Coordinated care management services for members with complex medical, behavioral, and social needs.
Conducted telephonic assessments to identify health risks, barriers to care, and appropriate support resources.
Developed individualized care plans in collaboration with members, providers, and interdisciplinary teams.
Monitored member progress and adjusted care plans to improve health outcomes and quality of care.
Educated members on treatment plans, medications, preventive care, and available community resources.
Collaborated with physicians, nurses, social workers, and healthcare providers to ensure continuity of care.
Assisted members with discharge planning, appointment coordination, and access to healthcare services.
Maintained accurate documentation and compliance with HIPAA, CMS, and company policies.
Utilized case management systems and electronic health records to track interventions and member outcomes.
Supported utilization management and care coordination initiatives to reduce hospital readmissions and emergency visits.
Addressed member concerns and resolved issues related to benefits, referrals, and care access.
Managed high-volume caseloads while meeting productivity, quality, and performance metrics.
Member Advocate
Aetna CVS Health
Trenton
01.2024 - 01.2026
Addressed all member concerns and questions (provider relations, appeals, durable medical equipment, benefits) promoting a positive member experience
Updated member demographic information
Conducted Health Risk Assessments and assigned to RN Case Managers
Assisted with Medicaid re-determination calls, and other tasks assigned by Case Managers, documenting each call with accuracy and HIPAA regulations
Applied Practice Experience Student
Rutgers School of Health Professions
Piscataway
10.2024 - 01.2025
Researched the background, culture, and health of Garifuna communities to identify barriers and deliver appropriate social media campaign ideas for improvement of cervical cancer screening
Identified the prevalence of cervical cancer and HIV/AIDS, the social media campaigns that have been effective globally, and the causes of morbidity and mortality for cervical cancer in vulnerable communities like Garifuna communities
Rutgers School of Public Health, Piscataway, NJ
Community Health Worker
Hackensack Meridian Health
Edison
11.2021 - 01.2024
Made weekly enrollment and follow-up calls and community outreach to organizations
Motivated patients to meet their health goals, provided resources with Now Pow, and documented in Epic
Received training with Penn Medicine on motivational interviewing
Worked with other CHWs and staff to create a directory of community resources
Receptionist
True Care Mental Health Clinic
Elizabeth
06.2021 - 10.2021
Received all incoming phone calls, conducted scheduling, and coordinated appointments for new and existing clients, assisted clients with paperwork
Checked insurance eligibilities, organized, and maintained office records, maintained an updated inventory for all office equipment and supplies
Performed administrative and clerical tasks for therapists and nurse practitioner
Training Fund Assistant Intern
District 1199J National Union of Hospital and Healthcare Employees-Training and Development Fund
Newark
06.2019 - 08.2020
Created PowerPoint presentations, healthcare program directories, and assignments for students
Provided clerical and administrative support activities directed towards Training and Development Fund under supervision of Executive Director and Administrative Assistant
Tutored high school students in Math as part of requirement for CNA/PTA training programs
HR Benefits Enrollment Assistant
Rutgers University Human Resources Benefits
Newark
09.2018 - 12.2019
Efficiently completed clerical work in making copies, packets, and orientation folders to assist in the benefits of new attendees of Rutgers and UMDNJ
Filed private employee documents in filing room, and removed terminated or retired employee folders
Neonatology Research Student
Newark Beth Israel Medical Center
Newark
06.2017 - 08.2017
Collaborated with students and Neonatal research staff to shadow an attendant and residents for a time and motion study, collect parental involvement for a set of infants each day, and participate in quality improvement meetings
Evaluated the impact of parental involvement each day in the NICU (set of infants assigned to each research student on software) on parental stress in the NICU to determine statistical significance for abstract publication
Education
Master of Public Health - Global Public Health
Rutgers School of Public Health
Piscataway, NJ
01-2026
Bachelor of Arts - Biology, Minor in Psychology
Rutgers University: College of Arts and Sciences
Newark, NJ
08-2021
Skills
Global Public Health Competencies
Cultural Competence
Epidemiological Methods
Public Health Education
Public Health Research
Data Analysis
Regression Models
Sociodemographic Factors
Health Outcomes
IBM SPSS Statistics Software
Volunteer Experience
Participant, UT Southwestern Pre-Health Virtual Clinical Observation Program, Dallas, TX, 03/01/21, 06/30/21, Actively participated in live two, one-hour lectures per month on clinical cases paired with one of the core competencies outlined by the AAMC.
Participant, Virtual Shadowing Program, Dallas, TX, 09/01/20, 06/30/21, Joined weekly 2-hour sessions every Tuesday and completed assessments for certification., Medical professionals hosted from all backgrounds to talk about their medical specialties and present real case studies.
Volunteer Student, Newark Beth Israel Medical Center, Newark, NJ, 03/01/19, 07/31/19, Assisted Unit Clerk with basic clerical tasks in D7 Oncology/Ortho/Renal Unit such as, organizing documents in and out of binders for new and discharged patients., Answered phone calls during volunteering shift from different departments (cardiac telemetry, food and nutrition, laboratory, security), doctors, unit clerks, and family members of patients as instructed., Transferred phone calls to nurses when asked for, passed call to unit clerk when necessary, and left staff notes for unit clerk to attend to when returned from break., Actively checked in on patients to inquire about their needs, answered patient call bell, and reported urgent necessities (medication, severe pain, emergencies) to nurses and other necessities to certified nursing assistants.
Skills Certifications Competencies
Fluent in Spanish, Adult Mental Health First Aid Certification, Assessed population needs, assets and capacities that affect communities’ health., Described the importance of cultural competence in communicating public health content., Applied epidemiological methods to the breadth of settings and situations in public health practice., Applied global perspectives to public health education, research, or practice., Analyzed causes of morbidity and/or mortality in major regions of the world and how they are affected by demographic, sociocultural, biological, or occupational and environmental factors., IBM SPSS Statistics Software
Timeline
Case Management Specialist
Aetna CVS Health
01.2026 - Current
Applied Practice Experience Student
Rutgers School of Health Professions
10.2024 - 01.2025
Member Advocate
Aetna CVS Health
01.2024 - 01.2026
Community Health Worker
Hackensack Meridian Health
11.2021 - 01.2024
Receptionist
True Care Mental Health Clinic
06.2021 - 10.2021
Training Fund Assistant Intern
District 1199J National Union of Hospital and Healthcare Employees-Training and Development Fund