Baylor Scott&White Quality Alliance, Baylor Scott&White Health
Dallas, Texas
09.2016 - Current
Manage patient programs meeting NCQA requirements
Advocate for clients when interfacing with insurance companies, pharmaceutical companies, and government agencies
Set and track preventative health SMART goals and care plans
Co-manage conditions of high-risk members with registered nurses and social workers
Assist members with obtaining durable medical equipment through their health insurance
Assist members with finding and obtaining low-cost options for medications, housing, food, and utilities
Manage TEAMs site, create templates and agendas
Emergency Department pilot program: pulled patients from an analytics report for a social worker to then offer them targeted assistance, in the hopes of reducing readmissions.
Assess and execute timely escalations to our extended team on behalf of my customers
Patient Readmission; Customer improvement project: Conducted research to understand past customer issues and present to the customer management team for review. Lead collaborative problem solving sessions with the goal of establishing better long term customer success. Established an intake form to more effectively documenting customer issues
Helped new CHWs with call prioritization and time management
Responsible for onboarding new employees: Trained compass rose workflows and daily processes. Taught how to have productive meetings with the customers over the phone. Trained how to create an environment of trust with customers over the phone. Utilized my network of colleagues to facilitate a plan for the new hire to shadow other roles within the department.
Lead daily huddle on an intermittent basis
Manage and provide monthly outreach to a rotating panel of high-risk patients
Initiate immediate telephonic outreach and support to patients and members following hospital discharge
Conduct needs assessments, develop patient plans, guide patient to appropriate interventions designed to improve access to health care and/or health status
Provide referral and linkage to follow-up services within the community and within BSWH
Implement culturally inclusive language when establishing a relationship with the customer
Teach basic concepts of health promotion, disease prevention, and self-management
Schedule patient appointments
Nutrition Intern
Baylor Scott&White Health, Craft Recreation Center
Dallas, Texas
06.2015 - 08.2015
Revised and updated Diabetes Self-Management and Healthy Living curricula
Taught jointly with dietitians: Diabetes Self-management Classes
Compiled diabetes patient satisfaction survey data for analysis (sample size > 100)
Analyzed daily nutrient intake from food logs
Education
Bachelor of Science - Nutritional Sciences and Dietetics
Texas Tech University
Lubbock, TX
05.2016
Skills
Proficient in Microsoft Word/ Excell/ PowerPoint/TEAMS
Excellent Telephone Skills
Customer Advocacy
HIPAA Guidelines
Organized and Detail-Oriented
Maintaining Updated Records
Service Providers Liaising
Verbal and Written Communication
Training Skills
Active Listening
Problem-Solving
Critical Thinking
Group Discussions
PHI Data Stewarding
Motivational Interviewing
Affiliations
May 2018, 2019, 2020 Administrative Volunteer(2018), Attendee (2019,2020)- Connecting the Dots Symposium
June 2018, July 2023 Attendee - Baylor Scott &White Health Community Health Worker Summit
October 2019-March 2021 Chair - BSWH CCM Employee Engagement Committee
May 2021 to present- member - BSWH CCM East Region Readmissions
April 2022 to present- Member, employee disability advocate - BSWH BSWQA Diversity, Equity and Inclusion
August 2022-September 2023- recorder-CHW shared governance, August 2022 – present – member
Nov. 2022-present- East Region social committee
Part of BSWH's video for healthcare appreciation week, "we make an impact"
Interviewed about my role as a community health worker for BSW connect, and the difference i can make as part of a patient's care team here at BSWH
Certification
Certified Community Health Worker, TX Dept. of State and Health Services - 2017 to present
Timeline
Community Health Worker
Baylor Scott&White Quality Alliance, Baylor Scott&White Health
09.2016 - Current
Nutrition Intern
Baylor Scott&White Health, Craft Recreation Center
06.2015 - 08.2015
Bachelor of Science - Nutritional Sciences and Dietetics
Nurse Supervisor-Medical/Surgical Unit-(Colorectal and Emergency General Surgery) at Baylor University Medical Center-Baylor Scott & WhiteNurse Supervisor-Medical/Surgical Unit-(Colorectal and Emergency General Surgery) at Baylor University Medical Center-Baylor Scott & White