Talented Case Manager adept at handling high caseloads without sacrificing quality of care. Operates in high-pressure environments while recommending best resources and courses of action to benefit patient needs and return each to optimal quality of life.
Overview
19
19
years of professional experience
Work History
CASE MANGER
BEECAN HEALTHCARE
01.2024 - Current
Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
Advocated for client rights when interacting with external agencies or institutions, ensuring fair treatment at all times.
Assisted clients in setting achievable goals while providing ongoing encouragement and support throughout the process of reaching those objectives.
LVN Charge Nurse
Country Villa
09.2023 - 01.2024
Improved patient care by implementing an efficient patient monitoring system and coordinating with interdisciplinary teams
Enhanced team communication by conducting regular staff meetings, addressing concerns, and promoting open dialogue
Increased patient satisfaction scores by actively listening to patients' needs, providing compassionate care, and addressing concerns promptly
Managed patient caseloads effectively by prioritizing needs, delegating tasks appropriately, and collaborating with healthcare professionals
Promoted continuity of care by maintaining comprehensive medical records and updating physicians on significant changes in patients' conditions.
Business Office Manager
Fountainview Subacute And Nursing
01.2023 - 09.2023
Improved workflow efficiency by streamlining office processes and implementing new software solutions
Managed financial operations for the business, ensuring accurate budgeting and timely invoice processing
Coordinated staff schedules, adjusting workloads to maximize productivity and meet deadlines
Developed and maintained strong relationships with vendors, negotiating contracts for cost savings and improved service quality
Oversaw inventory management, maintaining optimal levels of supplies while minimizing costs
Ensured compliance with company policies and industry regulations through regular audits and process updates.
Business Office Assistant Manager
Palazzo Post Acute
02.2021 - 07.2022
Identified errors and re-filed denied or rejected claims quickly to prevent payment delays
Posted charges, payments, and adjustments
Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments, and remaining balances not covered under policies
Completed appeals and filed and submitted claims
Posted and adjusted payments from insurance companies
Reviewed and verified benefits and eligibility with speed and precision
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols, and third-party billing requirements
Applied payments, adjustments, and denials into medical manager system
Prepared billing statements for patients, ensuring correct diagnostic coding.
Business Office Manager
Maclay Health Care Center
08.2018 - 01.2020
Identified errors and re-filed denied or rejected claims quickly to prevent payment delays
Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments, and remaining balances not covered under policies
Completed appeals and filed and submitted claims
Posted and adjusted payments from insurance companies
Reviewed and verified benefits and eligibility with speed and precision
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols, and third-party billing requirements
Applied payments, adjustments, and denials into medical manager system
Prepared billing statements for patients, ensuring correct diagnostic coding
Prepared and attached referrals, treatment plans, or other required correspondence to reduce the incidence of denials.
CNA/Medtech
Evergreen Retirement Residence
11.2017 - 07.2018
Assisted with activities of daily living (ADL) by serving meals and feeding patients
Took care of patients' personal hygiene by assisting with or giving bed bath, bath, or shower
Kept patients clean at all times
Checked and recorded vital signs; blood pressure and temperature
Measured patient's height and weight
Observed patient's responses and changes to medications
Assisted with bedpans and urinals
Prepared and checked food trays
Fed patients
Monitored food intake.
Staffing Coordinator/CNA
Trusted Senior Care
06.2016 - 10.2017
Provided comprehensive assessment, planning, implementation evaluations to all patients
Organized and hosted meetings with potential, new, and existing social workers
Utilized my outbound sales cold-call sales experience to study industry competition, obtain new social workers and patients
Oversaw patient needs and fulfilling my goals as Client & Staffing Coordinator resulting in maximizing company profitability while obtaining patient satisfaction.
Care Giver
Good Providers Home Care
12.2013 - 06.2016
Compassionate caregiver companion with experience serving ill patients, including assisting with daily living activities and household tasks
Keeping clients as active as possible.
Administrative and Support Specialist
CalAsia Construction
09.2005 - 12.2013
Analyzed data to determine answers to questions from customers or members of the public
Calculated and quoted rates for tours, stocks, insurance policies, or other products or services
Collected, sorted, distributed, or prepared mail, messages, or courier deliveries
Operated telephone switchboard to answer, screen, or forward calls, providing information, taking messages, or scheduling appointments
Performed administrative support tasks, such as proofreading, transcribing handwritten information, or operating calculators or computers to work with pay records, invoices, balance sheets, or other documents.