Microsoft Office
Jennifer Whaley
Care Management Coordinator III
Oxnard,CA
Summary
Highly organized and dependable candidate with a proven track record of successfully managing multiple priorities while maintaining a positive attitude. Seeking a role that will provide professional challenges and utilizes strong interpersonal skills, effective time management, and problem-solving expertise. Willingness to take on additional responsibilities to meet team goals. Committed to optimizing patient outcomes and enhancing organizational reputation. Proficient in regulatory compliance, data collection, and analysis.
Overview
16
16
years of professional experience
7
7
years of post-secondary education
3
3
Certifications
Work History
Care Management Coordinator III
Gold Coast Health Plan
01.2024 - Current
- Prepares Care Management data reports, as requested.
- Demonstrates the ability to handle large amounts of data, quickly analyze, and interpret data with decisiveness.
- Serves as a preceptor for new employees and participates in projects with different teams.
- Collaborates with other department leads, including the lead trainer, to identify learning opportunities and assist with providing training for onboarding and ongoing training for current staff.
- Participates in state audits, if necessary, and assists with corrective action plans, as needed.
- Manages intake for over 30 Care Management referrals daily.
- Coaches members on how to manage healthcare independently, and provides the tools necessary to complete identified goals.
Care Management Coordinator I
Gold Coast Health Plan
03.2023 - 01.2024
- Created program referrals, processed intake, and completed outreach to members while ensuring each process is completed within regulatory timelines
- Served as a resource for the Care Management team and other departments within the company through collaboration, communication, and training and development
- Used critical thinking skills and demonstrated the ability to problem solve in different situations
- Demostrated the ability to maintain and exceed productivity standards
- Assisted Pediatrics team in preparing and updating California Children's Services (CCS) reports as needed
- Helped Care Management teams by processing authorizations, outreach, and continuity of care requests
- Assisted with creating and updating Job Aid Manuals (JAMs) for Care Management teams during transition to new medical management system.
Youth Development Specialist
Casa PacifIca Centers For Children & Families
09.2022 - 03.2023
- Applied crisis intervention methods to de-escalate potentially dangerous scenarios.
- Functions as primary counselor, i.e. mentor, parent figure, and advocate for youths.
- Supervises, protects and cares for youth assigned in cottage.
- Communicates critical information about youths.
- Intervenes with youth behavior modification programs as needed.
- Notates youth's progress; identifies need for support and communicates findings to appropriate staff.
Behavior Technician
Centria Autism Services
02.2021 - 09.2022
- Conducted functional behavior assessments, functional analysis, preference assessments and assessments of basic learning and language skills to identify target behaviors and purpose of behaviors.
- Observed, monitored and recorded problem behaviors through accurate behavior-consequence data collection, graphs and anecdotal notes.
- Applied array of different methodologies to assist patients with therapy.
- Worked as part of collaborative team to address changing needs of children and families.
- Maintained professional and clinical perspective to avoid internalization regarding certain student behaviors or mannerisms.
Certified Pharmacy Technician
Kramer's Pharmacy
07.2015 - 01.2021
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems and locating items.
- Maintains customer satisfaction with forward-thinking strategies focused on researching and addressing customer needs while resolving grievances.
- Resolves non-routine issues like third-party billing, computer system and customer service issues.
- Consults with insurance company representatives to complete claims processing, resolve concerns and reconcile payments.
- Performs various pharmacy operational activities with strong commitment to accuracy, efficiency and service quality.
Lead Certified Pharmacy Technician
CVS Pharmacy
04.2009 - 07.2015
- Supervised eight to ten pharmacy technicians and coordinated day-to-day assignments.
- Maintained proper drug storage procedures, registries, and records for controlled drugs.
- Processed over five hundred prescriptions per day in busy pharmacy achieving decreased customer wait times and maintaining excellent customer satisfaction.
Education
Bachelor of Arts - Sociology
California State University - Channel Islands
Camarillo, CA 08.2012 - 05.2019
Skills
Written and oral communication
Multitasking abilities
Organizational skills
Results-oriented and data-focused
Project management
Training and education
Self motivation
Certification
Certified Pharmacy Technician (CPhT)
Software
TruCare
MedHOK
Health Edge
KWIK
Meditrac
Salesforce
Timeline
Care Management Coordinator III
Gold Coast Health Plan
01.2024 - Current
Care Management Coordinator I
Gold Coast Health Plan
03.2023 - 01.2024
Youth Development Specialist
Casa PacifIca Centers For Children & Families
09.2022 - 03.2023
Behavior Technician
Centria Autism Services
02.2021 - 09.2022
Adult and Pediatric First Aid/CPR/AED
01-2021
Certified Pharmacy Technician
Kramer's Pharmacy
07.2015 - 01.2021
Bachelor of Arts - Sociology
California State University - Channel Islands
08.2012 - 05.2019
Lead Certified Pharmacy Technician
CVS Pharmacy
04.2009 - 07.2015
California Board of Pharmacy Technician License
03-2009
Certified Pharmacy Technician (CPhT)
02-2009
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