Sanfred Opuni
Bronx,NY
Summary
Experienced with team leadership and operational management. Utilizes strong organizational skills to optimize workflow and improve team efficiency. Track record of fostering collaborative work environment to achieve collective goals.
Overview
14
14
years of professional experience
Work History
Care Coordination Supervisor
The Bridge NY
New York, NY
04.2023 - Current
- Supervise and oversee the daily activities of the Care Coordination team.
- Initiate ongoing team meetings with Care Coordinators to implement and review goals, plans of care, comprehensive assessment, HARP, core services, and timely documentation while supporting the training and team building for all staff.
- Provide direct one-to-one and group clinical supervision for the Care Coordinators.
- Conducted performance evaluations for staff members, identifying areas of improvement and guiding professional development plans.
- Boosted team morale and performance, organizing regular training sessions and motivational meetings.
- Provided ongoing monitoring to ensure that client charts and documentation are in compliance with City, State, and Federal guidelines.
Care Management Supervisor
Catholic Guardian
Bronx, NY
02.2021 - 04.2023
- Responsible for providing support and direct supervision to Care Managers
- Ensures that new and existing care managers are fully trained in care management activities, current protocols and policies, and Federal, State, and local laws, rules, and regulations
- Participates in maintaining effective linkages in the community and the integration of all care management functions for their care managers
- Conduct meetings with CMs on an individual basis to discuss specific case problems and work performance issues; provides written and verbal evaluations on an ongoing basis; counsels and if needed, disciplines employees on work
- Manages and assigns care managers' caseloads
- Reviews case notes and Life Plans to ensure quality and regulatory compliance
- Provides supervisory oversight to ensure that plan goals are addressed in an appropriate timeframe
- Reviews and approves notes for billing
- Monitors care managers' productivity
- Develop and implement Care Management programs
- Provide coverage for CMs when needed including assisting with home visits, discharge planning functions and coordination of service
- Create a positive working environment conducive to supporting the work of the Care Management and other agency staff
AOT Care Coordinator/Case Worker
The Jewish Board
New York, USA
09.2015 - 03.2020
- Integration of medical, specialized, and behavioral health services in addition to social support services
- Periodic assessment of a member's medical and behavioral health needs as well as compliance with recommended treatments
- Providing required care management services
- Assuring that member has access to, engages in and retains needed services as defined in the member's ICP
- Such services may include: Acute Medical Care; Primary Medical Care; Preventative medical care services (including metabolic screening); Home Health Care; Chemical Dependency Services; Behavioral Health Services; Community social support services; Housing; State and federal entitlements
- Providing outreach services to members for increased access to the above services
Coding Quality Coordinator
Buffalo General Medical Center
Buffalo, USA
02.2011 - 02.2015
- Ensured accurate coding and data collection for reimbursement and databases best represents resources used in patient care
- Ensured all inpatient and outpatient diagnoses, procedures and data collection accurately reflects the appropriate case mix index, severity of illness, expected risk of mortality, the complexity of patient care and use of resources
- Planned and executed audits for the quality of coded data to best represent the case mix, the accurate Diagnosed Related Group (DRG) assignment, proper reimbursement, and quality measure/metrics
- Confidential patient information including demographic, insurance, consents, and account balances
Education
Masters - Healthcare Administration
Grand Canyon University
Phoenix, Arizona08.2015
BA - Health and Wellness
State University of New York at Buffalo
Buffalo, New York05.2010
Skills
- Training and mentoring
- Leadership qualities
- Training and development
- Team management
- Staff management
- Case assessment
- Attention to detail
- Decision-making
- Multitasking and organization
- Policy adherence
Timeline
Care Coordination Supervisor
The Bridge NY
04.2023 - Current
Care Management Supervisor
Catholic Guardian
02.2021 - 04.2023
AOT Care Coordinator/Case Worker
The Jewish Board
09.2015 - 03.2020
Coding Quality Coordinator
Buffalo General Medical Center
02.2011 - 02.2015
BA - Health and Wellness
State University of New York at Buffalo
Masters - Healthcare Administration
Grand Canyon University