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Care Coordinator Resume Example

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Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Professional Summary

Driven Patient Care Coordinator adept at planning care, coordinating interdisciplinary teams and making strategic improvements. Broad knowledge of healthcare services and levels of care, financial options and insurance coverage scope. Energetic team-player experienced working in high-volume medical practice environment. Skilled in marketing with strong knowledge of medical terminology and prescriptions for wide range of treatments. Strong process management, customer service and communication skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Skills
  • Problem Solving
  • Multidisciplinary Team Collaboration
  • Team Leadership
  • Critical Thinking
  • Reimbursement Specialist
  • Interdepartmental Collaboration
  • Decision Making
  • Medical Terminology
  • Process improvements
  • Documentation
  • Organizational Skills
  • Insurance Practices
  • Brand Champion
  • Case management
  • Insurance practices
Education
University of South Florida Tampa, FL Expected in 12/2003 Bachelor of Arts : Psychology And Bioscience/Chemistry - GPA :
Certifications
  • Certified Case Manager, Commission for Case Management - 2017
Work History
Aveanna Healthcare - Care Coordinator
Amarillo, TX, 07/2012 - Current
  • Worked with patients and families to develop future plans and discuss care actions.
  • Anticipated individual patients' discharge barriers and implemented proactive resolutions.
  • Built strong referral network by developing strategic relationships with physicians, vendors, and hospital staff.
  • Evaluated effectiveness of current strategies with interdisciplinary team and utilized recommendations to make permanent improvements to care standards.
  • Maintained confidentiality of patient data and condition at all times to safeguard health information.
  • Liaised between hospital departments to facilitate effective communication.
  • Determined eligibility for medications and services based on reviews of medical records and knowledge of reimbursement requirements.
  • Understanding of coverage, coding, payment, and reimbursement requirements for private sector and CMS products.
  • Improved overall care by contributing to regular meetings discussing complex cases and procedural updates that could negatively impact services.
  • Coordinated prior authorizations, standard appeals, expedited appeals, and family appeals with private and CMS insurance companies to meet qualifications to cover needed medications and medical services.
  • Nominated by peers to be a Tanner Brand Champion.
Gallagher Bassett Nz Ltd - Case Manager
Greenwood Village, CO, 09/2007 - 06/2012
  • Increased referral rates by providing excellent service and building meaningful relationships with patients and caregivers.
  • Traveled to client homes to provide in home counseling and case management services.
  • Consulted with clinicians to devise and manage ongoing care plans for at-risk patients.
  • Developed positive relationships with parents to foster communication and encourage involvement for student growth.
  • Managed caseload of 10 children in welfare system to provide comprehensive, community-based care.
Aderant Holdings, Inc - Marketing Manager
Chicago, IL, 09/2005 - 09/2007
  • Implemented successful marketing and promotional strategies.
  • Utilized market trends and target audience statistics to effectively and appropriately market products.
  • Executed optimal sales strategies to achieve commercial goals for target market.
  • Planned and executed internal and external marketing events.
  • Organized contacts and orchestrated innovative marketing campaigns to boost awareness, engagement and sales.
Insight Enterprises, Inc. - Project Coordinator
Charlotte, NC, 01/2003 - 02/2004
  • Worked with vendors to complete projects according to schedule and specifications.
  • Coordinated meetings between project members and clients to develop ideas, discuss progress and set goals.
  • Planned trade shows and vendor fairs for clients and partners to attend.
  • Tracked and reported on marketing campaign responses.
  • Coordinated resources to craft marketing plans for product launches and events.
  • Youngest management at company

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Resume Overview

School Attended
  • University of South Florida
Job Titles Held:
  • Care Coordinator
  • Case Manager
  • Marketing Manager
  • Project Coordinator
Degrees
  • Bachelor of Arts