Shannon Schrimmel
Eloy
Summary
Talented Case Manager adept at handling high caseloads without sacrificing quality of care. Operates in high-pressure environments while recommending best resources and courses of action to benefit patient needs and return each to optimal quality of life.
Overview
16
16
years of professional experience
Work History
Case Manager
Johnson & Johnson
03.2024 - 01.2026
- Utilized Genesys phone software and Salesforce for efficient data entry
- Implemented CPR+ to streamline shipment placement for patients
- Utilized in depth care note reviews to improve patient care strategies
- Demonstrated excellent interpersonal skills, enabling successful collaboration with team members, leading to enhanced overall performances
- Showcased exceptional ability to present effectively
- Knowledgeable in healthcare terminology
- Strengthen connections with both parties and physicians offices, resulting in enhanced patient care and delivery of outstanding service
- Trained new case managers, raising the teams overall competence and service delivery standards
- Report Adverse Events and Product Complaints
- Rare disease experience
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Exceeded performance metrics consistently, earning recognition as a top performer within the team
Case Manager
McKesson Specialty Health
11.2021 - 03.2024
- Assist providers in submitting Prior Authorizations to proper payers and following up for determinations status utilizing CoverMyMeds
- Assisted with other programs during company peak season
- Assist peers and leadership with training new hires, both on campus and virtually
- Utilized Five9 phone software, Salesforce, iCMS platforms, DT, Roar, Flexpath and REMS platforms
- Utilized NICE for Quality Evaluations
- Reviewed chart notes and prescriptions to determine best outcomes for patients
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Rare Disease experience
- Experience working with Sales Reps and Field Reps
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Strong communication and presentation skills
- Understands Medical terminology
- Experienced in reviewing manufacture-sponsored Patient Assistance Program details with patient, including determining income limits and reviewing tax documents
- Utilized NeedyMeds which is a non-profit organization that provides comprehensive database of patient assistance programs which serves as a centralized inquiry tool
- Executed safe-use protocols for multiple REMS program, ensuring patient compliance through detailed documentation and counseling. Such as the following programs: The ESA Oncology Program, TIRF REMS Access Program
- Exceeded performance metrics consistently, earning recognition as a top performer within the team
- Reported Adverse Events and Product Complaints
Insurance Verification Specialist
McKesson Specialty Health
03.2020 - 11.2021
- Verify benefits and coverage with commercial, government payers across the nation
- Processed eligibility, benefit verification and authorization requests
- Trained new hires on company procedures, ensuring a seamless transition into the Insurance Specialist role
Customer Service Representative
McKesson Specialty Health
08.2009 - 03.2020
- Setup/maintain customer files with accuracy
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Delivered outstanding customer service to new, existing and returning customers
- Document review, data entry, orders and returns
- Assist peers and leadership with various projects, including but not limited to writing work instructions, training new hires, etc.
- Responded to customer requests for products, services, and company information
- Provided coaching and mentoring to new hires, contributing to their successful integration into the team
- Exceeded performance metrics consistently, earning recognition as the top performer within the team
- Experience in a rare disease environment
Education
High School Diploma -
Maricopa Community Colleges, Estrella Mountain Community College
Avondale, AZSkills
- Documentation proficiency
- Positive attitude
- Problem-solving
- HIPAA compliance
- Active listening
- Critical thinking
- Empathy and compassion
- Time management abilities
- Attention to detail
- Teamwork and collaboration
- Problem-solving abilities
- Written and verbal communication
Timeline
Case Manager
Johnson & Johnson
03.2024 - 01.2026
Case Manager
McKesson Specialty Health
11.2021 - 03.2024
Insurance Verification Specialist
McKesson Specialty Health
03.2020 - 11.2021
Customer Service Representative
McKesson Specialty Health
08.2009 - 03.2020
High School Diploma -
Maricopa Community Colleges, Estrella Mountain Community College