NANSY MORAN
Arvin,CA
Summary
Organized and dependable Case Manager adept at handling high caseloads without sacrificing quality of care. Operates in high-pressure environments while recommending best resources and courses of action to benefit patient needs and return each to optimal quality of life.
Overview
12
12
years of professional experience
3
3
Certification
Work History
ELD Specialist
Lamont School District
10.2023 - Current
- Supported the successful transition of newcomer ELD students into mainstream classes through targeted interventions and collaboration with core subject.
- Assisted families of ELD students with school-related matters, fostering strong community relationships and support systems.
- Improved student confidence in English communication through consistent feedback and encouragement.
- Utilized authentic assessment methods such as portfolios, presentations, and projects for accurately gauging language growth over time among ELD learners.
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Developed strong relationships with students, parents, and colleagues to create a supportive educational community.
- Facilitated small group and individual instruction to maximize student learning.
Human Services Technician
Department of Public Health and Human Services
06.2014 - 03.2022
- Assisted walk-ins with the medical application, translated papers, renamed faxes and added to correct folders, provided gas cards to patients, received appointment verifications, scanned medical records and worked on subpoena records.
- Adhered to strict client confidentiality laws and site-specific procedures to uphold privacy and provide best experience possible.
- Established positive relationships with aid recipients and assessed goals, working hard to address individual needs and tailor services to suit them.
- Kept and established comprehensive case files to support proper documentation and record retention.
- Scheduled appointments with specialists on behalf of clients.
- Verified insurance benefits and eligibility for medical procedures before referring clients.
- Followed up with clients and specialists to inquire about experience and collect reports.
- Linked families to relevant community support to meet non-medical needs.
- Collected and verified completeness of intake and enrollment screening packets for facility.
- Supported clinical decision-making by providing clear guidance on appropriate specialist involvement based on individual patient needs.
Program Technician
California Children's Services, CCS
06.2013 - 06.2014
- Worked in a fast-paced environment, assisted walk ins and took appointments, Issued authorizations for approved services, benefits, and social services, Worked on annuals and worked in intake, called clients and requested income verification and address verification as well as utility expenses
- Assessed family needs and made referrals to appropriate community resources
- Approved gas cards and verified appointments
- Followed up with clients and case managed, submitted referrals for nurse to review, verified benefits/restrictions and interpreted coverage based on the established scope of services
- Verified the accuracy, completeness, and timeliness of the submission of documents used to conduct annual review and financial eligibility of applicants.
- Supported clients and families with empathy and compassion during difficult times.
- Advocated for clients to assure respected rights and wishes.
- Monitored clients' progress and adapted treatment plans to meet changing needs.
- Advocated for clients'' rights, navigating complex systems to secure necessary resources and benefits.
- Increased client engagement in treatment plans by building trusting relationships through empathetic listening and consistent support.
- Enhanced community outreach efforts for better service accessibility and increased program enrollment.
- Developed and maintained strong relationships with community resources for successful referrals.
- Connected patients with community resources, ensuring access to essential services such as housing, healthcare, and financial assistance.
- Maintained detailed documentation of client progress, adhering to strict confidentiality guidelines in compliance with HIPAA regulations.
Member Services
Kern Health Systems
12.2012 - 06.2013
- Assisted walk ins in choosing their HMO plan and completed medical applications for them
- Answered high demand calls and provided excellent customer service, verified benefits, took grievances, updated SAR request, worked on faxes, submitted referrals, Participated in routine/ uncomplicated case management activities, Maintaining solid customer relationships by handling questions and concerns with speed and professionalism, Data entry and research as required to troubleshoot customer problems, make calls to clients to assess their service experience or inform them about changes in their services
- Assisted in choosing a medical provider.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
- Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Expedited patient registration process by efficiently validating eligibility for various insurance plans.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Assisted in training new employees on best practices for efficient insurance verification processes and procedures.
Education
Diploma -
Arvin High School
Arvin, CABachelor of Science - Psychology
The University of Phoenix
12.2025
Skills
- Case Managing
- Parent-Teacher Communication
- Peer coaching
- Individualized Learning
- Summative Assessment
- Special Education
- Extensive English grammar knowledge
- Client Advocacy
- Conflict Resolution
- Confidental Case Documentation
- CPR, First Aid, AED
- Community Referrals
References
Julia Quiroz/Supervisor, H & R Block, Arvin, CA, (661) 343-8613
Hilda Flores/Supervisor, Department of Human Services, Bakersfield, CA, (661) 631-6360
Kevin Clough/Program Specialist, Bakersfield CA, Bakersfield, CA, (661) 330-1003
Yamila Mosqueda, Career Services Center, Lamont, CA, (510)987-6742
Certification
- Bilingual Certified Tier 1 and Tier 2
- CPR and First Aid Certified
Languages
Spanish
Native or Bilingual
Timeline
ELD Specialist
Lamont School District
10.2023 - Current
Human Services Technician
Department of Public Health and Human Services
06.2014 - 03.2022
Program Technician
California Children's Services, CCS
06.2013 - 06.2014
Member Services
Kern Health Systems
12.2012 - 06.2013
Diploma -
Arvin High School
Bachelor of Science - Psychology
The University of Phoenix
- Bilingual Certified Tier 1 and Tier 2
- CPR and First Aid Certified
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