Morgan Graham
Las Vegas,NV
Summary
Motivated and adaptable professional with a strong foundation in healthcare seeking to transition into a new field where I can leverage skills in organization, communication, and problem-solving to contribute to team success and achieve personal growth.
Overview
12
12
years of professional experience
Work History
Care Management Associate
CVS Health Company
12.2021 - Current
- Identifies principal reasons for admission, facility, and member product to correctly apply intervention assessment tools
- Utilized strong organizational skills to accurately apply intervention assessment tools and identify triggers for referral to case management programs.
- Demonstrated excellent communication skills through interactions with patients, family members, and community resources, providing information and support.
- Conducted thorough research using various software systems to establish and maintain case records, resulting in effective case management and closure.
- Managed a high volume of incoming and outgoing calls daily, addressing inquiries, conducting assessments, and providing assistance as needed.
Community Care Coordinator
Caidan, Meridian Health Plan
01.2016 - 11.2021
- Conducted Health Risk Assessments and developed comprehensive Care Plans for a caseload of 210, ensuring timely and accurate documentation.
- Facilitated interdisciplinary care team meetings to implement effective treatment plans and coordinate post-hospital discharge follow-up.
- Maintained contractual compliance indicators and coordinated follow-up for seamless case management, ensuring patient needs were met efficiently.
- Obtained, verified and calculated income and resources to determine financial eligibility for programs and conducted reviews to determine eligibility and functional needs.
- Facilitated successful transitions from hospital to home by arranging necessary services and ensuring continuity of care.
- Supported efficient case management through accurate documentation of patient interactions and updates on care plans.
Program Coordinator
Centene Corporation, County Care/Illinicare
01.2015 - 12.2016
- Initiated authorization requests and maintained a caseload of 600 members, utilizing electronic health record systems to screen for case management assessment.
- Conducted research and performed tasks to promote member compliance, such as verifying appointments and obtaining lab results.
- Collaborated with interdisciplinary teams to ensure the delivery of quality care and support to members.
- Developed and maintained relationships with external partners to facilitate program operations.
Medical Assistant
Advocate Health Care
05.2012 - 09.2014
- Maintained 6 clean examination and GI diagnostic equipment, while assisting physicians with minor surgeries, including preparing operating room and sterilizing instruments.
- Performed venipunctures and skin punctures
- Called and faxed pharmacies to submit prescriptions and refills.
- Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
- Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
- Collaborated with medical and administrative personnel to maintain patient-focused, engaging, and compassionate environment.
- Collected and documented patient medical information such as blood pressure and weight; in clinics such as Gastroenterology, Family Practice, OB/GYN, PEDS, and Varies Procedures
Education
Associate Degree - Applied Science
Robert Morris University
12.2011
Skills
- Quality Improvement and Control
- Progress Monitoring
- Data Entry
- Advanced oral and written communication skills
- Documentation and Record Review
- Administrative Support
- EHR Software
- Problem-Solving
- Time Management
- Advanced computer skills
- Critical Thinking
- Quality Improvement
Timeline
Care Management Associate
CVS Health Company
12.2021 - Current
Community Care Coordinator
Caidan, Meridian Health Plan
01.2016 - 11.2021
Program Coordinator
Centene Corporation, County Care/Illinicare
01.2015 - 12.2016
Medical Assistant
Advocate Health Care
05.2012 - 09.2014
Associate Degree - Applied Science
Robert Morris University
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