Hi, I’m
Philana Gudricza
Fairfield,CT
Summary
Health Navigator collaborates with members of health care team to develop medically appropriate and cost effective care initiatives to assess and coordinate chronic disease care management for patient population. Strong analytical and data management skills to exercise clinical judgment in interactions with physicians, payers, patients and families. More than 25 years of social work experience, utilization review and discharge planning expertise to make critical decisions.
Overview
23
years of professional experience
1
Certification
Work History
Yale New Haven Health System
Oncology Patient Navigator
02.2007 - Current
Job overview
- Supported patients in managing their mental and emotional well-being through active listening, empathy, and appropriate referrals to specialized care providers.
- Assisted patients in overcoming barriers to care, such as transportation, language, and financial challenges.
- Trained new employees on effective patient navigation techniques, ensuring continuity of care across the organization.
- Streamlined communication between patients and healthcare providers for enhanced care coordination and timely treatment.
United Healthcare Group
Managed Care Coordinator
12.2002 - 02.2007
Job overview
- Collaborated with healthcare providers to identify gaps in care, devising targeted interventions for improvement.
- Conducted comprehensive assessments of patient needs, utilizing findings to develop tailored approaches to care management.
- Streamlined the managed care process for better efficiency through thorough documentation and accurate recordkeeping.
- Evaluated patient progress regularly, adjusting managed care plans as needed to reflect changes in health status or goals.
- Managed complex caseloads effectively while maintaining high-quality standards for patient care delivery.
- Ensured compliance with regulatory standards by staying current on industry best practices and incorporating them into daily operations.
- Enhanced patient satisfaction with personalized care coordination, addressing individual needs and concerns.
- Strengthened relationships between patients, families, and medical teams by serving as a knowledgeable liaison and advocate.
- Reduced hospital readmissions by providing timely follow-up support and education to patients and their families.
- Optimized resource allocation within the organization by analyzing utilization data and identifying opportunities for cost savings or service enhancements.
- Facilitated smooth transitions of care between healthcare settings by working closely with discharge planners, case managers, nursing staff, and physicians.
State Of Connecticut Department Of Mental Health
Crisis Intervention Specialist
08.2002 - 12.2002
Job overview
- Provided emotional support to clients, enabling them to better cope with challenging situations.
- Supported families in understanding their loved ones'' needs during times of crisis, promoting better engagement in the healing process.
- Maintained accurate records and documentation in compliance with regulatory requirements, ensuring seamless service delivery.
- Developed strong rapport with clients, establishing trust and fostering open communication channels.
- Collaborated with multidisciplinary teams to ensure comprehensive support for clients during crisis situations.
- Member of on-call emergency response team for crisis intervention within facility.
- Prevented potential crises by proactively identifying triggers and risk factors in clients'' lives.
- Counseled and helped to stabilize consumers and caregivers in crisis situations.
Visiting Nurse Service Of NY
Medical Social Worker
09.2001 - 07.2002
Job overview
- Completed psychosocial evaluations and needs assessments.
- Offered crisis intervention services to address urgent concerns related to mental health, substance abuse, or domestic violence issues.
- Connected patients with community resources, ensuring access to essential services such as housing, healthcare, and financial assistance.
- Developed cultural competence through ongoing professional development opportunities, providing culturally sensitive services to diverse patient populations.
Education
Fordham UniversityNew York, NY
Master of Social Work from Social Work
05.1998
Skills
- Grief support
- Community Resources
- Medical Terminology
- Cultural Competency
- Punctual and Hardworking
- Calm and Effective Under Pressure
- Reliability and Dedication
- Interdisciplinary Collaboration
Certification
- Licensed Clinical Social Worker
- Oncology Social Work Certified
Timeline
Oncology Patient Navigator
Yale New Haven Health System
02.2007 - Current
Managed Care Coordinator
United Healthcare Group
12.2002 - 02.2007
Crisis Intervention Specialist
State Of Connecticut Department Of Mental Health
08.2002 - 12.2002
Medical Social Worker
Visiting Nurse Service Of NY
09.2001 - 07.2002
Fordham University
Master of Social Work from Social Work
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