Summary
Overview
Work History
Education
Skills
Timeline
Qualifications
Generic

Jasmine Whitehall

Albuquerque,NM

Summary

Professional with strong background in care coordination. Skilled in patient advocacy, healthcare planning, and resource management. Known for effective team collaboration and achieving measurable results. Adaptable to changing needs with robust communication and organizational skills. Reliable and focused on delivering high-quality care outcomes.

Overview

21
21
years of professional experience

Work History

Care Coordinator II

Presbyterian Health Plan
05.2021 - Current
  • Assess member needs and developed individualized care strategies for optimal health management.
  • Created member care plans to enhance patient outcomes.
  • Facilitated communication between healthcare providers and patients to ensure continuity of care.
  • Support members in closing Gaps in Care using motivational interviewing skills.
  • Participate in complex case rounds with members of different interdisciplinary care teams.

CCA

Presbyterian Health Plan
12.2019 - 05.2021
  • Engaged Centennial Care/DSNP Members in care coordination.
  • Completed Health Risk Assessments (HRA), Pre-Comprehensive Needs Assessments (Pre-CNA) and scheduled Comprehensive Needs Assessment (CNA) for our Care Coordinators.
  • I was a training mentor for our new hire Care Coordinator Assistants (CCA).

Quality Specialist

Presbyterian Health Plan
03.2017 - 12.2019
  • Completed quality audits for Health Plan Services on all lines of business.
  • Provided balanced feedback to representatives based on quality expectations.
  • Completed quality reports on a weekly and monthly basis.
  • Assisted with answering member calls to meet service levels.
  • Answered escalations calls from Presbyterian Health Plan members and provided resolutions.

Customer Service Representative

Presbyterian Health Plan
09.2013 - 03.2017
  • Assist providers and members with benefits, payments, claims and general inquiries.
  • Maintained an exceptional quality average.
  • Scheduled patient appointments.
  • Worked Offsite health wellness & annual enrollment events.

Customer Service Representative

Fidelity Investments
08.2012 - 11.2012
  • Enrolled client’s employees in health and insurance benefits.
  • Data entry of customer’s health and insurance information.
  • Assisted with insurance inquiries and disputes.

Customer Service Coordinator

SED Labs/Quest Diagnostics
11.2011 - 05.2012
  • Scheduling patient appointments
  • Verified insurance eligibility
  • Data entry of patient’s lab orders

Collector III agent

Citigroup
03.2008 - 05.2010
  • Collected on delinquent accounts 0 – 180 days past due
  • Completed cures for my team
  • Took initiative to help my team with miscellaneous activities

Operations Supervisor

Sento Corporation
12.2005 - 11.2007
  • Led 15-20 agents to success with quality, sales, and attendance
  • Responsible for team’s service levels and profitability
  • Completed quality audits and provided coaching feedback

Education

High School Diploma -

New Futures High School
05-1998

Associate of Arts - Business

University of Phoenix
01-2010

Bachelors of Science - Business

University of Phoenix
01-2012

Skills

  • Case management
  • Strong organizational skills
  • Patient advocacy and education
  • Healthcare operations
  • Documentation proficiency
  • Multidisciplinary team collaboration
  • Medical terminology understanding

Timeline

Care Coordinator II

Presbyterian Health Plan
05.2021 - Current

CCA

Presbyterian Health Plan
12.2019 - 05.2021

Quality Specialist

Presbyterian Health Plan
03.2017 - 12.2019

Customer Service Representative

Presbyterian Health Plan
09.2013 - 03.2017

Customer Service Representative

Fidelity Investments
08.2012 - 11.2012

Customer Service Coordinator

SED Labs/Quest Diagnostics
11.2011 - 05.2012

Collector III agent

Citigroup
03.2008 - 05.2010

Operations Supervisor

Sento Corporation
12.2005 - 11.2007

High School Diploma -

New Futures High School

Associate of Arts - Business

University of Phoenix

Bachelors of Science - Business

University of Phoenix

Qualifications

  • 5 years Care Coordination experience
  • 13 years Presbyterian Health Plan experience in various roles
  • 20 + years of experience in Customer Service