Jaimee Martin
BECKLEY,WV
Summary
Healthcare Professional experienced in care coordination and quality assurance. Improved patient outcomes by resolving barriers and enhancing member access through effective communication and collaboration. Leveraged organizational skills to streamline care management processes and advocate for patient needs.
Overview
1
1
Language
1
1
Certification
11
11
years of professional experience
Work History
Care Management Associate
CVS Aetna
Beckley, WV
01.2022 - Current
- Coordinated care management activities for members, aligning outreach, assessments, and follow-up with care plans.
- Reviewed referrals and documentation to support timely case assignment and appropriate next-step actions.
- Communicated with members, providers, and internal teams to resolve barriers and support service access.
- Documented case updates, interventions, and outcomes in care management systems with accuracy.
- Evaluated member needs and escalated complex issues to clinical staff for further review and intervention.
- Monitored pending tasks, authorizations, and workflow queues to maintain consistent service delivery.
- Applied knowledge of managed care processes, benefits, and resources to guide member support
- Assisted with CSED members, such as reaching out to members/DOHS to get freedom of choice forms to assign to appropriate Case Managers for CSED Services to get started. Assisted with time frames and compliance.
- Assisted with adding new CSED approved members to teams spreadsheet.
- Applied knowledge of managed care processes, benefits, and resources to guide member support.
- Completed weekly scheduling and monthly department reports for case managers.
- Reduced hospital readmissions by closely monitoring patients'' progress and adjusting care plans as needed.
- Coordinated post-discharge care by communicating with outpatient clinics, community resources, agencies and families around patients' transitional care.
- Worked with insurance carriers to obtain authorization approvals for medications, supplies and equipment.
- Improved care coordination efficiency by standardizing follow-up practices and strengthening case tracking.
- Optimized workflow processes to reduce duplication of services and improve coordination among healthcare providers.
- Served as an advocate for patients, empowering them to make informed decisions about their healthcare journey.
- Communicated with patients and family members to assist with information, provide literature and direct to community resources.
- Liaised with relevant clinical groups to develop linkages between areas.
- Enhanced patient satisfaction with comprehensive assessments, timely interventions, and effective communication strategies.
- Streamlined care management processes for increased efficiency and better resource allocation.
- Resulted by conducting thorough risk assessments that accurately identified individuals requiring additional support or services.
- Provided mentorship and support to new Care Management Associates, fostering professional growth and development among team members.
- Facilitated collaborative case conferences to discuss patients'' needs, goals, and treatment options.
- Utilized data-driven insights to identify trends in patient populations and inform targeted intervention strategies for improved outcomes.
- Contributed to a positive work environment by participating in team building activities and sharing best practices in care management techniques.
- Collaborated effectively across departments for seamless transitions between levels of care, ensuring continuity for patients moving through the healthcare system.
- Evaluated the effectiveness of interventions through ongoing assessment, analysis, and adjustment of care plans.
- Developed strong relationships with patients and families to provide compassionate care that meets their unique needs.
- Improved patient outcomes by implementing individualized care plans and coordinating with interdisciplinary teams.
- Increased access to supportive services by identifying barriers to care and connecting patients with appropriate resources.
- Collaborated with interdisciplinary teams to optimize patient outcomes.
- Partnered with community resources to address social determinants of health, improving overall well-being for patients.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
Medical Assistant
MedExpress Urgent Care Company
Beckley, WV
08.2015 - 02.2021
- Prepared exam rooms, sterilized equipment, and maintained infection-control standards for safe patient flow.
- Assisted providers with procedures, splinting, and wound care using established clinical protocols.
- Recorded patient histories, medication lists, and vital signs to support urgent care intake accuracy.
- Updated electronic health records with lab results, discharge instructions, and visit documentation.
Education
High School Diploma -
Woodrow Wilson High School
Beckley05-2014
Medical Assistant - Medical Assistant
Academy of Technology And Careers
Beckley05-2015
Skills
- Healthcare
- Quality assurance
- Outcome tracking
- Care coordination
- Networking and outreach
- Budgeting and finance
- Healthcare
- Care coordination
Accomplishments
- Collaborated with team in the development of LA Project.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Resolved product issue through consumer testing.
- Achieved yearly goal by completing all task with accuracy and efficiency.
- Documented and resolved many issues which led to great results and outcomes with my members.
Certification
- Medical Assistant 2015.
Languages
English
Timeline
Care Management Associate
CVS Aetna
01.2022 - Current
Medical Assistant
MedExpress Urgent Care Company
08.2015 - 02.2021
Medical Assistant - Medical Assistant
Academy of Technology And Careers
High School Diploma -
Woodrow Wilson High School