Jessica Ramirez

As a Senior Transitional Care Coordinator, I oversaw the care program and managed team members to ensure compliance with established processes.

• Developed and maintained metrics, presented findings to the medical board, and established workflows and protocols while training new hires.
• Analyzed data to uncover insights that informed strategic decisions and enhanced program effectiveness.
• Gained access to various hospitals' EMRs in Southern California to monitor patient admissions.
• Contributed ideas for structuring programs to improve outcomes.

As a Care Coordinator, I managed the transition of recently discharged patients from 35 nephrology practices across Orange and LA County, monitoring vital patient information to enhance treatment planning and care delivery in collaboration with physicians, thereby reducing the risk of readmissions.

• Scheduled follow-up visits post-discharge and conducted regular check-ins for 90 days to ensure ongoing patient support.
• Facilitated seamless communication between patients and various departments, streamlining care processes and improving overall patient experience.
• Compiled and maintained accurate and up-to-date patient medical records to ensure comprehensive information access.

• As the first scheduler hired, I established and led the scheduling department by developing protocols and workflows, creating call scripts, and designing precise schedules for renal dietitians. Successfully expanded the team and advanced to Lead Trainer, streamlining operations and fostering departmental growth.

• In my position at Signify Health, my role was to contact members of various Medicare Advantage and Medicaid plans to explain and set up home health evaluations as part of their coverage.
• Delivered high-quality customer service by addressing inquiries, resolving issues, and providing product information to ensure a positive experience for all customers.
• Worked diligently to meet department goals for productivity, and customer service.

• Served as the first point of contact for customers, addressing inquiries and resolving issues while delivering high-quality service primarily through inbound and outbound calls.
• Verified insurance coverage and maintained knowledge of claims processing and dental terminology to ensure proper reimbursement and estimate patients' financial responsibilities.