Karlee Williams
Thicket
Summary
Detail-oriented Medical and Health Services Manager passionate about facilitating excellent patient care. Adept at
designing and implementing policies and procedures. Motivated team builder and supervisor focused on driving team
collaboration. Successful at working with diverse teams to develop comprehensive approaches to marketing plans.
Overview
6
6
years of professional experience
Work History
Managed Care Coordinator
Harbor Healthcare System
Beaumont
10.2024 - Current
- Conducted research on regulatory changes impacting managed care operations.
- Prepared claims for submission to third party payers for reimbursement.
- Analyzed financial impact of proposed changes in health plan benefits or fee schedules on providers.
- Assisted in the preparation of various reports for management review and analysis.
- Assisted in the development of new procedures and policies pertaining to managed care operations.
- Participated in meetings with external stakeholders such as insurers and government agencies.
- Negotiated contracts with managed care organizations and payers to ensure optimal reimbursement of products.
- Developed, implemented and maintained contract management tracking systems for all managed care contracts.
- Acted as a liaison between clinical departments and managed care organizations.
- Participated in meetings with external parties such as managed care organizations and other vendors.
- Advised senior management on strategies for improving operational efficiency through better use of existing managed care contracts.
Wellness Director
Pelican Bay Assisted Living Community
Beaumont
06.2024 - 10.2024
- Implemented infection control measures according to established protocols.
- Facilitated professional development opportunities for nurses through continuing education programs.
- Investigated incidents reported by staff members or patients and families.
- Participated in budget preparation activities related to nursing services.
- Maintained accurate records of staffing assignments and patient data according to established guidelines.
- Ensured proper orientation of new hires as well as ongoing training for existing staff members.
- Assisted with recruitment and retention of nursing staff.
- Created policies and procedures to ensure compliance with state regulations.
- Generated content for various media platforms, such as websites and social media accounts.
- Responded promptly to customer inquiries via phone calls and emails while maintaining a friendly attitude.
- Assisted with the development and implementation of marketing campaigns.
- Provided administrative support to the Marketing Manager on a daily basis.
Managed Care Coordinator
Harbor Healthcare System
Beaumont
08.2023 - 06.2024
- Conducted research on regulatory changes impacting managed care operations.
- Prepared claims for submission to third party payers for reimbursement.
- Analyzed financial impact of proposed changes in health plan benefits or fee schedules on providers.
- Assisted in the preparation of various reports for management review and analysis.
- Assisted in the development of new procedures and policies pertaining to managed care operations.
- Participated in meetings with external stakeholders such as insurers and government agencies.
- Negotiated contracts with managed care organizations and payers to ensure optimal reimbursement of products.
- Developed, implemented and maintained contract management tracking systems for all managed care contracts.
- Acted as a liaison between clinical departments and managed care organizations.
- Participated in meetings with external parties such as managed care organizations and other vendors.
- Advised senior management on strategies for improving operational efficiency through better use of existing managed care contracts.
Business Administatrator
Vital Steps HomeCare
Beaumont
06.2022 - 05.2023
- Assessed staffing needs based on changing patient demographics or caseloads.
- Developed policies and procedures to ensure compliance with federal, state, and local regulations.
- Maintained patient records in accordance with HIPAA guidelines.
- Conducted initial assessment of patients to determine eligibility for homecare services.
- Created marketing materials for business development initiatives aimed at increasing referrals.
- Managed personnel issues such as recruitment, hiring, disciplinary actions, employee relations.
- Coordinated care plans with physicians, hospitals, nursing homes, social workers, and other healthcare providers.
- Established quality assurance programs to evaluate the effectiveness of care delivery systems.
- Analyzed client satisfaction surveys to identify areas for service improvement and implement changes.
- Coordinated daily scheduling of home care staff to meet client needs effectively.
- Managed LTC policies and VA benefits (billing and initial assessments).
Quality Coordinator and Marketing Assistant
SYNERGY HomeCare
Beaumont
11.2019 - 09.2021
- Investigated customer complaints related to quality issues, identified root cause and implemented corrective actions.
- Coordinated with other healthcare providers to ensure continuity of care for patients.
- Assessed patient needs to ensure appropriate care was provided.
- Developed marketing campaigns aimed at increasing visibility of home health care services offered by organization.
- Evaluated patient outcomes against established goals set forth in treatment plans.
- Maintained accurate records of patient progress notes and assessments.
- Monitored quality assurance activities within the department to identify areas of improvement.
- Resolved conflicts between clients and patients, families or caregivers when necessary.
- Conducted performance reviews for Home Care employees.
- Provided training to staff on healthcare regulations and best practices.
- Recruited, interviewed and hired new Home Care staff.
Operating Room Assistant
Lake Charles Memorial Health System
Lake Charles
05.2019 - 12.2019
- Assisted in setting up special equipment required for specific procedures such as lasers or endoscopes.
- Participated in continuing education programs related to OR practices and procedures.
- Assisted with stocking operating rooms with necessary supplies prior to surgeries.
- Fostered positive relationships with physicians, nurses, anesthesiologists and other healthcare providers.
Education
Bachelor of Science - Healthcare Administration
Western Governor’s University
Salt Lake City, UT08-2025
High School Diploma -
West Hardin CCISD
Saratoga, TX05-2019
Some College (No Degree) - Licensed Vocational Nursing (LVN)
Lamar State College Orange
Orange, TXSkills
- Effective communication
- Team collaboration
- Marketing plans
- Customer Relationship Management (CRM)
- Healthcare administration
Timeline
Managed Care Coordinator
Harbor Healthcare System
10.2024 - Current
Wellness Director
Pelican Bay Assisted Living Community
06.2024 - 10.2024
Managed Care Coordinator
Harbor Healthcare System
08.2023 - 06.2024
Business Administatrator
Vital Steps HomeCare
06.2022 - 05.2023
Quality Coordinator and Marketing Assistant
SYNERGY HomeCare
11.2019 - 09.2021
Operating Room Assistant
Lake Charles Memorial Health System
05.2019 - 12.2019
Bachelor of Science - Healthcare Administration
Western Governor’s University
High School Diploma -
West Hardin CCISD
Some College (No Degree) - Licensed Vocational Nursing (LVN)
Lamar State College Orange