Care Coordinator with expertise in patient advocacy and care management, skilled in coordinating healthcare services for diverse populations. Proven track record in enhancing patient satisfaction and streamlining care processes. Strong interpersonal skills facilitate effective communication between patients, providers, and insurers. Problem-solving abilities ensure efficient resolution of care barriers.
Overview
18
18
years of professional experience
Work History
CARE COORDINATOR II
Strive Health LLC
11.2022 - Current
Performs outbound post discharge calls to patients to understand their clinical needs and connect them with appropriate resources.
Performs outbound calls to providers to make appointments for patients or follow up on care.
Answers inbound calls from patients, providers, and other resources.
Follows up with patients to ensure their needs are met and schedules future check-ins.
Notifies patients of location and appointment times as needed.
Coordinates with clinical resources and providers to ensure smooth continuum of care for patients.
Assists with completing applications for resources, paperwork for provider visits, etc.
Monitors patient hospitalizations and follows up as necessary with care team members and outside resources to confirm Strive gathers all relevant patient information.
Provides patients with education materials and sends communications to primary care physicians, nephrologists, and specialists for new enrollments/appointments.
Collaborates well with all levels of a clinical team (from Medical Assistants to Physicians) and partners closely with the Strive Nurse Practitioner (NP) to manage all pieces of care related to resources, appointments, care transitions, and care gaps.
Knowledge of various Electronic Medical Records systems: EPIC; Salesforce; Acumen; Athena; & Advanced MD.
Care Guide
Humana
05.2022 - 11.2022
Assess and evaluate member's needs and requirements to establish a member specific care plan.
Ensure members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being.
Plan and implement interventions to meet those needs.
Coordinate services, and monitor and evaluate the case management plan against the member's personal goals.
Guide members/families towards resources appropriate for their care.
Facilitate interactions with other payer sources, providers, interdisciplinary teams and others involved in the member’s care as appropriate and required by our comprehensive contracts.
Document all interactions in Electronic Health Record.
Conduct occasional field visits with members.
Care Coordinator
The Christ Hospital Physicians, LLC
12.2017 - 05.2022
Company Overview: The Christ hospital/university of Cincinnati family medicine residency clinic
Research and procure outside medical records.
Conduct pre-visit planning with patients via phone to ensure care completion prior to visit.
Discuss with physicians and follow up appropriately to ensure smooth transition of care for patients treated in a facility (inpatient or emergency department), by a specialty physician, or by another health care provider.
Communicate regularly with patients to promote proactive health management.
Educate the patient about self-management tasks they can undertake to gain greater control of their health status.
Assist with scheduling follow up appointments, regular visits, and referral appointments, and facilitate referrals to other providers.
Act as a point of contact to problem solve for the patient and clinical staff.
Conduct telephone call backs to patients requiring follow-up care.
Collect and monitor data related to outcomes.
Track & Update EMR with HEDIS Measures.
Update patient rosters.
Draft Correspondence.
Documentation Review.
Update information in Electronic Medical Record (EPIC).
The Christ hospital/university of Cincinnati family medicine residency clinic
Discharge Planner
University of Cincinnati Medical Center
01.2016 - 11.2017
Set up home health services for discharging patients.
Set up hospital follow-up appointments for discharging patients.
Communicate with outside vendors for medical equipment.
Connect patients with outside resources.
Various clerical and administrative duties.
SERVICE COORDINATOR
Talbert House
12.2007 - 02.2014
Job Coach for low to no income clients.
Helped Ohio Works First clients remove barriers to employment.
Case Management.
Helped clients to draft resumes and assisted with online job searches.
Conducted mock interviews.
Data Entry/Input client information into online filing system.