Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kelisha Green-Edler

Winter Haven,FL

Summary

Diplomatic and focused Care Management Coordinator leveraging 10+ years working within multi-disciplinary healthcare teams. Knowledgeable about risk management principles and regulations. Dedicated to optimizing patient outcomes and organizational repetition as well as offering proficiency in regulatory compliance.

Overview

14
14
years of professional experience

Work History

Risk Management Coordinator

AdventHealth
03.2023 - Current
  • Assisted in completing and maintaining care management contracts during and after patient's hospitalization.
  • Met with community providers to foster good rapport and relationships and identify new programs.
  • Conducted patient assessments to determine appropriate levels of care.
  • Contacted third-party payors to obtain and confirm authorization for services and communicated necessary related clinical information.

Substitute teacher

Kelly Educational Services
10.2016 - Current
  • Assumed the duties as a regular classroom teacher
  • Followed classroom plans left by class teacher to continue student education and reinforce core concepts.
  • Took notes and prepared reports on school day activities to provide to primary teacher.
  • Maintain normal classroom routine and discipline procedures

Registration lead

Heart of florida regional center
08.2016 - Current
  • Responsible for initiating authorizations on all hospital inpatient admissions/observation stays
  • Performed all patient and third party contact pertaining to the collection on the patients’ accounts
  • Provided financial assistance to patient per hospital policy
  • Registered patients who present for outpatient testing, emergency treatment and admission in a courteous manner
  • Performed other administrative duties.

Care Management Coordinator

Advent Health
08.2020 - 08.2023
  • Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing and other enabling services for patients.
  • Arranged transportation and documented details of discharge transition plans.
  • Worked with providers to define quality metrics and outcome reporting process.
  • Coordinated post-discharge care by communicating with outpatient clinics, community resources, agencies and families around patients' transitional care.

Financial ASSISTANCE

Winter Haven Hospital
03.2010 - 08.2017
  • Case management
  • Communicated the clients about their financial obligations
  • Assessed patient eligibility for financial and social assistance through varies agencies
  • Liaison between the patient, family and public agencies
  • Documented the assessment and approvals.

Education

BACHELOR’S - BUSINESS ADMINISTRATION, human resource management

warner university
lake wales, fl
2019

Associate’s - Business ADMINISTRATION

Warner university
Lake, FL
2017

Skills

  • Administrative duties
  • Quality Assurance
  • Microsoft Word, Excel and PowerPoint
  • Type 65 WPM
  • Knowledge of State and Federal labor and employment laws
  • Basic knowledge of the principles and practice of HR management
  • Reviewing Patient Information

Timeline

Risk Management Coordinator

AdventHealth
03.2023 - Current

Care Management Coordinator

Advent Health
08.2020 - 08.2023

Substitute teacher

Kelly Educational Services
10.2016 - Current

Registration lead

Heart of florida regional center
08.2016 - Current

Financial ASSISTANCE

Winter Haven Hospital
03.2010 - 08.2017

BACHELOR’S - BUSINESS ADMINISTRATION, human resource management

warner university

Associate’s - Business ADMINISTRATION

Warner university

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Kelisha Green-Edler