Nina Ramos

Assist Medical Management Supervisor, Managers, and Clinicians with non-clinical tasks as instructed by the direct supervisor.

· Assigns cases to the appropriate clinical employee, following approved criteria for case assignment.

· Communicates professionally with external providers and vendors to assist with case documentation, requesting clinical documents for clinical staff review.

· Completes non-clinical outreach calls to clients to gather information related to program enrollment, as instructed by Supervisor.

· Assists with Stop Loss communication by sending Stop Loss letters to the Stop Loss Carriers as instructed.

· Monitor specific department email inboxes and assign cases to clinical employees and direct communications received to the appropriate employee as instructed by Supervisor.

· Work collaboratively within a team setting to provide positive outcomes for members, clients, peers, and overall operations.

· Performs all tasks in accordance with Medical Management policies and procedures and HIPAA/PHI guidelines and follows the policies and procedures.

· Completes all tasks on time and with accuracy.

· Participate in quality program as assigned.

· Complete HIPAA training annually.

· Perform other duties as assigned.

• Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
• Administered injections, medications and treatments as directed by the physician.
• Provided assistance to medical staff in performing minor surgical procedures.
• Maintained accurate medical records through filing, charting, transcription and data entry into electronic health record system.
• Answered phones, scheduled appointments and managed patient flow while greeting visitors in a professional manner.
• Performed basic laboratory tests such as urinalysis and blood glucose levels under direct supervision of a physician or registered nurse.
• Ordered medical supplies, maintained inventory logs and restocked exam rooms when needed.
• Assisted with pre-operative preparation of patients including providing instruction about post-operative care plans.
• Organized patient charts before each day's clinic sessions began.