Highly skilled and enthusiastic professional with more than 10 years of experience managing caseloads collaboratively within health and educational teams. Successfully oversee treatment plans, new hire onboarding, and HIPAA compliant patient centered best practices. Team lead for 16 productive and efficient inbound and outbound care coordinators for managed care Medicaid recipients. Contribute to high-volume care management enrollment by providing exceptional patient and provider education and working collaboratively with health plan leadership and staff, community vendors, providers, and patient families.
Hi, I’m
Krystal Rascoe
Care Management
Durham,NC
Summary
Overview
11
years of professional experience
4
years of post-secondary education
Work History
Wellcare NCRaleigh, NC
Care Coordination Senior Program Coordination
07.2022 - Current
Job overview
- Develops and updates policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Assists in the spearheading and implementing of new projects to expand scope of engagement.
- Communicates with patients, ensuring that medical information is kept private.
- Recruits and trains all staff, providing direct supervision, ongoing staff development and continuing education to care coordination team.
- Serves as liaison with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Implements successful healthcare program through team leadership, quality of care, assessment screens, and patient satisfaction.
- Discusses medical histories with patients in effort to provide most effective medical advice.
- Monitors and inspects staff processes and coordination reporting to eliminate member abrasion.
Wellcare NCRaleigh, NC
CORE Care Coordinator
05.2021 - 07.2022
Job overview
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Determined need for special assessment activities for complex care cases, effectively enrolling members in internal care management.
- Supported patient care excellence via outreach to caseload of 25 and explanation of health plan programs.
- Assisted patients with obtaining medications via pharmacy.
- Recognized and reported abnormalities or changes in patients' health status to case management team.
- Engaged patients in meaningful conversation, socialization, and activity while conducting health needs screening and assessments.
Breeze Building ServicesDurham, NC
Office Administrator
02.2020 - 04.2021
Job overview
- Coordinated communications, financial processing, registration, recordkeeping, and other administrative functions.
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Interacted with customers by phone, email, or in-person to provide information.
- Applied advanced administrative and analytical skills in overseeing day-to-day operational activities.
Durham Public SchoolsDurham, NC
Principal Intern-Administrator
08.2018 - 06.2019
Job overview
- Maintained database systems to track and analyze operational data.
- Developed and updated tracking spreadsheets for process monitoring and reporting.
- Generated reports detailing findings and recommendations.
- Evaluated staff performance and provided coaching to address inefficiencies for 6-12 public school.
- Provided training for beginning teachers program.
- Helped meet district goals by implementing girls mentoring group in ms and participating in restorative justice best practices.
Durham Public Schools/Wake Public SchoolsDurham, NC
Exceptional Children's Case Manager
08.2012 - 06.2017
Job overview
- Identified care needs of individual educational plans and coordinated academic interventions based on data collection and input from IEP team.
- Partnered with physicians, social workers, activity therapists, nutritionists, school counselors, and parents to develop and implement individualized care plans and documented student progress and interventions in electronic charting systems.
- Evaluated treatment plans against individual goals and healthcare standards.
- Monitored clients' progress and tracked client services to provide crisis interventions via evaluation processes and data collection.
Education
North Carolina Central UniversityDurham, NC
Master of Arts from Education Administration
08.2017 - 05.2019
University Overview
Grand Canyon UniversityPhoenix, AZ
Bachelor of Science from Sociology
01.2010 - 10.2012
University Overview
Skills
Multidisciplinary team collaboration
undefinedAdditional Information
Additional Information
Well versed in managed care and the applications utilized for member management, ie, Virtual Health; demonstrated knowledge of medical terminology and health plan terms as indicated by experience and achievement of medical scribe and medical coding/billing certifications.
Availability
See my work availability
Not Available
Available
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
swipe to browse
Quote
One of the deep secrets of life is that all that is really worth doing is what we do for others.
Timeline
Care Coordination Senior Program Coordination
Wellcare NC
07.2022 - Current
CORE Care Coordinator
Wellcare NC
05.2021 - 07.2022
Office Administrator
Breeze Building Services
02.2020 - 04.2021
Principal Intern-Administrator
Durham Public Schools
08.2018 - 06.2019
North Carolina Central University
Master of Arts from Education Administration
08.2017 - 05.2019
Exceptional Children's Case Manager
Durham Public Schools/Wake Public Schools
08.2012 - 06.2017
Grand Canyon University
Bachelor of Science from Sociology
01.2010 - 10.2012
Similar Profiles
Giyah RicheGiyah Riche
Senior, Program Coordinator IV (Remote) at Centene, WellCare NCSenior, Program Coordinator IV (Remote) at Centene, WellCare NC
Caroline RatnerCaroline Ratner
Director of Operations at Crest View Recovery Center. Drug Rehab Asheville NC. Alcohol Rehab Asheville NC. Rehab Center in NCDirector of Operations at Crest View Recovery Center. Drug Rehab Asheville NC. Alcohol Rehab Asheville NC. Rehab Center in NC
Alicia AncisoAlicia Anciso
Engagement Specialist at WellcareEngagement Specialist at Wellcare
Brenda SanchezBrenda Sanchez
Owner/ Esthetician at Willow & Sage AestheticsOwner/ Esthetician at Willow & Sage Aesthetics
Mekyll RobinsonMekyll Robinson
Order Fulfillment Associate at Lowe's Home ImprovementOrder Fulfillment Associate at Lowe's Home Improvement