Joan Garces
Ormond Beach,FL
Summary
Committed Catastrophic Home Health Team Lead offers 30 years in home healthcare. Dedicated to delivering consistent and focused attention to excellent patient care. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
9
9
years of professional experience
Work History
Catastrophic Home Health Team Lead
MTI America
02.2023 - Current
- Collaborates directly with Billing Department to resolve billing review appointments on vendor payments issues
- Assist the Home Health Manager with special projects, assisting with referrals assignments, training and managing Home Health referrals
- Receives referrals and obtains all necessary patient, medical, and demographic information from a variety of referral sources via various communication methods to establish and coordinate medical products
- Coordinates training of all new hires in the department utilizing SOPs
- Assists with re-training when needed or requested
- Partners with Provider Relations to offer consistent feedback on the overall performance of the vendor network
- Communicates effectively with both internal and external customers to ensure that all referral needs are met in a timely manner
- Consistently works with attention given to specific carrier/patient customer preferences, guidelines, and contractual service agreements
- Follow internal escalation procedures
- Manage a workload of no more than 30 referrals
Home Health Coordinator
MTI America
08.2020 - 01.2023
- Received referrals, obtained all necessary patient, medical and demographic information from a variety of referrals sources
- Established and maintained effective communication with staff, physicians and carriers/vendors to promote high quality patient care
- Communicated with patients, ensuring that medical information was kept private
- Discussed medical histories with patients in effort to provide most effective medical care
- Ordered all DME supplies and kept check on inventory levels
- Managed pre-certifications and utilization review
- Proactively identified scheduling issues and developed quick solutions to promote efficiency and profitability
- Developed strong working relationships with management and executive team through effective scheduling and communication skills
Network Development Manager
MTI America
07.2019 - 07.2020
- Partnered with departmental managers to ascertain network needs
- Negotiated rates and reviewed contracts for vendors
- Negotiated complex vendor agreements and built relationships across multiple commodities
- Managed assigned contracts throughout lifecycle, identifying need for and implementing amendments, renewals, terminations and other necessary contractual actions
- Leveraged social media platforms and online job boards to advertise open positions and engage with potential vendors and contractors
- Managed vendor contracts and relationships through collaboration to maximize cost-effectiveness and maintain service standards
- Met monthly Network Expansion quota
Home Health Coordinator
MTI America
06.2017 - 07.2019
- Received referrals, obtained all necessary patient, medical and demographic information from a variety of referrals sources
- Established and maintained effective communication with staff, physicians and carriers/vendors to promote high quality patient care
- Communicated with patients, ensuring that medical information was kept private
- Discussed medical histories with patients in effort to provide most effective medical care
- Ordered all DME supplies and kept check on inventory levels
- Managed pre-certifications and utilization review
- Proactively identified scheduling issues and developed quick solutions to promote efficiency and profitability
- Developed strong working relationships with management and executive team through effective scheduling and communication skills
Human Resources Manager/Case Manager
AAA Home Health Care
05.2016 - 11.2016
- Managed all aspects of Human Resources
- Created plan of care/orders
- Tracked all plan of Care/orders
- Case managed veteran patients
- Assisted with payroll for all field staff
Office Manager/Patient Care Coordinator
Amerihealth Home Care
07.2014 - 05.2016
- Run day to day operations
- Manage 55 Medicare cases from admission to discharge
- Intake for all new patients
- Staff and create all patient and field staff schedules
- Prepare for ACHC inspection
- On Call 7 days/week
Education
Artesia High School
Lakewood, CAundefined
Miami Dade College
Kendall, FLSkills
- Office Manager/Patient Care Coordinator with over 30 years experience in Home Health
- Successful in forming business relationships with physicians in the community
- Office Microsoft applications, Type 65 wpm
- Highly knowledgeable of Medicare state/federal regulations and guidelines for home Knowledgeable in Workers Compensation state fee schedules
- Excellent time-management, motivational and leadership abilities
- Ability to communicate professionally, concisely and effectively
Timeline
Catastrophic Home Health Team Lead
MTI America
02.2023 - Current
Home Health Coordinator
MTI America
08.2020 - 01.2023
Network Development Manager
MTI America
07.2019 - 07.2020
Home Health Coordinator
MTI America
06.2017 - 07.2019
Human Resources Manager/Case Manager
AAA Home Health Care
05.2016 - 11.2016
Office Manager/Patient Care Coordinator
Amerihealth Home Care
07.2014 - 05.2016
Artesia High School
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Miami Dade College