Summary
Overview
Work History
Education
Skills
Professional Development
Languages
Timeline
Generic

Kemberlyn Walker Cole

Elk Grove,CA

Summary

Highly skilled and enthusiastic professional with more than 10 years of experience managing operations in Health Care industry. Successfully oversee human resources, budgeting, supply management and patient services. Develop and lead productive and efficient office staff.

Professional in Health Care Management. Expert in Public Health, Strategic Planning, Studies Conduction and Epidemiological Monitoring. Knowledge of issues related to the daily administrative and operational functions. Strong leadership, decision maker and implementer. Works fabulously with top leaders as well as employees in intermediate and entry level. Able to lead others in demanding circumstances and remain calm in stressful situations. Treats people with dignity and respect, great communicator, self-motivated and oriented hard-working individual, enjoy team work and working with public and diverse population.


Overview

15
15
years of professional experience

Work History

Patient Services Manager

WellSpace Health
12.2017 - Current
  • Managed and motivated employees to be productive and engaged in work.
  • Accomplished multiple tasks within established timeframes.
  • Maintained professional, organized, and safe environment for employees and patrons.
  • Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
  • Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
  • Maximized performance by monitoring daily activities and mentoring team members.
  • Onboarded new employees with training and new hire documentation.
  • Cross-trained existing employees to maximize team agility and performance.
  • Communicated clearly with employees, suppliers and stakeholders to keep everyone on same page and working toward established business goals.
  • Developed and maintained relationships with customers and suppliers through account development.
  • Monitored and analyzed business performance to identify areas of improvement and make necessary adjustments.
  • Developed a strong company culture focused on employee engagement, collaboration, and continuous learning opportunities.
  • Improved safety procedures to create safe working conditions for workers.
  • Achieved departmental goals by developing and executing strategic plans and performance metrics.
  • Built high-performing teams through effective recruitment, onboarding, and talent development initiatives.
  • Managed budgets effectively, ensuring optimal financial performance while investing in necessary resources for business growth.
  • Developed and implemented business strategies to achieve business goals and stay competitive.
  • Ensured compliance with industry regulations and legal requirements by implementing comprehensive policies and training programs for staff members.
  • Facilitated successful cross-functional collaborations for the completion of key projects, fostering strong working relationships among team members.
  • Streamlined workflows by identifying bottlenecks in existing systems and proactively addressing these challenges through appropriate solutions implementation.
  • Optimized resource allocation by conducting regular performance evaluations and providing personalized coaching for staff development.
  • Cultivated partnerships with external stakeholders to maximize business opportunities and extend network reach within the industry sector.
  • Established team priorities, maintained schedules and monitored performance.
  • Evaluated employee performance and conveyed constructive feedback to improve skills.
  • Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
  • Recruited, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.

Special care unit-Referral Coordinator

Wellspace Health
04.2016 - 12.2017
  • Coordinate and process physician referrals, obtaining proper information, and entering referrals into electronic medical records system
  • Follow protocols for proper authorization and process of all referrals, utilizing different insurance websites
  • Maintain electronic medical record system updated with accurate and complete information to be used to analyze productivity and referral patterns
  • Organize and process provider dictation notes to ensure necessary clinical information supports referral
  • Communicates as needed with physicians/clinicians and other staff about any patient concerns related to referrals
  • Verification of patients' demographics
  • Schedule appointments, consultations or testing for patients
  • Answer telephone and messages providing superior customer service when interacting with patients and coworkers
  • Communicate with patient, staff and health plan on a timely basis for all referral requirements
  • Utilizes critical thinking skills to ensure that referrals are entered accordantly
  • Clarify referrals that are incomplete or have uncertain process and services requested
  • Experience with CPT/ICD9 codes
  • Knowledge of state Medicare and Medi-Cal guidelines and process
  • Review and process escalated referrals, monitor the completeness of the appropriate steps for requested referrals obtain additional information; provide clarification when requested services are incomplete or inconsistent
  • Seek and identify possible service resources for patients
  • Participate in interviews positions to be hired.

Local Office Public Health Coordinator

Ministry of Health (Ministerio de Salud)
09.2013 - 10.2015
  • Verification of the health care professionals work experience, education, training and license
  • Evaluation of the accomplishment of quality services in public and private hospitals such as primary care clinics
  • Monitoring and evaluating the accomplishment of health policies and procedures in accordance with government laws and regulations
  • Developing and arrangement of continuing education opportunities for the local health system employees to increase knowledge and skills
  • Develop, implement, evaluate and monitor the plans, programs, projects, research and studies of sectoral and cross-sectoral impact related to the field of health rectory
  • Planning, coordination and implementation of technical actions, provide assistance and promotion required to position the value of health and culture of inclusiveness
  • Selection, processes collection, integration, analysis and distribution of information on health status, its determinants and trends in order to select the most appropriate procedures to protect and improve the health status of the population
  • Establishing action to ensure that the financing of health services are maintained in line with the priorities established in the national health policy and development plans nationwide
  • Providing maintenance and updating of databases and health research, allowing access of the information in a reliable, timely and accurate way, to ensure success in decision making
  • Keeping track on records of products of health interest, accreditation to third parties and drugs certifications or permits under the current regulatory laws
  • Carry out consultation, persuasion and integration with key stakeholders of the social production of health system, to make sure the processes and procedures are used in a correct way in accordance with the government law
  • Monitoring and evaluation of the accomplishment of the health policy in port and entry points.

Regional Office Public Health Coordinator

Ministry of Health (Ministerio de Salud)
05.2011 - 09.2013
  • Monitoring and evaluation of the accomplishment of health policies and procedures in accordance with government laws and regulations
  • Make technical-site inspections to ensure compliance with current regulations regarding public health
  • Check the correct application of rules, laws and regulations governing
  • Keep track of different jobs and the accomplishment of programs and deadlines establish
  • Investigate and resolve of complaints and reports of non-accomplishment of regulations and rules in public health
  • Elaboration of procedures, protocols, other technical instruments and similar documents to provide and assure the health system implementation.

Local Office Health Director

Ministry of Health (Ministerio de Salud)
08.2009 - 02.2011
  • Created annual goals, objectives and budget, directed and coordinated all the activities of the office
  • Directed the installation of improved work methods and procedures to achieve health department objectives
  • Implemented standards and methods to measure the effectiveness of the health department office activities
  • Cooperated with other health related agencies and organizations in community activities
  • Ensured the accuracy of public information and materials
  • Organized and led monthly personnel meeting with a minimum of 10 team members
  • Developed and managed budget and costs expectations while actively seeking ways to eliminate or reduce expenses
  • Worked with state clients and stakeholders to identify opportunities for significance services
  • Evaluated employee performance, provided feedback, coaching and disciplined as needed
  • Developed and arranged continuing education opportunities for the health local system employees to increase knowledge and skills
  • Hiring, termination, performance and professional development.

Education

Master of Science in Quality Management -

Instituto Centroamericano de Adminstracion Publica
San Jose, Costa Rica
01.2016

Master of Science in Health Care Management -

Instituto Centroamericano de Adminstracion Publica
San Jose, Costa Rica
01.2013

License in General Medicine and Surgery -

Universidad Iberoamericana (UNIBE)
San Jose, Costa Rica
01.2008

Bachelor in General Medicine and Surgery -

Universidad Iberoamericana (UNIBE)
San Jose, Costa Rica
01.2006

Skills

  • Fluent handling of computer packages (MS Office, Excel, Minitab, PowerPoint, Outlook and others)
  • Productivity Improvement
  • Quality Assessment
  • Effective written and verbal communication
  • HIPAA Compliance
  • Effective problem solving
  • Team Management
  • Program development participation
  • Critical Thinking and Decision-Making
  • Training and mentoring
  • Employee Supervision
  • Quality Control
  • Process Implementation
  • Performance monitoring and Personnel Management
  • Risk Management
  • Budget Planning
  • Health Information Systems
  • Performance Metrics

Professional Development

  • Public Health outbreaks attention, National University Costa Rica, 07/2015 - 08/2015
  • Incident Command System, USAID, Costa Rica, 08/2015
  • Epidemiological Survelliance, National University Costa Rica, 05/2015 - 06/2015
  • Basic Epidemiology, National University Costa Rica, 04/2015 - 05/2015
  • Hospital solid waste management in health care centers, INA (National Learning Institute) Costa Rica, 05/2014 - 06/2014
  • Essential public health functions, 05/2014 - 09/2014
  • National Medical Congress "Ethics and Values, Science and Innovation in the current medical practice, Costa Rica, 11/2014
  • Customer care from the disability perspective, Ministry of Health - Costa Rica, 04/2013
  • Basic Statistical Methods in Health, National University Costa Rica, 01/2013 - 03/2013
  • Database and information systems in health, National University Costa Rica, 10/2012 - 11/2012
  • National Congress of Public Health "Public Health and Transdisciplinary", ACOSAP - Costa Rica, 10/2012
  • Strategic Planning and Performance Indicators, Ministry of Health - Costa Rica, 04/2012
  • Performance Improvement, USAID, Costa Rica, 02/2011
  • Administrative Disciplinary Procedure, Ministry of Health, Costa Rica, 09/2011
  • Human Relations, Ministry of Health, Costa Rica, 10/2010
  • Rectory and Interculturality of the native population in Costa Rica, Ministry of Health, Costa Rica, 10/2010 - 11/2010
  • Strengthening Competency and abilities in inspection of ships and ports as an entry point, WHO- Panama, 10/2010
  • Rectory in Health, University of Costa Rica, Costa Rica, 10/2009 - 04/2010
  • Risk Communication in Public Health in times of emergency and non-Emergency, CDC- Ministry of Health Costa Rica, 04/2010
  • Knowledge Development in Health Rectory and in administrative capacities for the fulfillment of the Strategic Institutional Structure, Ministry of Health, Costa Rica, 10/2010 - 11/2010
  • Central America Congress in HIV/STD, CONCASIDA, Costa Rica, 03/2010
  • National Medical Congress, Associate Medicine College, Costa Rica, 11/2008
  • Seminar in Pediatrics, Associate Medicine College, Costa Rica, 04/2008
  • Seminar in Gynecology - Obstetrics (GO), University of Medical Sciences, Costa Rica, 04/2008
  • Practical Solutions to Nutritional Problems, University of Medical Sciences, Costa Rica, 02/2008 - 03/2008
  • Update Seminar in Sexually Transmitted Infections, University of Medical Sciences, Costa Rica, 03/2008 - 04/2008
  • Update Seminar in Pediatrics, University of Medical Sciences, Costa Rica, 03/2008 - 04/2008
  • Basic vital support, SAC-CENDEMEC, Costa Rica, 03/2008

Languages

Spanish
Native or Bilingual

Timeline

Patient Services Manager

WellSpace Health
12.2017 - Current

Special care unit-Referral Coordinator

Wellspace Health
04.2016 - 12.2017

Local Office Public Health Coordinator

Ministry of Health (Ministerio de Salud)
09.2013 - 10.2015

Regional Office Public Health Coordinator

Ministry of Health (Ministerio de Salud)
05.2011 - 09.2013

Local Office Health Director

Ministry of Health (Ministerio de Salud)
08.2009 - 02.2011

Master of Science in Quality Management -

Instituto Centroamericano de Adminstracion Publica

Master of Science in Health Care Management -

Instituto Centroamericano de Adminstracion Publica

License in General Medicine and Surgery -

Universidad Iberoamericana (UNIBE)

Bachelor in General Medicine and Surgery -

Universidad Iberoamericana (UNIBE)

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Kemberlyn Walker Cole