Melissa Zaragoza
Copperas Cove
Summary
Experienced athletic professional equipped to elevate individual and team performance in competitive environments. Adept at developing customized training plans, analyzing performance data, and fostering positive, results-driven atmosphere. Strong focus on collaboration, adaptability, and achieving measurable outcomes. Highly skilled in motivating athletes, optimizing training techniques, and ensuring continuous improvement.
Overview
13
13
years of professional experience
Work History
Care Coach
iCare Independent Care Health Plan/Humana
04.2019 - Current
- Conduct initial and annual assessments of members’ medical, behavioral health, and social needs to develop a care plan for everyone.
- Coordinates and organizes information about members’ medical. Behavioral health and social needs are based on an assessment.
- Develops a formal career plan for each member to address these needs with review/assistance by the case manager.
- Communicates care plan information about members to healthcare and other providers.
- Builds constructive working relationships with physicians, social service providers and others by involving them in the Care Coordination process, and assists in problem resolution involving members and providers, including information for the member grievance process.
- Provides information to members and providers regarding benefits, service providers and access protocols and educates members on appropriate use of medical services.
- Assures adequate documentation of member information, contacts made regarding member’s care and services provided.
- Serves as a member advocate to ensure appropriate medical, behavioral health and social services are provided.
- Updates care plan per policy.
- Medicaid & Medicare knowledge
- Developed individualized care plans to enhance patient outcomes and promote health independence.
- Collaborated with interdisciplinary teams to ensure seamless communication and comprehensive support for clients.
FSET Case Manager
01.2013 - 03.2019
- Trained and mentored junior staff on best practices in patient engagement and care strategies.
- Analyzed performance data to identify trends, driving improvements in service delivery and client satisfaction.
- Optimized practice schedules to maximize available resources while ensuring adequate rest periods for optimal performance recovery.
- Developed relationships with clients to provide ongoing support and encouragement.
- Assisted clients in setting and achieving personal and professional goals.
Education
Social Service -
Upper Iowa University
Milwaukee, WI01.2006
Skills
- Experience working with various ages and groups and diverse population
- Excellent communication (written and verbal) and interpersonal skills
- Developing Objectives and Strategies
- Organizing, Planning, and Prioritizing Work
- Proficient with Microsoft Office such as Word, Excel and PowerPoint
- Computer-literate performer with extensive software proficiency covering wide variety of applications
- 50 WPM
- Motivation Interviewing Beginning Skills Training (2017)
- Customer Service skills
- Decision-making under pressure
- Leadership qualities
- Telemetry interpretation
- Weather conditions adaptation
Languages
Spanish
Elementary
Timeline
Care Coach
iCare Independent Care Health Plan/Humana
04.2019 - Current
FSET Case Manager
01.2013 - 03.2019
Social Service -
Upper Iowa University
Similar Profiles
Mandi BredemannMandi Bredemann
Quality Compliance Nurse Professional at Independent Care Health Plan (iCare), a Humana IncQuality Compliance Nurse Professional at Independent Care Health Plan (iCare), a Humana Inc
Leigh G. HaydenLeigh G. Hayden
Associate Director, Provider Contracting at Independent Care Health Plan (iCare), HumanaAssociate Director, Provider Contracting at Independent Care Health Plan (iCare), Humana
Shvon SmithShvon Smith
Care Management Support Professional 2 at Independent Health Care Plan/HumanaCare Management Support Professional 2 at Independent Health Care Plan/Humana
Austin HallAustin Hall
Kitchen Staff Member at Canes Chicken FingersKitchen Staff Member at Canes Chicken Fingers
Keatha GipsonKeatha Gipson
Human Resource Svc Ctr Associate 3 Team Lead at Baylor Scott & WhiteHuman Resource Svc Ctr Associate 3 Team Lead at Baylor Scott & White