Nicole Johnson
Orlando,Fl
Summary
Organized Coordinator focused on boosting customer satisfaction and service quality. Familiar with documentation, reporting and compliance requirements. Skilled in managing employee documentation and maintaining files and records.
Overview
14
14
years of professional experience
Work History
Career Source Summer Youth Coordinator
Apple One
Orlando, Fl.
01.2023 - 09.2023
- Establishes and maintains collaborative relationships with the business services team to ensure recruitment eligibility and status
- Knowledge of career and employment services, workforce development programs for potential candidates
- Detailed case management documentation and data entry
- Determine eligibility through precise documentation review.
Eligibility Case Manager
Apple One
Orlando, Fl.
07.2021 - 10.2022
- Coordinated and facilitated candidate's eligibility by documentation review for Our Florida program that assisted with rental assistance and other economic needs due to COVID hardship.
Benefits and Insurance Administrator
Bridges International/Bridges of America
Orlando, Fl.
06.2020 - 07.2021
- Organize all activities related to group health, group life, dental, vision, flexible fringe benefits, and ancillary benefits
- Prepared numerous monthly reports and billings by way of MS Excel
- Created monthly curated newsletters
- Managed FMLA's for every employee
- Serves as the primary contact for plan vendor, insurance brokers, and third-party administrators
- Review and assure compliance with Federal and Florida Statutes as it affects employee benefits
- Ensures that the company's insurance certificates, and performance bonds are in full compliance and keep track of important policy details.
Risk Claims Manager
Endeavors Social Services
Altamonte, Fl.
07.2018 - 02.2020
- Research documents and report evidence-based information
- Conduct Utilization Review with insurance companies for various medical conditions
- Conduct client interviews, gather pertinent information, perform reviews while identifying client needs
- Prepare and present clients claims to Long Term Recovery Groups by recording data for reports and presenting the information to a panel
- Serve as a liaison and advocate between health professionals and clients
- Evaluate all information to determine client outcomes.
Claims Manager
Reed Group
Orlando, Fl.
05.2016 - 12.2017
- Managed 80-100 FMLA, LOA, STD, and Workman's Comp Claims daily while inputting DSM and ICD 10 codes
- Obtain and review updated medical evidence for claim decisions while adhering to SOP's and HIPPA guidelines
- Coordinate medical treatment for injured employees and provide information to treating physicians, i.e., medical history, health issues and job requirements.
Health Guide
Magellan Complete Care (Managed Care)
Orlando, Fl.
04.2014 - 04.2016
- Ensure enrollment goals are met
- Collaborate within an interdisciplinary team to evaluate patients medical/physical/mental condition to assess clients needs by completing psycho-social assessments
- Refer and educate patients, clients, and family to community resources to assist with recovery from mental or physical illness and provide access to services such as financial assistance, legal aid, housing, job placement, and educational needs
- Manage timely and accurate care to process discharge planning for 20-30 patients weekly and ensure continuous quality of improvement.
Targeted Case Manager
Behavioral Support Services
06.2011 - 07.2013
- Interview clients, review records, conduct assessments, and consult with other mental health professionals to evaluate the clients' needs
- Modify treatment plans
- Assist clients with adhering to treatment plans such as setting appointments, arranging transportation, and providing overall support.
Dependency Case Manager
Children's Home Society
Orlando, Fl.
04.2009 - 05.2011
- Conduct, develop, and maintain child safety assessments and program documentation while remaining within contract compliance
- Monitor service plan progress and evaluate reports from multiple service providers and keep supervisor informed of progress or lack of
- Prepare case status reports and communicate recommendations to the courts
- Provide support and resource referrals for children, caregivers, and family members.
Education
Master of Public Administration -
Webster University
Bachelor of Science in Psychology -
Columbia College
Project Manager Certification (In Progress) -
Skills
- Attention to Detail
- Collaborate Effectively
- Meet Deadlines
- Perform Extensive Research
- Exceptional Interpersonal skills
- Public Speaking
- Make and Implement Decisions
- Coordinate and Complete Task
- Knowledge of CPT, ICD-10, Medical Terminology, GCP, HEIDS System, and Proficient Microsoft Office
- Regulatory Compliance
- Medical Terminology
- Insurance Verification
- Document Management
Timeline
Career Source Summer Youth Coordinator
Apple One
01.2023 - 09.2023
Eligibility Case Manager
Apple One
07.2021 - 10.2022
Benefits and Insurance Administrator
Bridges International/Bridges of America
06.2020 - 07.2021
Risk Claims Manager
Endeavors Social Services
07.2018 - 02.2020
Claims Manager
Reed Group
05.2016 - 12.2017
Health Guide
Magellan Complete Care (Managed Care)
04.2014 - 04.2016
Targeted Case Manager
Behavioral Support Services
06.2011 - 07.2013
Dependency Case Manager
Children's Home Society
04.2009 - 05.2011
Master of Public Administration -
Webster University
Bachelor of Science in Psychology -
Columbia College
Project Manager Certification (In Progress) -
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