Katherine Noller Fernandez
San Jose
Summary
Care coordinator specializing in case management, situational assessments, conflict resolution and exceptional communication. Compassionate active listener who builds trust to help clients resolve personal issues and achieve life goals. Excellent strengths in customer service and care management seeking to obtain a challenging and sustainable career position in which my educational and work experiences can be utilized to assist in improving company operations as well as career growth.
Results-oriented coordination professional with strong background in managing core operations and driving process efficiency. Proven ability to lead teams towards achieving project milestones with focus on collaboration and adaptability. Known for organizational skills and proactive approach to meeting dynamic business needs.
Overview
25
25
years of professional experience
Work History
Cardiology and Complex Primary Care/CORE Coordinator
Lucille Packard Children’s Hospital
Palo Alto, California
05.2022 - Current
- Collaborate with health care providers, case managers, social workers and other key people involved in the daily activities of providing medical care to patients; supervise staff of volunteer resource assistants.
- Attend interdisciplinary rounds, care conferences and other meetings as appropriate regarding the plan of care for patients
- Supervise the purchase and order of products/supplies for patients.
- Coordinates logistics and implements hospital-wide employee wellness campaigns, screenings, promotions, programs, and other events;
- Implements new initiatives or updates existing initiatives to increase employee participation and engagement, in alignment with program strategic direction; develops goals, objectives, deliverables and evaluations for initiatives;
- Creates and executes project plans, including development of delivery/implementation plans, action plans and tracking key project milestones;
- Develops Statements of Work for vendor solicitations; assists with establishing timelines and expectations
- Monitors expenditures to ensure spending remains within specified guidelines;
- Gathers and analyzes data to measure effectiveness of wellness programs/initiatives;
- Provide recommendations to employee wellness manager for improvements or enhancements regarding implementation of wellness activities and services for work units, departments or on a county/hospital basis
- Assist with Epic Work Queues to resolve issues timely
- Evaluate denials to determine root cause and implement activities to avoid denials from occurring and trend to ensure compliance
- Prioritizes overturn activities using a range of cause factors including denials reason codes, payors, physicians, procedures, and services to ensure efforts are focused where they will have the best financial impact for the organization
- Coordinates and facilitates committee meetings
- Meets with and interacts with hospital employees to increase participation in wellness initiative/programs
- Accurately documents key decisions from meetings
- Lead performance management and quality improvement committees
- Analyze and prepares written reports
- Create effective branded promotional materials to market worksite wellness services
- Attend hospital events and activities to provide education and distribute promotional materials
- Develops and facilitates health education programs such as courses, workshops, special events, and interactive booths
- Develops and delivers topic-specific presentations and demonstrations to all levels of hospital employees
- Initiate and/or participate in research studies related to performance management, quality improvement, evaluation, and related topics
- Leads and supported development, review, and documentation of new and existing policies, procedures, and workflows for various operations, and activities, as well as evaluation plans, logic models, and evaluation tools
- Assists in the development of employee wellness policies and procedures
- Keeps abreast of current worksite wellness industry standards and trends
- Part of a technical writing team responsible for developing ways to access hospital programs
- Verify pre/post hospitalization benefits, placement, services and equipment.
- Conduct assessments and make referrals to appropriate resources as identified by treatment and utilization needs in collaboration with the Social Work and Case Management Teams.
- Act as a primary liaison between the hospital and community resource agencies. Participate in the development and implementation of new programs, operating protocols and communication initiatives related to care coordination.
- Assist in managing and maintaining a current resource database for Social Work for families and maintain daily updates for the Case Management utilization tool.
- Coordinate transportation, lodging, meals or other needed resources and maintain a database for monthly accounting for distributed assistance and reimbursement submittals.
- Order DME supplies and in charge of all the procedures for both in and out patient consumers
- Contribute to quality assurance, goal setting, process improvement and achievement of desired care team outcomes generating new resources and referral options for patients and families as available.
- Serve as the liaison between the clinical staff and family; communicates needs for education, referrals and resources to appropriate direct care providers.
- Act as resource for other operating departments in areas of medical record file management
- Facilitate utilization review, discharge planning, psychosocial considerations, educational needs and other related information to appropriate care providers and community agencies.
- Forward admission, concurrent and retrospective reviews under the direction of the Case Manager; review daily admission data and checks inpatient insurance benefits, authorized days and other related needs.
Event Manager
Custom Celebrations
San Jose, California
11.2001 - Current
- Manage and oversee the day-to-day functions and operations of the business
- Plan, design and facilitate all event/special/corporate and administrative stages of events throughout Silicon Valley California
- Responsible for events that represent an array of backgrounds, cultures and religious affiliations
- Implemented and maintained excellent service to achieve client satisfaction
- Educated and well versed in respect to different cultures and religious institutions pertaining to special/corporate events
- Develop and execute processes and guidelines to improve effectiveness and efficiency of events
- Prioritize relationships and collaborate with sponsors and other vendors
- Responsible for expenditures and overseeing control measures throughout all stages of events
- Create and promote timelines and layouts to all team members for the events
- Liaison between all contracted professionals, promotions and attendees
- Conduct negotiation strategies with vendors to meet the client’s needs both personally and financially
- Develop and negotiate travel plans, group sales with airlines, hotels, etc. for clients
- Ensure the timely availability of supplies and services of products and vendors to the client
- Work with an array of vendors and venues to facilitate planned schedule of events
- Supervised the room set up and functionality according to client expectations
- Provide excellent and effective leadership, communication, negotiation, interpersonal, problem solving and multitasking skills
- Responsible for overseeing all event functions of clients’ weddings and events
- Troubleshoot anticipated issues that might rise through the course of the planning process or day of the event to ensure a win-win result
- Designed and coordinated events that have been televised and published
Office Manager
David W. Noller, M.D and Mark Noller, M.D
San Jose, California
10.2007 - 05.2022
- Responsible for maintaining various health insurance practices, guidelines and coverage for patients.
- Supervised changes in service delivery systems such as work restructuring, technological innovations and shifts in practice, examined trends and implemented necessary corrective action as needed.
- Managed the implementation, monitoring and review of the performance management for the group
- Accountable for logging, tracking and reporting Confidential Occurrence Reports, Comments and Complaints
- Served as a project coordinator for credentialing survey applications, insurance company audits and regulatory compliance/licensing reviews.
- Drove management and execution of programs with a focus on achieving goals related to patient, family and member experience.
- Managed various types of online projects associated with evolving patient and family experiences such as modeling personas, design, content, analysis, testing, and voice of the customer.
- Worked with key operational and technical stakeholders to define requirements, develop and maintain efficient processes, educate colleagues on the feasibility of projects, and work with functional leads to implement process change when needed.
- Collaborated with the technology organization to deliver projects leveraging design thinking methodology.
- Worked with Marketing to integrate the brand strategy into a dynamic, personalized experience.
- Designed and prepared presentation reports that provide senior management, physician constituencies and other group executives with summarized data trends and progress toward achieving program goals.
- Identified opportunities for process improvement and recognize and use synergies from other projects to design creative solutions for technological and non-technological problems as well as identify future projects.
- Participated in activities including enhanced content development for department tools and methodologies, and synthesize new content gathered from external resources and conferences.
- Provided program leadership for large strategic and cross-functional improvement programs for executive stakeholders, practices and project team members by defining strategic intent of programs and overseeing deliverable development to ensure project goals are met.
Education
B.S., Bachelor of Science - Health Management
University of Phoenix
Online08-2022
M.A., Masters of Art - Educational Counseling
San Jose State University
San Jose, California01-2000
B.S., Bachelors of Science - Psychology
California Lutheran University
Thousand Oaks, California01-1998
Skills
- Communications
- Customer Service
- Detail Oriented
- Risk Assessment
- Presentation Skills
- Time Management
- Multitasking
- Medical Insurance
- Management
- Individual Counseling
- Behavioral Therapy
- Event Management
- Negotiation
- Database Application
- Analytical Skills
- Leadership
- Interpersonal Skills
- Medical Terminology
- Organizational Skills
- Medical Records
- Problem Solving
- Case Management
- Meeting facilitation
- Microsoft office
- Student engagement
- Lesson planning
Websites
Accomplishments
Achieved strong relationships with vendors and contractors by determining the need for each vendor and desired outcomes through effective collaboration.
Timeline
Cardiology and Complex Primary Care/CORE Coordinator
Lucille Packard Children’s Hospital
05.2022 - Current
Office Manager
David W. Noller, M.D and Mark Noller, M.D
10.2007 - 05.2022
Event Manager
Custom Celebrations
11.2001 - Current
M.A., Masters of Art - Educational Counseling
San Jose State University
B.S., Bachelors of Science - Psychology
California Lutheran University
B.S., Bachelor of Science - Health Management
University of Phoenix
Rose Award from Stanford Children's Hospital
Results driven and continual never ending improvement with vendors, contracts and projects to meet the goals of the hospital.