Jessica Marie Moreno
Corpus Christi
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Compassionate Community Health Worker known for high productivity and efficiency in task completion. Specialize in health education, patient advocacy, and community outreach with strong abilities in collaboration, problem-solving, and adaptability. Excel at communication, empathy, and cultural sensitivity to enhance community health outcomes and support individual patient needs.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Community Health Worker/Promotora Bilingual
Conviva Care Centers-Care Integration
02.2024 - Current
- In this role I enroll High Risk patients with prior hospital admissions or ER visits.
- I conduct a High Risk screener, review their social determinant of health needs, create a care plan to address those needs over 6-12 weeks in the program.
- I also provide education on their health conditions.
- We have bi-weekly high risk rounds to present the patients that are currently enrolled in the program.
- I facilitate and present to Physicians, PAs, NPs, and Associate medical directors as well as all upper leadership attending meetings.
- I do weekly home visits on patients that are identified to have or need closer following with interventions for the SDOH needs.
- Refer to local resources HHSC and other agencies to assist patients.
- We work closely with APS also MHID.
- I attend meetings as needed.
- I also cover 4 clinics in the surrounding counties.
- Weekly visits to the clinic as time permits and patients' needs.
CMSAIII
Humana
06.2023 - Current
- Inbound and Outbound Bilingual teams—Started as a CMSAII and recently Promoted by Humana to CMSAIII.
- I conduct Bilingual Health Risk Assessment nationwide to Humana members and get them connected with a case manager.
- I conduct assessments as the program requires and provide education and support during assessment regarding their benefits in the policy.
- Currently- Scheduling Initial Dietician consultation requests from CM.
- I was recruited to assist the dietician pilot team to outreach members in getting them scheduled with Dietician consult for the dietician team.
- I have been successful in getting the Queue down to January of this year and managing the queue with the help of 2 other CMSA’s.
- We update ICT requests and complete proper documentation in CGX.
- I started with Dietician Pilot January 2, 2024.
Consumer Service Representative 3
Humana Health Plan – Humana Neighborhood Center
Corpus Christi
06.2023 - Current
- My daily duties are to attend daily team huddles to provide updates on daily schedules for the day.
- The role also assists the center's admin on current daily activities and supports the center.
- I am her back up for lunch and assist sales agents as needed.
- My role provides assistance in all customer services related issues relating to claims, grievance and appeals.
- I assist and educate members regarding benefits.
- Help them understand the benefits they have with their new plans.
- I assist in setting up appointments, locating new PCP’s.
- I also make PCP changes for HMO members and PPO members.
- I am certified bilingual based on Humana’s language assessment.
- Currently at the center we have center activities that are member based like bingo, movie and a popcorn that I assist with when I am not at an appointment with a member.
- My expertise is assisting in denied claims and balance billing which happens fairly frequently with members.
- For the past year I assisted the Humana Virtual Kiosk team as support for Spanish speakers.
- I assist in taking Kiosk calls for Spanish members.
Service Coordinator- STAR Kids Program
Centene Corporation-Superior Health Plan
06.2016 - 08.2020
- Make quarterly outreach calls to members and parents every 3-4 months.
- I would provide parents with information on service available to them through the health plan.
- I also assisted the company with the Employee Appreciation Committee: as a part of this team I coordinated United Way campaigns, Employee luncheons for over 100 employees, also coordinated Thanksgiving and Christmas Luncheons.
- I also worked on special projects, assisted the scheduling committee, Authorization Department, PSON department, and also assisted the Behavioral Health Department completing Emergency Disaster Plans for members and parents.
- I can complete assessment in Spanish and in English.
- I can read and write fluently in Spanish.
Surgical Scheduler
Colon and Rectal Associates of South Texas
03.2013 - 06.2016
- Coordinate doctors’ schedules, surgical and patient visits.
- I verify and obtain authorizations for office visits and surgical procedures for in and outpatient procedures.
- I schedule appointments, call in prescriptions for patients.
- Set up Radiology exams as needed for patients.
- Set up surgical assists as needed for in-patient surgeries.
- Cover staffing needs in the office.
- Coordinate schedules for the other colorectal doctors in the office if needed.
- Verify insurance benefits for surgical procedures.
- Triage patient phone calls and delegate them to the doctor for review.
Phlebotomist- Staffing pool
Christus Spohn Hospital- Shoreline
07.2012 - 03.2014
- I collected patient specimens, Entered data in the system according to work processes.
- Labeled samples for processing.
- I worked in this position as a part-time floater prn position.
- Weekends usually.
Surgery Coordinator/Scheduler
SOUTH TEXAS BRAIN AND SPINE
07.2012 - 03.2013
- In this position I scheduled surgeries for all three doctors in the office.
- Scheduled appointments verified daily schedule in office and surgery schedules.
- Coordinates assists for physicians in surgical schedules.
- I also coordinated worker’s compensation visits for patients.
- I answered multiple phone lines.
- I worked late one night a week with Dr. Mathew Alexander in the office to meet patient needs and scheduling needs.
Field Coordinator
UNIVERSITY OF MICHIGAN- SHARE PROJECT
10.2011 - 07.2012
- I worked as a field coordinator, duties were to interview program participants, patient vitals, and venipunctures at different time points during the research project.
- I scheduled visits accordingly, I gathered patient’s feedback on the study.
- I also did education on materials provided by the project.
- I could go over key points with the patients.
Patient Service Technician-Phlebotomist
LabCorp Inc.
02.2007 - 08.2011
- I checked in patients as they signed in at the service centers.
- I collected blood samples and prepared them for processing and shipment to the laboratory.
- Data entry consisted of Insurance verification and collecting coinsurance costs.
- Performed chain of custody drug screens for employers.
- I also acted as a floater to meet clinic needs.
Education
GED -
Del Mar College
PBT Phlebotomy Technician -
American Society of Clinical Pathologist
Former Licensed Massage Therapist -
Hands on Approach School of Massage
Community Health Worker/Promotora-Bilingual -
UT Health-South Coastal Area Health Education Center
Corpus Christi, TexasSkills
- Advanced Bilingual Spanish
- Proficient in translation of medical terminology in English and Spanish
- Case management over 10 years
- Scheduling experience
- Disease Education
Certification
Community Health Worker Certification, 01/24, Belinda Flores, RN, BS, Director, South Coastal Area Health Education Center, 361-881-8133
References
Ashley Harrington-Clinic Administrator Conviva Portland #361-534-9107
Diane Caballero coworker #361-516-7103
Randy Balderas Board member #361-549-8323
- Ada Sanchez, Co-worker, 361-701-8095
- Mary Kathy Shick, 361-816-1022
Timeline
Community Health Worker/Promotora Bilingual
Conviva Care Centers-Care Integration
02.2024 - Current
CMSAIII
Humana
06.2023 - Current
Consumer Service Representative 3
Humana Health Plan – Humana Neighborhood Center
06.2023 - Current
Service Coordinator- STAR Kids Program
Centene Corporation-Superior Health Plan
06.2016 - 08.2020
Surgical Scheduler
Colon and Rectal Associates of South Texas
03.2013 - 06.2016
Phlebotomist- Staffing pool
Christus Spohn Hospital- Shoreline
07.2012 - 03.2014
Surgery Coordinator/Scheduler
SOUTH TEXAS BRAIN AND SPINE
07.2012 - 03.2013
Field Coordinator
UNIVERSITY OF MICHIGAN- SHARE PROJECT
10.2011 - 07.2012
Patient Service Technician-Phlebotomist
LabCorp Inc.
02.2007 - 08.2011
GED -
Del Mar College
PBT Phlebotomy Technician -
American Society of Clinical Pathologist
Former Licensed Massage Therapist -
Hands on Approach School of Massage
Community Health Worker/Promotora-Bilingual -
UT Health-South Coastal Area Health Education Center