Tonisha Clark
Inglewood,CA
Summary
A passionate, dedicated, and motivational, nursing student pursuing a career in the medical industry in which my education, training, and skills may be effectively utilized towards advancement and to promote quality patient care.
Overview
14
14
years of professional experience
Work History
Health Plan Representative
Kaiser Permanente
Los Angeles, CA
03.2018 - Current
- Upholds Kaiser Permanente's Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws
- Act as liaison between the patient/member, external clients, and Kaiser Permanente in providing general assistance and education on how to utilize the Kaiser system, resolve member ENB complaints and grievances as efficiently as possible, and answer Health-Plan related questions
- Partner with other departments in the organization, such as Marketing and Health Education, and attends community, employer and KP events to ensure accurate information is provided to various clientele regarding KP services, benefits, and protocols
- Research, resolve and communicate Health Plan/coverage-related assists for members
- Educate providers, staff and individual members on Health Plan benefits and services and applicable regulations
- Effectively handle and attempt to resolve member issues that are received from numerous sources
- Appropriately transfer all applicable cases and accompanying documentation after initial resolution effort
- Appropriately interview member/patient (or authorized representative of patient) in person or via phone regarding benefit, service, and medical care issues
- Effectively utilize service strategies and actively participate in Medical Center service initiatives and activities
- Conduct self-audits of work, to ensure quality and compliance.
Customer Service Representative
Kaiser Permanente
Corona, CA
01.2010 - 03.2018
- Handle deductible billing, Medicare, Medi-Cal, Hawaii, off exchange, and on exchange calls
- Filed grievances and guide members in the right direction when they are unsure of what to do
- I road run for new hires that join Kaiser Permanente, provide customer service, and I help assist with side by side for new hires and returning Kaiser workers
- I have excellent diffusion skills and I have been selected by my manager to help assist with special projects
- I am highly skilled in Health Connect, CHATS, Microsoft word, Outlook, Excel, Louts Notes and PowerPoint
Case Technician
QTCM
Diamond Bar, CA
04.2010 - 05.2015
- Make appointments for law enforcement, follow up on missing items, call patients to verify appointments, make charts, organize paperwork, answer phones, ship medical kits, and weed through medical records to determine eligibility to work status.
Server
BJ's Restaurant
Palmdale, CA
01.2010 - 05.2015
- Deliver interpersonal communication with team members while multi-tasking in order to deliver food in a timely manner to a section of 6 tables, resulting in high sales and guest satisfaction in a fast-paced environment.
Education
Bachelor of Science in Nursing -
West Coast University
01.2023
Associates Degree -
Chaffey College
01.2016
Regional Occupation Program
01.2009
Skills
- AHA - BLS Certified & Fire Life Safety Certified
- CNA – equivalency through partial completion of RN program
- Vaccinated and boosted against COVID-19
- Ability to thrive under pressure and multitask
- Able to work both independently and within a team
- Efficient with computer and charting programs
- Exceptional communication, verbal, listening, and written skills
- Excellent at prioritizing and paying attention to detail
Student Rn Clinical Rotations
- Providence Holy Cross Medical Center, Mission Hills, CA, 120, Fall Term 2, 10/2023, 01/2024, ICU, Emergency Department
- Providence Holy Cross Medical Center, Mission Hills, CA, 90, Fall Term 1, 08/2023, 10/2023, ICU, Neuro-Tele, Tele, Cardiac-Tele, ED, Stepdown
- Project Access Resource Center, Los Angeles, CA, 90, Summer Term 1, 06/2023, 08/2023
- Van Nuys Civic Child Development Center, Van Nuys, CA, 90, Spring Term 2, 04/2023, 06/2023
- Good Samaritan Hospital, Los Angeles, CA, 90, Spring Term 1, 01/2023, 04/2023, Labor & Deliver, NICU, Post-Partum
- Centinela Hospital Medical Center, Inglewood, CA, 90, Fall Term 2, 10/2022, 01/2023, Med-Surg
- Gateways Hospital Medical Center, Los Angeles, CA, 90, Fall Term 1, 08/2022, 10/2022, Psychiatric Unit
- Country Villa East Nursing Center, Los Angeles, CA, 90, Summer Term 1, 06/2022, 08/2022, Med-Surg
Activities
I have level 5 Moderate Risk Public Trust security clearance since July of 2011.
Timeline
Health Plan Representative
Kaiser Permanente
03.2018 - Current
Case Technician
QTCM
04.2010 - 05.2015
Customer Service Representative
Kaiser Permanente
01.2010 - 03.2018
Server
BJ's Restaurant
01.2010 - 05.2015
Bachelor of Science in Nursing -
West Coast University
Associates Degree -
Chaffey College
Regional Occupation Program
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