Talented Case Manager adept at handling high caseloads without sacrificing quality of care. Operates in high-pressure environments while recommending best resources and courses of action to benefit patient needs and return each to optimal quality of life.
Overview
14
14
years of professional experience
Work History
Cancer Detection Program Case Manager
San Ysidro Health
02.2020 - Current
Developed and implemented comprehensive case management plans to address patient needs and goals.
Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to patients.
Provide breast and cervical cancer education and outreach as requested.
Enroll women who need treatment in BCCTP or appropriate treatment program.
Provide diagnosed patients with appropriate referrals to cancer navigation programs.
Ensure patients are tracked and return for breast and cervical cancer screening in time frame as instructed by provider and protocol.
Mentor and train new hires, resulting in stronger staff development and increased productivity.
Referral Specialist
San Ysidro Health
02.2018 - 09.2019
Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
Scheduled appointments with specialists on behalf of clients.
Verified insurance benefits and eligibility for specialty procedures before referring clients.
Obtained prior authorization from various insurance carriers.
Monitored referrals to foster timely completion and followed up with physicians to facilitate.
Responded to patient inquiries to offer timely updates regarding referral status.
Medical Assistant
Colonial Corner Medical Group
09.2016 - 08.2017
Sanitized, restocked, and organized exam rooms and medical equipment.
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Obtained client medical history, medication information, symptoms, and allergies.
Performed medical records management, including filing, organizing and scanning documents.
Collected and documented patient medical information such as blood pressure and weight.
Assisted with routine checks and diagnostic testing by collecting and processing specimens.
Verified patient insurance coverage and collected required co-payments.
Completed EKGs and other tests based on patient presentation in office.
Processed referral requests from patients, doctors and other health care professionals.
Obtained prior authorization from various insurance companies.
Collected blood samples using vacutainer tubes, tourniquets, syringes, butterfly needles, and straight needles.
Labeled transfer tubes and followed exact directions for handling and storing specimens for transport.
Medical Assistant
A Lady's Doctor OB/GYN
01.2010 - 08.2012
Assisted physicians with minor procedures such as Colposcopy, EMB, IUD insertion and fetal heart monitor
Taught patients about medications, procedures, and care plan instructions.
Oriented and trained new staff on proper procedures and policies.
Continuity of care throughout pregnancy, postpartum and family planning.
Entrusted with with office workflow in absence of upper management
Education
Medical Assistant Diploma - Medical Assisting
United Education Institute
Chula Vista, CA
01.2010
High School Diploma -
Enterprise High School
06.2008
Skills
Patient Support
Care Coordination
Case Management
Records Management
Community Outreach
Problem-Solving
Accomplishments
Yale University-Introduction to Breast Cancer Course
Referral/Prior Authorization Specialist at San Diego PACE, San Ysidro HealthReferral/Prior Authorization Specialist at San Diego PACE, San Ysidro Health