Bilingual (English/Spanish) healthcare professional with extensive experience in care coordination, transitional support, and medical record review. Skilled in facilitating seamless post-discharge transitions by ensuring medication adherence, benefit education, and timely follow-up with providers. Expertise in prior authorizations, ICD-10 coding, and documentation review to support accurate care planning and compliance. Adept at assessing health and social determinants, addressing barriers to wellness, and applying strategies to reduce emergency department utilization and hospital readmissions. Collaborative team player with a proven ability to engage patients, families, and interdisciplinary care teams to promote safe transitions, optimize outcomes, and support member self-management.