Margaret Waclawski

• Scheduled new patients for a laboratory and four providers for consultations and diagnostic testing.
• Reviewed upcoming appointments and charts ensuring all necessary documents were present prior to appointment.
• Responsible for overseeing incoming referrals and online inquiries from prospective patients.
• Documented monthly tracking for referrals and inquiries with metrics and delivered excellent patient experiences.
• Worked with other medical offices such as other fertility clinics for outside monitoring and oncology offices for urgent preservation referrals.
• Worked with Financial and Authorization teams to verify coverage and obtain authorizations for medical treatments and procedures.

• Loaded and unloaded orders at customer's homes or locations.
• Maintained high satisfaction ratings by completing orders quickly and making good selections for customers.
• Served customers with knowledgeable, friendly support at every stage of shopping and purchasing.
• Delivered items to customers on desired schedules by managing time efficiently and planning effective routes.

• Providing Support Coordination and Case Management for 50+ Caseload.
• Developed and implemented comprehensive case management plans in designated time frames outlined in policy.
• Working with members, families and providing agencies as a team to provide optimal support for members and their identified needs
• Conduct quarterly and annual reviews and assessments onsite to the member’s home, placement, school or program sites.
• Providing resources, planning, obtaining and monitoring the effectiveness of contracted medical and non-medical services in meeting our members’ identified needs and goals.

• Conduct reviews and follow-up visits to programs to ensure contractual rules, regulations and programmatic requirements and standards are being implemented and followed.
• Plan for evaluation of contracted sites by reviewing past reports and records, incident reports and complaints.
• Provide technical assistance and training to provider agencies. When applicable, request for Corrective Action Plans to be submitted by the agency for violations.
• Write reports detailing the results of monitoring visits in a timely manner.

Returned to Case Management in 2019 for children and adults with disabilities.