Marthe Malivert

• Conducted monthly outreach to support patients with chronic conditions, reinforcing education and self-management.
• Documented all interventions in EHR, ensuring accuracy and compliance with CMS CCM requirements.
• Addressed barriers such as medication adherence, transportation, and social determinants of health.
• Assisted patients with follow-ups, community resources, and navigating insurance issues.

Achievements

• Boosted patient engagement and adherence among high-risk populations.
• Helped reduce hospital readmissions through proactive care coordination.
• Recognized for accuracy in documentation and strong patient satisfaction outcomes.

• Coordinated care for patients and caregivers to ensure continuity of services and prevent interruptions in care.
• Maintained accurate patient and caregiver records across clinical systems, ensuring compliance and data integrity.
• Verified caregiver payroll and billing data, resolving discrepancies prior to submission.
• Managed bi-monthly compliance reports and followed up on care gaps or documentation issues.
• Collaborated with insurance nurse care managers to verify eligibility, authorizations, and ongoing service needs.
• Trained new care coordinators on workflows, documentation standards, and system use.

Projects:

• Supported Remote Patient Monitoring (RPM) program by rapidly learning a new platform and scheduling multiple patient appointments within weeks.
• Completed 25+ HQIP surveys and received recognition from project and clinical leadership.

• Manged the flow of the front desk
• Coordinated patient appointments
• Verified coverage, and obtained authorization for Hearing Aids
• Communicated with patients to address concerns related to devices
• Reconciled daily copay transactions and credit card payments
• Proactively notified patients of expiring hearing aid warranties to ensure continuity of care and uninterrupted device functionality.

• Supported admissions and ongoing care for IVIG home infusion patients.
• Obtained and maintained prior authorizations for specialty infusion therapies.
• Coordinated infusion services with pharmacy and nursing teams to ensure timely care delivery.
• Submitted Medicare Part D copay claims and reviewed financial reports with leadership.
• Communicated with patients regarding coverage, benefits, and out-of-pocket costs.