Kimmy Rose Carino
Lakewood,CA
Summary
Dynamic Senior Performance Practice Coordinator at Optum, UnitedHealth Group, skilled in HIPAA compliance and workflow optimization. Successfully developed policies that enhanced practice efficiency and mentored staff, fostering a culture of continuous improvement. Proven ability to implement quality initiatives and drive performance metrics, ensuring high standards in patient care and administrative support. Extensive knowledge in training and the creation of training materials.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Senior Performance Practice Coordinator
Optum, UnitedHealth Group
Cypress, CA
09.2017 - Current
- Adhered to HIPAA regulations while handling protected health information.
- Updated patient information as needed in practice management software.
- Performed data entry into various systems, including EHRs and PMS.
- Developed processes to streamline workflow within the practice.
- Participated in quality improvement initiatives to ensure compliance with regulatory standards.
- Maintained accurate patient information in electronic health records system.
- Mentored and coached newly hired team members, as well as members who need further coaching on office procedures and computer systems.
- Direct branding and formatting strategies for job aids and reference guides.
- Complied with Medicare and HIPAA regulations.
- Supported entire practice's staff, which boosted efficiency and improved overall process flow.
- Motivated staff by offering direction and providing constructive feedback.
- Created and implemented policies and procedures for effective practice management, focusing on training and quality assurance.
Assistant Case Manager
Crystal Home Health Care Services
Long Beach, CA
01.2015 - 07.2025
- Assisted with filing paperwork according to established procedures in order to maintain an organized system of records.
- Provided administrative support to Case Managers by scheduling appointments, maintaining records, and tracking client progress.
- Conducted intake assessments for new clients, gathering necessary information and entering it into the database and coordination with insurance verification.
- Responded promptly and professionally to inquiries from external stakeholders, such as referring agencies or government representatives.
- Assisted Case Managers in coordinating and organizing case files, including inputting data into the computer system.
- Communicated regularly with outside agencies regarding referrals or resources available to clients.
- Served as a point of contact for families seeking information about their cases.
- Collaborated with other departments to ensure clients received appropriate services as needed.
- Compiled reports from multiple sources for review by the Case Manager team.
Assistant Manager
EXL Service Phil
Pasay City, Manila
05.2011 - 03.2012
- Focused on workers' compensation under the intake of the utilization review department.
- Adhering to state mandates and ensure timeliness of worked prior-authorization
- Assisted in the development of operational strategies to ensure efficient and productive operations.
- Monitored employee attendance records, timekeeping, and payroll information.
- Coordinated with other departments to ensure smooth flow of operations.
- Created reports on timeliness, productivity, and quality assurance daily, weekly, and monthly.
- Resolved conflicts between team members in an effective manner.
- Organized training sessions for new hires to familiarize them with the workplace environment.
- Provided guidance and support to junior staff members on daily tasks, projects, and objectives.
- Established processes for monitoring customer satisfaction levels.
- Conducted regular performance reviews for employees to identify areas of improvement.
- Communicated regularly with clients to gain insights into their needs.
- Managed client inquiries and complaints in a timely manner.
- Delegated work to staff, setting priorities and goals.
- Evaluated individual and team business performance and identified opportunities for improvement.
- Planned and led team meetings to review business results and communicate new and ongoing priorities.
- Reviewed employee performance and provided ongoing feedback and coaching to drive performance improvement.
Education
Bachelor of Science - Nursing
University of Perpetual Help System Dalta
Las Pinas City Philippines04-2007
MBA - Public Administration Focus On Healthcare Manageme
DeVry University
Illinois City, ILSkills
- HIPAA compliance
- Electronic health records
- Data entry
- Workflow optimization
- Quality improvement
- Policy development
- Staff training
- Performance monitoring
- Conflict resolution
- Team collaboration
- Process improvement
- Effective communication
- Mentoring staff
- Administrative support
- Medical terminology
- Office administration
- Insurance verification
- Workflow efficiency
- Clinical improvement initiatives
- Continuous improvement
- Staff development
- Employee performance
- Policy implementation
- Staff management
- Employee operations
- Managing files and records
- Performance metrics
- New hire training
- Multidisciplinary team collaboration
- Time management
- Analytical thinking
- Adaptability
- Project management
- Problem-solving aptitude
- Employee supervision
- Critical thinking
Languages
English
Full Professional
Tagalog
Native/ Bilingual
Certification
- Group Home Facility 40-hour Initial Certification Training - Under Regulations of California Community Licensing
- Participated in CMS based trainings such as STAR GAPS, Medicare, ISNP, DSNP, IESNP, and any Medicare Advantage Certification.
- Philippine Registered Nurse 2007 Licensure Board Exam Passer
Accomplishments
- Consistent top performer for productivity and quality ever since employed back in 2008 up to now.
- Promoted twice in a year back in 2022 - Senior Clinical Administrative Coordinator and Senior Performance Practice Coordinator.
Affiliations
- Just completed accounting in my MBA class which gained me knowledge about book keeping, maintaining balance sheets, and income statements.
- In the middle of learning Applied Managerial Statistics, enhancing my data analytical skills especially with process improvement.
- Currently assisting a U.K. based company of group homes to open a flagship facility here in United States. Hence, learning about becoming a group home administrator as well.
- I am a licensed nurse in the Philippines and knows ICD 10, HCPCS, CPT, and LOINC codes with a brief background on STAR Gaps under CMS.
- I am well-versed with kids with special needs and in constant coordination with Regional Centers and schools for IEP meetings.
References
References available upon request.
Timeline
Senior Performance Practice Coordinator
Optum, UnitedHealth Group
09.2017 - Current
Assistant Case Manager
Crystal Home Health Care Services
01.2015 - 07.2025
Assistant Manager
EXL Service Phil
05.2011 - 03.2012
Bachelor of Science - Nursing
University of Perpetual Help System Dalta
MBA - Public Administration Focus On Healthcare Manageme
DeVry University
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