Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Vivetta Ramkissoon-Denton

Orlando

Summary

Dedicated professional with a proven history of initiative and leadership. Skilled in case management for clients from diverse backgrounds. Effective communicator with strong presentation and organizational skills. Capable of building positive relationships with peers, clients, and team members at all levels. Exceptional writing, communication, teamwork, independence, and time management abilities.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Community Health Worker

Molina Healthcare
04.2024 - Current
  • Conduct outreach to members to assess individual healthcare needs and coordinate appropriate services.
  • Enroll eligible members into disease management programs tailored to their specific conditions.
  • Assess social determinants of health to identify barriers and improve member compliance and health outcomes.
  • Coordinate referrals to external healthcare networks and community resources based on assessed needs.
  • Identify members at high risk for emergency room readmissions and implement proactive interventions.





1099 Medicare Sales Agent

Wellcare
07.2022 - 04.2023
  • Complete a full analysis to identify the best product for prospective customers.
  • Explain features and advantages of Medicare, Dual Advantage, and Marketplace plans.
  • Process insurance applications.
  • Work with Community leaders, provider partners in to generate leads and sales
  • Generate new Marketing locations
  • Participate in formal and informal Events to promote Medicare Plans


Community Health Worker

Centene Corp.
08.2018 - 07.2022
  • Assist and accompany members to primary care appointment with provider and specialist.
  • Enroll and engage members in Case Management Program. Conduct assessment to determine level of needs
  • Outreach and educate members on Preventative Health and Health management
  • Improve relations with healthcare providers and specialist to help members obtain a better health outcome
  • Serves as a liaison in corresponding and communicating with providers, vendors and Sunshine Health contacts and/or members representatives.
  • Organizes a variety of administrative and clinical tasks and prioritizes in order of importance and impact on members and providers.

1099 Licensed life insurance Sales Agent

Liberty National
02.2020 - 03.2021
  • Complete a cost/plan analysis to identify the best product for prospective customers.
  • Make recommendation for new and add-on insurance plans.
  • Explain features and advantages of life insurance plans.
  • Enroll customers into new life insurance plans.

Care Connector

Prestige Health Choice
06.2014 - 08.2018
  • Conduct outreach calls to members for the Bright Start Maternity program to address care and service coordination. Assist members with primary care appointment with provider and specialist.
  • Conduct primary follow-up calls for OB-GYN appointment reminders
  • Enroll and engage low risk members in Case Management until date of delivery
  • Conduct transportation assistance for members
  • Assist UM department with prior authorization
  • Educate members on Preventative Health and health management.

Education

Bachelor of Arts - Sociology

Hunter College

Certificate - Community Health

Florida Board of Certification
Orlando, FL
10-2023

License - Health And Finance

Florida Board of Finance
Orlando, FL
10-2022

Skills

  • Microsoft word, excel, outlook, PowerPoint proficient
  • Advanced internet research experience, Community and member Outreach, Excellent Customer Service skills, Bilingual
  • Care coordination and case management
  • Health risk assessments (HRA)
  • HIPAA compliance
  • Familiarity with Medicaid/Medicare/managed care plans
  • Identifying gaps in care
  • Problem-solving and critical thinking

Certification

  • 215 – Life INCL VAR Annuity & Health License Number W725709
  • Certified Community Health Worker

Languages

French and Creole
Native or Bilingual

Timeline

Community Health Worker

Molina Healthcare
04.2024 - Current

1099 Medicare Sales Agent

Wellcare
07.2022 - 04.2023

1099 Licensed life insurance Sales Agent

Liberty National
02.2020 - 03.2021

Community Health Worker

Centene Corp.
08.2018 - 07.2022

Care Connector

Prestige Health Choice
06.2014 - 08.2018

Bachelor of Arts - Sociology

Hunter College

Certificate - Community Health

Florida Board of Certification

License - Health And Finance

Florida Board of Finance

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Vivetta Ramkissoon-Denton