VICTORIA CHAVEZ
San Diego,CA
Summary
Empathetic, creative, and mission-driven professional with a proven ability to deliver exceptional client care, and streamline operations in healthcare and wellness settings. Passionate about fostering a warm, empowering environment for clients and staff while supporting organizational growth and excellence.
Overview
2
2
years of professional experience
Work History
CARE COORDINATOR -Remote
Molina Healthcare
San Diego, CA
11.2023 - 11.2024
- Managed a variety of care programs, outreach, education, quality improvement, and other initiatives as needed to facilitate members' individualized plan of care.
- Provided support, guidance, education, and acted as a liaison between the member's PCP and specialty physicians to maximize health outcomes and prevent unnecessary hospitalizations.
- Used clinical judgment to determine a member's needs both in the home and throughout an acute care episode
- Reviewed all data utilized to create the initial Interdisciplinary Care Plan (ICP), such as HRA (Health Risk Assessments), claims/pharmacy data, and revised and approved the initial ICP and assigned risk level, if necessary.
- Used all components of the Transition of Care model and nursing process including assessment, triage, planning, implementing, and evaluating care to meet the members' needs
- Provided health maintenance, counseling/coaching, medication, and disease management education to members and families/caregivers
PROGRAM DIRECTOR
Akasha Recovery Center
Cardiff, CA
02.2023 - 11.2023
- Managed program operations and provided strategic leadership for staff.
- Facilitated staff meetings and educational work sessions to strengthen staff competencies.
- Responsible for Policy & procedure development and maintaining program compliance.
- Conducted Utilization Reviews for Detox & RTC authorizations
- Created a Detox and Residential Treatment Center Program that included business practices, service delivery, personal practices, health and safety sections (DHCS).
- Created Incidental Medical Services Policy approved for and by the State of California.
- Generated staff trainings needed for program success.
- Created a KIPU EHR instance specifically for Akasha Recovery.
- Completed Peer to Peer Reviews when needed.
- Created job description, prescreening protocols, and post interview assessments
- Responsible for all audits relating to licensing including DHCS and Joint Commission standards.
- Responsible for hiring/onboarding of all staff in coordination with Human Resources.
- Responsible for employee evaluations and ongoing program development
- Worked cohesively with Medical Director and clinicians to promote client success.
Skills
- Bilingual (Spanish & English); excellent communication & interpersonal skills
- Team leadership, staff training, and program development
- Client care, service coordination, and operations support
- Creative problem-solving, time management, and organizational excellence
- Policy implementation, quality improvement, and compliance oversight
- Knowledge of healthcare & wellness standards, including JCAHO & DHCS
Timeline
CARE COORDINATOR -Remote
Molina Healthcare
11.2023 - 11.2024
PROGRAM DIRECTOR
Akasha Recovery Center
02.2023 - 11.2023