Compassionate Case Manager known for high productivity and efficiency in task completion. Possess specialized skills in needs assessment, care plan development, and client advocacy. Excel at communication, problem-solving, and time management to effectively support clients in achieving wellness goals.
Overview
15
15
years of professional experience
Work History
Case Manager
Wake County Health and Human Services
Raleigh, NC
07.2023 - Current
Provided excellent customer service and attention to customers when face-to-face, or through phone conversations
Managed time effectively to ensure tasks were completed on schedule and deadlines were met
Outstanding customer service
A team player
Observation and attention to details
Knowledge of HIPPA regulations
Problem solving and critical thinking
Collibrating with community providers to meets needs of clients
Effective communication
Well organized and a fast learner
Proficient with most computer programs
Able to work independently in a fast-paced office environment
Demonstrated strong problem-solving skills, resolving issues efficiently and effectively
Retained strong medical terminology understanding in effort to better comprehend procedures
Determining the eligibility of applicants/recipients to receive assistance
Preparing and maintaining files and records and reports
Aetna Provider Care Helpline| Xerox
Raleigh, NC
11.2011 - 06.2023
Provide prompt customer service to providers, members and pharmacies
Successfully resolve claims rejections for Aetna members
Participated in team meetings and contributed to team goals and objectives
Managed high-volume inbound and outbound calls to address customer inquiries and claims
Collaborated with fellow team members to manage a large volume of claims
Transcribed data to worksheets and entered data into the computer to prepare documents and adjust accounts
Maintain compliance with safety and regulatory guidelines with HIPAA
Inventory Technician
Pacific Coast Feather Company
Henderson, NC
12.2009 - 08.2011
Conducted cycle counts and physical inventories to ensure accuracy of warehouse stock
Inspected incoming materials for damage
Created reports detailing inventory levels, movement trends, and other related data
Processed incoming shipments, verifying contents against invoices or packing slips
Assisted in maintaining a clean work environment by disposing of waste material appropriately
Entered information into the system to update status reports
Ensured compliance with industry regulations and standards regarding inventory management
Ensured that all products were stored safely in accordance with industry standards and regulations
Coordinated receipt of incoming materials and verified accuracy of items received