Highly skilled Clinical Case Manager with extensive expertise in patient care transitions, staff supervision, and managing large caseloads using advanced software and remote work applications. Adept at collaborating with multidisciplinary teams to drive coordinated care and achieve shared goals. Strong interpersonal and communication skills enhance relationships with patients and families, contributing to improved health outcomes. Demonstrates a dedicated work ethic focused on compassionate client support and effective provider coordination.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Remote Clinical Care Coordinator
Spectrum Healthcare Resources
Louis, MT
12.2024 - Current
Assesses patient needs, develops individualized plans of care, and monitors outcomes to ensure effective delivery of health care services
Coordinates discharge planning activities for patients
Provides education to patients and families about disease processes and self-care management techniques
Assist transitioning from acute or sub-acute levels of care to home or community settings
Managed patient referrals and scheduling for specialized services and treatments.
Monitored patient progress and reported updates to healthcare professionals regularly.
Facilitated communication among all members involved in the health care team so as to maximize collaborative efforts toward successful outcomes.
Organized, coordinated and monitored patient care services to ensure efficiency and quality.
Supervised and managed daily activities of clinical team consisting of 30 different physicians, nurses, and support staff on a case load.
Actively works with ICD codes diagnostic coding
Optimizes collaboration with Utilization Review and claims departments for smooth patient care
Student Case Coordinator
RCM Health Care Services
Pahoa, Hawaii
05.2015 - 01.2026
Prepared students with special needs for school requirements.
Coordinator with school administrators, public health nurse, school teachers, and families.
Assisted students with healthcare needs.
Managed over 20 assigned cases and projects per school year
Nurse Service Coordinator
Kokua Healthcare Big Island
Hilo, HI
02.2014 - 05.2015
Monitored patient vital signs and reported changes to medical team.
Conducted comprehensive assessments to ensure accurate diagnoses and interventions.
Performed accurate documentation of over 29 patient assessments, interventions, and outcomes in compliance with regulatory standards per month.
Collaborated with multidisciplinary teams to develop patient care plans.
Educated patients and families on health management and disease prevention.
Medicaid Waiver Service Supervisor
Metrocare Hawaii
Hilo, HI
02.2012 - 03.2014
Supervised daily operations, ensuring compliance with company policies and service standards of a DDID Medicaid waiver. This program provided community based services to 100 + individuals with disabilities in a local community in Hawaii.
Trained and mentored staff to enhance service delivery and operational efficiency.
Implemented process improvements, reducing response times and increasing customer satisfaction.
Developed training materials, facilitating knowledge transfer for new hires and ongoing staff development.
Member
United States Coast Guard
Green Bay, United States
01.1997 - 01.2003
Served the United States in the Reserves for 7 years
Worked effectively in fast-paced environments.
Skilled at working independently and collaboratively in a team environment.
Proven ability to learn quickly and adapt to new situations.
Paid attention to detail while completing assignments.
Education
Bachelor's Degree - Psychology
UW Oshkosh
Oshkosh, United States
06-1997
Diploma - Practical Nursing
Fox Valley Technical
Appleton, WI
06-2003
Skills
Extensive experience in medical records and data base software Care Radius, Epic, Excel Spreadsheets, Microsoft Teams & AWS, Slack, Mac book applications,
HIPAA compliance
Managing and organizing a large case load in a fast pace environment in Case management
Discharge planning & Client advocacy
Chronic disease management
Care coordination
Clinical assessment
Case evaluation
Community resources
Healthcare regulations
Clinical data reviews and collaboration with Multidisciplinary teams including discharge planning departments in inpatient facilities
Resource referrals
Multitasking and organization
Clear communication
Accomplishments
Improved departmental collaboration by opening up communication channels and increasing transparency.
Consistently maintained high customer satisfaction ratings.
EOB Payment Analyst/Patient Accounting - Reimbursement/Appeals at Desert Valley Hospital / Medical GroupEOB Payment Analyst/Patient Accounting - Reimbursement/Appeals at Desert Valley Hospital / Medical Group
Regulatory Compliance Specialist at Florida Department of Business and Professional RegulationRegulatory Compliance Specialist at Florida Department of Business and Professional Regulation