
Compassionate and results-driven Care Facilitator with proven experience supporting PCP-led care teams in delivering high-quality, patient-centered care to seniors with complex, chronic conditions. Adept at coordinating patient schedules, managing follow-ups, and proactively monitoring health status to prevent hospitalizations and improve outcomes. Skilled in accurate EHR documentation, regulatory compliance, and addressing social determinants of health to remove barriers to care. Dedicated to building trusting, respectful relationships with patients 65+ while promoting lifestyle interventions and simplifying access to comprehensive care services.