Microsoft Office Applications (Word, Excel, Powe Point)
Jhan Canela
Care Coordinator
Bronx,United States
Summary
Skilled Patient Care Coordinator dedicated to providing excellence and unreasonable healthcare coordination to patients. Excels at identifying client needs and concerns to improve engagement strategies and drive the organization's values and goals.
Overview
10
10
years of professional experience
1
1
Language
Work History
Wellness Coach
VNS Health
08.2020 - Current
- Conducted outreach and engagement to enroll clients in the longitudional program.
- Provided compassionate support for clients and patients' caregivers during difficult healthcare decisions, acting as a liaison between them and their medical team.
- Enhanced patient satisfaction by efficiently scheduling medical appointments and transportation services.
- Assisted patients in navigating complex insurance requirements related to obtaining necessary durable medical equipment coverage.
- Developed and maintained comprehensive patient database to track hospital admissions and discharges for continuity of care.
- Facilitated cross-department collaboration to foster seamless continuity of care.
- Conducted online research to refer patients to medical providers in the community.
- Collaborated with physicians to coordinate patients home care services (e.g. CHHA PT/OT/wound care services).
- Provided training for new staff members, fostering a culture of continuous learning within the department.
Health Home Coordinator
Mount Sinai Health System
08.2016 - 09.2019
- Collaborated and coordinated patient’s care with families, physicians, nurses, social workers and other health care professionals to enhance patient’s health-related outcomes.
- Communicated with providers to schedule initial and follow-up medical appointments and arrange transportation for medical appointments.
- Communicated with health insurance companies to verify benefits eligibility and prior authorizations for medical procedures and DME items.
- Conducted community resource research-oriented tasks and provided psycho education to patients to remove psychosocial barriers from patient’s care.
- Conducted and completed MSHP Health Home Assessments and Care Plans as per NYS DOH guidelines.
- Reviewed and uploaded NYS DOH Health Home-related forms to Relevant Health Homes system database.
- Trained new hire staff on the organization workflows and patient coordination.
FIDA/C-SNP Transitional Care IDT Coordinator
Elderplan FIDA Total Care
05.2015 - 04.2016
- Responsible for verifying member’s admission to hospitals, Skilled Nursing Facilities(SNF), Long Term Placement (LTP) facilities.
- Communicated transitional cover letter and person-centered service plan to PCP and hospitals, Skilled Nursing Facilities and Long Term placement facilities.
- Responsible for facilitating discharge planning by placing DME prior authorizations and resuming home care services.
- Coordinated and scheduled Uniform Assessment System (UAS) visits, such as post-discharge and reassessment visits for assessment nurses.
- Generated and adjusted utilization management authorization letters, such as Skilled Nursing Facilities (SNF), Long Term Placement (LTP) facilities and ambulance transportation services.
- Responsible for creating FIDA cases for new enrollees and generating and uploading FIDA-related letters to HRCM.
- Managed UM authorizations such as, Personal Care Worker (PCW), Durable Medical Equipment (DME), and Personal Emergency Response System (PERS)
- Scheduled Inter-Disciplinary Team (IDT) meeting meetings for Case Managers to develop and/or adjust person-centered care plan (PCSP) for members.
- Cross-trained IDT coordinators and transitional care nurses how to utilize HealthRulesCare Manager (HRCM) and HealthRules Payor system.
Managed Care Coordinator
Elderpan / Homefirst
08.2014 - 04.2015
- Conducted outbound calls to members according to monthly care management call workflow.
- Served as primary liaison between members and Case Managers in addressing health-related concerns and inquiries
- Performed data entry tasks, such as entering and updating member’s personal information, and documenting call logs.
- Cross-trained managed care coordinators to maintain and improve job skills.
Help Desk Technical Support Specialist
Maryland Health Benefit Exchange
01.2014 - 06.2014
- Provided a wide rage of technical support services via telephone, such as performing password resets, and unlocking user’s accounts.
- Identified,diagnosed and troubleshoot applications technical errors and issues.
- Performed incident escalations to Tier II and Tier III technical support group.
- Documented help desk tickets and resolution.
Education
Bachelor of Arts - Psychology
CUNY City College
New York02.2012
Skills
Patient Relations
Organizational Skills
Patient Outreach and Follow-Up
Critical Thinking Skills
Multitasking ability
Attention to Detail
Cross-Functional Teamwork
Compassionate Patient Support
Accomplishments
- Increased departmental transparency and opened up communication channels to improve team collaboration.
- Increased quality of care by developing new hospital admissions tracking methods.
- Nominated for ABCD Award several times by colleagues and direct supervisor.
Software
EPIC
Interests
Hiking
Nature
Specialty Coffee
Latte Art
Quality time with Family/Friends
Timeline
Wellness Coach
VNS Health
08.2020 - Current
Health Home Coordinator
Mount Sinai Health System
08.2016 - 09.2019
FIDA/C-SNP Transitional Care IDT Coordinator
Elderplan FIDA Total Care
05.2015 - 04.2016
Managed Care Coordinator
Elderpan / Homefirst
08.2014 - 04.2015
Help Desk Technical Support Specialist
Maryland Health Benefit Exchange
01.2014 - 06.2014
Bachelor of Arts - Psychology
CUNY City College
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