Miguel Pineda
NY
Summary
With over a decade of dedicated experience, I consistently provide empathetic support for patients, emphasizing their well-being and healthcare needs. Fueled by a strong work ethic, adaptability, and effective interpersonal skills, I excel at working independently, demonstrating self-motivation and rapid skill acquisition. As a highly skilled healthcare professional, I possess expertise in policy and program development, personnel management, and strategic planning. Meticulous record-keeping and proficient verbal and written communication ensure the clear dissemination of crucial information. I have a strong grasp of comprehensive risk analysis and a proven track record in implementing quality assurance controls, upholding the highest healthcare standards. My technical proficiency includes Epic Systems and hands-on experience with Avatar, underlining my expertise in healthcare technology. I am recognized for my remarkable adaptability and flexibility across diverse healthcare settings, reflecting my unwavering commitment to providing resolute and influential leadership in all professional pursuits.
Overview
9
9
years of professional experience
Work History
Assistant Program Manager
Rising Ground
The Bronx, NY
09.2023 - Current
- Developing person centered habilitation plans.
- Collaborating with the Quality Improvement team for program outcomes and compliance.
- Managing program budgets.
- Supervising and mentoring staff.
- Ensuring program safety and compliance.
- Reviewing and documenting in accordance with regulations.
- Providing direct supervision to Assistant Supervisors.
- Ensuring adequate staffing and training.
- Handling medical care oversight.
- Maintaining effective communication with individuals, families, and staff.
- Logged program activities and maintained official station records for internal use and government review.
Senior Care Manager
Samaritan Daytop Village
New York, NY
12.2021 - 08.2023
- Enhanced patient quality of life, sense of autonomy and self-determination for health care management by delivering educational resources and explaining outreach programs.
- Detailed health histories for each patient by asking open-ended questions and employing active listening skills , maintain detailed records of client feedback and treatment plans to present personalized care.
- Identifying patient needs and desires and communicated to healthcare professionals while developing appropriate community resources such as mental health services, substance abuse, treatment and housing.
- Provided case management services including intake, assessment, crisis intervention, advocacy, referral and monitoring of families.
- Developed care plans for at-risk individuals, assisted with eligibility for available benefits (social services, health care providers and governmental agencies).
- Attended and actively participated in meetings to provide and receive information on patient progression.
- Collaborated with outpatient team to identify patients for handover and post-discharge follow-up.
Outpatient Coordinator
Vertex
The Bronx, NY
09.2020 - 03.2022
- Directed, supervised and evaluated medical, clerical or maintenance personnel.
- Maintained communication and transparency with governing boards, department heads and medical staff.
- Recruited, hired and trained new medical and facility staff.
- Built work schedules and staff assignments, taking workload, space and equipment availability into consideration.
- Determined prior authorizations for medication and outpatient procedures.
- Communicated with patients with compassion while keeping medical information private.
- Identified client needs and treatment goals and created treatment plans.
- Maintained records management system to process personnel information and produce reports.
- Coordinated work activities and scheduling of medical, nursing and physical plant staff.
Assistant Director
Top Of The One Health Club
New York, NY
02.2018 - 10.2021
- Implemented clear goals for each employee and tracked his or her progress carefully, providing support and assistance whenever it was needed.
- Evaluated budget plans and current costs to project trends and recommend updates.
- Used strong issue resolution and communication skills to cultivate and strengthen lasting client relationships.
- Monitored progress by establishing plans, budgets and measuring results.
- Built strong operational teams to meet process and production demands.
- Hired and onboarded team members to meet immediate and expected demand.
- Directed special projects and daily operations.
- Established budgets and tracked expenses to drive operational efficiency.
- Oversaw purchasing and inventory to retain physical assets.
Front Desk Receptionist
BronxCare - Ogden Family Medical & Dental Center
The Bronx, NY
12.2015 - 06.2018
- Created and maintained accurate and confidential patient files according to regulatory mandates.
- Managed incoming telephone calls, took messages and directed callers to personnel.
- Completed claims forms for different types of appointments and worked on resolutions for denials or other insurance issues.
- Managed customer complaints and rectified issues to complete satisfaction.
- Helped patients complete paperwork and explained processes and procedures.
- Maintained office supplies inventory by checking stock and ordering new supplies.
- Completed basic bookkeeping and document filing.
- Greeted visitors to provide information and direct to appropriate personnel.
Education
Bachelor of Science - Social Work, Minor in Sociology
Lehman College of The City University of New York
The Bronx, NYAssociate of Arts - Liberal Arts with Social Worker
Hostos Community College of The City University of New York
The Bronx, NY06-2024
Skills
- Advanced Troubleshooting and Analytical Skills
- Aptitude with Choices
- Avatar Competence
- Comprehensive Risk Analysis
- Effective Verbal and Written Communication
- Exceptional Flexibility and Adaptability
- Implementation of Quality Assurance Controls
- Mastery of Relias
- Meticulous Operational Records Maintenance
- Personnel Management and Supervision
- Policy and Program Development
- Proficiency in Epic Systems
- Proficiency in Foothold
- Proficient in Microsoft Word, Excel, and PowerPoint
- Strategic Operating Plans Development
- Strong Leadership Skills and Goal-Oriented Mindset
- Swift Problem Identification and Resolution
- Thorough Documentation and Reporting
- Versatility in working with individuals with Disabilities, families, and staff
Accomplishments
- Passage of Hope: Discharge Protocol for Releases and Transfers
- Think Trauma
- Understanding Different Types of Disabilities
- Understanding Trauma and Its Effects
- Vital Signs: Measuring Respiratory Rate
Languages
English
Spanish
Timeline
Assistant Program Manager
Rising Ground
09.2023 - Current
Senior Care Manager
Samaritan Daytop Village
12.2021 - 08.2023
Outpatient Coordinator
Vertex
09.2020 - 03.2022
Assistant Director
Top Of The One Health Club
02.2018 - 10.2021
Front Desk Receptionist
BronxCare - Ogden Family Medical & Dental Center
12.2015 - 06.2018
Bachelor of Science - Social Work, Minor in Sociology
Lehman College of The City University of New York
Associate of Arts - Liberal Arts with Social Worker
Hostos Community College of The City University of New York