Valeria Aleman
San Jose,CA
Summary
Dedicated Managed Care Professional with 5+ years of experience in case management and healthcare operations. Proven track record in achieving 90% application approval rates and streamlining statewide referral workflows.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Managed Care Outreach Specialist
Pacific Clinics
San Jose, CA
10.2023 - Current
- Strategic Referral Management: Oversaw the end-to-end intake and routing of statewide student service referrals, ensuring 100% compliance with contractual and regulatory timelines.
- Operational Efficiency: Partnered with leadership to resolve billing discrepancies and authorization concerns, minimizing service gaps and financial leakage.
- Cross-Functional Liaison: Coordinated staff-to-client assignments across HHE/HHP programs, optimizing caseload distribution and ensuring continuous service coverage.
- Compliance & Audit Readiness: Supported internal audits and Continuous Quality Improvement (CQI) initiatives, maintaining documentation standards that align with payer and agency requirements.
- Reporting & Communication: Served as the primary liaison between clinical and billing departments to fulfill reporting requirements and communicate medical status updates.
Veterinary Technician
Piedmont Hills Animal Hospital
San Jose, CA
08.2020 - 06.2024
- Clinical Support: Assisted in surgical procedures, anesthesia monitoring, and emergency triage in a fast-paced medical environment.
- Data Management: Managed digital medical records using AVIMark, ensuring precise documentation of treatments, medications, and laboratory results.
- Client Education: Provided clear medical communication to pet owners regarding post-operative care and chronic disease management.
Housing Coordinator/Case Manager
Housing Choices Coalition
San Jose, CA
09.2022 - 10.2023
- High-Volume Case Management: Managed a complex caseload of 50+ individuals with developmental disabilities, achieving a 90% application approval rate for Section 8 and below-market-rate housing.
- Financial Advocacy: Conducted comprehensive financial assessments and budget planning to help clients secure and maintain stable housing.
- Stakeholder Collaboration: Built and maintained relationships with property managers and regional centers to advocate for client needs and navigate fair housing laws.
- Crisis Intervention: Provided proactive support and conflict resolution for clients facing housing instability or eviction threats.
Behavioral Technician
Ages Learning Solutions
San Jose, CA
02.2022 - 05.2022
- Clinical Intervention & Implementation: Delivered 1:1 Applied Behavior Analysis (ABA) therapy to children with autism, executing individualized treatment plans and behavior intervention strategies to meet developmental milestones.
- Data Integrity & Documentation: Managed real-time data collection and progress tracking using CentralReach, ensuring 100% accuracy and compliance with clinical reporting standards for insurance authorization.
- Collaborative Care Coordination: Partnered closely with Board Certified Behavior Analysts (BCBAs) and families to integrate therapeutic goals into daily routines, ensuring consistency in care and service delivery.
- Regulatory Compliance: Maintained strict adherence to HIPAA regulations and ethical guidelines, safeguarding sensitive patient information and ensuring program audit readiness.
After School Leader
Central YMCA
San Jose, CA
01.2018 - 08.2020
- Program Operations & Leadership: Planned and facilitated daily educational and enrichment programming for K–5 students, ensuring a safe, inclusive, and high-energy environment for 50+ participants.
- Stakeholder Communication: Maintained open and professional communication with parents and school faculty regarding student progress, behavioral milestones, and program updates.
- Curriculum Development: Designed and implemented a youth development curriculum aligned with YMCA core values, focusing on academic support, nutrition education, and social-emotional growth.
- Compliance & Safety: Monitored and documented student attendance and emergency contact information in strict accordance with YMCA safety protocols and state licensing requirements.
Brand Representative
Hollister Co
Milpitas, CA
02.2017 - 01.2018
- Client Engagement: Delivered high-quality customer service in a fast-paced retail environment, focusing on brand loyalty and conflict resolution.
- Operational Support: Managed point-of-sale (POS) transactions and inventory replenishment, maintaining a high level of accuracy and organization.
Education
B.A. - Child and Adolescent Development, Concentration in Community Focus
San Jose State University
San Jose, CA05-2022
AAT - Child and Adolescent Development
Evergreen Valley College
San Jose, CA05-2020
Skills
- Healthcare Systems (EHR/EMR): Welligent, CentralReach, Neo, AVIMark
- CRM & Business Tools: Salesforce, Microsoft Office Suite (Excel, Word, Outlook), Google Workspace
- Core Competencies: Managed Care Operations, Case Management, Regulatory Compliance (HIPAA), Quality Assurance (QA), Data Integrity, Cross-functional Collaboration
- Languages: Native Spanish, Fluent English
Certification
- Wellness Coach II BA8D166946
Timeline
Managed Care Outreach Specialist
Pacific Clinics
10.2023 - Current
Housing Coordinator/Case Manager
Housing Choices Coalition
09.2022 - 10.2023
Behavioral Technician
Ages Learning Solutions
02.2022 - 05.2022
Veterinary Technician
Piedmont Hills Animal Hospital
08.2020 - 06.2024
After School Leader
Central YMCA
01.2018 - 08.2020
Brand Representative
Hollister Co
02.2017 - 01.2018
AAT - Child and Adolescent Development
Evergreen Valley College
B.A. - Child and Adolescent Development, Concentration in Community Focus
San Jose State University