Michelle Sanchez
Hemet,California
Summary
Talented Case Manager/Home Care Provider/Claims Assistant is adept at handling high caseloads without sacrificing the quality of care. Operates in high-pressure environments while recommending the best resources and courses of action to benefit patient needs and return each to optimal quality of life. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
13
13
years of professional experience
Work History
Case Manager
Salvation Army Riverside Corps
11.2022 - Current
- Developed and implemented comprehensive case management plans to address client needs and goals.
- Assisted clients in navigating housing, legal services, and public benefits to gain access to valuable resources.
- Monitored clients' progress and tracked client services to provide crisis interventions.
- Developed comprehensive discharge plans to transition clients to appropriate service providers in the community.
- Offered friendly and efficient service to customers, and handled challenging situations with ease.
- Coordinated patient discharge planning and follow-up care.
- Maintained detailed records of patient progress, documentation of services, and case notes.
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Onboarded new employees with training and new hire documentation.
Claims Assistant
G A Public Adjusters
08.2022 - Current
- Worked productively in a fast-moving work environment to process large volumes of claims.
- Prepared and presented detailed reports to management on claims issues to aid in decision-making.
- Responded to customer inquiries, providing detailed explanations of insurance policies and claims processes.
- Assisted in onboarding of new claims processors to familiarize with company procedures, policies and processes.
- Established positive and trusting relationships with injured clients, administering efficient customer service and processing claims quickly.
- Analyzed and addressed escalated claims to resolve issues quickly.
- Maintained accurate and up-to-date records of claim information for future reference.
- Followed up with customers on unresolved issues.
- Developed an in-depth understanding of insurance policies and procedures to give accurate recommendations to suit clients' needs.
- Investigated accidents or incidents to determine the cause and extent of damages.
- Researched and analyzed complex claims to determine the next steps and possible outcomes.
- Interviewed policyholders to verify the information and obtain additional details.
- Monitored and managed claim expenses to control costs and maximize profitability.
- Prepared files, letters, and notices.
- Managed workload and priorities to meet claims processing meet deadlines.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Answered constant flow of customer calls with minimal wait times.
Home Care Provider
In Home Supportive Services
09.2010 - Current
- Assisted patients with dressing, grooming, and feeding needs, helping to overcome, and adapt to mobility restrictions.
- Provided patients with assistance in completing daily tasks, reducing daily burden on family members.
- Kept close eye on behavior and emotional responses of clients to address concerns and protect each person from harm.
- Helped clients maintain optimal health by overseeing medication administration and doctor's appointments.
- Interacted kindly with patients and families and displayed positive, outgoing attitude, resulting in establishment of long-term, professional relationships.
- Administered medication as directed by physician.
- Assisted patients with self-administered medications.
- Helped patients safely transition between sleeping surfaces and mobility assistance such as wheelchairs by providing consistent support.
- Established nutritious meal plans and prepared daily offerings to meet patient dietary needs.
- Monitored progress and documented patient health status changes to keep care team updated.
- Assisted patients with handling daily chores and errands by transporting to appointments, cleaning personal spaces, and purchasing supplies.
- Performed laundry, grocery shopping and other light housekeeping duties as instructed by client.
- Provided mobility assistance such as walking and regular exercising.
- Encouraged patients to participate in safe physical activity to help boost mood and improve overall wellness.
- Provided transportation and appointments management.
- Developed individual care plans for clients based on specific needs.
- Completed entries in log books, journals, and care plans to accurately document and report patient progress.
- Reported unusual or urgent circumstances in patients' condition or environment immediately to nurse supervisor.
- Developed rapport to create safe and trusting environment for care.
- Followed nutritional plans to prepare optimal meals.
- Offered patients and families emotional support and instruction in preparing healthy meals, independent living, and adaptation to disability or illness.
- Assisted disabled clients to support their independence and well-being.
- Assisted patients with personal requirements for housekeeping and grooming assistance.
- Cooked tasty, nourishing meals for patients to promote better nutrition.
Caregiver /Medication Technician/Receptionist
Vista Cove Care Center, Assistance
02.2018 - 07.2021
- Prepared medication doses accurately by following medication administration records (MAR) written by healthcare providers.
- Reviewed medication orders for accuracy and completeness before administering medication.
- Unpacked, sorted, counted, and labeled all incoming medications to keep optimum inventory levels.
- Monitored patient responses to medication to report adverse reactions quickly.
- Identified and reported medication errors to avoid distributing the wrong medication to patients.
- Reordered medication to maintain an adequate supply.
- Documented medication administration into electronic medical records (EMR) to avoid duplication of medication dosages.
- Counted and recorded medication inventory routinely to maintain medication security and control.
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Transported patients to operating and treatment rooms by using wheelchairs and wheeled carts.
- Assisted nursing staff with completing daily rounds, documenting vital signs, and answering calls.
- Completed activities of daily living for patients unable to self-care, and assisted those with limited mobility in completing tasks.
- Helped patients with self-feeding and assisted feeding, based on individual needs.
- Helped patients with a complete range of motion exercises to prevent loss of function during care.
- Changed linens in rooms, keeping spaces fresh and clean for patient health and satisfaction.
- Supported needs of 35+ residents under long-term care.
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Kept reception area clean and neat to give visitors a positive first impression.
- Responded to inquiries from callers seeking information.
- Resolved customer problems and complaints.
Education
High School Diploma -
Santa Monica High School
Santa Monica, CA06.2007
Skills
- Multitasking and Organization
- Staff Training
- Client Intakes
- Scheduling and Appointment Setting
- Microsoft Office
- Making Appointments
- Visitor Check-In
- Documentation
- Medication Side Effect Knowledge
- Personal Care Assistance
- Documenting Behaviors
- Activities of Daily Living (ADL) Support
- Medication Administration
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Case Manager
Salvation Army Riverside Corps
11.2022 - Current
Claims Assistant
G A Public Adjusters
08.2022 - Current
Caregiver /Medication Technician/Receptionist
Vista Cove Care Center, Assistance
02.2018 - 07.2021
Home Care Provider
In Home Supportive Services
09.2010 - Current
High School Diploma -
Santa Monica High School