Yvette Thomas

• Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
• Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
• Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
• Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
• Maintained patient confidentiality while managing sensitive personal information during interviews and follow-up communications.
• Collaborated effectively with a diverse team of public health professionals to streamline contact tracing processes and share best practices.
• Support Company COVID-19 response initiatives and ensure strict adherence to Company health and safety protocols and COVID-19 procedures which provide health education and guidance.
• • Leveraged case management tools to help interdisciplinary teams achieve optimal outcomes of 98-100% SLA compliance to encourage ongoing client engagement and retention,

• Ensured callers received prompt and accurate information to quarries, relaying complicated technical information to high-profile clients, earning regular compliments for making complex transactions easy to understand, while displaying product knowledge.

• Cleared out previous three-month backlog of cases, in a quarterly period.

• Facilitated risk management process and safety protocols for Comcast facilities.

• Responded to employees and business partners with a health equity lens.

• Record of success working with diverse groups of co-workers to accomplish goals and address issues related to case management products and services.

• Successful virtual collaboration with employees and interdisciplinary teams. • Leveraged scripted templates to guide interview process and conduct interactions with professionalism and empathy. • Effectively mentored new team members, including orientation training, and acting as “onboarding buddy” during initial stages of employment.

• Kept projects on schedule by managing deadlines and adjusting workflows.
• Supervised multiple projects from project start through delivery by prioritizing needs and delegating assignments.
• Enhanced team collaboration through regular meetings, fostering a positive work environment for increased productivity.
• Liaised between departments to facilitate communication and keep appropriate parties updated on project developments.
• Coordinated cross-functional teams to ensure smooth execution of complex projects from inception to completion.
• Improved overall team performance by providing guidance, training, and support to junior staff members.
• Facilitated meetings between team members and stakeholders to establish clear expectations and maintain alignment throughout the duration of the project.

• Applied reason, logic and advanced problem-solving skills to resolve complex and sensitive issues.
• Led, directed and motivated others to innovate and excel.
• Worked in fast-paced environment with competing demands for time and attention.
• Manage direct reports, and services. Ensure compliance with local, state, and federal regulations (COMAR, HIPPA). Executed policies, protocols and practices that ensure proper residential safety, care, and service delivery.

• Collected and compiled relevant data pertinent to resident’s health and environment with a resident centered focus.

• Provided learning opportunities for resident’s, family members and facilitated internal trainings to build in-house expertise and staff confidence.

• Delegated and coordinated duties of team members, yielding extraordinarily successful results of 100% compliance of federal, state, and local regulations.

• Monitored program activities and quality for improvement recommendations.

• Oversaw workforce management planning, volume predictions and capacity planning for six medical center locations.
• Built strong relationships with key stakeholders through consistent engagement, collaboration, and transparent communication practices.
• Managed employee-related issues encompassing labor, turnover and diversity.
• Collaborated with cross-functional teams for seamless execution of large-scale initiatives and continuous improvement efforts.
• Optimized clinic workflow by regularly evaluating and adjusting staff roles and responsibilities.
• Spearheaded quality improvement initiatives to enhance patient care standards across the practice.
• Implemented electronic health record systems, ensuring accurate patient data tracking and reduced errors.

• Provided expert guidance to clients on best practices for patient safety and risk management.
• Optimized resource allocation by analyzing financial data and identifying cost-saving measures.
• Enhanced client satisfaction through consistent communication and proactive issue resolution.
• Consulted with healthcare professionals on business decisions.
• Performed as primary liaison for clients, political stakeholders, providers and public policy associations, lobbyists and partner organizations.
• Produced detailed and relevant reports for use in making business decisions.
• Facilitated use of electronic record management systems to analyze and process data.
• Established performance benchmarks for various functions within client organizations, ensuring consistent progress toward organizational goals.
• Promoted a culture of collaboration and knowledge-sharing among team members, fostering an environment conducive to innovative problem-solving and continuous learning.
• Managed complex projects with tight deadlines, ensuring timely delivery of high-quality healthcare solutions to clients.
• Evaluated technological solutions for integration within client organizations, considering factors such as cost, functionality, and potential impact on patient care.
• Analyzed complex data sets to identify trends and areas of improvement, leading to the development of targeted action plans.
• Developed strong relationships with key stakeholders in the healthcare industry, positioning clients as trusted partners within their respective markets.
• Evaluated the efficacy of existing healthcare programs using performance metrics, enabling informed decisions about program continuation or modification.
• Identified opportunities for cost savings by analyzing clinical data and implementing cost-containment measures across multiple departments within client organizations.
• Collaborated with cross-functional teams to design and implement innovative healthcare programs that streamlined processes and reduced costs.

• Served as a liaison between departments to facilitate cross-functional collaboration on quality management projects.
• Collaborated with interdisciplinary teams to design and implement quality improvement projects.
• Enforced compliance with government regulations and company policies.
• Coordinated multidisciplinary meetings aimed at discussing potential improvements in specific cases or situations.
• Improved patient outcomes by implementing evidence-based quality improvement initiatives.
• Developed performance measurement tools that allowed real-time tracking of progress towards established goals.
• Monitored key performance indicators to ensure compliance with accreditation standards, prioritizing continuous improvement efforts.
• Analyzed trends in patient satisfaction data, recommending actionable steps for enhancing the patient experience.
• Established a culture of safety through active promotion of risk management strategies and incident reporting protocols.
• Assessed, analyzed and improved patient satisfaction ratings in outpatient facility.
• Streamlined workflows for increased efficiency, optimizing resources within the healthcare facility.
• Ensured compliance with state regulations by staying current on updates related to healthcare quality management standards.
• Established and maintained quality standards for diagnosis, medical treatment and infection control to improve medical services.

• Assisted with regulatory issues such as compliance.
• Consulted with healthcare professionals on business decisions.
• Provided expert consultations on unique or challenging cases that required specialized knowledge or experience beyond the scope of general practitioners.
• Optimized collaboration between specialists by proactively sharing insights on complex cases requiring interdisciplinary input.
• Successfully coordinated care with insurance providers to ensure patients receive necessary treatments without undue financial burden.
• Collaborated with multidisciplinary teams to ensure optimal patient care and effective communication among healthcare providers.
• Evaluated emerging technologies in healthcare devices for potential adoption into existing practices, promoting innovation within the organization.
• Drafted and analyzed complex medical data.
• Leveraged medical expertise in the development of organizational policies and procedures, contributing to a high standard of patient care across all departments.
• Conducted thorough evaluations of patients'' medical histories, diagnoses, and medications to provide accurate recommendations for treatment options.
• Collaborated with other healthcare professionals to develop comprehensive care plans.

• Optimized resource allocation by conducting regular assessments of staffing levels and workload distribution within the department.
• Collaborated with interdisciplinary teams to develop effective care plans tailored to individual patients'' needs.
• Enhanced patient care by conducting thorough utilization reviews and coordinating with healthcare providers.
• Championed patient-centric care by integrating a holistic approach to medical case reviews, addressing not only physical but also social and emotional aspects of health for optimal outcomes.
• Maintained up-to-date knowledge of industry trends, regulations, and guidelines, contributing to the continuous improvement of utilization management practices within the organization.
• Analyzed data from utilization reports, identifying patterns and opportunities for cost savings without compromising patient care quality.
• Participated in industry conferences and workshops, staying informed on emerging trends and best practices in utilization management while expanding professional networks.
• Identified gaps in service delivery and recommended improvements to optimize resource utilization and quality of care.
• Streamlined approval processes for medical procedures, ensuring efficient and timely patient care.
• Served as a liaison between clinical staff, administrative personnel, and external stakeholders for all matters related to utilization management, facilitating clear communication across all parties involved.
• Coordinated with other department leaders to align utilization management initiatives with broader organizational goals and objectives.
• Managed high-risk cases proactively by closely monitoring treatment plans, collaborating with providers to adjust as needed based on evolving circumstances or changing regulations.
• Evaluated the performance of remote and in-house utilization review teams, providing feedback and guidance to drive continuous improvement efforts.
• Established strong working relationships with insurance companies, effectively advocating for patients'' needs during reimbursement negotiations.
• Conducted comprehensive audits of medical records to ensure compliance with regulatory requirements and best practices in healthcare management.
• Reduced unnecessary hospitalizations by implementing rigorous case management strategies and monitoring patient progress closely.
• Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
• Used industry expertise, customer service skills and analytical nature to resolve customer concerns and promote loyalty.
• Leveraged data and analytics to make informed decisions and drive business improvements.