Lissette Verde
Iselin,NJ
Overview
21
21
years of professional experience
Work History
Transition Team Supervisor
Fidelis Care
Iselin, NJ
04.2014 - Current
- Directed and coordinated complex member transitions between healthcare programs to ensure continuity of care, mirroring the urgency and precision required in emergency medical environments.
- Managed and provided strategic oversight for a multidisciplinary team of 25 nurses and medical professionals, optimizing staffing, workflow efficiency, and patient outcomes.
- Collaborated with physicians, care managers, and clinical staff to develop and execute individualized care plans for patients with critical or high-risk needs.
- Managed multiple high-priority cases simultaneously, applying rapid assessment and decision-making skills to prevent service interruptions.
- Trained and guided new team members on best practices for case coordination, patient communication, and compliance with healthcare regulations.
- Maintained accurate, detailed documentation in compliance with HIPAA and state/federal healthcare standards.
- Acted as a primary liaison between internal departments and external healthcare providers to expedite patient services and resolve urgent care issues.
- Implemented process improvements to increase efficiency, reduce delays, and enhance patient satisfaction in transition-of-care workflows.
Outreach Specialist/HIV Services
MetroPlus Heathplan
Manhattan, NY
08.2008 - 04.2014
- Managed a caseload of high-risk patients requiring urgent linkage to medical care, ensuring rapid initiation of treatment and continuity of services in time-sensitive situations.
- Coordinated with physicians, nurses, social workers, and case managers to develop individualized care plans addressing both immediate medical needs and long-term health outcomes.
- Directed outreach efforts for patients facing critical health disparities, utilizing crisis intervention strategies to reduce emergency incidents and hospital readmissions.
- Provided patient education on treatment adherence, risk reduction, and available healthcare resources, fostering informed decision-making during high-stress medical events.
- Maintained meticulous case documentation in compliance with HIPAA, Department of Health regulations, and hospital quality standards.
- Acted as a liaison between community health organizations and hospital services, ensuring streamlined referrals and accelerated care for urgent and emergent cases.
- Contributed to public health initiatives that improved access to emergency and specialized medical care for underserved populations.
Lead Program Coordinator/Medical Management
University Heathplan
Newark, NJ
11.2004 - 08.2008
- Directed high-acuity pediatric care coordination in partnership with the Department of Health, ensuring rapid response to urgent medical needs.
- Led cross-functional collaboration between healthcare teams, state agencies, and families to secure timely interventions and safe transitions of care.
- Oversaw multi-level case prioritization, triaging patients based on severity to optimize resource allocation and outcomes.
- Developed and enforced compliance with public health regulations, improving emergency readiness and departmental efficiency.
- Provided strategic oversight of complex discharge planning, reducing readmission rates and enhancing patient safety.
Education
Bachelor’s - Business Administration And Management
ITT Technical Institute
Maitland, FL06.1997
Skills
- High-acuity patient coordination across multiple healthcare programs to ensure continuity and quality of care
- Strategic leadership and supervision of a multidisciplinary team of 25 nurses and allied health professionals
- Development and oversight of individualized care plans for critical and high-risk patient populations
- Simultaneous management of multiple urgent cases utilizing advanced prioritization and decision-making skills
- Interagency collaboration with the Department of Health, physicians, and care managers to expedite services and improve outcomes
- Oversight of safe and efficient patient transitions between care settings, minimizing risk and readmissions
- Design and implementation of workflow enhancements to optimize departmental efficiency and throughput
- Comprehensive knowledge of HIPAA, state, and federal healthcare regulations with proven compliance record
- Staff development through targeted training, mentoring, and performance management initiatives
- Primary liaison between internal departments and external providers to resolve escalated or time-sensitive care issues
- Maintenance of precise and compliant documentation to support quality assurance and audit readiness
- Facilitation of interdepartmental communication to align patient care strategies and goals
- Effective crisis communication and conflict resolution in high-pressure healthcare environments
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
References
- Marion Smayda, Fidelis HealthCare: (609)902-2809
- Ivette Bosque, MetroPlus HealthPlan: (908)265-5832
- Marilourdes Perez, University HealthPlan: (386)804-9955
Timeline
Transition Team Supervisor
Fidelis Care
04.2014 - Current
Outreach Specialist/HIV Services
MetroPlus Heathplan
08.2008 - 04.2014
Lead Program Coordinator/Medical Management
University Heathplan
11.2004 - 08.2008
Bachelor’s - Business Administration And Management
ITT Technical Institute