Tsega Landry
Baton Rouge,LA
Summary
Referral Specialist offering background coordinating and managing patient referral process. Gifted at obtaining required documentation, answering patient questions and communicating with insurance providers. Mastery of medical and insurance terminology and abbreviations.
Overview
21
21
years of professional experience
Work History
EAP Referral Specialist
Curalinc Healthcare
Chicago, Illinois
09.2025 - Current
- Coordinated patient referrals to appropriate healthcare providers efficiently.
- Verified patient insurance eligibility and benefits for seamless processing.
- Communicated with patients to gather necessary documentation and information.
- Maintained accurate records of referrals in healthcare management systems.
Behavioral Health Care Coordinator
Louisiana Health Connection
Baton Rouge, Louisiana
11.2021 - 02.2026
- Coordinated patient care plans with multidisciplinary teams for comprehensive treatment.
- Conducted intake assessments to identify client needs and support requirements.
- Managed client appointments and follow-ups to ensure continuity of care.
- Served as liaison between patients, families and various healthcare providers to ensure continuity of care.
- Assisted clients in accessing mental health resources and community services.
- Educated patients on available resources in the community such as support groups, housing programs and food pantries.
Outreach Care Specialist
Elevance Health
New Orleans, Louisiana
01.2024 - 06.2025
- Coordinated outreach programs to engage members in health initiatives.
- Assisted members with care management and resource navigation.
- Conducted assessments of client needs and developed individualized plans for long-term success.
- Collaborated with interdisciplinary teams to coordinate care for patients across multiple settings.
- Connected clients with appropriate mental health professionals when necessary.
- Developed educational materials for community health awareness.
- Helped people enroll in programs, arrange transportation and coordinate paperwork.
- Notified individuals regarding appointment follow-ups and referrals and provided transportation to appointments.
Rapid Response Outreach Care Connector
AmeriHealth Caritas Louisiana
Baton Rouge
09.2016 - 10.2021
- Conducted outreach to engage members in available health services.
- Facilitated communication between providers and members to enhance care delivery.
- Conducted regular follow-up visits with clients to ensure adherence to treatment plans and provide additional assistance when needed.
- Coordinated transportation services for clients to medical appointments and other activities.
- Coordinated scheduling of appointments across multiple departments to optimize patient care.
- Scheduled and confirmed patient appointments and consultations.
- Handled high volume of incoming calls, providing exceptional customer service to patients and families.
- Directed inbound calls in phone queues to improve call flow.
- Provided training for new staff on care coordination processes.
Grievance & Appeals Coordinator
Magellan Health
Baton Rouge, LA
12.2015 - 04.2016
- Reviewed and processed appeals documentation for compliance with regulatory standards.
- Evaluated medical records to ensure accuracy of diagnoses and treatments.
- Compiled and documented information for appeal cases.
- Maintained detailed records of all communications related to appeals processing activities.
- Answered incoming calls from providers seeking assistance with appeals processing.
Follow Up Specialist
Magellan Health
Baton Rouge, LA
02.2012 - 12.2015
- Directed targeted outbound follow-up workflows for behavioral health cases, utilizing tracking systems to optimize internal response times and drive unengaged client outreach.
- Streamlined follow-up processes to enhance client satisfaction and engagement.
- Coordinated follow-up communications with clients to ensure timely support and service.
- Provided excellent customer service by responding promptly to inquiries.
- Collaborated with other departments to ensure accurate and timely resolution of customer issues.
- Collaborated with healthcare providers to gather essential patient information.
- Managed case documentation and maintained accurate records in the system.
- Verified provider documentation compliance against treatment plans and program guidelines to eliminate systemic care gaps and ensure quality assurance.
Mental Health Technician
Our Lady Of The Lake Hospital
Baton Rouge, LA
06.2005 - 02.2012
- Provided crisis intervention and de-escalation techniques to help manage patient behavior.
- Monitored patient behavior and reported changes to healthcare team.
- Observed and documented changes in patient behavior and reported any significant changes to the clinical team.
- Communicated effectively with patients to build trust and rapport.
- Facilitated group therapy sessions and encouraged patient participation.
- Assisted in daily living activities and personal care for patients.
- Collaborated with multidisciplinary teams to enhance patient care strategies.
- Documented patient progress and maintained accurate records.
- Ensured a safe environment by following hospital safety protocols.
Education
Central High School
Baton Rouge, LASkills
- Referral coordination
- Insurance verification
- Care management
- Medical terminology
- Appointment scheduling
- Follow-up coordination
- Patient education
- Customer service
- Problem solving
- Patient advocacy
- Outbound calls
- Patient advocacy
- Patient education
Timeline
EAP Referral Specialist
Curalinc Healthcare
09.2025 - Current
Outreach Care Specialist
Elevance Health
01.2024 - 06.2025
Behavioral Health Care Coordinator
Louisiana Health Connection
11.2021 - 02.2026
Rapid Response Outreach Care Connector
AmeriHealth Caritas Louisiana
09.2016 - 10.2021
Grievance & Appeals Coordinator
Magellan Health
12.2015 - 04.2016
Follow Up Specialist
Magellan Health
02.2012 - 12.2015
Mental Health Technician
Our Lady Of The Lake Hospital
06.2005 - 02.2012
Central High School