Helen Ross
Certified Care Manager
Monte Vista,Colorado
"We have two ears and one mouth so that we can listen twice as much as we speak"
Epictetus
Summary
Highly organized Discharge Planner knowledgeable about healthcare processes and administrative requirements. Qualified to deal with insurance documentation, update charts and manage business correspondence.
Overview
16
16
years of professional experience
Work History
Discharge Planner
SLV HEALTH
Alamosa, CO
10.2015 - Current
- Managed 49-bed hospital, Level 3 Trauma Center inpatient discharge planning
- Worked with providers to define quality metrics and outcome reporting process.
- Arranged transportation and documented details of discharge transition plans.
- Educated and evaluated clinical and support staff regarding care quality management regulations and standards of care.
- Coordinated implementation of health programs and initiatives in collaboration with professionals and technical personnel.
- Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing and other enabling services for patients.
- Collected and aggregated data to identify problems or trends, such as turnaround time and issues with physician offices.
- Triaged crisis situations and enacted appropriate interventions for treatment until end of event.
- Practiced high level of professionalism to safeguard patient information and maintain data integrity.
- Interpreted regulations to identify patient care requirement criteria to be monitored and establish systems to achieve compliance.
- Developed, implemented, revised and evaluated policies and procedures.
- Implement new policies and educate staff on changes.
- Handled job duties for staff members which were unavailable or out of office.
- Delivered effective onboarding and training to new and existing employees and cross-trained staff members in other job roles to maximize coverage.
- Provide ongoing case management to all patients to implement appropriate treatment plan, adhere to quality models and maximize utilization of services needed to achieve optimal outcomes.
Ward Clerk
SLV HEALTH
Alamosa, CO
03.2007 - 10.2015
- Lead ward clerk for 29-bed Medical Surgical Unit
- Organized paperwork for doctors, nurses and patients.
- Filled out records, staffing sheets and patient documents.
- Completed skilled administrative work to support all office staff and operational requirements.
- Contacted hospitals to confirm patients medical histories and prevent inaccurate diagnoses and treatments.
- Maintained office supplies inventory by checking stock and ordering new supplies as needed.
- Received, recorded and addressed incoming and outgoing communication via telephone and email.
Receptionist
SLV Health
Alamosa, CO
02.2004 - 09.2006
- Answered high-volume, multi-line telephone, directing callers to appropriate company personnel.
- Sorted, received and distributed mail correspondence between departments and personnel.
- Assisted in administrative duties for office team, including making phone calls, copies and schedules.
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Received and routed business correspondence to correct departments and staff members.
- Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
Education
Care Manager Certification - Care Management
12.2020 - 12.2020
- Passed certification exam
Colorado State Patient Navigator - Patient Navigator
09.2019 - 09.2019
- Professional development completed in Patient Navigator training and credentialing
Post Graduate Certification - Social And Community Services
06.2016 - 06.2016
- Coursework in Social and Community Services
Medical Billing and Coding Specialist - Certification
06.2015 - 06.2015
- Majored in Medical Billing and Coding
Master of Arts - Teaching and Learning with Technology
04.2015 - 04.2015
- Majored in Teaching and Learning with Technology
- Member of the Golden Key International Honor Society
- Graduated with 4.0 GPA
Bachelor of Arts - History
12.2013 - 12.2013
- Majored in History
- Minored in Sociology
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Skills
BillingDocumentationFax machineFinancialLegalMedical BillingAccessMicrosoft Office programsMulti-line telephoneNavigatorPrinterCodingQuality improvementTeam player
Customer/Client relations
Teambuilding
Critical thinking
Flexible & Adaptable
Multitasking abilities
Excellent work ethic
Timeline
National Academy Of Certified Care Managers - Care Manager Certification , Care Management
12.2020 - 12.2020
Colorado Dept. Of Public Health And Environment - Colorado State Patient Navigator, Patient Navigator
09.2019 - 09.2019
Capella University - Post Graduate Certification, Social And Community Services
06.2016 - 06.2016
Discharge Planner - SLV HEALTH
10.2015 - Current
U.S. Career Institute - Medical Billing and Coding Specialist, Certification
06.2015 - 06.2015
Ashford University - Master of Arts, Teaching and Learning with Technology
04.2015 - 04.2015
Ashford University - Bachelor of Arts, History
12.2013 - 12.2013
Ward Clerk - SLV HEALTH
03.2007 - 10.2015
Receptionist - SLV Health
02.2004 - 09.2006