Neiva Elena Aguilera
Chula Vista,CA
Summary
Dedicated Case Manager with extensive experience in coordinating care for individuals living with HIV, demonstrating a proactive and resourceful approach to addressing complex needs. Possesses a deep understanding of community resources, ensuring clients receive comprehensive support tailored to unique situations. Known for exceptional communication skills and a genuine passion for assisting vulnerable populations, consistently striving to achieve optimal case outcomes. Strong problem-solving and conflict resolution abilities enhance the capacity to navigate challenges and advocate effectively for clients.
Overview
14
14
years of professional experience
Work History
Case Manager
San Ysidro Health Center
10.2021 - Current
- Work with a caseload of 30 clients as average.
- Perform a comprehensive assessment and administer an acuity scale to determine the medical, psychosocial, and social service needs of HIV+ clients.
- Follow up with clients on a monthly basis to address their challenges and document all the information within two days.
- Work with the client and medical team to ensure adherence, following up on medical care and specialist referrals.
- Verify benefits for the client such as insurance enrollments, EBT, General Relief, housing options, legal assistance, counseling, etc.
- Register and update patient information on the ARIES system by collecting patient demographics and documenting notes and services.
- Translating English to Spanish for the clients to prevent language barriers in care.
- Maintain close communication with external agencies to assist client via phone, email, and fax.
Patient Access Representative
San Ysidro Health Center
08.2019 - 09.2021
- Register and update patient information on NextGen system by collecting patient demographics and insurance information
- Eligibility verification through RTS system and outside insurance websites such as Medical, Medicare, PPO and EPO insurances
- Schedule appointment for patients according to their needs
- Check in patients for adult medicine, laboratory, specialists, Part C, and but not limited to health education
- Schedule patient transportation when needed
- Schedule patient translation services when needed
- Assist and direct patients to their needs
- Collect co-payments as needed
- Front office duties
Shipping and Handling Medical Cloths
Emerald Textiles
08.2011 - 12.2018
- Clothing Packaging, counting and shipping.
Education
Certificate In Medical Administrative - Medical Administrative Assistant
Chula Vista Adult School
05.2019
Certificate In Medical Terminology - Medical terminology
Chula Vista Adult School
05.2019
GED Diploma - GED
Chula Vista Adult School
05.2019
Skills
- Skilled in bilingual communication in English and Spanish
- Organizational time strategies
- Service excellence
- Insurance eligibility verification
- Responsive to new challenges
- Care coordination
- Progress evaluations
- Chronic disease management
- Referral coordination
- Collaborative team member
- Skilled at prioritizing concurrent responsibilities
- Rapid skill acquisition
- Proficient in office equipment
- Detail-oriented organization
- Office management skills
- Document organization
- Client advocacy
- Comprehensive case coordination
Timeline
Case Manager
San Ysidro Health Center
10.2021 - Current
Patient Access Representative
San Ysidro Health Center
08.2019 - 09.2021
Shipping and Handling Medical Cloths
Emerald Textiles
08.2011 - 12.2018
Certificate In Medical Terminology - Medical terminology
Chula Vista Adult School
GED Diploma - GED
Chula Vista Adult School
Certificate In Medical Administrative - Medical Administrative Assistant
Chula Vista Adult School