteer, Hendricks Regional Health, Avon, IN, 01/01/21 - 12/31/21, Monitored post-vaccine reactions and supported patient flow during mass vaccination events, Educated patients on post-vaccine care in line with CDC guidelines
  • Healthcare Customer Service Representative, WebMD Health Services, Indianapolis, IN, 01/01/21 - 12/31/21, Provided medical benefits assistance and navigated patients through insurance-related inquiries

Education And Medical Training

  • Bachelor of Medicine, Bachelor of Surgery (MBBS/MD), University of Lagos, Nigeria, 07/01/07
  • Postgraduate Internship in Medicine and Surgery, Lagos University Teaching Hospital, 07/01/08
  • Clinical Sub-Internship, Respiratory Medicine, St. James's Hospital, Dublin, Ireland, 01/01/05
Fadekemi Kemi Oladipo