Rosa Navas
Wellington
Summary
Seeking a customer service position in a dynamic organization where my excellent communication and problem-solving skills can be utilized to provide exceptional customer service and enhance customer satisfaction.
Throughout my work experience I have demonstrated the ability to multitask, work within a team, as well as realizing when it was appropriate to assume more responsibility. I am versatile and have a high aptitude for learning and a desire to make myself an asset regardless of my position.
Overview
20
20
years of professional experience
Work History
Health Navigator
MorseLife Health System
08.2024 - Current
- Led community outreach and educational efforts to identify individuals in need of breast and cervical health services.
- Cultivated trust-based relationships with patients, empowering them to actively manage their health and engage in preventive care.
- Delivered personalized patient navigation services, including scheduling screenings and diagnostics, coordinating transportation and translation, and supporting insurance enrollment and financial assistance applications.
- Monitored patient progress across the continuum of care using centralized data systems to ensure timely follow-up and continuity.
- Proactively identified and addressed barriers to care-such as financial hardship, fear, cultural beliefs, transportation, and language-through tailored support.
- Partnered with clinical providers and community organizations to deliver integrated, compassionate care.
- Acted as a patient advocate, facilitating communication between individuals and healthcare providers to promote understanding and access.
- Maintained accurate, confidential documentation of all patient interactions in compliance with organizational standards.
- Contributed to team development through active participation in meetings, trainings, and ongoing professional development.
- Represented the Promise Fund at community outreach events, health fairs, and collaborative health initiatives, promoting access to preventive care.
Care Manager
Advance Care Alliance
04.2019 - 03.2023
- Daily, monthly services. Regular communication, monitoring, and action-oriented follow-up on critical and acute healthcare needs are provided.
- Identified, coordinated, and provided access to preventative and health promotion services as needed.
- Coordinated transitional care, including appropriate follow-up from inpatient to other settings, discharge planning, facilitating transfers within the healthcare system, residential settings, and aging out of childhood services to adult services.
- Used health information technology in the delivery of care management services, including but not limited to the use of electronic health records and programs to facilitate telehealth services for members. Maintain a thorough and accurate objective electronic health record for all assigned members.
- Completed all required training within required timeframes.
- Travel throughout the designated service area to meet with members as needed in alignment with regulatory standards and to ensure identified needs are met. Travel is required to meet with providers and members of the interdisciplinary team and accompany members to necessary appointments where indicated.
- Identified and followed all incident reporting guidelines and procedures, ensuring the member's immediate safety.
- Maintains confidentiality per HIPAA and privacy practices.
- Adhered to all policies and standard operating procedures for delivering comprehensive care management and ancillary functions of the Care Manager.
Medicaid Service Coordinator
United Cerebral Palsy of Nassau County
04.2016 - 04.2019
- Transitioned to ACA
Health Compliance Administrator
Access Staffing Inc
06.2012 - 10.2015
- Manage and Implements programs policies and practices to ensure that all departments are in compliance with JCAHO, OSHA, HIPAA, and accreditation standards.
- Prepare, Conduct and manage in house/third party audits(Medassets)
- Ensure that all forms and regulations are updated as needed.
- Maintain all proper records of clients and staff on excel spreadsheet for health compliance requirements: annual physicals, certificate expiration dates, etc.
- Schedule all new healthcare workers with an appointment to receive all necessary medical procedures as per hospital and department requirements.
- Conduct background checks, credentialing, I9 forms and Everify.
- Perform clerical duties as per requirement.
- Maintain good relationships with all clients and staff.
Medicaid Service Coordinator
Hispanic Counseling Center
04.2007 - 06.2012
- Managing Hospital Discharges and referring them to outpatient support.
- Performed daily clerical duties (i.e.; answer phone calls, fax documents and make copies).
- Established connections to appropriate agencies to achieve necessary services.
- Managed benefits and entitlements.
- Scheduled surgery dates, as well as necessary followup appointments.
- Advocated for Clients best interest in order to maintain health and safety of the individual.
- Placed orders from pharmaceutical companies for clients.
- Served as a translator and mediator in multiple scenarios for clients.
- Assisted in enhancing communication skills with all clients.
- Interacted with clients and serviced as requested.
Loan Officer
America's Finest Brokers Inc
09.2005 - 05.2006
- Collected and analyzed financial information in order to communicate recommendations to both the bank management and customer.
- Properly develop and execute necessary documentation for all loan transactions in accordance to bank policies and procedures.
Education
Associate's - Sciences
Nassau Community College
06.1997
Skills
- Bilingual (Spanish/English)
- Proficient in Microsoft Word
- Proficient in Microsoft Excel
- Customer Service
- Medicaid
- Data Entry
- Records Management
- Scheduling
- Invoicing
- Case Management
- Background/credentialing
- Translation
- Interpretation
- Social Work
Timeline
Health Navigator
MorseLife Health System
08.2024 - Current
Care Manager
Advance Care Alliance
04.2019 - 03.2023
Medicaid Service Coordinator
United Cerebral Palsy of Nassau County
04.2016 - 04.2019
Health Compliance Administrator
Access Staffing Inc
06.2012 - 10.2015
Medicaid Service Coordinator
Hispanic Counseling Center
04.2007 - 06.2012
Loan Officer
America's Finest Brokers Inc
09.2005 - 05.2006
Associate's - Sciences
Nassau Community College
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