Karon A. Clark
Calumet City
Summary
Dedicated healthcare professional with over 15 years of experience in addressing complex medical needs and achieving measurable outcomes. Expertise in collaboration, mediation, and conflict resolution, complemented by a solid foundation in authorizations, referrals, eligibility screening, and case management. Proven ability to enhance community-based healthcare programs while navigating intricate healthcare systems to streamline processes. Committed to delivering compassionate, patient-centered service with a strong emphasis on compliance and administrative operations.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Analyse Case Manager
Aetna CVS
Downer Grove, IL
02.2020 - 01.2026
- Coordinated healthcare programs supporting members, providers, and internal clinical teams in a managed care environment.
- Managed medical authorizations, inpatient and outpatient referrals, and eligibility with physicians, hospitals, case managers, and external medical professionals to ensure continuity of care.Presentation of high-risk cases. Audit review and presentations.
- Maintained operational proficiency in automated healthcare data systems, ensuring accurate documentation and data retrieval.
- Identified and resolved state case issues, ensuring compliance with regulatory and contractual requirements.
- Assisted in short- and long-term healthcare program planning, monitoring outcomes, and adherence to established goals.
- Successfully collaborated and developed a community partnership
- Key Achievement: - Developed a community outreach plan that improved program effectiveness, member engagement, and provider collaboration, resulting in the Apex award 2024.
Program Coordinator II
CENTENE CORPORATION, INC.
Chicago, IL
09.2014 - 02.2020
- Coordinated healthcare programs supporting members, providers, and internal clinical teams in a managed care environment.
- Managed medical authorizations, inpatient and outpatient referrals, and eligibility with physicians, hospitals, case managers, and external medical professionals to ensure continuity of care.
- Maintained operational proficiency in automated healthcare data systems, ensuring accurate documentation and data retrieval.
- Identified and resolved state case issues, ensuring compliance with regulatory and contractual requirements.
- Assisted in short- and long-term healthcare program planning, monitoring outcomes, and adherence to established goals.
- Supported community outreach initiatives to increase healthcare access, awareness, and engagement.
- Key Achievement: - Developed a community outreach plan that improved program effectiveness, member engagement, and provided successful outcomes
Resident Service Coordinator
THE HABITAT COMPANY
Chicago, IL
04.2012 - 08.2014
- Provided client-centered support services to residents, addressing needs related to health, social services, and community resources.
- Conducted intake assessments and coordinated referrals to healthcare and supportive service providers.
- Managed resident life enrichment and wellness programs aimed at improving quality of life. Home visits
- Collaborated with community agencies and healthcare partners to deliver comprehensive services.
- Produced quarterly administrative and compliance reports for audits, consistently achieving perfect scores.
- Key Achievements: - Initiated community-based programs that expanded access to essential health and social resources for residents. - Improved resident service processes by implementing industry best practices. Awarded Excellence in 2013 as Resident Service Coordinator
Program Services Specialist
CHICAGO PROJECT VIOLENCE PREVENTION
Chicago, IL
10.2007 - 03.2012
- Delivered outreach, intake, and case monitoring services to at-risk youth populations.
- Reduced violence in high risk communities, by implimented epidemiologist principles. Successfully, conducted circle trainings resulting in conflict resolution and mediations
- Conducted assessments, documented outcomes, and coordinated referrals to supportive services.
- Played a key role in large-scale community health and safety initiatives. Worked on the media TV 21 station.
- Key Achievement: - Recognized and awarded for Exceptional contributions to violence reduction initiatives impacting high-risk communities.
Administrative Assistant
LAW OFFICE OF BONNIE L. ALEXANDER
Chicago, IL
03.2002 - 10.2006
- Supported daily administrative operations, scheduling, documentation, and confidential record management.
- Prepared reports, correspondence, and presentations using Microsoft Office tools.
- Interviewed, researched, and completed discovery
- Coordinated daily office operations to enhance workflow efficiency.
- Managed calendar schedules for attorneys, optimizing appointment and meeting arrangements.
- Managed complex calendars and scheduled meetings for executive leadership.
- Coordinated travel arrangements, ensuring compliance with corporate policies.
Education
Bachelor of Arts - Social Work
Governors State University
University Park, IL08.2011
Skills
- Microsoft Word, Excel, PowerPoint, Outlook,IM Teams, SharePoint, Dynamo, Nablia AI, Dragon, Sale Force
- Case documentation
- Problem-solving
- Case management
- Time management
- Active listening
- Conflict resolution
- Positive attitude
- Client advocacy
- Care coordination
- Critical thinking
- Case planning
- Community resources
Accomplishments
- Documented and resolved conflict resolution which led to successful community engagement and violence prevention. Awarded in 2012.
- Successfully achieve planning Annual Community Events effectively organizing vendors, speakers and permits.
- Successfully managed over 200 resident files and completed State of IL Compliance audits successfully. Awarded 2014 & recognized for completing audits, and initiating community base programs.
- Successfully spearheaded the development of a community partnership, which resulted in collaborative Community Health Initiative. Awarded the Apex Award 2024.
Certification
- Case Management
- Gang Training
- Diversity
- Intervention Strategies for Adolescents Crisis
- Intervention
- FEMA
- Mediation
- Peacemaking Circle Training
- Leadership
- Resident Engagement Award
- Event Planning
- Motivational Interviewing
- Mandated Report
- Case Managmt effective referrals, goal setting
- First Aid & CPR
Timeline
Analyse Case Manager
Aetna CVS
02.2020 - 01.2026
Program Coordinator II
CENTENE CORPORATION, INC.
09.2014 - 02.2020
Resident Service Coordinator
THE HABITAT COMPANY
04.2012 - 08.2014
Program Services Specialist
CHICAGO PROJECT VIOLENCE PREVENTION
10.2007 - 03.2012
Administrative Assistant
LAW OFFICE OF BONNIE L. ALEXANDER
03.2002 - 10.2006
Bachelor of Arts - Social Work
Governors State University
CORE HEALTHCARE COMPETENCIES
- HealthCare Management & Program Coordination
- Prepare medical Care plans & Referrals
- Eligibility Screening & Intake
- Case Management Support
- Patient & Member Advocacy
- Community Health Outreach
- Inpatient & Outpatient Coordination
- Compliance & Documentation
- Dynamo/Data Systems Proficiency, Nablia AI, Microsoft systems
- Cross-Functional Collaboration