Kailey Tulua
Reno,Nevada
Summary
Experienced with clinical administration and patient coordination. Utilizes organizational and communication skills to ensure efficient operation of clinical services. Track record of supporting clinical teams and managing administrative tasks effectively.
Clinical administrative professional with strong expertise in healthcare management and patient coordination. Proven ability to streamline operations, enhance patient satisfaction, and support clinical teams effectively. Adept at navigating complex healthcare systems, ensuring compliance, and adapting to changing priorities. Reliable team player known for fostering collaboration and achieving high-impact results.
Overview
11
11
years of professional experience
Work History
Senior Clinical Administrative Coordinator
UnitedHealthcare Community Plan Hawai’i
06.2025 - Current
- Responsible for timely and accurate data entry to help ensure quality care and smooth operations for health plan members, including admission/discharge notifications and related clinical information
- Coordinated administrative and clinical support activities for healthcare teams serving Medicaid members across the Hawai’i Islands
- Assisted members enrolled in Medicaid by helping them navigate benefits, referrals, and care coordination
- Monitor clinical documentation to ensure accuracy and compliance with healthcare regulations
- Prepare and analyze reports on patient volume, denied claims, and workflow efficiency
- Coordinate with hospitals, clinics, and facilities, and work with internal clinical teams to manage service requests
- Process referrals and prior authorizations — both incoming and outgoing — including intake, notifications, and census tracking
- Resolve inquiries from members and providers regarding services, referrals, and authorizations
- Support audit preparation and quality improvement efforts
Waitress
Mexico Lindo
09.2015 - Current
- Warmly greeted new and returning customers and developed relationships resulting in customer loyalty
- Maintained and enforced strict and up-to-date cleanliness and social distancing policies regarding the COVID-19 outbreak to ensure both employee safety and customer satisfaction
- Memorized over 30 menu items and rotating specials to give customized recommendations to customers. Swiftly and successfully resolved conflicts, resulting in customer satisfaction 100% of the time
Legislative Aide & Committee Clerk
Hawaii State Capitol, House of Representative Jenna Takenouchi, Vice Chair of the Committee of Finance, District 27
01.2025 - 05.2025
- Served as the direct liaison with legislative, research, and policy on constituent matters
- Delivered detailed communications to constituents on a multitude of topics
- Assist in drafting and reviewing legislation proposals for the office
- Managed the newsletter using MailChimp to inform constituents about policy developments
- Prepare for public finance hearings while checking in State departments and non-profit organizations
Laboratory Coordinator & Medical Assistant
Dr. Kathryn Taketa-Wong, N.D., L.A.c
02.2024 - 12.2024
- Coordinating lab use, maintaining equipment, and ensuring all safety rules and regulations are met
- Assist with office tasks such as answering patient calls, emails, and faxing in prescriptions to pharmacies
- Electronically submit lab tests and imaging (x-ray, MRI, etc.) and maintain inventory stock of lab test kits
- Monitor and record an average of 25-30 patients per day, schedule appointments, and take patients' vital signs.
- Assisted in bookkeeping using QuickBooks software and uploaded lab results to the electronic medical records system
Public Health Student Intern
Aloha Harvest, Touch a Heart, Meals with Aloha
01.2023 - 05.2023
- Assists and provides the Meals with Aloha project to complete 100 hours for the applied learning experience 485 course
- Gained hands-on experience in Touch a Heart’s kitchen, preparing healthy meals for elders. Gained much practical knowledge with Aloha Harvest, rescuing quality food to nourish and strengthen the community on O’ahu.
- Entail designing an educational presentation related to food insecurity, nutritional diet meal plans, and programs available to help, as well as presenting to a few different groups of elders. Maintained consistent communication with elders by answering questions they were concerned about.
Cashier
Safeway
09.2015 - 01.2016
- Provided a friendly and positive customer experience with fair and courteous service, resolved customer issues, and answered questions
- Registered sales on a cash register by scanning items, itemizing, and totaling customers' purchases
- Received customers' compliments about my customer service while on shift that were given to Safeway’s Senior Vice President, Retail Operations
Education
Bachelor of Arts - Public Health
University of Hawai’i at Mānoa
Honolulu, HI12-2023
Associate in Liberal Arts - Hawaiian Studies
Windward Community College
Kāne’ohe, HI12-2019
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Brigham Young University
Lā‘ie, HI12-2016
Skills
- HIPAA compliance
- Electronic Care Management Systems
- Medicaid/Dual-Eligible Population Health Management Tools
- Clinical Intake & Utilization Review Software
- Time management
- Healthcare policy
- Legislation tracking
- Legislative research
- Attention to detail
- Compliance standards
- Microsoft 365
- Public policy development
Timeline
Senior Clinical Administrative Coordinator
UnitedHealthcare Community Plan Hawai’i
06.2025 - Current
Legislative Aide & Committee Clerk
Hawaii State Capitol, House of Representative Jenna Takenouchi, Vice Chair of the Committee of Finance, District 27
01.2025 - 05.2025
Laboratory Coordinator & Medical Assistant
Dr. Kathryn Taketa-Wong, N.D., L.A.c
02.2024 - 12.2024
Public Health Student Intern
Aloha Harvest, Touch a Heart, Meals with Aloha
01.2023 - 05.2023
Waitress
Mexico Lindo
09.2015 - Current
Cashier
Safeway
09.2015 - 01.2016
Associate in Liberal Arts - Hawaiian Studies
Windward Community College
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Brigham Young University
Bachelor of Arts - Public Health
University of Hawai’i at Mānoa
VOLUNTEER & COMMUNITY SERVICE
- Meals with Aloha, Deliver Meals, 2023-01, 2023-04
- Health Resource Fair, KEY Project, 2023-05, 2023-05
- Mālama Pu'uloa, Pearl Harbor, HI, 2022-10, 2022-10
- Lo’i Patch, Ho'okua'aina, 2019-10, 2019-10, 2021-12, 2021-12
- Hui Ola Pono Club, Beach clean up, 2022-01, 2022-01