Luauana Lemus
Jurupa Valley,CA
Summary
Dynamic professional with extensive experience at Inland Empire Health Plan, specializing in care coordination and client assessment. Proven track record of enhancing patient outcomes through innovative care planning and effective communication. Skilled in problem-solving and time management, successfully reducing hospital readmissions while fostering strong relationships with patients and families.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
20
20
years of professional experience
Work History
Sr. Care Coordinator
Inland Empire Health Plan, Care Management
09.2022 - Current
- Identified gaps in service provision and proposed innovative solutions to enhance overall quality of senior care programs.
- Collaborated with various healthcare departments to optimize senior care resource allocation and utilization.
- Evaluated program effectiveness using data-driven approaches, implementing improvements based on findings.
- Increased caregiver support by organizing regular meetings, training sessions, and educational resources.
- Established strong relationships with patients and families, fostering trust and open communication regarding their care needs.
- Improved patient outcomes by closely monitoring the implementation of individualized care plans.
- Managed complex cases involving multiple stakeholders, ensuring all parties were informed of relevant updates or changes in the plan of care.
- Reduced hospital readmissions through diligent follow-up with patients, caregivers, and healthcare providers.
- Contributed to the development of departmental policies and procedures, establishing best practices in senior care coordination.
- Ensured timely access to necessary medical services by efficiently managing appointment scheduling for senior patients.
- Developed comprehensive assessments to accurately identify patients'' unique needs and preferences for personalized care planning.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
Eligibility Worker II
San Bernardino County Transitional Assistance Department
01.2019 - 09.2022
- Scheduled appointments with applicants to gather information and explain benefits processes.
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
- Interviewed applicants and explained scope of different available benefits.
- Maximized departmental efficiency by maintaining a well-organized workspace and filing system, ensuring easy retrieval of necessary documents at all times.
- Conducted comprehensive income calculations for clients seeking public assistance, ensuring appropriate benefit levels were assigned based on financial need.
- Monitored caseloads closely to ensure timely action was taken on all pending applications according to agency guidelines.
- Maintained confidentiality at all times while handling sensitive client data related to personal finances, health concerns, and family situations.
- Managed processing of financial assistance and food stamp benefits applications.
- Prevented unauthorized access to sensitive client files by adhering strictly to established security protocols regarding document storage and disposal.
- Streamlined application processing times by maintaining thorough knowledge of program rules, regulations, and requirements.
- Resolved discrepancies with client applications to verify eligibility.
- Communicated with people from various cultures and backgrounds on application process.
Certified Peer Support Specialist
Riverside University Health System
01.2016 - 01.2019
- Enhanced client recovery by providing emotional and practical support in both group and one-on-one settings.
- Actively pursued ongoing professional development opportunities to remain informed of emerging trends and best practices within the field of peer support services.
- Led engaging support groups tailored to participants'' unique needs, promoting healthy coping skills and strategies for maintaining wellness.
- Maintained accurate records of client interactions according to organizational guidelines, protecting confidentiality while ensuring thorough documentation for continuity of care purposes.
- Facilitated therapeutic recreational activities designed to build social connections among peers while promoting physical wellbeing.
- Developed strong rapport with clients, fostering a trusting environment to encourage open communication about personal challenges and goals.
- Provided compassionate assistance to clients during challenging life transitions, helping them navigate obstacles with increased confidence and resilience.
- Assisted clients in identifying community resources and services, increasing their access to valuable support networks.
- Provided crisis intervention when necessary, utilizing de-escalation techniques to maintain safety and stability within the supportive environment.
- Coordinated educational workshops addressing topics such as stress management, nutrition, sleep hygiene, and self-care strategies.
- Promoted client self-advocacy through education on rights, responsibilities, and navigating complex systems of care.
- Collaborated with interdisciplinary teams to develop comprehensive care plans based on clients'' individual strengths, needs, and preferences.
- Transported individuals to medical appointments and support meetings whenever needed.
- Listened to clients' concerns and provided encouragement and support.
- Assisted clients in exploring feelings and understanding behaviors.
Eligibility Technician II
Riverside County Department Of Public Social Services
08.2006 - 01.2016
- Streamlined application processing time for faster results, optimizing workflow management and prioritization strategies.
- Increased efficiency in record-keeping through diligent maintenance of digital databases, maximizing data accessibility for team members when needed.
- Promoted a customer-centric approach within the team, emphasizing empathy and understanding when assisting clients with complex eligibility challenges.
- Served as a subject matter expert in internal meetings regarding policy changes or procedural updates impacting client eligibility determinations.
- Maintained high levels of confidentiality while handling sensitive personal information, following strict protocols for data security and privacy.
- Enhanced customer satisfaction with timely and accurate eligibility assessments, providing clear communication of requirements and expectations.
- Provided ongoing support to clients throughout the eligibility review process, maintaining open lines of communication for updates and inquiries.
- Reduced errors in benefit calculations by conducting thorough reviews of applicant financial information, ensuring consistency with program guidelines.
- Addressed escalated client concerns professionally and efficiently, working to find solutions that maintained program integrity while meeting client needs.
- Assisted applicants with navigating the online application process, offering guidance on required documentation and submission procedures.
- Conducted regular audits of case files to ensure compliance with program requirements and verify accuracy of benefit calculations.
- Adhered to all established timelines for case processing, consistently meeting or exceeding performance targets set by management.
- Assisted clients with accurate eligibility form, application and document completion.
- Reviewed applications for different aid programs and determined which qualification criteria for individuals.
- Processed and certified documents for accuracy and compliance with government regulations.
- Assisted clients with completion of applications and paperwork.
- Interviewed applicants and explained scope of different available benefits.
- Resolved discrepancies with client applications to verify eligibility.
- Communicated with people from various cultures and backgrounds on application process.
Education
No Degree - Clinical Community Health Worker
Loma Linda University
San Bernardino, CA06-2023
GED -
Riverside Adult Education
Riverside10-1991
Skills
- Healthcare regulations
- Care planning
- Home care coordination
- Client assessment
- Teamwork
- Customer service
- Problem-solving
- Time management
- Multitasking
- Excellent communication
- Organizational skills
- Attention to detail
- Adaptability and flexibility
- Self motivation
- Verbal and written communication
- Active listening
- Critical thinking
- Problem-solving aptitude
- Reliability
Timeline
Sr. Care Coordinator
Inland Empire Health Plan, Care Management
09.2022 - Current
Eligibility Worker II
San Bernardino County Transitional Assistance Department
01.2019 - 09.2022
Certified Peer Support Specialist
Riverside University Health System
01.2016 - 01.2019
Eligibility Technician II
Riverside County Department Of Public Social Services
08.2006 - 01.2016
No Degree - Clinical Community Health Worker
Loma Linda University
GED -
Riverside Adult Education