Dynamic Care Coordinator with proven leadership skills at Centene, excelling in high-risk member assessments and case management. Adept at multidisciplinary team collaboration and patient education, consistently surpassing metrics in call volume and assessment averages. Bilingual communicator skilled in conflict resolution and organizational efficiency, ensuring optimal patient care and satisfaction.
Performs assessments on high-risk members with several diagnosis, enrolls members in Case management services when applicable. Maintains professional call coordination with members, participates in monthly quality auditing. Assist in coordination of members’ daily needs. Ensures to surpass given metrics in both call count and assessment average.
Analyzes new patient referrals, collects various records pertaining to patients’ diagnosis, verifies and checks on patients’ insurance and pending authorizations, uses access to healthcare systems such as: Epic (AdventHealth), Advanced Imaging, SimonMed, Akumin and OncoEMR for patient records.
Provides customer service. Assists the different departments where needed.
Demonstrates public relation skills.